Blame our boom years for today's energy price news

Things get "tight and uncomfortable".

“Life could get very tight and uncomfortable around 2015 to 2018”, said Ofgem’s departing chief executive, Alistair Buchanan to the BBC’s Today Programme this morning.

The “tight and uncomfortable” refers to new energy price rises forecast amid power station closures. Coal is, in Buchanan’s words, “coming off the bars now” and nuclear and renewable sources are still in their infancy. So, in another breath of optimism, Buchanan explains: “We’re going to have to go shopping for gas in world markets... which briefly will be tight themselves, so we’ll have a double squeeze”. Again he emphasises, “Prices are going to get quite squeezy as supply and demand converge”.

Words like “uncomfortable” and “squeezy” from an influential figure like Buchanan are worrying. Although nobody yet knows quite how harsh these price rises will be, there is one certainty – this is unwelcome news.

For once, though, these unwelcome bills are not Coalition policy, they are the direct result of our boom years. International emissions agreements signed between 2004 and 2008, right before what Buchanan labels the “financial tsunami”, take most of the blame. While environmental policy, not the economy was headlining political rhetoric and green protests, not occupy movements were plaguing London’s streets, deals were made to cap emissions. These good intentions have now come back to haunt us as coal power stations are forced to close earlier than expected, and our reliance on gas doubles from 30 to 60 per cent.    

Allocating blame to the past eases the pain. Decisions have been made and we must live by the consequences. But the effects are only short-term: once our wind turbines start spinning, wave hubs start floating and nuclear power plants start...humming, we will surely be back in the black.

Photograph: Getty Images

Oliver Williams is an analyst at WealthInsight and writes for VRL Financial News

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All doctors kill people – and the threat of prosecution is bad for everyone

We must recognise the reality of medical practice: just because a doctor makes a mistake, that doesn’t mean they’ve all broken the law. 

On 15 November the Court of Appeal quashed the 2013 conviction for gross negligence manslaughter (GNM) of a senior consultant surgeon in London, David Sellu. Sellu, who had completed his prison term by the time the appeal was heard, will never get back the 15 months of his life that he spent in jail. Nor will the personal and family trauma, or the damage to his reputation and livelihood, ever properly heal. After decades of exemplary practice – in the course of the investigation numerous colleagues testified to his unflappable expertise – Sellu has said that he has lost the heart ever to operate again.

All doctors kill people. Say we make 40 important decisions about patients in a working day: that’s roughly 10,000 per annum. No one is perfect, and medical dilemmas are frequently complex, but even if we are proved right 99 per cent of the time, that still leaves 100 choices every year where, with the benefit of hindsight, we were wrong.

Suppose 99 per cent of those have no negative consequences. That’s still one disaster every 12 months. And even if most of those don’t result in a fatal outcome, over the course of a career a few patients are – very regrettably – going to die as a result of our practice. Almost invariably, these fatalities occur under the care of highly skilled and experienced professionals, working in good faith to the very best of their abilities.

If one of these cases should come before a crown court, the jury needs meticulous direction from the trial judge on the legal threshold for a criminal act: in essence, if a doctor was clearly aware of, and recklessly indifferent to, the risk of death. Sellu’s conviction was quashed because the appeal court found that the judge in his trial had singularly failed to give the jury these directions. The judiciary make mistakes, too.

Prosecutions of health-care professionals for alleged GNM are increasing markedly. The Royal College of Surgeons of England identified ten cases in 2015 alone. This must reflect social trends – the so-called “blame culture”, in which we have come to believe that when a tragedy occurs, someone must be held responsible. In every one of these cases, of course, an individual’s life has been lost and a family left distraught; but there is a deepening sense in which society at large, and the police and Crown Prosecution Service (CPS), in particular, appear to be disconnected from the realities of medical practice.

Malpractice investigation and prosecution are horrendous ordeals for any individual. The cumulative impact on the wider health-care environment is equally serious. In a recent survey of doctors, 85 per cent of respondents admitted that they were less likely to be candid about mistakes, given the increasing involvement of the criminal law.

This is worrying, because the best way to avoid errors in future is by open discussion with the aim of learning from what has gone wrong. And all too often, severely adverse events point less to deficiencies on the part of individuals, and more to problems with systems. At Sellu’s hospital, emergency anaesthetic cover had to be arranged ad hoc, and this contributed to delays in potentially life-saving surgery. The tragic death of his patient highlighted this; management reacted by putting a formal rota system in place.

Doctors have long accepted the burden of civil litigation, and so insure themselves to cover claims for compensation. We are regulated by the General Medical Council, which has powers to protect patients from substandard practice, including striking off poorly performing doctors. The criminal law should remain an exceptional recourse.

We urgently need a thorough review of the legal grounds for a charge of GNM, with unambiguous directions to the police, CPS and judges, before the spectre of imprisonment becomes entrenched for those whose only concern is to provide good care for their patients. As Ken Woodburn, a consultant vascular surgeon in Cornwall who was accused and acquitted of GNM in 2001, has said: “You’re only ever one error away from a manslaughter prosecution.”

This article first appeared in the 01 December 2016 issue of the New Statesman, Age of outrage