Why the NHS shouldn’t be spared from cuts

Protecting the £110bn national health budget entails unjustified cuts elsewhere.

This morning's Independent reports on growing anger among Conservative MPs over the coalition's costly pledge to ring-fence spending on the NHS. We can expect opposition to intensify as the autumn spending review (due on 20 October) draws closer.

A Tory backbencher is quoted as saying: "MPs are getting a reaction in their constituencies about the cuts to the school-building programme. They are wondering why the NHS should be protected when the future of our children is apparently not." It's a good point. The Tories' promise to protect the NHS (and International Development) from cuts has everything to do with politics and nothing to do with economics.

The decision not to touch the £110bn NHS budget (the development budget is a far smaller £6.2bn) is part of the reason why other departments of key importance (Transport, Housing, Local Government) are now facing savage cuts of up to 33 per cent.

There is a good argument for treating the NHS with care: factors such as an ageing population, drug prices and technology make inflation in the health service roughly 3 per cent higher than in the rest of the economy. But, as in the case of education, this should make the NHS a candidate for limited cuts (about 5-10 per cent), not for no cuts at all.

To his credit, Andy Burnham, the former health secretary and Labour leadership candidate, has argued as much: "The effect is that he [George Osborne] is damaging, in a serious way, the ability of other public services to cope: he will visit real damage on other services that are intimately linked to the NHS."

So far, Labour has failed to land any hefty blows on the coalition over spending cuts. The party's message (when one is discernible) is always hindered by the question: what would you cut? Coming out against ring-fencing could help the party to answer this question.

It could be Labour's Nixon-in-China moment: only the party of the NHS can be trusted to cut with care. It is time to expose the Tories' pledge for the political positioning that it is.

Special subscription offer: Get 12 issues for £12 plus a free copy of Andy Beckett's "When the Lights Went Out".

George Eaton is political editor of the New Statesman.

Getty
Show Hide image

The deafening killer - why noise will be the next great pollution scandal

A growing body of evidence shows that noise can have serious health impacts too. 

Our cities are being poisoned by a toxin that surrounds us day and night. It eats away at our brains, hurts our hearts, clutches at our sleep, and gnaws at the quality of our daily lives.

Hardly a silent killer, it gets short shrift compared to the well-publicised terrors of air pollution and sugars food. It is the dull, thumping, stultifying drum-beat of perpetual noise.

The score that accompanies city life is brutal and constant. It disrupts the everyday: The coffee break ruined by the screech of a line of double decker buses braking at the lights. The lawyer’s conference call broken by drilling as she makes her way to the office. The writer’s struggle to find a quiet corner to pen his latest article.

For city-dwellers, it’s all-consuming and impossible to avoid. Construction, traffic, the whirring of machinery, the neighbour’s stereo. Even at home, the beeps and buzzes made by washing machines, fridges, and phones all serve to distract and unsettle.

But the never-ending noisiness of city life is far more than a problem of aesthetics. A growing body of evidence shows that noise can have serious health impacts too. Recent studies have linked noise pollution to hearing loss, sleep deprivation, hypertension, heart disease, brain development, and even increased risk of dementia.

One research team compared families living on different stories of the same building in Manhattan to isolate the impact of noise on health and education. They found children in lower, noisier floors were worse at reading than their higher-up peers, an effect that was most pronounced for children who had lived in the building for longest.

Those studies have been replicated for the impact of aircraft noise with similar results. Not only does noise cause higher blood pressure and worsens quality of sleep, it also stymies pupils trying to concentrate in class.

As with many forms of pollution, the poorest are typically the hardest hit. The worst-off in any city often live by busy roads in poorly-insulated houses or flats, cheek by jowl with packed-in neighbours.

The US Department of Transport recently mapped road and aircraft noise across the United States. Predictably, the loudest areas overlapped with some of the country’s most deprived. Those included the south side of Atlanta and the lowest-income areas of LA and Seattle.

Yet as noise pollution grows in line with road and air traffic and rising urban density, public policy has turned a blind eye.

Council noise response services, formally a 24-hour defence against neighbourly disputes, have fallen victim to local government cuts. Decisions on airport expansion and road development pay scant regard to their audible impact. Political platforms remain silent on the loudest poison.

This is odd at a time when we have never had more tools at our disposal to deal with the issue. Electric Vehicles are practically noise-less, yet noise rarely features in the arguments for their adoption. Just replacing today’s bus fleet would transform city centres; doing the same for taxis and trucks would amount to a revolution.

Vehicles are just the start. Millions were spent on a programme of “Warm Homes”; what about “Quiet Homes”? How did we value the noise impact in the decision to build a third runway at Heathrow, and how do we compensate people now that it’s going ahead?

Construction is a major driver of decibels. Should builders compensate “noise victims” for over-drilling? Or could regulation push equipment manufacturers to find new ways to dampen the sound of their kit?

Of course, none of this addresses the noise pollution we impose on ourselves. The bars and clubs we choose to visit or the music we stick in our ears. Whether pumping dance tracks in spin classes or indie rock in trendy coffee shops, people’s desire to compensate for bad noise out there by playing louder noise in here is hard to control for.

The Clean Air Act of 1956 heralded a new era of city life, one where smog and grime gave way to clear skies and clearer lungs. That fight still goes on today.

But some day, we will turn our attention to our clogged-up airwaves. The decibels will fall. #Twitter will give way to twitter. And every now and again, as we step from our homes into city life, we may just hear the sweetest sound of all. Silence.

Adam Swersky is a councillor in Harrow and is cabinet member for finance. He writes in a personal capacity.