A week has passed since the election and our political parties have had time to reflect on their victory or demise. With such a huge majority in parliament, we can be certain, whether we agree with it or not, that Brexit will be done in one form or another. The prime minister at the first meeting of his cabinet, and as if on cue ready for my blog, in front of the cameras repeated the pre-election promise of 40 extra hospitals and 50,000 extra nurses.
Putting aside my cynicism and concern about how we, as a country, are going to grow enough money trees without our foreign agricultural workers after Brexit, I welcome this much needed investment. I should add here that in the true sense of fairness, pre-election, other parties were likewise offering wonderful trips to fairyland, with riches beyond our wildest dreams. Trying to out trump each other, they managed to even out trump Trump in their hyperbole.
However, rather appropriately as it turns out, whilst sitting in the waiting room at a general hospital on election day, I read a couple of disturbing articles in the i newspaper. Pointing to the fact that makeshift shelters are becoming increasingly common in British cities one article quoted statistics from Homeless Link showing that rough sleeping had increased by 165% since 2010 (Spratt, 2019). Alongside, another article stated that A&E admissions of homeless patients had tripled in the last eight years with 36,000 homeless people attending in the last year (Crew 2019). Whilst I am always cautious regarding statistics, the juxtaposition makes for some interesting observations.
The first being that the promised investment in the NHS is simply a sticking plaster that attempts to deal with the symptoms of an increasingly unequal society.
The second being that the investment will never be enough because groups in society are becoming increasingly marginalised and impoverished and will therefore become an increasing burden on the NHS.
Logic, let alone the medical profession and others, leads me to conclude that if a person does not have enough to eat and does not have enough warmth then they are likely to become ill both physically and probably mentally. So, alongside the homeless, we can add a huge swathe of the population that are on the poverty line or below it that need the services of the NHS. Add to this those that do not have job security, zero-hour contracts being just one example, have massive financial burdens, students another example, and it is little wonder that we have an increasing need for mental health services and another drain on NHS resources. And then of course there are the ‘bed blockers’, a horrible term as it suggests that somehow, it’s their fault, these are of course the elderly, in need of care but with nowhere to go because the social care system is in crises (As much of the right-wing pre-Brexit rhetoric has espoused, “It’ll be better when all the foreigners that work in the system leave after Brexit”). It seems to me that if the government are to deal with the crises in the NHS, they would be better to start with investment in tackling the causes, rather than the symptoms*.
Let me turn back to the pre-election promises, the newspaper articles, and another post-election promise by Boris Johnson.
My recollection of the pre-election promises was around Brexit, the NHS, and law and order. We heard one side saying they were for the people no matter who you were and the other promising one nation politics. I don’t recall any of them specifically saying they recognised a crisis in this country that needed dealing with urgently, i.e. the homeless and the causes of homelessness or the demise of the social care system. Some may argue it was implicit in the rhetoric, but I seem to have missed it.
In her article, Spratt (2019:29) quotes a Conservative candidate as saying that ‘nuisance council tenants should be forced to live in tents in a middle of a field’. Boris Johnson’s one nation politics doesn’t sound very promising, with friends like that, who needs enemies?**
* I have even thought of a slogan: “tough on poverty, tough on the causes of poverty”. Or maybe not, because we all know how that worked out under New Labour in respect of crime.
** The cynical side of me thinks this was simply a ploy to reduce the number of eligible voters that wouldn’t be voting Conservative but, I guess that depends on whether they were Brexiteers or not.
Crew, J. (2019) Homeless A&E admissions triple. i Newspaper, 12 Dec 2019, issue 2824, pg. 29.
Spratt, V. (2019) ‘You Just didn’t see tents in London or in urban areas on this scale. It’s shocking’: Makeshift shelters are becoming increasingly common in British cities. i Newspaper, 12 Dec 2019, issue 2824, pg. 29.