Consent, Divorce and Brexit

images-1Sometimes people change their mind, especially when new evidence comes to light! For example, in the medical profession, the process of consent stays open right until the operation is about to take place. It would be ludicrous to tell someone they have to go through with a leg amputation, even after it’s been discovered that their leg is in fact healthy and savable, simply because the consent form is signed! I think Brexit feels like that, except in our case, we are the leg and we’re about to cut off the body to which we are joined! Or we could compare it to a couple being forced to go through with a divorce, with all the pain involved, even after they rediscover that they are really great together, have believed lies about each other, and will both be worse off without each other. Yes – they may have some things to work through and they may need to totally reimagine their relationship, but to force the divorce through just because they were going through a rough patch, might be hugely regretful. I think Brexit feels like that – a very sad outcome to what could have been a totally different kind of conversation.

 

Yes, I accept that there are things about the EU which have made many across the UK find it difficult to want to stay in a relationship with her. But we’ve been led to believe some things about Europe which are wholly untrue and our vision got really clouded. When we step back and recognise all the good things about the relationship, knowing that it isn’t perfect and would still need a lot of work; mediating a reimagined future is so much more preferable than what a divorce is going to mean. And sometimes, it’s only after you call something off that you begin to realise that it isn’t a break-up that you want, it’s just a different kind of relationship. We are literally about to make an unbelievably terrible mistake, but it’s not too late to change our minds. 

 

Unknown-1Let’s be honest, through the unraveling scandal of Cambridge Analytica et al. we now know that Brexit was NOT the result of a “democratic process”, and the idea that we now can’t change our minds, (even though the evidence is clear of how bad it will be), is beyond ludicrous. Yes, it’s true, we were told it would be a once in a lifetime vote, and that not leaving the EU will break people’s trust in our political system – but last time I looked, there wasn’t loads of faith in it anyway! The leave campaign broke the law in terms of what they spent, told many lies, and hard though it is for us to face up to, used immorally targeted psychological manipulation to get the vote they wanted, driven by hyper-nationalist media moguls. And so NO, we don’t actually have to take the result and live with the dire  consequences. It is time to stop this madness, say sorry to our European friends and renegotiate a New European Union that works for everybody. Clearly there are some huge problems, which is why we are seeing the rise of the far right across the continent. Many people feel un-listened to. Europe has forgotten how to create a positive story of the future and so we are retreating into narratives of fear and separation. But, rather than leave, what we need to do is come together with a bolder and more positive dream of what it means to be in Union together and then we can begin to face up to some of the really complex issues we face at a global level.  

 

images-2We’ve been worried that being part of the Union means that we are losing our own national identity. It doesn’t mean that at all! Have you seen the Dutch fans at a football match?! When I married my wife, I was still me, she was still her, but we also became something new together! The EU really doesn’t limit our sense of individual nationhood, rather it expands our sense of partnership! We’ve believed that that the union prevents our ability to make good and sensible laws, but this simply isn’t true! Rather, the EU upholds human rights and helps us to embrace ‘otherness’. Europe and the European Union is extraordinarily amazing, but it absolutely needs to modernise, change and embrace the positive new power movements which are emerging. In the bloodiest continent on the planet, we have managed to live at peace with each other for over 70 years, and more than that to have become friends with each other. 

 

Compared to many nations in Europe, we are not as amazing as we might like to believe. We have one of the highest levels of poverty, some of the least happy people, the widest inequality gaps by an absolute mile and some of the lowest spending on public services. We have the highest property prices and rents in Europe and significantly declining productivity. To top it all, we have the worst pension deal. This is not the fault of the EU, but of the economic systems we have championed but which the rest of Europe have been more careful about monitoring.

 

imagesSo, leaving the European Union will help us how? £350 million extra a week for the NHS
or social care, or education, or policing? Nope. A better deal in life for those living in our most economically deprived areas? No again. Will we be safer? The police chiefs tell us not. Will our borders be more secure so that we can control all the immigration that we are told is the root of all our problems? Well no, and although immigration is a complex issue, Brexit is not the answer to it and we need to resist a rhetoric of fear, division and hate. . Might we create division across a well-healed Irish border? Yes. Will we potentially lose loads of manufacturing jobs across the North? Yes (just look 
at the new manufacturing deal Japan have struck with the EU). Will many of our businesses suffer heavy losses? Yes. Will the NHS struggle to recruit workers when our workforce is already hugely overstretched? Yes. Are there likely to be food shortages and will food become more expensive? Yes. Are we more likely to see the break up of the UK? Yes – and what of our great sovereignty then?! England is a very small place on its own! We need to wake up!Unknown

 

 

I know, we had a referendum and the ‘remoaners’ lost. But we are all about to lose so much more if we actually go through with this madness. We don’t just need a people’s vote, we need some humility and some hope that we can restore the damage we have done to our friends across the continent and together face the huge complexities in front of us over this next century – climate change, the refugee crisis, the plastic in our seas, water shortages and so much more. We cannot face these things alone as isolated nation states, but together, in union, we can! So, enough with Brexit! Let’s stop this now and find a new way forward together. #togetherwecan

 

 

 

 

 

 

 

 

 

My Manifesto for the UK Post Brexit (part 4 – Health and Social Care)

Health and Social Care

The UK is facing an existential crisis, especially when it comes to healthcare. I think it is part of the reason why the Labour party are in such appalling disarray at the moment. When the nation state as we have known it is beginning to fall apart, what is the role of the state? The question comes into sharp focus when it comes to our beloved NHS. The financial nightmare facing the NHS is in the press everyday. How much of this has been orchestrated by a bureaucratic system that wishes to see its demise we may never know. But the fact remains, there is a whole lot of debt, an ageing population with increasingly complex health and social needs and a significant underspend in terms of GDP on health compared to most of the other ‘developed’ nations.

Although I believe that we will (and need to) see increased localism, especially when it comes to political participation and economic alternatives, discovering together entirely alternative ways of being and organising ourselves, I still believe in a more national approach to health and social care, as for me, one of the roles of leadership is to ensure provision for those most easily forgotten about or marginalised in society.

Obviously this subject matter is far vaster than a short blog can offer, but here is a starter for ten:

I would therefore increase spending on health in line with need and GDP. I would support moves through partnerships between health and education to encourage our children and young people, in particular, to exercise and eat healthily, therefore breaking some of the health inequalities we see presently in the years ahead. I would look to improve the overall wellbeing of society, as we know that both extreme poverty and extreme wealth is bad for our health. We need to talk about physical, mental, social, spiritual and systemic health. We need a 70 year vision for healthcare, not something that changes with the wind of each new parliament. People would be empowered to care for their own wellbeing and look after one another, because where people are connected to one another, they flourish more readily. I would not privatise the NHS, but keep it public, learning lessons from around the world, ensuring our systems are continually improving and accountable but providing kind and compassionate health and social care to everyone in our communities. I would amalgamate the health and social care budgets. I would invest in measures to improve the overall mental health of the nation by looking at the root causes of our unhappiness and disconnectedness, ensuring those who need psychological therapies and psychiatric expertise are able to access this. I would ensure our staff are appropriately paid and would create a culture of participatory leadership, where we care for the health and wellbeing of those who work in the system. I recognise that health is best provided in the local community and will support the growth of integrated care communities, like those in Morecambe Bay. General Practice is the bedrock of such communities and will therefore be funded appropriately. Communication training, led by patient-experience, would be compulsory. All training would be integrative, problem based and solution focussed (that could do with some unpacking – maybe another time!).

I would break the negative cycle caused by the economics of ‘payment by results (PBR)’ and create participatory shared budgets, breaking down the walls of competition between segments of the system that need to collaborate. I would create emergency care hubs, co-locating services that need to work in an integrative manor. We have to face the fact, that it would take an enormous cultural shift to stop people walking through the doors of the ED, so let’s work with it, rather than trying to change the tide. I would want to see the 5 ways to wellbeing as part of every work place environment. In hospitals, there needs to be a focus on faster discharges (something the dreadful cuts to social care budgets across our county councils will only worsen), working with community teams to enable people to be cared for in their own homes. We need a complete overhaul of our residential and nursing home sector, finding areas of best practice and raising the bar significantly in terms of how we honour and care for our elderly citizens. We need to have a philosophical shift in our approach to death – it is an emotive subject and I have vlogged on it previously on my other blog http://www.reimagininghealth.com People need to be able to die well, and far too often they die in the strange surroundings of a hospital, cared for by people they do not know, when they could have died at home or in their nursing home, surrounded by people who love them. If only we could face up to the difficulties of death, we would embrace it in a much more healthy way…..(again I recommend Atul Gawande’s book ‘Being Mortal’).

Naming the BEAST: Neoliberalism!

We really must wake up! There is a vile beast at work in our world, which has a name, but we don’t know it and we don’t understand it and so its power grows! It is ravaging the poor and breaking our communities. It wears the mask of freedom, but devours our lives. “The freedom that Neoliberalism offers, which sounds so beguiling when expressed in general terms, turns out to mean freedom for the pike, not for the minnows”. Do you get it? The vast majority of us are the minnows! It serves the predators, not the enslaved. It gives us just enough freedom to think we are free, but we have become captive to the greed and rampant consumerist individualism it instills. We must throw off the chains. We have to shake off our malaise. It is the very antithesis, or the exact opposite, of what Jesus called the kingdom of God. It is, in fact, the dominant political and economic philosophy of our day. All the major political parties drink deeply from its cup. The Labour party do not think they can win an election without it and its poison will destroy the NHS, education system and all other public services.   We need to know about it, understand it, be delivered of its power and reimagine some altogether different, creative and positive alternative ways of approaching life together, that will free us from its grip.

 

Please make yourself a good old cup of fair-trade or slave-free tea and take some time to read this in depth article from the very clever George Monbiot. As he writes: “it’s not enough to oppose a broken system. A coherent alternative has to be proposed.”

 

George Monbiot https://www.theguardian.com/books/2016/apr/15/neoliberalism-ideology-problem-george-monbiot