Same old Tories? The public turns against NHS reform

The health bill could spell serious trouble for the Conservatives, as a poll shows declining support

If you were in any doubt about how damaging the continued controversy over the NHS bill could be for the Conservatives, look no further than the Guardian/ICM poll out today.

The topline figures are typical: the Tories are on 36 (despite opening up a five point lead in the Guardian's poll last month), Labour are up two on last month at 37, while the Liberal Democrats are at 14. These results mirror those in the Populus/Times poll, also out today, which puts the Tories on 37, Labour on 39, and the Liberal Democrats on 11.

It certainly jumps out that the Tories have lost four percentage points in a single month in the ICM poll, although it looks as if that five-point lead was an outlier. The really interesting findings are on the NHS.

An outright majority of respondents -- 52 per cent -- believe that the health bill should be scrapped. Just 33 per cent believe that at this stage it is better to persevere with the reform, meaning that there is a 19 point margin in favour of axing the bill. This is reasonably consistent across social classes, gender, and regions.

While Conservative voters are more likely to support the bill, worryingly for David Cameron, a third of them (31 per cent) would like it to be scrapped. A significant majority of Liberal Democrats -- 57 per cent -- want it shelved. The issue is set to dominate the party's spring conference next month, for the second year running.

Perhaps this is hardly surprising. Yesterday saw a raft of negative headlines about NHS reform, as Cameron excluded health professionals who oppose the bill from a special Downing Street summit and an angry pensioner berated Andrew Lansley in front of TV cameras. Meanwhile, an e-petition calling for the bill to be dropped has amassed over 150,000 signatures.

Amid this growing opposition to the bill, it appears that the role of the private sector in healthcare is actually becoming more controversial than it used to be. Respondents were reminded that private companies already provide some NHS treatments, but 53 per cent still said that competition of this kind undermines the health service, while just 39 per cent believed it would result in higher standards. When ICM asked a similar question in September 2005, the public was more evenly divided, with 48 per cent endorsing more private involvement and 49 per cent opposing it.

There is growing concern amongst Conservatives that the healthcare bill could seriously undermine their chances at the next election and undo Cameron's hard work on detoxifying the Tory brand. The influential website ConservativeHome called for it to be scrapped earlier this month.
Today's poll appears to confirm that damage to public standing: 40 per cent of respondents said they did not trust the Conservatives "at all" to run the health service (compared with 31 per cent in October 2006, a year into Cameron's leadership). Meanwhile, just 25 per cent said they did not trust Labour "at all", down from 32 per cent in 2006.

As the Prime Minister personally throws his weight behind pushing the legislation through, there is a clear opportunity for Labour to capitalise on this loss of trust. Whether they will successfully turn this into a significant poll lead remains to be seen.

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

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Inside Big Ben: why the world’s most famous clock will soon lose its bong

Every now and then, even the most famous of clocks need a bit of care.

London is soon going to lose one of its most familiar sounds when the world-famous Big Ben falls silent for repairs. The “bonging” chimes that have marked the passing of time for Londoners since 1859 will fall silent for months beginning in 2017 as part of a three-year £29m conservation project.

Of course, “Big Ben” is the nickname of the Great Bell and the bell itself is not in bad shape – even though it does have a huge crack in it.

The bell weighs nearly 14 tonnes and it cracked in 1859 when it was first bonged with a hammer that was way too heavy.

The crack was never repaired. Instead the bell was rotated one eighth of a turn and a lighter (200kg) hammer was installed. The cracked bell has a characteristic sound which we have all grown to love.

Big Ben strikes. UK Parliament.

Instead, it is the Elizabeth Tower (1859) and the clock mechanism (1854), designed by Denison and Airy, that need attention.

Any building or machine needs regular maintenance – we paint our doors and windows when they need it and we repair or replace our cars quite routinely. It is convenient to choose a day when we’re out of the house to paint the doors, or when we don’t need the car to repair the brakes. But a clock just doesn’t stop – especially not a clock as iconic as the Great Clock at the Palace of Westminster.

Repairs to the tower are long overdue. There is corrosion damage to the cast iron roof and to the belfry structure which keeps the bells in place. There is water damage to the masonry and condensation problems will be addressed, too. There are plumbing and electrical works to be done for a lift to be installed in one of the ventilation shafts, toilet facilities and the fitting of low-energy lighting.

Marvel of engineering

The clock mechanism itself is remarkable. In its 162-year history it has only had one major breakdown. In 1976 the speed regulator for the chimes broke and the mechanism sped up to destruction. The resulting damage took months to repair.

The weights that drive the clock are, like the bells and hammers, unimaginably huge. The “drive train” that keeps the pendulum swinging and that turns the hands is driven by a weight of about 100kg. Two other weights that ring the bells are each over a tonne. If any of these weights falls out of control (as in the 1976 incident), they could do a lot of damage.

The pendulum suspension spring is especially critical because it holds up the huge pendulum bob which weighs 321kg. The swinging pendulum releases the “escapement” every two seconds which then turns the hands on the clock’s four faces. If you look very closely, you will see that the minute hand doesn’t move smoothly but it sits still most of the time, only moving on each tick by 1.5cm.

The pendulum swings back and forth 21,600 times a day. That’s nearly 8m times a year, bending the pendulum spring. Like any metal, it has the potential to suffer from fatigue. The pendulum needs to be lifted out of the clock so that the spring can be closely inspected.

The clock derives its remarkable accuracy in part from the temperature compensation which is built into the construction of the pendulum. This was yet another of John Harrison’s genius ideas (you probably know him from longitude fame). He came up with the solution of using metals of differing temperature expansion coefficient so that the pendulum doesn’t change in length as the temperature changes with the seasons.

In the Westminster clock, the pendulum shaft is made of concentric tubes of steel and zinc. A similar construction is described for the clock in Trinity College Cambridge and near perfect temperature compensation can be achieved. But zinc is a ductile metal and the tube deforms with time under the heavy load of the 321kg pendulum bob. This “creeping” will cause the temperature compensation to jam up and become less effective.

So stopping the clock will also be a good opportunity to dismantle the pendulum completely and to check that the zinc tube is sliding freely. This in itself is a few days' work.

What makes it tick

But the truly clever bit of this clock is the escapement. All clocks have one - it’s what makes the clock tick, quite literally. Denison developed his new gravity escapement especially for the Westminster clock. It decouples the driving force of the falling weight from the periodic force that maintains the motion of the pendulum. To this day, the best tower clocks in England use the gravity escapement leading to remarkable accuracy – better even than that of your quartz crystal wrist watch.

In Denison’s gravity escapement, the “tick” is the impact of the “legs” of the escapement colliding with hardened steel seats. Each collision causes microscopic damage which, accumulated over millions of collisions per year, causes wear and tear affecting the accuracy of the clock. It is impossible to inspect the escapement without stopping the clock. Part of the maintenance proposed during this stoppage is a thorough overhaul of the escapement and the other workings of the clock.

The Westminster clock is a remarkable icon for London and for England. For more than 150 years it has reminded us of each hour, tirelessly. That’s what I love about clocks – they seem to carry on without a fuss. But every now and then even the most famous of clocks need a bit of care. After this period of pampering, “Big Ben” ought to be set for another 100 or so years of trouble-free running.

The Conversation

Hugh Hunt is a Reader in Engineering Dynamics and Vibration at the University of Cambridge.

This article was originally published on The Conversation. Read the original article.