It is Cameron vs. the Tories as EU vote approaches

The PM is facing the biggest ever Conservative rebellion on Europe -- a crisis largely of his own ma

David Cameron today faces the biggest Commons revolt of his premiership -- and potentially the biggest ever Conservative rebellion on the issue of Europe.

On 20th May 1993, 41 Conservative MPs voted against John Major on the third reading of the Maastricht Treaty. To date, this was the biggest ever Tory rebellion on whipped business on Europe.

Coincidentally, it is also the figure for the largest Conservative rebellion so far in this Parliament. Earlier this month, on 10 October, 41 Tory MPs voted against attempts to criminalise "insulting" words or behaviour. This did not make much of a splash in the news -- unlike the current vote, which has gathered attention both for the spectacle of the Tories fighting over Europe (again), and because of Cameron's belated decision to impose a three-line whip.

It is still unclear how many MPs will defy the whips to vote in favour of a UK referendum on Europe, but according to the highest estimates, it could be nearly double that 41 figure. If the list of Conservative MPs who openly pledged to support the referendum is combined with those who have already defied whips over Europe since the beginning of this government, the number is closer to 78. Separately, Sunny Hundal suggests that up to 10 Labour MPs could defy their whips to vote in favour of a referendum.

Cameron is attempting to reassure the doubters that in the event of treaty change, he will renegotiate Britain's position. The story dominating the papers this morning -- that Cameron and Nicolas Sarkozy had a heated exchange on Europe -- fits the narrative that the Prime Minister wishes to further: that he is not afraid to anger European leaders in his defence Britain's interests. However, this does not appear to be getting through to his party.

In a survey for Conservative Home, 64 per cent of respondents said that they did not believe that Cameron was "very committed to repatriating any powers from the European Union", despite his promises, compared with just 18 per cent who did believe he wanted to repatriate "significant" powers.

It is impossible to say exactly how large today's Commons rebellion will be, and, as the Ballots and Bullets blog points out, the number that actually votes against the whip is almost always invariably less than that predicted. Even if the revolt is not as large as expected, however, it is difficult to see how Cameron can emerge well from this, and one must question his logic in applying the whip in the first place. Mary Anne Sieghart argues today:

If there had been a free vote, the motion might not even have been carried. But if it had, Cameron could easily have said, "I hear what you say. I agree that any renegotiated relationship with the EU will have to be endorsed by a referendum. But it's too early to call one now, when we don't yet know what shape the eurozone will take or what any new relationship will look like." He would have sounded both responsive and responsible. Instead he has absolutely infuriated his party.

Emotions in the Tory party are certainly running high, with at least one ministerial aide -- Stewart Jackson (£), aide to Owen Paterson, the Northern Ireland Secretary -- willing to vote against the whips even if it costs him his job. Graham Brady, the head of the powerful 1922 committee which represents backbenchers, is also set to defy the government (Lord Tebbit said yesterday that "not even Ted Heath faced the chairman of the 1922 Committee voting against a three-line whip"). While the vote is likely to go Cameron's way, the damage within his party will take longer to heal.

Samira Shackle is a freelance journalist, who tweets @samirashackle. She was formerly a staff writer for the New Statesman.

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A swimming pool and a bleeding toe put my medical competency in doubt

Doctors are used to contending with Google. Sometimes the search engine wins. 

The brutal heatwave affecting southern Europe this summer has become known among locals as “Lucifer”. Having just returned from Italy, I fully understand the nickname. An early excursion caused the beginnings of sunstroke, so we abandoned plans to explore the cultural heritage of the Amalfi region and strayed no further than five metres from the hotel pool for the rest of the week.

The children were delighted, particularly my 12-year-old stepdaughter, Gracie, who proceeded to spend hours at a time playing in the water. Towelling herself after one long session, she noticed something odd.

“What’s happened there?” she asked, holding her foot aloft in front of my face.

I inspected the proffered appendage: on the underside of her big toe was an oblong area of glistening red flesh that looked like a chunk of raw steak.

“Did you injure it?”

She shook her head. “It doesn’t hurt at all.”

I shrugged and said she must have grazed it. She wasn’t convinced, pointing out that she would remember if she had done that. She has great faith in plasters, though, and once it was dressed she forgot all about it. I dismissed it, too, assuming it was one of those things.

By the end of the next day, the pulp on the underside of all of her toes looked the same. As the doctor in the family, I felt under some pressure to come up with an explanation. I made up something about burns from the hot paving slabs around the pool. Gracie didn’t say as much, but her look suggested a dawning scepticism over my claims to hold a medical degree.

The next day, Gracie and her new-found holiday playmate, Eve, abruptly terminated a marathon piggy-in-the-middle session in the pool with Eve’s dad. “Our feet are bleeding,” they announced, somewhat incredulously. Sure enough, bright-red blood was flowing, apparently painlessly, from the bottoms of their big toes.

Doctors are used to contending with Google. Often, what patients discover on the internet causes them undue alarm, and our role is to provide context and reassurance. But not infrequently, people come across information that outstrips our knowledge. On my return from our room with fresh supplies of plasters, my wife looked up from her sun lounger with an air of quiet amusement.

“It’s called ‘pool toe’,” she said, handing me her iPhone. The page she had tracked down described the girls’ situation exactly: friction burns, most commonly seen in children, caused by repetitive hopping about on the abrasive floors of swimming pools. Doctors practising in hot countries must see it all the time. I doubt it presents often to British GPs.

I remained puzzled about the lack of pain. The injuries looked bad, but neither Gracie nor Eve was particularly bothered. Here the internet drew a blank, but I suspect it has to do with the “pruning” of our skin that we’re all familiar with after a soak in the bath. This only occurs over the pulps of our fingers and toes. It was once thought to be caused by water diffusing into skin cells, making them swell, but the truth is far more fascinating.

The wrinkling is an active process, triggered by immersion, in which the blood supply to the pulp regions is switched off, causing the skin there to shrink and pucker. This creates the biological equivalent of tyre treads on our fingers and toes and markedly improves our grip – of great evolutionary advantage when grasping slippery fish in a river, or if trying to maintain balance on slick wet rocks.

The flip side of this is much greater friction, leading to abrasion of the skin through repeated micro-trauma. And the lack of blood flow causes nerves to shut down, depriving us of the pain that would otherwise alert us to the ongoing tissue damage. An adaptation that helped our ancestors hunt in rivers proves considerably less use on a modern summer holiday.

I may not have seen much of the local heritage, but the trip to Italy taught me something new all the same. 

This article first appeared in the 17 August 2017 issue of the New Statesman, Trump goes nuclear