Exclusive: Baroness Warsi says electoral fraud cost Tories the election

The Tory chairman tells me that Labour “absolutely” benefited.

In my interview with Sayeeda Warsi, the chairman of the Conservative Party and minister without portfolio, in this week's New Statesman, she makes a remarkable claim about the extent of electoral fraud at the last general election.

From the piece (not yet online):

"At least three seats where we lost, where we didn't gain the seat, based on electoral fraud. Now, could we have planned for that in the campaign? Absolutely not."

This is the first time a senior minister has made such a blunt and specific allegation about the impact of electoral fraud on the general election result. Can she reveal the names of those seats? "I think it would be wrong to start identifying them," she says, but adds: "It is predominantly within the Asian community. I have to look back and say we didn't do well in those communities, but was there something over and above that we could have done? Well, actually not, if there is going to be voter fraud."

I asked Warsi if she believed the Labour Party in those three seats had benefited from the alleged fraud. Her answer?


The BBC has followed up on my interview and spoken to a Labour Party spokesman who says the claims are "unsubstantiated" and urges the Tory chairman to share any evidence she has with the authorities.

Watch this space.


Over on the Mirror site, Kevin Maguire writes:

If she has evidence of ballot rigging, Baroness Warsi has a public duty to produce it. Democracy is precious and must be protected at all costs. If a number of MPs are sitting in the House of Commons without electoral legitimacy, we need to rerun those contests. So Baroness Warsi must go public. And if she doesn't, I'll draw the conclusion that the petulant peer's just shouting her mouth off again.

ConservativeHome's Tim Montgomerie has also blogged on the story here.

Mehdi Hasan is a contributing writer for the New Statesman and the co-author of Ed: The Milibands and the Making of a Labour Leader. He was the New Statesman's senior editor (politics) from 2009-12.

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Want to know how you really behave as a doctor? Watch yourself on video

There is nothing quite like watching oneself at work to spur development – and videos can help us understand patients, too.

One of the most useful tools I have as a GP trainer is my video camera. Periodically, and always with patients’ permission, I place it in the corner of my registrar’s room. We then look through their consultations together during a tutorial.

There is nothing quite like watching oneself at work to spur development. One of my trainees – a lovely guy called Nick – was appalled to find that he wheeled his chair closer and closer to the patient as he narrowed down the diagnosis with a series of questions. It was entirely unconscious, but somewhat intimidating, and he never repeated it once he’d seen the recording. Whether it’s spending half the consultation staring at the computer screen, or slipping into baffling technospeak, or parroting “OK” after every comment a patient makes, we all have unhelpful mannerisms of which we are blithely unaware.

Videos are a great way of understanding how patients communicate, too. Another registrar, Anthony, had spent several years as a rheumatologist before switching to general practice, so when consulted by Yvette he felt on familiar ground. She began by saying she thought she had carpal tunnel syndrome. Anthony confirmed the diagnosis with some clinical tests, then went on to establish the impact it was having on Yvette’s life. Her sleep was disturbed every night, and she was no longer able to pick up and carry her young children. Her desperation for a swift cure came across loud and clear.

The consultation then ran into difficulty. There are three things that can help CTS: wrist splints, steroid injections and surgery to release the nerve. Splints are usually the preferred first option because they carry no risk of complications, and are inexpensive to the NHS. We watched as Anthony tried to explain this. Yvette kept raising objections, and even though Anthony did his best to address her concerns, it was clear she remained unconvinced.

The problem for Anthony, as for many doctors, is that much medical training still reflects an era when patients relied heavily on professionals for health information. Today, most will have consulted with Dr Google before presenting to their GP. Sometimes this will have stoked unfounded fears – pretty much any symptom just might be an indication of cancer – and our task then is to put things in proper context. But frequently, as with Yvette, patients have not only worked out what is wrong, they also have firm ideas what to do about it.

We played the video through again, and I highlighted the numerous subtle cues that Yvette had offered. Like many patients, she was reticent about stating outright what she wanted, but the information was there in what she did and didn’t say, and in how she responded to Anthony’s suggestions. By the time we’d finished analysing their exchanges, Anthony could see that Yvette had already decided against splints as being too cumbersome and taking too long to work. For her, a steroid injection was the quickest and surest way to obtain relief.

Competing considerations must be weighed in any “shared” decision between a doctor and patient. Autonomy – the ability for a patient to determine their own care – is of prime importance, but it isn’t unrestricted. The balance between doing good and doing harm, of which doctors sometimes have a far clearer appreciation, has to be factored in. Then there are questions of equity and fairness: within a finite NHS budget, doctors have a duty to prioritise the most cost-effective treatments. For the NHS and for Yvette, going straight for surgery wouldn’t have been right – nor did she want it – but a steroid injection is both low-cost and low-risk, and Anthony could see he’d missed the chance to maximise her autonomy.

The lessons he learned from the video had a powerful impact on him, and from that day on he became much more adept at achieving truly shared decisions with his patients.

This article first appeared in the 01 October 2015 issue of the New Statesman, The Tory tide