The doctors still won't back Cameron

The British Medical Association votes for the health bill to be withdrawn.

David Cameron may insist that he wants to "trust" NHS professionals but it seems that they still don't trust him. On the day that the health and social care bill was sent back to committee, the British Medical Association has voted for it to be withdrawn. Significantly, delegates ignored BMA leader Dr Hamish Meldrum, who called for them to improve the bill, rather than reject it, and voted in favour of the motion by 59 per cent to 41 per cent.

Cameron, who once complained that the BMA was just like "every other trade union", isn't likely to lose any sleep over this one. But it's further evidence that the government's "listening exercise" left many dissatisfied

A leader in the current edition of the British Medical Journal also calls for the bill to be withdrawn:

"In January we judged it too early to let the Health and Social Care Bill out of the lab. Its proposals had no clear rationale, lacked coherence, and looked like costing more than they would save. Since then, the bill's flaws have become only more obvious.

"Instead of further tinkering, it would be better for the NHS, the government, and the people of England to sweep the bill's mangled remains into an unmarked grave and move on."

With Evan Harris and other Lib Dems threatening a new rebellion over "privatisation through another route", Cameron's NHS headache is far from over.

George Eaton is political editor of the New Statesman.

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The economics of outrage: Why you haven't seen the end of Katie Hopkins

Her distasteful tweet may have cost her a job at LBC, but this isn't the last we've seen of Britain's biggest troll. 

Another atrocity, other surge of grief and fear, and there like clockwork was the UK’s biggest troll. Hours after the explosion at the Manchester Arena that killed 22 mostly young and female concert goers, Katie Hopkins weighed in with a very on-brand tweet calling for a “final solution” to the complex issue of terrorism.

She quickly deleted it, replacing the offending phrase with the words “true solution”, but did not tone down the essentially fascist message. Few thought it had been an innocent mistake on the part of someone unaware of the historical connotations of those two words.  And no matter how many urged their fellow web users not to give Hopkins the attention she craved, it still sparked angry tweets, condemnatory news articles and even reports to the police.

Hopkins has lost her presenting job at LBC radio, but she is yet to lose her column at Mail Online, and it’s quite likely she won’t.

Mail Online and its print counterpart The Daily Mail have regularly shown they are prepared to go down the deliberately divisive path Hopkins was signposting. But even if the site's managing editor Martin Clarke was secretly a liberal sandal-wearer, there are also very good economic reasons for Mail Online to stick with her. The extreme and outrageous is great at gaining attention, and attention is what makes money for Mail Online.

It is ironic that Hopkins’s career was initially helped by TV’s attempts to provide balance. Producers could rely on her to provide a counterweight to even the most committed and rational bleeding-heart liberal.

As Patrick Smith, a former media specialist who is currently a senior reporter at BuzzFeed News points out: “It’s very difficult for producers who are legally bound to be balanced, they will sometimes literally have lawyers in the room.”

“That in a way is why some people who are skirting very close or beyond the bounds of taste and decency get on air.”

But while TV may have made Hopkins, it is online where her extreme views perform best.  As digital publishers have learned, the best way to get the shares, clicks and page views that make them money is to provoke an emotional response. And there are few things as good at provoking an emotional response as extreme and outrageous political views.

And in many ways it doesn’t matter whether that response is negative or positive. Those who complain about what Hopkins says are also the ones who draw attention to it – many will read what she writes in order to know exactly why they should hate her.

Of course using outrageous views as a sales tactic is not confined to the web – The Daily Mail prints columns by Sarah Vine for a reason - but the risks of pushing the boundaries of taste and decency are greater in a linear, analogue world. Cancelling a newspaper subscription or changing radio station is a simpler and often longer-lasting act than pledging to never click on a tempting link on Twitter or Facebook. LBC may have had far more to lose from sticking with Hopkins than Mail Online does, and much less to gain. Someone prepared to say what Hopkins says will not be out of work for long. 

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