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Education & Information Partnership for all matters of public policy. Secretariat APPG Health in All Policies. Advisors Gower Initiative Modern Money Studies.

London, England
Joined June 2017
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Our latest Public Matters video. Democracy has taken a back seat in the process of changing the NHS to better suit corporate demands. Do our votes count if what’s happening is not spelled out at election time? Watch the full video here youtu.be/7vjoR7LnDqU #WhoseNHS Please RT
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Some statements just defy belief….
It was a disastrous mistake in 2004 to scrap family doctors. I tried and failed to bring them back. Will this government do any better?
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In my experience, a lot of the debates around MMT ultimately boil down to differing views on the following 3 questions: 1) the substitutability of money and Treasury bonds 2) the determinants and effects of interest rates 3) whether the economy tends toward full employment 🧵
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The UK Govt creates £s as it spends - it CAN afford pay restoration The UK Govt chooses to squeeze doctors’ pay (once again) at a time of significant challenges across the NHS NHS doctors are not an army of inflation fighters to be conscripted by @andyburnham as he chooses 👇🏻
Cutting doctors’ pay won’t keep them in the NHS. The DDRB must show its independence and recommend what patients and the NHS need, not what the Government is prepared to pay. Full statement: bma.org.uk/bma-media-centre/…
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Fonagy Review findings highlighted re Milburn Review & likely gov response: 1. Rise in mental ill health is real and serious. 2. No evidence of large scale over-diagnosis of ADHD & autism. 3. Work isn't *always* good for mental health - Returning too early can be damaging 1/n
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Replying to @C_Fitz_
History of 16 year old school-leavers in Post War period suggest removing benefits from young people (and associated WtW help) has disastrous effects. As young people fall through gaps into social exclusion. UB for U18 removed as set up separate YT Guarantee. But YT now gone.
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Recordatorios mañaneros: 1-Los no-médicos no saben lo que saben; 2-Los médicos deben dejar de hacer protocolos y dedicarse a lo que son, aprendieron y siguen aprendiendo; 3-Detrás de la desregulación de la medicina está la industria; 4-Los facilitadores de la industria son los políticos y sus leyes; 5- Los políticos deciden como trabaja el médico; 6-Los políticos deciden dejar SAMUs y centros de salud sin médicos y niños sin pediatra; 7- A la medicina barata le llaman modernización del sistema sanitario. 8-Los pacientes, que somos todos, pagarán con sus vidas.
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🚨 A Sentence That Cannot Be Undone The failed execution of Christa Pike in Tennessee is a reminder of what Britain learned at terrible cost: a state that kills will eventually get it wrong, and nothing can put that right. On Wednesday night in Nashville, the state of Tennessee tried to kill Christa Pike and failed. Pike, now 50, was sentenced to death for the 1995 torture and murder of Colleen Slemmer, a 19-year-old fellow student on a job training programme in Knoxville. Her guilt has never been in question. Nothing that happened this week lessens what was done to Colleen, or what her family has carried for more than thirty years. A federal appeals court halted the execution an hour before it was due; the US Supreme Court lifted that stay the same day. Prison officials then administered two doses of pentobarbital. Pike survived both and was taken to hospital. Tennessee’s governor, Bill Lee, has ordered a third-party review and called off the state’s remaining execution this year. The Department of Correction insists it followed its protocol at every step. Nobody has yet explained why that protocol did not work. Supporters of capital punishment imagine a system that is swift, certain and clean. Tennessee has just shown the world that the machinery can fail even when guilt is beyond doubt. Britain’s own history shows something worse: the machinery working perfectly on the wrong person. In November 1949, Beryl Evans and her baby daughter, Geraldine, were killed at their home at 10 Rillington Place in west London. Beryl’s husband, Timothy, was charged with both murders. He was tried only for Geraldine’s, convicted, and hanged at Pentonville on 9 March 1950. The chief witness against him was his downstairs neighbour, John Christie. Three years later, the remains of six other women were found in and around the house. Christie was hanged for murder, and before he died he confessed to killing Beryl Evans too. In 1966 Timothy Evans received a posthumous royal pardon for Geraldine’s murder. By then he had been dead for sixteen years. Anyone who wants Britain to bring back the death penalty has to explain how it would avoid another Timothy Evans, or another night like Wednesday in Nashville. They can’t, because every justice system makes mistakes, and ours is no exception. Execution is irreversible, it has already killed innocent people in Britain, it deters no better than life imprisonment, and restoring it would mean tearing up international commitments Britain chose to make. The case against it rests on evidence, and the evidence is overwhelming. Evans was no isolated tragedy. Derek Bentley, nineteen years old and with a mental age assessed as far below that, was hanged in 1953 for the murder of PC Sidney Miles. Bentley was already under arrest when his sixteen-year-old accomplice, Christopher Craig, fired the fatal shot. The jury recommended mercy; the Home Secretary refused it. Craig, too young to hang, was released after ten years. Bentley’s conviction was finally quashed in 1998. Mahmood Hussein Mattan, a Somali seaman, was hanged in Cardiff in 1952. His conviction was quashed in 1998, the first case referred to the Court of Appeal by the new Criminal Cases Review Commission. George Kelly was hanged in Liverpool in 1950; his conviction was quashed in 2003. Each of these men was failed by police, prosecutors and courts who were certain they had the right man. Ruth Ellis, the last woman hanged in Britain, shows a different danger. Her guilt was never seriously in doubt, but she was executed in 1955 under a law that left no room for the abuse she had suffered. The defence of diminished responsibility did not exist until two years after her death. A mandatory penalty cannot weigh what the law has not yet learned to see. Nor did the errors stop with abolition. The Birmingham Six were convicted in 1975 of murdering 21 people in the pub bombings. The Guildford Four were convicted the same year. In the aftermath of those attacks, MPs debated bringing back hanging for terrorism. Had they succeeded, ten innocent men could have gone to the gallows. Instead, they lived long enough to be cleared. Stefan Kiszko spent sixteen years in prison for the 1975 murder of eleven-year-old Lesley Molseed, whose body was found on the moors above Ripponden. He was freed in 1992 when scientific evidence showed he could not have been the killer; another man, Ronald Castree, was convicted in 2007. Kiszko had confessed. Confessions, eyewitnesses and expert testimony have all sent innocent people to prison, and the Criminal Cases Review Commission has since sent hundreds of cases back to the Court of Appeal, many of them ending in quashed convictions. The United States offers a live demonstration of what modern forensics can and cannot do. Since 1973, at least 203 people sentenced to death in the US have been exonerated, about one for every eight executions. A 2014 study in the Proceedings of the National Academy of Sciences put a conservative estimate of 4% on the share of death-sentenced prisoners who are likely innocent. DNA has freed some of them, but it cannot fix false confessions, mistaken identifications, withheld evidence or prosecutorial misconduct. Those are the failures that convict the innocent, and a hanging closes off every chance of discovering them. The claim that the death penalty deters killers fares no better. In 2012 the US National Research Council reviewed decades of studies and concluded that the research tells us nothing reliable about whether capital punishment raises, lowers or has no effect on homicide rates, and should not be used to make policy. American states without the death penalty have not suffered higher murder rates than those that keep it, and abolitionist Western Europe has consistently lower murder rates than the United States. This makes sense once you look at how killings actually happen. In England and Wales, around half of all homicides arise from a quarrel, a revenge attack or a loss of temper, according to the Office for National Statistics. Someone in that moment is not weighing the remote prospect of a trial, an appeal and an execution years away. For the rare, calculated killer, whole life orders already guarantee they never walk free. Then there is the argument that it would be cheaper to execute a murderer than to house them for decades. The record suggests otherwise. Christa Pike spent thirty years on death row before Tennessee tried and failed to execute her. In Kansas, the state’s own Judicial Council reported that defending a capital trial cost about four times as much as defending a murder case where the death penalty could have been sought but was not, and that each year on death row cost twice as much as a year in an ordinary prison. The only way to make execution cheap is to make it quick. Britain once did: Derek Bentley was hanged seven weeks after his conviction, Timothy Evans about eight. Speed is what made their cases impossible to put right. Britain is also bound in law. Protocol 13 to the European Convention on Human Rights, in force for the UK since 2004, bans the death penalty in all circumstances, including wartime. The UK has also ratified the Second Optional Protocol to the International Covenant on Civil and Political Rights, which contains no withdrawal clause. Reintroduction would mean leaving the ECHR and breaching a UN abolition treaty. More than two-thirds of the world’s countries have abolished execution in law or practice. The countries that execute most often, among them China, Iran and Saudi Arabia, are hardly models of fair trials. Public support for hanging tends to rise after a horrific crime, and it is strongest among people who believe the system rarely makes mistakes. The record shows otherwise. Whole life orders already deliver punishment and public protection. What execution adds is the certainty that, sooner or later, the state will kill someone who did nothing wrong. Timothy Evans was convicted on the word of the man who later confessed to killing his wife. Everyone in that courtroom was sure. They were wrong, and nothing could bring him back.
As I predicted back in September 2022, a number of senior politicians are now calling for the reintroduction of the barbaric death penalty. Divisive opportunist Robert Jenrick has now joined Rupert Lowe, Lee Anderson, and Elon Musk in calling for the reintroduction of the barbaric, ineffective and uncivilised death penalty. These grotesques constantly sound the alarm about largely imaginary threats to Western civilization, yet one of the key features of civilised Western democracies is their almost universal opposition to the death penalty. Arguments against its reintroduction focus on its irreversible finality amid inevitable human error in the justice system, its complete lack of superior deterrent value, and its fundamental inhumanity as state-sanctioned killing. Historical UK miscarriages of justice starkly prove that innocent people can and will be killed by the state with no possibility of correction or redress. Timothy Evans was wrongly hanged in 1950 for murders actually committed by John Christie. Derek Bentley, a 19-year-old of low intelligence who did not fire the fatal shot, was executed in 1953 under controversial joint enterprise rules; he received a posthumous pardon in 1993 and his conviction was quashed in 1998. Other cases include Mahmood Hussein Mattan, executed in 1952 and exonerated in 1998, and George Kelly, executed in 1950 with his conviction quashed in 2003. In the United States, over 200 people have been exonerated from death row since 1973—roughly one for every eight executed—while studies estimate that at least 4% of those sentenced to death are innocent, underscoring the inescapable risk of irreversible error inherent in capital punishment. These case prove beyond any doubt that innocent people can and have been be killed by the state with no possibility of correction or redress. Extensive research, meta-analyses and reports from the US National Academy of Sciences confirm the death penalty has no credible additional deterrent effect over life imprisonment; murder rates are frequently higher in retentionist jurisdictions, making societies less safe rather than more. Morally and ethically it is barbaric, representing the ultimate denial of human dignity and the right to life, with the state descending to the level of the murderer it condemns in an act that is cruel, inhuman and degrading by any civilised standard. It runs directly counter to the global trend toward abolition in over two-thirds of countries and the UK's binding commitments under the European Convention on Human Rights, which explicitly ban its restoration. Life sentences without parole achieve full retribution, public protection and justice without these catastrophic risks, ethical hypocrisy or brutalising effect on society as a whole.
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Tom, that’s utter nonsense, and you know it. It’s like saying that without Facebook and Cambridge Analytica fewer people would have been able to connect and throw virtual parties. And when you say "while they protest", you’re talking about technical experts who know you, and who understand precisely what Palantir does and are challenging the company on technical, ethical and political grounds. As you’ll probably remember, I was Chairman of the British Interactive Media Association (BIMA) when you were Minister for Digital Engagement and Civil Service Issues. You don’t have the technical background to justify presenting yourself as an authority on Palantir’s technology. Your value to Palantir is your access to government, politics, and the media. You advised the company from 2024 - while they were winning government contracts without having to go through procurement processes like everyone else. Alex Karp has said: "Our product is used, on occasion, to kill people" and his co-founders? So answer the constructive things people say instead of falling back to ideological statements. Everyone can see through them. When Palantir technology contributes to a decision that results in the wrong person being killed, what do you call that? A casualty of war? A false positive?
Later today protesters will demand ‘No Palantir in our NHS’    While they protest, someone, somewhere will get an operation scheduled earlier, a cancer diagnosis quicker, a loved one home from hospital sooner - thanks to the software that those protesters would switch off.   Here is what you won’t hear. Trusts using the software have recorded: • 117,000 additional operations • 14.3 per cent reduction in discharge delays for long stay patients • 5.6 per cent improvement in the number of people receiving a cancer diagnosis within 28 days     As a more articulate person once said: ‘certain facts, although in a sense known to be true, are inadmissible.’
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Legislation. That's where the money comes from. A bill approved by parliament under the 1866 Exchequer Act, S15. The Bank Of England is then instructed to make payment for any amount govt wants. No taxes, no "borrowing", it's just money creation. Every day, every time govt spends
Andy Burnham is asked, where will the money come from (for social care)? #bbclaurak
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The Greens propose to drop interest rates as the main inflation tool. So it's a good moment to ask why we discarded the world Kalecki knew (full employment), for monetary policy primacy, independent central banks & a buffer stock of unemployed labour. open.substack.com/pub/patric…
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In one study in Oregon, 54% of those in support of assisted dying said they felt they were an economic burden to their family. Instead of an assisted dying bill we need assisted living bill. Social care. UBI. Palliative care. Hospices funded by taxation. Council homes.
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Unemployment is a Policy Choice MMT asserts that unemployment is a sign that government spending is insufficient. It is not the result of lazy workers; it is a political choice. We see the human cost in stories like Christine's, a capable teacher discarded by the system. We choose to have unemployment. We could just as easily choose to have full employment. buff.ly/mCiQpxq
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Pensions are fundamentally a future production problem, not a financial one. Private pensions accumulate financial assets, while State Pensions create rule-based entitlements to future payments. Neither stores the goods and services that pensioners will consume in 35 years’ time. Those financial claims and entitlements will ultimately be exercised against the output being produced then. If future productive capacity is insufficient relative to the purchasing power seeking to command it, the result is competition for scarce real resources and potentially higher prices. The solution is therefore to increase the economy’s future productive capacity through investment today, not simply to reduce future pension payments. Cutting nominal claims today does not create the required additional goods and services tomorrow. Worse, if spending cuts reduce investment, skills, infrastructure or productive capacity today, they will leave both workers and pensioners poorer in real terms tomorrow.
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A budget surplus is just an accounting outcome. It is not what makes a nation prosperous. And this really just shows that it is pointless to target a fiscal budget outcome. A government should target real outcomes instead.
The UK expected a £500m surplus in July. Instead it borrowed £1.8bn. A £2.3bn miss. You can’t tax your way to prosperity.
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Stop paying interest then! Or stop selling bonds! Both are policy choices, relics of pre-1971 gold standard days. The UKgovt doesn’t borrow that of which it is the monopoly issuer. It creates £ when it spends. It sells bonds to drain excess reserves created by its prior spending
BREAKING: ONS confirms UK national debt is now almost £3 trillion! We spend more just on the interest than we do on defence, police, and prisons combined. But Labour will just keep tapping the nation's credit card, even with the bailiffs at the door.
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Important: unemployment, education, health, skills, motivation, security, planning. Unimportant: financial sector confusing what they do with anything remotely significant to society. It would be funny if it didn’t cause actual harm and take up so much oxygen.
There's a view Japan can't have a debt crisis because it's a current account surplus country and the stock market is soaring. That's not right. Japan is in a debt crisis, it just looks different from what we're used to seeing from past G10 debt crises... robinjbrooks.substack.com/p/…
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Great paper by @ptcherneva. Will the serf squashing successors of William the Bastard and their privileged collaborators in the City of London ever use money like China: to address the normal innate needs and desires of the people? Nope! #MMT #JobGuarantee levyinstitute.org/wp-content…
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Calling the state pension “unaffordable” mistakes a real-resource question for a financial one. No pension system stores up the goods and services that pensioners will consume decades later. State and private pensions are both claims on production taking place when retirees spend their income. A private pension does not remove the real transfer from future workers to future pensioners; it merely distributes that transfer through asset ownership, investment returns and financial sector fees rather than through a transparent public rule. The real questions are whether the future economy can produce enough, what share of that output should go to retirees, and how that share should be divided among retirees. Seen in that light, the triple lock gradually shifts pension provision from private accumulation towards a universal public guarantee. It reduces reliance on uncertain investment returns, financial sector fees and individual asset ownership as the basis of retirement security. Should the total pensioner share become excessive, that is an allocation question to be debated and resolved politically, not evidence that the British state is running out of pounds. Hannan’s “unaffordable pensions” are therefore not unexploded financial bombs. The deeper problem lies in the structure of Britain’s economy, which is increasingly geared towards rent extraction, exemplified by large interest transfers from the state to wealthy holders of government debt, rather than productive investment. The result is weak productivity and inadequate capacity to provide the housing, energy, healthcare and social care that workers and pensioners, including Hannan himself, will require. The solution is investment today in the productive capacity on which tomorrow’s living standards will depend, not spending cuts.
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