In this week’s New Statesman: The Tory Conference Special

Andrew Gimson on Boris Johnson, Neil O'Brien on the Tories' challenges, David Blanchflower on Osbourne's "porkie pies", and a collectors cover from David Young. PLUS: Sophie Elmhirst profiles Hilary Mantel.

Andrew Gimson: The man who would be king

In our cover story this week:  Andrew Gimson, author of Boris: the Rise of Boris Johnson, takes a look at one of the most fascinating relationships in British politics. The “rivalry” between Boris Johnson and David Cameron - which dates backed to their shared school days at Eaton - may seem like a game but Gimson asserts it is deadly serious.

“Boris Johnson is trying to kill David Cameron,” begins Gimson:

“That may sound like an exaggeration, but the word “kill” was used by Johnson himself, in a column about “the basic drama of politics” written soon after the Labour landslide of 1997: “Politics is a constant repetition, in cycles of varying length, of one of the oldest myths in human culture, of how we make kings for our societies, and how after a while we kill them to achieve a kind of rebirth – as Tony Blair would put it, new life for Britain.”

As a society who favours the “theatre of politics” with a taste for the melodramatic, the battle between Dave and Boris pits the establishment against an outsider. It hinges upon the wooing of Conservative backbenchers, many of whom are “fed up” with Cameron. Gimson writes:

I have been taken aback by the vehemence with which many Tories now dislike him. As one of his backbenchers, first elected in 2010 but involved in Tory politics for much longer, put it to me: “I’ve known the man for years. He’s just no good with his backbenchers, just doesn’t want to give them the time of day.

[...]

A third backbencher, first elected in 1992, said: “I regard Boris affectionately and wistfully, because he is someone who makes the party feel good about itself, feel loved. David Cameron seems to go out of his way to make the party not feel loved. I don’t know how Cameron thinks the army of Tories [in the constituencies] is going to fight for him at the next general election. Secretly I’m one of the people who hanker after Boris. He would make the thing such fun. It would be a white-knuckle ride.”

Despite parallel backgrounds, Gimson goes on to points out the differences between the two politicians. On the charm of Boris’ frazzled spontaneity against Dave’s flawless preparedness...

Like many Englishmen, Etonians are seldom inclined to risk making fools of themselves by trying out new activities in public. Cameron is a typical Etonian: he hardly ever looks unprepared. Johnson is, in this and other respects, untypical: he has attracted an adoring public by appearing never to be prepared.

On their alleged Oxford “rivalries”...

At Oxford, the pattern of school repeated itself. Johnson was a well-known figure, regarded by some as a future prime minister – by giving the wittiest speeches, he managed in 1986, at the second attempt, to get himself elected president of the Oxford Union...A friend of Johnson says he would have viewed the idea of going on holiday with Cameron’s set as “atrocious”, and one can be sure the feeling was, and is, mutual. For Johnson, it would have been absurd to regard the younger, less intellectual and seemingly not very dynamic figure of Cameron as a rival.

And on their respective careers in the Commons...

But while Cameron soon began to make a reputation at Westminster as one of the most astute and diligent members of the new intake, Johnson soon came to be regarded by his fellow MPs as lazy, unprofessional and irritatingly well known...The parliamentary path to power was blocked, and so Johnson decided to have a crack at a popularity contest that no other well-known Tory dared to enter. In 2008 he ran for mayor of London against Ken Livingstone and won. For the next four years, he let no chance go by to attack Cameron, and this May Londoners rewarded him with a second victory over Livingstone. Johnson had demonstrated that, unlike Cameron, he is an amazing campaigner who knows how to persuade Labour supporters to vote Conservative. The mayor celebrated his victory by repeatedly upstaging the Prime Minister at the Olympics.

 

Neil O'Brien: The challenge for the Tories is to find their own version of Blairism

In this week’s Guest Column, Policy Exchange director Neil O’Brien numerates the “four main challenges” facing the Tories as their turn to take the stage approaches. First among them is a need to garner votes outside its “southern heartland”. Second is the issue of anti-Tory “urbanites” and the lack of elected councillors in cities like Liverpool, Manchester, Sheffield and Newcastle.

Third is the issue of the Tories’ “poor showing” amongst ethnic-minority voters (“Among black voters, fewer than one in ten vote Tory” O’Brien reminds us). All tie into the fourth and long standing issue that “the Conservative Party looks after the interest of the rich, not ordinary people.” He concludes:

In summary, a political consultant or a pollster would tell the party it needs to get less pale, less southern, more urban, and do better among ordinary people. That means changing the look and feel of the party on the one hand, and their policy platform on the other...

Voters want to know the Tories aren’t just going to look after their rich mates. At the next election, Tory candidates need a clearer offering for those who work hard on low incomes; something to say to the fifth of households who live in social housing; and an agenda that makes sense to people in areas of high-unemployment and to the millions who work in public services.

The brilliance of Blairism was to detach the popular parts of Labour’s wish list (such as the minimum wage) from the unpopular items (being soft on crime, defence and public spending). The challenge for the Tories is not so much to lurch right or left, but to come up with an equivalent of Blairism.

 

David Blanchflower: Osborne's lies

In the Economics Column this week, David Blanchflower wonders how George “Slasher” Osborne will “wriggle out” of his austerity mess at the Birmingham Conference this weekend. But before looking forward, he looks back to some of Osborne’s biggest “porkie pies”: 

It seems appropriate to go back and look at the claims Osborne made, in his speech in 2009, about what he would deliver. First, he said that the Tory party would “lead the economy out of crisis”. That could hardly be further from the truth, as the coalition has pushed us into an even deeper crisis. We are in the slowest recovery since the Second World War and are perhaps even headed for a triple dip.”

Second, Osborne argued in 2009 that the Tories would protect public services and claimed: “We are all in this together.” He had the audacity to repeat this phrase seven times. He went on to claim: “Our determination as compassionate Conservatives [is] to protect the most vulnerable.” In truth, the poor are all in it together and the rich are holidaying in the south of France.

He advises the Shadow Chancellor to avoid the similar pitfalls of mistruth:

My main advice to Ed Balls, though, is to stay away from the pork pies. We all know who told “shameful lies”.

 

Rafael Behr: Rumbles of discontent surround the chancellor and his sidekick

In the Politics Column this week, Rafael Behr charts the Tories’ “line of attack” against their leader in opposition:

Tory strategists have let it be known that they intend to torture Ed Miliband to a slow political death with attacks on his personal authority and his party’s alleged addiction to dissolute spending.

It’s “peculiar”, points out Behr, considering Miliband’s explicit commitment to a future Labour’s fiscal restraint, not to mention the Chancellor’s own “moribund” fiscal strategy which has “led to public borrowing bursting out of its intended constraints”.  Discontent brews around George Osborne and his “sidekick” Steve Hilton:

As the Chancellor’s reputation as a strategist has collapsed, his reliance on a young sidekick to run the Treasury has fuelled charges of arrogance and complacency. They are seen as a double act, obsessed with political machination and uninformed about life on the front line of austerity. One senior Lib Dem aide is caustic: “They don’t know any normal people. They don’t know anyone who has claimed benefits."

Liberal Democrats have an obvious reason for presenting Osborne in such callous terms. They hope to fight an election as the guarantors of kind-heartedness in the coalition. However, that ulterior motive doesn’t mean the attack lacks resonance.


Sophie Elmhirst: The unquiet mind of Hilary Mantel

In the week’s NS Profile, Sophie Elmhirst meets the author Hilary Mantel at her home in Devon. Mantel’s novel Bring Up The Bodies is shortlisted for the Man Booker prize, an award she already took home in 2009 for the first instalment of her Tutor trilogy Wolf Hall.  

Mantel speaks candidly about her life, her writing and her battles with physical ill health. Of the Thomas Cromwell trilogy, she says, “it was a book in which I felt instantly at home. I felt I’d been waiting all my writing life to get there.”

Though some readers were put off by the book’s style and found its narrative voice confusing, Mantel decided against simplifying her writing, saying, “You simply cannot run remedial classes for people on the page”. Although she knows she will lose readers, she doesn’t mind:

It makes me think that some readers read a book as if it were an instruction manual, expecting to understand everything first time, but of course when you write, you put into every sentence an overflow of meaning, and you create in every sentence as many resonances and double meanings and ambiguities as you can possibly pack in there, so that people can read it again and get something new each time.

And what if she hadn’t become a writer? She says, she:

 ...would just have suppressed that part of my personality. I think I would have put it in a box that I never opened. I’m not sure I would have been happy doing that. Sometimes people ask, does writing make you happy? But I think that’s beside the point. It makes you agitated, and continually in a state where you’re off balance. You seldom feel serene or settled. You’re like the person in the fairy tale The Red Shoes: you’ve just got to dance and dance, you’re never in equilibrium. I don’t think writing makes you happy, not that you asked that question, I’m asking myself. I think it makes for a life that by its very nature has to be unstable, and if it ever became stable, you’d be finished.

In The Critics

In the Critics this week, our lead book reviewer John Gray considers a new collection of interviews with the novelist J G Ballard. The conversations gathered in this book remind us, Gray concludes, that “Ballard’s stories are metaphors, not literal renditions of events – actual or realistically possible … [They are] creations of the imagination that expand our sense of possibility and affirm the renewal of life.”

In the Books interview, Rachel Haliburton talks to A N Wilson about his new novel The Potter’s Hand, based on the life of Josiah Wedgwood. Wilson’s father was a director of the Wedgwood pottery firm and he tells Haliburton that the novel “did come from a deep part of myself. So in that sense, it was very easy to write.”

Also in Books, novelist Margaret Drabble reviews J K Rowling’s first work of fiction for adults, The Casual Vacancy ;Helen Lewis on Bad Pharma by Ben Goldacre ; Rebecca Abrams on The City of Abraham by Edward Platt ; Hans Kundnani reviews Gunter Grass’s diary of the year 1990, From Germany to Germany ; PLUS: the NS’s lead fiction reviewer Leo Robson assesses the shortlist for this year’s Man Book Prize.

Our Critic at Large this week is the Russian-born American writer and co-editor of n+1 magazine Keith Gessen. Gessen writes about the friendship between Kingsley Amis and Philip Larkin, which was the laboratory for Amis’s debut novel Lucky Jim, published in 1954.

Elsewhere: Rachel Cooke praises “Best Possible Taste”, the BBC’s Kenny Everett biopic, Ryan Gilbey reviews “Taken 2”, in which Liam Neeson confirms his transformation into an action hero, and Will Self talks bowel movements and wheat-free sausages in Real Meals.

 

Elsewhere in the magazine

 

  • Dan Hodges on a good speech by Ed Miliband
  • Samira Shackle on Pakistan’s blasphemy laws
  • Jonathan Derbyshire on Eric Hobsbawm.

 

Charlotte Simmonds is a writer and blogger living in London. She was formerly an editorial assistant at the New Statesman. You can follow her on Twitter @thesmallgalleon.

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British mental health is in crisis

The headlines about "parity of esteem" between mental and physical health remain just that, warns Benedict Cooper. 

I don’t need to look very far to find the little black marks on this government’s mental health record. Just down the road, in fact. A short bus journey away from my flat in Nottingham is the Queens Medical Centre, once the largest hospital in Europe, now an embattled giant.

Not only has the QMC’s formerly world-renowned dermatology service been reduced to a nub since private provider Circle took over – but that’s for another day – it has lost two whole mental health wards in the past year. Add this to the closure of two more wards on the other side of town at the City Hospital, the closure of the Enright Close rehabilitation centre in Newark, plus two more centres proposed for closure in the imminent future, and you’re left with a city already with half as many inpatient mental health beds as it had a year ago and some very concerned citizens.

Not that Nottingham is alone - anything but. Over 2,100 mental health beds had been closed in England between April 2011 and last summer. Everywhere you go there are wards being shuttered; patients are being forced to travel hundreds of miles to get treatment in wards often well over-capacity, incidents of violence against mental health workers is increasing, police officers are becoming de facto frontline mental health crisis teams, and cuts to community services’ budgets are piling the pressure on sufferers and staff alike.

It’s particularly twisted when you think back to solemn promises from on high to work towards “parity of esteem” for mental health – i.e. that it should be held in equal regard as, say, cancer in terms of seriousness and resources. But that’s becoming one of those useful hollow axioms somehow totally disconnected from reality.

NHS England boss Simon Stevens hails the plan of “injecting purchasing power into mental health services to support the move to parity of esteem”; Jeremy Hunt believes “nothing less than true parity of esteem must be our goal”; and in the House of Commons nearly 18 months ago David Cameron went as far as to say “In terms of whether mental health should have parity of esteem with other forms of health care, yes it should, and we have legislated to make that the case”. 

Odd then, that the president of the British Association of Counselling & Psychotherapy (BACP), Dr Michael Shooter, unveiling a major report, “Psychological therapies and parity of esteem: from commitment to reality” nine months later, should say that the gulf between mental and physical health treatment “must be urgently addressed”.  Could there be some disparity at work, between medical reality and government healthtalk?

One of the rhetorical justifications for closures is the fact that surveys show patients preferring to be treated at home, and that with proper early intervention pressure can be reduced on hospital beds. But with overall bed occupancy rates at their highest ever level and the average occupancy in acute admissions wards at 104 per cent - the RCP’s recommended rate is 85 per cent - somehow these ideas don’t seem as important as straight funding and capacity arguments.

Not to say the home-treatment, early-intervention arguments aren’t valid. Integrated community and hospital care has long been the goal, not least in mental health with its multifarious fragments. Indeed, former senior policy advisor at the Department of Health and founder of the Centre for Applied Research and Evaluation International Foundation (Careif) Dr Albert Persaud tells me as early as 2000 there were policies in place for bringing together the various crisis, home, hospital and community services, but much of that work is now unravelling.

“We were on the right path,” he says. “These are people with complex problems who need complex treatment and there were policies for what this should look like. We were creating a movement in mental health which was going to become as powerful as in cancer. We should be building on that now, not looking at what’s been cut”.

But looking at cuts is an unavoidable fact of life in 2015. After a peak of funding for Child and Adolescent Mental Health Service (CAMHS) in 2010, spending fell in real terms by £50 million in the first three years of the Coalition. And in July this year ITV News and children’s mental health charity YoungMinds revealed a total funding cut of £85 million from trusts’ and local authorities’ mental health budgets for children and teenagers since 2010 - a drop of £35 million last year alone. Is it just me, or given all this, and with 75 per cent of the trusts surveyed revealing they had frozen or cut their mental health budgets between 2013-14 and 2014-15, does Stevens’ talk of purchasing “power” sound like a bit of a sick joke?

Not least when you look at figures uncovered by Labour over the weekend, which show the trend is continuing in all areas of mental health. Responses from 130 CCGs revealed a fall in the average proportion of total budgets allocated to mental health, from 11 per cent last year to 10 per cent in 2015/16. Which might not sound a lot in austerity era Britain, but Dr Persaud says this is a major blow after five years of squeezed budgets. “A change of 1 per cent in mental health is big money,” he says. “We’re into the realms of having less staff and having whole services removed. The more you cut and the longer you cut for, the impact is that it will cost more to reinstate these services”.

Mohsin Khan, trainee psychiatrist and founding member of pressure group NHS Survival, says the disparity in funding is now of critical importance. He says: “As a psychiatrist, I've seen the pressures we face, for instance bed pressures or longer waits for children to be seen in clinic. 92 per cent of people with physical health problems receive the care they need - compared to only 36 per cent of those with mental health problems. Yet there are more people with mental health problems than with heart problems”.

The funding picture in NHS trusts is alarming enough. But it sits in yet a wider context: the drastic belt-tightening local authorities and by extension, community mental health services have endured and will continue to endure. And this certainly cannot be ignored: in its interim report this July, the Commission on acute adult psychiatric care in England cited cuts to community services and discharge delays as the number one debilitating factor in finding beds for mental health patients.

And last but not least, there’s the role of the DWP. First there’s what the Wellcome Trust describes as “humiliating and pointless” - and I’ll add, draconian - psychological conditioning on jobseekers, championed by Iain Duncan Smith, which Wellcome Trusts says far from helping people back to work in fact perpetuate “notions of psychological failure”. Not only have vulnerable people been humiliated into proving their mental health conditions in order to draw benefits, figures released earlier in the year, featured in a Radio 4 File on Four special, show that in the first quarter of 2014 out of 15,955 people sanctioned by the DWP, 9,851 had mental health problems – more than 100 a day. And the mental distress attached to the latest proposals - for a woman who has been raped to then potentially have to prove it at a Jobcentre - is almost too sinister to contemplate.

Precarious times to be mentally ill. I found a post on care feedback site Patient Opinion when I was researching this article, by the daughter of a man being moved on from a Mental Health Services for Older People (MHSOP) centre set for closure, who had no idea what was happening next. Under the ‘Initial feelings’ section she had clicked ‘angry, anxious, disappointed, isolated, let down and worried’. The usual reasons were given for the confusion. “Patients and carers tell us that they would prefer to stay at home rather than come into hospital”, the responder said at one point. After four months of this it fizzled out and the daughter, presumably, gave up. But her final post said it all.

“There is no future for my dad just a slow decline before our eyes. We are without doubt powerless – there is no closure just grief”.

Benedict Cooper is a freelance journalist who covers medical politics and the NHS. He tweets @Ben_JS_Cooper.