Saturday, March 06, 2021

Majority of British public would back an NHS workers strike and support a 7% nurses pay rise amid Matt Hancock's defence of 'fair' and 'affordable' 1% pay rise for medics

Snap poll by findoutnow.co.uk shows 78 per cent of Britons would back a strike 

Unions say public will be 'horrified' after staff have 'given everything' this year

Ministers point out that the rest of the public sector is facing a complete freeze

DHSC says pandemic has 'placed a huge strain on both public and NHS finances'


By JAMES ROBINSON and CONNOR BOYD ASSISTANT HEALTH EDITOR FOR MAILONLINE and JAMES TAPSFIELD POLITICAL EDITOR FOR MAILONLINE

PUBLISHED: 5 March 2021



The majority of Britons would back a strike by NHS workers and many believe health staff should be awarded a bumper 7 per cent pay rise this year, according to a new poll. 

As tempers last night flared over the Government's 1 per cent offer, 78 per cent of Britons revealed they would back a strike by NHS staff.

The figures come from a survey carried out by findoutnow.co.uk and reported in The Mirror.

Amid the rising tensions, Matt Hancock last night attempted to defend what he described as a 'fair' pay offer in the face of the UK's rising Covid costs.

In an attempt to bridge the the divide, the Health Secretary also shared his admiration for nurses - which he said was born from the fact that his own grandmother had worked in a hospital.

He claimed he 'bowed to no-one in his admiration' for nurses, adding: 'I learnt that at the knee of my grandmother who was a nurse.'

But Mr Hancock, who has previously promised to 'fight to ensure the NHS was given a 'reward' in the aftermath of the pandemic, last night faced the prospect of a strike from NHS staff.

Unions described 1 per cent pay rise offer as a 'slap in the face'. The Royal College of Nursing announced it is setting up a £35million fund for industrial action, while Unite said it is considering balloting members about striking.

However Mr Hancock risked further ire when he shot down the prospect of a one-off pandemic pay reward for health workers, which is being touted in Scotland.

Speaking at yesterday's Downing Street press conference, he said: 'This isn't the approach we have chosen to take'.



Amid the rising tensions, Matt Hancock (pictured) last night attempted to defend what he described as a 'fair' pay offer in the face of the UK's rising Covid costs



Mr Hancock, who has previously promised to 'fight to ensure the NHS was given a 'reward' in the aftermath of the pandemic, last night faced the prospect of a strike from NHS staff. Unions described 1 per cent pay rise offer as a 'slap in the face'. Pictured: A Unite Union representative protests outside Downing Street yesterday

Responding to the government's NHS pay proposal, the Royal College of Nursing has released a digital billboard message showing the image of a nurse in PPE with the message: 'Look them in the eyes and tell them they're only worth an extra £3.50 a week'

It comes as last night furious unions who had demanded a 12.5 per cent increase threatened to strike amid the bitter pay row, which could threaten the roll out of the Covid vaccines.

Unison has organised a mass 'slow clap' next Thursday - a spin on the clap for heroes campaign - to protest Number 10's 'derisory' offer.

And NHS Providers accused the Government of turning its back on predictions of a 2.1 per cent pay rise made in long-term predictions prior to the Covid pandemic.

But Mr Hancock yesterday defended the proposals, saying: 'The evidence that was put forward yesterday was on the basis of affordability. We've proposed what we think is affordable to make sure that in the NHS people do get a pay rise.

'I think it is fair to take into account all the considerations, the incredible hard work of those in the NHS, which means they are not part of the overall public sector pay freeze and also what's affordable as a nation.'

Health minister Nadine Dorries - a former nurse - earlier pointed out that the rest of the public sector is facing a complete freeze, warning that the government cannot 'afford' to be as generous as it would like with national debt soaring towards £2.8trillion.








Health Minister says 1% NHS pay rise is all Government can afford





Unions branded the offer from the government a 'callous and an enormous slap in the face' after a year on the front line of the coronavirus crisis - with some demanding a 12.5 per cent increase 



Health minister Nadine Dorries - a former nurse - pointed out that the rest of the public sector is facing a complete freeze, warning that the government cannot 'afford' to be as generous as it would like with national debt soaring towards £2.8trillion

In a round of interviews, she said had been 'pleasantly surprised' that a 1 per cent offer had been possible - and dismissed the idea that staff will quit, stressing people work in roles such as nursing because they 'love the job'.

Nurses described the planned pay rise as 'insulting', with many revealing the boost would not cover their weekly parking fees at NHS hospitals.

Multiple healthcare staff said the proposal would see them take home around £3.50 extra per week.

The TUC said yesterday that its analysis showed that under the current pay scheme nurses would be paid £2,500 less than in 2010 when adjusted for inflation, with equivalent falls of £3,330 for paramedics and £850 for porters.

Holly Turner, a nurse from Colchester, said it was 'absolutely devastating' to see the Government 'place no value in us whatsoever'.

Ameera Sheikh, an intensive care nurse and Unite union representative, said increasing costs of living had left people struggling on stagnant wages. She said the support the Government had shown earlier in the pandemic now feels 'fake'.

Sir Keir Starmer seized on the announcement to insist that 'Covid heroes' deserve more and shadow health secretary Jonathan Ashworth said it showed 'you can't trust the Tories with the NHS'. Meanwhile, Tory MPs voiced disquiet. 


NHS 1% pay rise from Government is 'insulting' says Keir Starmer

The submission from the government to the NHS pay body is for a headline 1 per cent rise, meaning that some types of staff are likely to get more and others less.

It also notes that a further 0.7 per cent hike to the pay envelope planned under the wider health service modernisation will still go ahead.

Unison general secretary Christina McAnea said: 'Millions stood on doorsteps and clapped for health staff who've given their all. Let's now stand up for their right to fair wages.

'Give the Chancellor a slow handclap for his miserly 1 per cent. Times may be tough but this deal is below-inflation and derisory. It's like the worst of austerity is back.

'NHS staff have worked throughout the darkest days in health service history. They were expecting a fair increase that reflects their exceptional efforts.

'Nurses, midwives, porters, cleaners and other health workers are upset, hurt and angry. There were 100,000 vacancies even before Covid hit. Now the health service will be losing staff quicker than they can recruit new ones.

'This offer isn't just bad for staff. It's bad for the NHS and the patients it cares for.'

The RCN said in a statement: 'A strike fund is an amount of money that can be used to support workers, who are members of a trade union, to provide some compensation for loss of earnings and campaigning during industrial action.

'RCN council are determined to have the finances available to our members should they wish to take action.


NHS nurse discusses 'devastating' 1% pay rise after 'horrific' year



'In setting up this fund, the RCN will create the UK's largest union strike fund overnight. The next steps will be decided in conjunction with our members.'

Unite national officer for health, Colenzo Jarrett-Thorpe, added: 'Following yesterday's kick-in-the-teeth announcement that the Government wants to peg NHS pay at 1 per cent for 2021-22, Unite will be considering all its options, including the holding of an industrial action ballot, as our pay campaign mounts in the coming weeks.'

'Our members and all NHS staff deserve a fair and decent pay rise and a meagre 1 per cent will not cut it.'

Nurses brand proposed £3.50-a-week pay rise 'insulting' and 'hypocrisy'

A Government recommendation to increase pay for nurses and other healthcare staff by 1 per cent has been branded an 'insult' and 'hypocrisy in its greatest form' by NHS workers.

The Unite union, which represents tens of thousands of health service staff, has warned of industrial action amid growing anger at the proposals, while the Royal College of Nursing announced it will set up a £35 million industrial action fund in response.

Holly Turner, a nurse from Colchester, told the PA news agency it is 'absolutely devastating to see (the Government) place no value in us whatsoever'.

She said: 'Strike action would be a complete last resort for us and it would have to be something that could be planned carefully in order to keep our patients safe because, for all NHS staff, patient safety is priority.

'But long term, if we're going to keep our patients safe, if we need to take industrial action in order to do that, I think we will.'

She added: 'We are exhausted, we are demoralised, we are fed up — but there is also an increased level of anger.'

Multiple healthcare staff said the proposal would see them take home around £3.50 extra per week.

Ameera Sheikh, an intensive care nurse and Unite union representative, said increasing costs of living had left people struggling on stagnant wages. She said the support the Government had shown earlier in the pandemic now feels 'fake'.

'We have treated people from the lowest socio-economic backgrounds to quite literally the leader of the country,' she said.

'We have sacrificed so much since the start of the pandemic, and that includes moving out of our family homes to live close to the hospital and protect our families and live in complete isolation, which is something that I've actually had to do.

'We are facing an increasingly dangerous workload in the intensive care unit, and a lot of staff being redeployed to ICU without basic intensive care training. Also, the lack of PPE and having to reuse PPE or wear expired PPE and risking our lives.'

Health minister Nadine Dorries gave a series of media interviews on Friday defending the Government's position, saying nurses have received a 12 per cent increase in pay over the last three years and the average nurse's salary is around £34,000.

However, frontline workers have branded these claims 'lies'.

Kelly Robbins, a nurse working in primary care in Brighton, said: 'We listen to them on TV and they are lying, and it's just painful and really debilitating to hear them say that.'

She added: 'We know that they make choices, political priorities as to where the money is spent, and so we know that there is money there, effectively to do this, and it just does seem like a massive insult.'

Kirsty Brewerton, a clinical sister from Coventry, said the move is an 'absolute disgrace'.

'How the Government can say there's no money beggars belief. The billions that they spent on Test and Trace, the PPE contracts that were not appropriate for use.'

An experienced nurse, Ms Brewerton believes that this latest blow will lead to senior colleagues leaving the profession.

Mel, a staff nurse, described the Government's proposed 1 per cent pay rise as an 'insult' and 'hypocrisy in its greatest form'.

She said: 'It really isn't true remuneration for the real-time pay cut that we have seen over the last decade.

'We have healthcare staff using food banks, so £3.50 is not going to improve their situation in any way, shape or form.

'I am angry beyond words both for myself but for my colleagues who I see struggle daily.'

She said staff already feel demoralised and warned more will leave the front line without proper recognition.

'The phrase 'NHS heroes' – we are not heroes and we don't want to be hailed as heroes, we are a professional body and we want recognition for the work we have done, not just during the pandemic,' she added.

'We have absolutely tried our best, but there has to be a line. We are still human at the end of the day, we are still people who come home and crumble at the thought of the number of deaths we've seen.'

Eve, a nurse in central London, told PA she and her colleagues are exhausted and coping with 'severe PTSD'.

She said: 'We now have no choice, we must strike now. How else can we get our voice heard? Claps don't pay our bills or feed our families.

'A 15 per cent pay rise is all we are asking for, but 1 per cent is all we are worth to this Government.'

The Royal College of Nursing said their members 'deserve a 12.5 per cent increase'.

Nurse Holly Turner endorsed the idea of striking to send a strong signal to the Government. She said: 'Strike action would be a complete last resort for us and it would have to be something that could be planned carefully in order to keep our patients safe because, for all NHS staff, patient safety is priority.

'But long term, if we're going to keep our patients safe, if we need to take industrial action in order to do that, I think we will.'

She added: 'We are exhausted, we are demoralised, we are fed up — but there is also an increased level of anger.'

Multiple healthcare staff said the proposal would see them take home around £3.50 extra per week.

Ameera Sheikh, an intensive care nurse and Unite union representative, said increasing costs of living had left people struggling on stagnant wages. She said the support the Government had shown earlier in the pandemic now feels 'fake'.

'We have treated people from the lowest socio-economic backgrounds to quite literally the leader of the country,' she said.

'We have sacrificed so much since the start of the pandemic, and that includes moving out of our family homes to live close to the hospital and protect our families and live in complete isolation, which is something that I've actually had to do.

'We are facing an increasingly dangerous workload in the intensive care unit, and a lot of staff being redeployed to ICU without basic intensive care training. Also, the lack of PPE and having to reuse PPE or wear expired PPE and risking our lives.'

Deputy chief executive of NHS Providers, Saffron Cordery, said: 'It is very disappointing that the Government has said that a 1 per cent pay rise is all that is affordable when they know that the assumption was that the 2021/22 NHS pay rise would be 2.1 per cent - and that this was covered by the NHS revenue settlement announced by Theresa May in June 2018.

'This settlement was then enshrined in a formal act of Parliament, the NHS Funding Act 2020.

'These assumptions, published in June 2019 were, of course, made before the events of the last 12 months which have significantly strengthened the case for a larger pay rise for NHS staff.

'In a survey of trust leaders for our evidence to the NHS Pay Review Body, 82 per cent of respondents wanted a pay uplift of at least 3 per cent, with only 14 per cent saying it should be 2 per cent or less.

'Some will think that the Government is snatching planned pay rises from the pockets of deserving NHS staff so they don't have to fund the extra costs of Covid-19, which the Chancellor personally committed he would meet.'

Ms Dorries said the Government 'would love to do more' but stressed that NHS staff have had significant rises over recent years and will still benefit from progression pay.

She told the BBC's Today Programme: 'All of us, the Prime Minister, the Chancellor, I don't think there's any of us who have not been touched or have needed NHS services over the past year.

'The Chancellor believes that this is what we can afford to pay NHS staff across the board, and this is our recommendation to the pay review body, we will have to see what the pay review body come back and say, and we're also waiting for feedback from unions and all stakeholders across the sector.'

She said the Government could not afford to give NHS staff in England a pay rise of more than 1 per cent.

Ms Dorries insisted nurses had received a 12 per cent increase in pay over the last three years and the average nurse's salary is around £34,000.

'Everybody in an ideal world would love to see nurses paid far more, in an ideal world, but we are coming out of a pandemic where we have seen huge borrowing and costs to the Government,' she told Sky News.

Asked whether people would still be signing up to work for the NHS in light of the proposed 1 per cent pay rise and the pandemic, Health Minister Nadine Dorries told BBC Breakfast: 'I believe nurses are about more than superficial soundbites, I think nurses love their job. They do their job because they love their job.

'I know myself, I was a nurse myself and trained as a nurse, I became a nurse because I loved nursing.

'I hope that those nurses who love their jobs too will stay in the NHS and stick with us through what is a difficult time.'

The BMA, RCN, the Royal College of Midwives and Unison have also written an open letter to Rishi Sunak, expressing their dismay at the one per cent pay offer.

It comes after the Chancellor revealed tens of billions of pounds worth of spending in the latest Budget on Wednesday and compared the country's borrowing to wartime level.

There was no announcement on NHS pay, and in its submission to the NHS Pay Review Body today, the DHSC said that any higher than one per cent 'would require re-prioritisation'.

It added: 'COVID-19 has created unavoidable direct and indirect financial impacts in the 2020-21 financial year and contributed to a challenging wider economic context.'

The pay body will make a recommendation in May, but the final decision rests with ministers.

Unison head of health Sara Gorton said: 'A 1 per cent pay rise is the worst kind of insult the Government could give health workers who've given their absolute everything over the past year.

'The public will be horrified. Staff will think it's some kind of joke.'

Sir Keir attacked the pay rise, sharing the news on Twitter and writing: 'You can't rebuild a country by cutting nurses' pay. 'Give our Covid heroes a pay rise.'

Meanwhile, shadow health secretary Jonathan Ashworth said: 'A pay cut for NHS staff is the ultimate kick in the teeth to our NHS heroes who have done so much to keep us safe over the past year.

'Rishi Sunak promised to be open and honest with the public yet shamefully insults every single member of NHS staff, sneaking out this announcement and failing to include any mention of NHS pay in the Budget.'

Jon Skewes of the Royal College of Midwives said the 1 per cent pay rise proposed in evidence to the NHS Pay Review Body would be an 'absolute insult'.

He added: 'Our members are working harder than they have ever done to deliver safe care to women and their families in the face of longstanding staffing shortages that existed prior to the pandemic.

'Do the Government have any idea what a pay proposal like this will do to morale? Midwives have already been eyeing the door and this will undoubtedly push many of them towards it.

Royal College of Nursing general secretary Dame Donna Kinnair said: 'This is pitiful and bitterly disappointing.

'The Government is dangerously out of touch with nursing staff, NHS workers and the public.

'It is not a done deal but the Government has revealed its hand for the first time. With the time remaining before the Pay Review Body recommendation, the Government can expect a backlash from a million NHS workers.

'Taxpayers are supportive of a significant and fair pay rise for NHS workers – this year of all years.

Jonathan Ashworth: NHS 1% pay rise "shocking" and "disgusting"




+11

In its submission to the NHS Pay Review Body today, the DHSC said that any higher than one per cent 'would require re-prioritisation' and said pandemic had created 'unavoidable impact'

'If the Pay Review Body accepts the Government view, a pay award as poor as this would amount to only an extra £3.50 per week take-home pay for an experienced nurse.

'Nobody would think that is fair in the middle of a pandemic and it will do nothing to prevent the exodus from nursing.'

Last night the NHS Confederation, which represents hospital trusts and other organisations, expressed alarm at the prospect of a strike.

'This is not the scenario anyone would want, but this clearly shows the depth of feeling at the RCN,' the confederation's chief executive, Danny Mortimer, said.

Meanwhile, a Government spokesman said: 'Over one million NHS staff continue to benefit from multi-year pay deals agreed with trade unions, which have delivered a pay rise of over 12 per cent for newly-qualified nurses and will increase junior doctors' pay scales by 8.2per cent.

'Pay rises in the rest of the public sector will be paused this year due to the challenging economic environment, but we will continue to provide pay rises for NHS workers, on top of a £513 million investment in professional development and increased recruitment.

'That's with record numbers of doctors and 10,600 more nurses working in our NHS, and with nursing university applications up by over a third.

'The independent pay review bodies will report in late spring and we will consider their recommendations carefully when we receive them.'

In the document, the DHSC says the pandemic has 'placed a huge strain on both public and NHS finances'.




'The economic outlook for 2021/22 remains uncertain and pay awards must be both fair and affordable,' it wrote.

'The government announced a pause in public sector pay rises for all workforces, with an exception for employees with basic full-time equivalent salaries of £24,000 or under and for the NHS.

'In settling the DHSC and NHS budget, the government assumed a headline pay award of 1 per cent for NHS staff. Anything higher would require re-prioritisation.'

They added that this increase was still above the CPI rate of inflation, whilst some staff would see a higher rise under a previously-agreed deal.

Around 1.3 million public sector workers will see a pay freeze while those earning less than £24,000 guaranteed a pay rise of at least £250.

Unite assistant general secretary Gail Cartmail said: 'The Government's evidence to the NHS Pay Review Body, due to report in May, saying that it wants the pay of NHS staff pegged at 1 per cent, is callous and takes no account of the public mood.'

Pictured: Dr Chaand Nagpaul, who chairs the British Medical Association council, described the one per cent pay rise as a 'kick in the teeth' to the NHS workforce keeping patients alive

Dr Chaand Nagpaul, who chairs the British Medical Association council, said: 'This is a total dereliction of the Government's moral duty and obligation to a workforce that is keeping the NHS on its feet and patients alive.'

He added: 'This comes as a kick in the teeth after a decade in which doctors have experienced real terms pay cuts of up to 30 per cent and in the same week as the Chancellor has announced a huge increase in the taxation on doctor's pensions that will leave virtually all doctors worse off.'

Rachel Harrison, GMB National Officer, said: 'This news will come as yet another kick in the teeth for NHS workers.

'A day after the Budget giveaways for some, the Government is attempting to impose either a 1 per cent pay rise on NHS workers or more cuts after a decade of austerity.

'Our members in the NHS have risked everything to battle the coronavirus and keep the public safe – a below inflation rise would be a paltry insult.'

Ms Dorries also insisted there would be 'no cuts' to NHS budgets going forward.

Budget documents revealed there is a planned cut of £30 billion in day-to-day spending at the Department for Health and Social Care from April of this year, falling from £199.2billion to £169.1billion.

Ms Dorries said: 'That £30billion, I believe, was a reduction on the pandemic spending – there are actually real-time increases going into the NHS budget year on year.

'That figure, I'm afraid, is completely wrong – that's not on our annual funding of the NHS, that was on our pandemic budget, which is completely separate.

'There are absolutely no cuts moving forward to frontline NHS services either in waiting lists, accident and emergency. There are just no cuts moving forward – there are real-time increases going into the NHS budget.'
1% pay rise a 'slap in the face' says national officer for health

UK
NHS pay: Nursing union sets up £35m strike fund as anger grows over ‘insulting’ 1% offer

The proposed award would amount to only an extra £3.50 per week take-home pay for an experienced nurse


By Paul Gallagher
March 5, 2021

The Royal College of Nursing (RCN) is preparing for potential strike action over the Government’s support for a 1 per cent pay increase for NHS staff amid mounting anger at the “insulting” offer.

The College’s governing council met in an emergency meeting on Thursday evening and voted unanimously for the College to immediately set up a £35m strike fund – an amount of money that can be used to support workers, who are members of a trade union, to provide some compensation for loss of earnings and campaigning during industrial action.

A spokesman for the RCN said: “RCN Council are determined to have the finances available to our members should they wish to take action. In setting up this fund, the RCN will create the UK’s largest union strike fund overnight. The next steps will be decided in conjunction with our members. Further announcements will be made in the coming weeks.”

The RCN said the pay award would amount to only an extra £3.50 per week take-home pay for an experienced nurse and that the Government can expect “a backlash from a million NHS workers” between now and when a final decision is taken by Ministers in May.

Read More
NHS pay rise row could worsen staff shortages just as the health service faces biggest backlog on record

Unite has also warned of industrial action amid mounting anger over the Government’s recommendation. The leading union, which represents tens of thousands of health service staff, said it will now be considering all its options, including holding an industrial action ballot, as part of its campaign for a decent pay rise.

The Government has said there had to be ‘trade-offs’ over bigger pay rise and boosting staff numbers in the NHS (Photo: PA)

Unite national officer for health, Colenzo Jarrett-Thorpe, said: “We will be fully consulting our members on the next steps, given that inflation could be 2 per cent by the end of 2021, so what Prime Minister Boris Johnson is recommending is another pay cut in real terms. It shows an unyielding contempt by ministers for those who have done so much to care for tens of thousands of Covid-19 patients in the last year.

“The public is rightly outraged by a Government that can spend £37bn on the flawed private sector Test and Trace programme, but can’t find the cash for a decent pay rise for those on the NHS front line. Public opinion will be key in shaming the Government into changing its recommendations to the NHS Pay Review Body.


“Chancellor Rishi Sunak will suffer severe reputational damage if he fails to deliver the money necessary to fund a decent pay rise after a decade of austerity that has seen the pay packets of many NHS staff shrink by 19 per cent in real terms since the Tories came to power in 2010.”

Unison, which is calling on the Government to give all NHS workers a pay rise of at least £2,000, called the proposal “the worst kind of insult”.

Health Minister Nadine Dorries said the Government could not afford to give NHS staff in England a pay rise of more than 1 per cent following uproar after the figure was submitted to the sector’s pay review body (PRB). She defended the Government’s position in a series of interviews on Friday, saying nurses have received a 12 per cent increase in pay over the last three years and the average nurse’s salary is around £34,000.

Read More
Tory MPs attack Government’s ‘inept’ and ‘unacceptable’ 1% NHS pay rise offer

“Everybody in an ideal world would love to see nurses paid far more… but we are coming out of a pandemic where we have seen huge borrowing and costs to the Government,” she told Sky News.

“I think it is important to note that the priority of the Government has been about protecting people’s livelihoods, about continuing the furlough scheme, about fighting the pandemic, and we’ve put huge effort into that.

“We do not want nurses to go unrecognised – or doctors – and no other public sector employee is receiving a pay rise, there has been a pay freeze. But the 1 per cent offer is the most we think we can afford which we have put forward to the pay review body.”

Ms Dorries, a former nurse, said she was “pleasantly surprised” when a 1 per cent pay rise for NHS staff in England was proposed.

Asked by BBC Breakfast what her reaction was to the news, she said: “I was actually surprised because I knew that we’d frozen public-sector pay, that no-one in the public sector was receiving a pay rise, so I was pleasantly surprised that we were making an offer.”


The independent pay review bodies will report in late spring and the Government said it will “consider their recommendations carefully when we receive them”.

 

Was there a big cut to NHS frontline   services buried in the budget?

Labour’s Jonathan Ashworth claimed a £30.1bn shortfall was hidden in Rishi Sunak’s statement


    An NHS ‘thank you’ sign in Canvey Island, Essex
An NHS ‘thank you’ sign in Canvey Island, Essex. Labour’s Jonathan Ashworth claimed the health budget has been quietly cut by £30.1bn. Photograph: Leon Neal/Getty Images
 Health policy editor

Rishi Sunak barely mentioned the NHS in his budget. So what’s the issue?

Labour claims the chancellor has quietly cut the Department of Health and Social Care’s (DHSC) budget for 2021-22 by £30.1bn. Jonathan Ashworth, the shadow health secretary, said: “Rishi Sunak promised to be ‘open and honest’ with the British public. But buried in the small print of his budget is a cut to frontline NHS services that will increase pressure on staff and do nothing for patients stuck on growing waiting lists.”

Is Ashworth right?

No. The reduction in the DHSC’s budget only relates to the extra costs it and the NHS in England have incurred from tackling the Covid-19 pandemic over the last year. That has involved spending billions on personal protective equipment (PPE) for staff and £22bn on the government’s test-and-trace programme, which has performed poorly. Importantly, despite Ashworth’s claim, the budget cut does not relate to frontline NHS services such as A&E care, diagnostic tests, surgery and outpatient appointments.

What are the sums of money involved here?

The Treasury gave the DHSC an extra £58.9bn in emergency additional funding this year to cover the huge extra costs resulting from the pandemic, which took its total budget for this year up to £199.2bn. However, in the new year starting on 1 April, Matt Hancock’s department will receive just £22bn over and above its core budget for Covid expenses. That means its overall budget will fall to £169.1bn.

Ashworth depicts the difference between those two sums as a £30.1bn “cut to frontline NHS services”. It is not, though. The extra £58.9bn was exceptional, and by definition temporary, funding. It was never meant to be permanent. With the pandemic receding for now, and a huge stockpile of PPE stored in warehouses, the DHSC is receiving much less this year than last from the Treasury.

So what is happening to the money the DHSC receives to fund normal NHS services?

This involves what in Whitehall speak is called the DHSC’s “resource departmental expenditure level (DEL or RDEL)”. It is actually going up, from £140.3bn this year to £147.1bn – an increase of £6.8bn.

But many NHS organisations are unhappy about the budget. Why is that?

The NHS Confederation (hospital trust bosses), British Medical Association (doctors) and the Health Foundation thinktank say the NHS in England needs at least £10bn more in 2021-22 to meet the extra costs Covid has caused, notably a big backlog of surgery and extra demand for mental health care. Sunak gave the service £3bn more in 2021-22 for those things in his autumn statement last November. But the confederation says that is “not enough”. They point to the fact that 4.5 million people are waiting to have treatment in hospital such as an operation – the highest number on record – and that it is estimated up to 10 million people, or almost 20% of England’s population, will need either new or extra mental health support as a direct result of the pandemic.


BRITISH MEDICAL JOURNAL
Covid 19: Why we can’t risk another wave

BMJ Editor's Choice

(Published 04 March 2021)Cite this as: BMJ 2021;372:n609

Fiona Godlee, editor in chiefAuthor affiliations
fgodlee@bmj.com
Follow Fiona on Twitter @fgodlee

The opening of schools across the UK and elsewhere in the world will bring relief to many families. It will also give children back the educational, social, and safeguarding benefits of interacting with teachers and friends. This is a vital, but still risky, step toward emerging safely from lockdown. Children’s futures are not the only things at stake if we get this wrong.

The risks to children of serious covid-19 illness are low,1 and cumulative international evidence indicates that schools are not amplifiers of transmission.2 But this does not mean that nothing further needs to be done to make schools safe. Nor does it mean an end to the many controversies around school closures during the pandemic, as our webinar on covid-19 and schools showed.3

Countries have taken a range of approaches, from keeping schools almost entirely open throughout the pandemic to prolonged periods of school closure. Scotland is phasing the return to school for different year groups, whereas England is opening them all at once. The Independent Scientific Advisory Group for Emergencies has recommended that schools reopen only when there are fewer than 100 confirmed cases per 100 000 population per week,4 but levels in England are currently higher than this. Then there are the questions of how to reduce class sizes, whether children should wear masks, and how to ensure proper ventilation.

Helen Salisbury writes that we have a responsibility to minimise exposure to infection for those who can’t control their own environments. As well as people in schools, this means those in workplaces, prisons, and asylum detention centres.5 What seems abundantly clear is that, although the success of the vaccine rollout is to be celebrated,6 we can’t rely on the vaccine alone. Avoiding another wave and further lockdowns will need, among other things, speedier access to accurate data for local public health teams and, as has been repeatedly called for, proper financial and practical support for those who need to self-isolate.7

“Getting back to normal” is what we all want, but this won’t be easy for the health service and those working in it. Recovering from the pandemic will be as challenging as the pandemic itself, say Christina Pagel and Edward Palmer.8 The past year has taken a heavy toll on all healthcare workers, with high rates of mental ill health and post-traumatic stress. Doctors have been particularly hard hit.9 Redeployment to unfamiliar roles and disruption to training have added to the burdens of delivering care. Healthcare leaders must ensure that staff have time to rest, recuperate, and reflect. And they must urgently look beyond the immediate demands of the current outbreak to act now on measures that will increase recruitment and retention, without which there will be little hope of delivering high quality care for all.

There are many reasons for doing everything possible to avoid another wave of the pandemic. The impact on healthcare staff and the future of our health services are two of them.


This article is made freely available for use in accordance with BMJ's website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.https://bmj.com/coronavirus/usage

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ROOTS
Pamela Anderson Sells Malibu Mansion, Will Live On Vancouver Island

She's planning to settle down in the town she was born in.

By Al Donato
03/05/2021 

Pamela Anderson is planning to sell her multi-million Malibu mansion and settle down in the Vancouver Island town she was born and raised in, the New York Post reports.

The former “Baywatch” actor told the outlet that she decided to move back to Canada following her surprise wedding to her bodyguard, Dan Hayhurst, last Christmas Eve.

“I feel more settled on my sustainable ranch on Vancouver Island with space to rescue more animals. It’s still beachfront. One foot away from the water — and I’m lost,” Anderson said

Her Malibu beachfront is listed by Tomer Fridman of The Fridman Group for $14.9-million USD, or $18.8-million CAD. Anderson originally bought the property in 2008; she’s tried to sell it before and has previously rented it for upwards of $50,000 a month, according to the Los Angeles Times.


JOEL DANTO OF THE LUXURY LEVELA
 photo of Pamela Anderson's Malibu home.

Before moving into that home, she lived in a “shabby chic” Malibu home, which was featured in an episode of “MTV Cribs” that aired in 2000.


Anderson wanted to get back to her roots in Ladysmith, B.C., where she owns property that once belonged to her grandmother.

“I left my small town in my early twenties for ′Playboy,′ travelled all around the world, just to come home — one of the most beautiful places on earth,” she told People. “I made it home in one piece, a miracle. I’m a lucky girl.”

“I left my small town in my early twenties for 'Playboy,' travelled all around the world, just to come home — one of the most beautiful places on earth.”

- PAMELA ANDERSON VIA PEOPLE


Anderson and her husband have stayed in Ladysmith since 2019, often visiting pre-pandemic to fix up the property, as it had fallen into disrepair after her grandmother’s death.

Rumours that she planned to re-develop or build condos in town were shut down in a 2019 interview with local outlet Ladysmith Chemainus Chronicle.

The Canadian star has posted glimpses of her life on Vancouver Island on social media. She enjoys spending her time there in the great outdoors with her pets

.

The 53-year-old environmental activist has always had a special place in her heart for Ladysmith. She told the Wall Street Journal that she’s been busy there renovating her grandma’s land, building a greenhouse and pickling vegetables.

As far as B.C. life goes, sounds like Anderson fits right in.


What The F**k': Canadians Aren't Pleased With NYT's Nanaimo Bar Recipe


New York Times Nanaimo Bar Recipe Dragged By Canadians
The New York Times’ track record on Canada is … not great.

By  
Mel Woods 
HUFFPOST CANADA
03/05/2021 


A custard-fuelled controversy is brewing on Canada’s West Coast and one of the largest newspapers in the United States is to blame.

The New York Times Cooking Instagram account shared a recipe and accompanying image for classic Canadian Nanaimo bars this week. But as many Canadians were quick to point out, something wasn’t quite right with the bars pictured.



“What da f**k have u done to it,” one user wrote.

The glaring issue with the NYT bars is the truly egregious ratio of crumb to buttercream to chocolate in the image. Dozens of Canadians commenters agreed, calling out the recipe for getting one of the dessert’s most basic things wrong.

“The near absence of a buttercream layer is most un-Canadian indeed,” wrote another.

While others pointed out that it adds to the Times’ already questionable coverage of the great white north.

“Another one in the ongoing NYT series: We didn’t speak to any Canadians but here’s a story about Canada,” another commenter wrote.

While this may not be as bad as the Times’ declaring we’re experiencing “Kamala Mania” or celebrating cannabis legalization with “C-Day,” my partner, who grew up in the central Vancouver Island city for which the bar is named, described the image in one simple word: “haunting.”

Nanaimo bars are a big deal in B.C. and Canada as a whole. The City of Nanaimo’s website has an entire page dedicated to the sweet treat.

“This creamy, chocolatey treat’s origin is elusive, shrouded in mystery, and claimed by many as their own. Of course, we know that Nanaimo Bars originated in Nanaimo, or they would be called New York Bars, or New Brunswick Bars,” reads the intro, followed by an official recipe.

They’re composed of three components: a coconut/nut crumble layer, a buttercream frosting with custard powder and a thin layer of chocolate on top. You would think that’s not that hard to get right.

Yet even Canada Post messed it up. In 2019, the service released a series of stamps inspired by Canadian desserts, including the Nanaimo bar. But the image pictured was heavy on the custard, light on everything else, and people took offense.

The mayor of Nanaimo even called out Canada Post for not consulting with his city’s residents, obviously the foremost experts on the bar.

WATCH: Canada Post unveils dessert stamps. Story continues below.


This is also not the first time an American outlet has gone after the beloved west coast treat.

Last September, BuzzFeed’s Canadian Twitter account shared a video to social media featuring recipes for variations on the beloved treat, except they called them “Canadian chocolate bars.”

A Coffee Crisp is a Canadian chocolate bar. A Nanaimo bar is not.

Even B.C. Premier John Horgan was quick to call them out.



BuzzFeed Canada quickly apologized for the Nanaimo bar slander.

“Our friends in LA made this video and named it Canadian Chocolate Bars. I’m sorry to all the Canadians we’ve offended with this video. It was never our intention. - Sincerely, a real Canadian,” BuzzFeed Canada wrote.

It’s not even the first time the Times has come under fire for its Nanaimo bar coverage. A 2019 piece garnered similar questions from B.C. residents.

We never got an apology for that situation, but New York Times food editor Sara Bonisteel told the CBC an “offset spatula situation” was to blame for the recent bar ratio issues in the NYT Cooking Instagram post.

Ultimately though, it does come down to preference. Some people like a little custard, some people like a lot. One thing we can all agree on is that the Nanaimo bar is truly a Canadian icon.


 

As Scientists Rally to His Defense, Lieber Rules Out Plea Deal, Plans To Stand Trial

Former Harvard Chemistry chair Charles M. Lieber will fight six felony charges brought against him by federal authorities, including that he lied to federal investigators about funding he received from the Chinese government.
Former Harvard Chemistry chair Charles M. Lieber will fight six felony charges brought against him by federal authorities, including that he lied to federal investigators about funding he received from the Chinese government. By Camille G. Caldera
By Meera S. Nair and Andy Z. Wang, Harvard Crimson Staff Writers
4 days ago 

Former Harvard Chemistry chair Charles M. Lieber is set to go to trial on federal charges after his attorney eliminated the possibility of a plea in a Friday status conference.

“At this time, Your Honor, there is no possibility of a plea and there will be a trial,” Marc L. Mukasey, Lieber’s counsel, told Magistrate Judge Marianne B. Bowler of the U.S. District Court of Massachusetts.

Last June, a federal grand jury indicted Lieber — who serves as a University Professor, Harvard’s highest academic honor — on charges that he lied to federal investigators who were examining funding he had received from the Chinese government. He was also indicted on four tax offenses the following month.

Lieber, who pleaded not guilty on all of the charges, has maintained his innocence throughout the proceedings. A federal charge for making false statements allows for a sentence of up to five years in prison, three years of supervised release, and a $250,000 fine.

Lieber received backing from an influential group of academics Monday. In a public letter, 41 professors from several American universities — including seven Nobel laureates — questioned the federal government’s prosecution of Lieber, describing the case as “unjust.”

In the letter — which was co-written by Harvard Chemistry and Chemical Biology professor Stuart L. Schreiber, co-founder of the Broad Institute, and Chemistry and Chemical Biology professor emeritus Elias J. Corey, a Nobel laureate in chemistry — the scientists argued that government efforts to eliminate foreign espionage have unjustly targeted academics like Lieber.

“In the name of combatting economic espionage, the Department of Justice has increasingly scrutinized members of the academic community,” the letter reads.

The scientists wrote that prosecutions like the one against Lieber have had a “chilling effect” on international scientific collaboration.

“Despite his standing in the scientific community — or perhaps because of it — he has become the target of a tragically misguided government campaign that is discouraging U.S. scientists from collaborating with peers in other countries, particularly China,” the letter reads.

“In so doing, it is threatening not only the United States’ position as a world leader in academic research, but science itself,” the scientists added.

The scientists also criticized Harvard for failing to indemnify and support Lieber in his legal proceedings. Harvard's stance contrasts MIT’s decision to come to the defense of MIT mechanical engineering professor Gang Chen, who was arrested earlier this year for allegedly failing to disclose his financial ties to China when applying for a grant from the U.S. Department of Energy.

Separate from his criminal trial, Lieber is pursuing a civil suit against Harvard, alleging the University violated its indemnification clause for professors by refusing to reimburse his criminal defense fees.

At the Friday status conference, Assistant U.S. Attorney James R. Drabick said Harvard had provided the government with nearly 3,000 pages of documents — primarily emails from Lieber’s official Harvard email account — in response to a federal grand jury subpoena.

University spokesperson Jonathan L. Swain declined to comment on the scientists’ letter and Lieber’s plans to take the case to trial. Harvard placed Lieber on paid administrative leave the day he was arrested in January 2020. University officials have previously argued that Lieber’s conduct — which they say led Harvard to submit false statements to the government — falls within exclusions in the indemnification policy for faculty “determined not to have acted in good faith.”

Corey, one of the authors of Monday’s letter, wrote in an emailed statement that global collaboration — including through publications and meetings — is necessary to advance scientific progress.

“How ironic that the USA has emerged as a critic of harmonious academic collaboration that benefits the whole world,” Corey wrote.

School of Engineering and Applied Sciences professor Evelyn L. Hu — who signed the letter — said she has found “a lot of things that are a little bit disturbing” about the Lieber case, though she declined to cite specific examples.

“What I will say is that this is a lingering issue, what happened to Professor Lieber, what happened to Professor Gang Chen in MIT,” Hu said.

The letter concludes by calling on the Department of Justice to cease prosecution in Lieber’s case to protect “the entire global scientific community.”

“While the damage that the federal government’s case has done to [Lieber] cannot be reversed, the Department of Justice should prevent further harm to him and the scientific process by declining prosecution of his case and others like it,” the scientists wrote.

A representative for the U.S. District Attorney for Massachusetts declined to comment, citing the pending case.

Lieber’s final pretrial status conference has been tentatively scheduled for March 26.