Maximum efficiency at maintaining professional standards

Alice O'Keeffe's "Squeezed Middle" column.

The computer screen is swimming in front of my eyes. I pull together every fibre of mental strength to finish my sentence: “. . . streamlining the governance structures of the organisation for maximum . . .” For maximum what? Accountability? Efficiency? Cabbage? Impact! Impact. Phew.

This is my first attempt to work since baby Moe was born. Isla, a former colleague who now has a high-up job in the arts, has asked me to help write an annual report. I get a decent day rate and I can do it from home. If I don’t mess it up, there may be more work forthcoming.

This is a cheering prospect, as we are crazily broke. My clothes are actually threadbare: the other day, I was chatting to some rather stylish mothers outside Larry’s nursery and only realised when I got home that my jeans had ripped right across the arse – and not in an on-trend way. Also, the fateful day on which we will have to renew the car insurance is looming. So I am definitely not in a position to look a gift horse in the mouth.

The problem is that baby Moe is still not sleeping properly. For a reason I have not yet managed to identify, he wakes up several times a night and often howls for more than an hour before, equally inexplicably, popping his thumb into his mouth and drifting off again. I have ruled out hunger, illness and teething. Cuddles work but only temporarily. Even Calpol seems to be losing its magic.

I am trying to implement a draconian sleep-training regime but it is difficult when you are so exhausted that you would gladly pawn your own grandmother for an unbroken four hours. Last night was particularly bad. At one point, I found myself semiconscious on the floor, with Moe draped across my face.

Anyway, here I am, a Writing and Editing Professional. I’m still in my pyjamas, yes, and smeared with porridge, maybe, but I’m nevertheless the Solution To All Your Editorial Needs.

“Er, I think he needs a feed.” Curly pokes his head around the door. He has been trying to keep Moe quiet in the other room so I can concentrate. I stagger across the room, crashland on the sofa and take Moe in my arms. As he suckles away, a delicious wave of relaxation sweeps over me. I lean my head back and close my eyes, just for a moment, until . . . “Babe, I’m sorry, I’ve gotta go.” Curly has his hand on my shoulder. I wrench my head from the cushions and stare at him uncomprehendingly. Go? But his course doesn’t start until seven. And I’ve only got to page three of the report. And the deadline is tomorrow. “I’m sorry. I didn’t want to wake you up.”

He strokes my head. Moe, who after this marathon nap will definitely be awake all night, nuzzles innocently into my armpit. “Perhaps you should tell them you can’t do this work. You’re not ready.”

“I can’t pull out now!” I disentangle myself and run wildly back to my desk, my hair a mess. “I’ve committed . . . my reputation . . . have some standards . . . I’m a professional!”.

Alice O'Keeffe's "Squeezed Middle" column appears weekly in the New Statesman magazine.

Alice O'Keeffe is an award-winning journalist and former arts editor of the New Statesman. She now works as a freelance writer and looks after two young children. You can find her on Twitter as @AliceOKeeffe.

This article first appeared in the 15 July 2013 issue of the New Statesman, The New Machiavelli

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Is anyone prepared to solve the NHS funding crisis?

As long as the political taboo on raising taxes endures, the service will be in financial peril. 

It has long been clear that the NHS is in financial ill-health. But today's figures, conveniently delayed until after the Conservative conference, are still stunningly bad. The service ran a deficit of £930m between April and June (greater than the £820m recorded for the whole of the 2014/15 financial year) and is on course for a shortfall of at least £2bn this year - its worst position for a generation. 

Though often described as having been shielded from austerity, owing to its ring-fenced budget, the NHS is enduring the toughest spending settlement in its history. Since 1950, health spending has grown at an average annual rate of 4 per cent, but over the last parliament it rose by just 0.5 per cent. An ageing population, rising treatment costs and the social care crisis all mean that the NHS has to run merely to stand still. The Tories have pledged to provide £10bn more for the service but this still leaves £20bn of efficiency savings required. 

Speculation is now turning to whether George Osborne will provide an emergency injection of funds in the Autumn Statement on 25 November. But the long-term question is whether anyone is prepared to offer a sustainable solution to the crisis. Health experts argue that only a rise in general taxation (income tax, VAT, national insurance), patient charges or a hypothecated "health tax" will secure the future of a universal, high-quality service. But the political taboo against increasing taxes on all but the richest means no politician has ventured into this territory. Shadow health secretary Heidi Alexander has today called for the government to "find money urgently to get through the coming winter months". But the bigger question is whether, under Jeremy Corbyn, Labour is prepared to go beyond sticking-plaster solutions. 

George Eaton is political editor of the New Statesman.