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Johnson wants us to talk about the NHS instead of his future. Let’s do just that Polly Toynbee

Have you noticed that this is the “health week” of the government? Sajid Javid, the health minister, appeared twice on Radio 4’s Today to try to get him to fly, but somehow failed to distract from other Westminster dramas.

Hoping that health can act as a useful shield was a strange maneuver, as the NHS is the bad news that will haunt the Tories in the next election. But where else can № 10 turn, to which crippled department, for an iota of good news to divert attention from all other bad news? The empty denial that changes the truth is Boris Johnson’s way: when asked by the prime minister on Wednesday, he boasted of “his government’s fiscal firepower” just as the OECD told the world that the UK was heading for zero growth, bottomless in the league (bar Russia).

When the NHS came along, he used a breathtaking blizzard of numbers, apparently not expecting to be believed. Check his numerology when recruiting and it reveals failure after failure. Until July, no one will wait two years for surgery! But is this a success? Labor left the post with a maximum waiting period of 18 weeks. No, Covid is just one reason: 4.43 million people in England were on waiting lists just before the pandemic struck.

Johnson’s bluffing infected his office. Today, Javid has neither flinched nor laughed at allegations that his 48 “new” hospitals have been targeted by 2030. Listen carefully and they have become ‘hospital projects’, mostly wings and units, as only £ 3.7 billion has been raised when a new average hospital costs £ 500 million. How are they progressing? The government’s oversight body, the Infrastructure and Projects Authority, downgraded the program to “amber / red”, meaning that supply “is suspected of high risks or problems evident in a number of key areas”, marking it as seemingly unattainable. “. Meanwhile, crumbling hospitals have not received news of their recovery. The collapsing roof of the infant intensive care unit at Queen Elizabeth Hospital in Kings Lynn, Norfolk, is supported by 1,500 supports. This hospital needs £ 862 million, but the delay costs more as construction prices rise by 24%.

Anita Charlesworth, a health economist and research director at the Health Foundation, points to the size of the NHS shortage. “Running to not stand still”, maintaining the same inadequate level of activity as the last decade, “would cost an additional £ 2 billion a year” and that is before pay rises. Salary to keep up with inflation will cost £ 7 billion taken from the existing NHS budget: there is no chance of that. After the deepest funding cuts in its history, with 110,000 vacancies in England, she said: “We are spending less on the NHS than equivalent countries and by the end of the decade we will be missing a quarter of the staff as the number people over 85 increase by a third. “

Lawmakers scoff as Johnson faces Starmer for the first time since a no-confidence vote – video

The danger now, she says, is the bleeding of highly qualified and overworked staff on top of their pay, drawn to easier professions. The government is voting against any workforce strategy, a senior Tory tells me, because the Ministry of Finance cannot allow the world to see the true state of future spending needs.

A recent report from the Royal College of Emergency Medicine on NHS beds is another grenade launched during Health Week, showing 25,000 lost beds in the UK over the past decade, causing “uncertain” bed occupancy rates with the fewest beds. head in Europe. NHS beds are blocked due to lack of social care, leading to canceled operations and ambulances left in front of overcrowded A&E. During the Prime Minister’s questions, Keira Starmer killed 135,000 patients waiting for a delayed cancer scan, the lack of general practitioners and these 48 Potemkin hospitals. The commentator wanted him to rub salt into the wounds of Johnson’s leadership, but it was the delay in the NHS that caused real concern in most households.

Here’s the risk if Labor doesn’t win the next election: years of sharp underfunding in the 1990s led to a heated debate that the 1948 system had been disrupted, with calls for insurance and co-payments rising. In power, Labor can prove how stable funding restores the health of the NHS.

As the prospect of power approaches, the scale of the NHS collapse could become a good problem for the campaign for Wes Street, the health secretary in the shadow of Labor, but what a nightmare to inherit. “This is a two-term project,” he warns me. “We need to start with the most urgent priorities.” And it’s a workforce with a massive training program that promises enough future staff.

“And the pay has to go up. At a food bank in Colchester, they give food parcels to nurses. Regarding the GP’s services, he said: “The front door of the NHS is broken. Young doctors do not want to work as sole traders in a house with an end terrace. ” And so, building on the networks of general practitioners, he revived Labor’s plan for local clinics with a range of services, including Tory-abandoned diagnostics. “Our National Care Service is the only way to unblock NHS beds, and with good pay, training and career advancement, we can get people into care.” But the last time it took many years to repair the damage.

As Health Week failed, Johnson turned to housing. But that only underscores a story, almost as bad, with equally empty promises. The grid of Downing Street will continue to rotate from one problem to another. Crime, with the courts now prosecuting for three years? Climate, with Tory MPs tearing up the policy of zero net? Johnson will be returned to the satisfactory front pages of the Tories, so expect noisy and fake cultural wars to try to fill the big void.