Would a new Lib Dem leader help the Tories win in 2015?

Why some Tories believe that the replacement of Clegg with Vince Cable or Tim Farron is essential to their election chances.

One of the reasons why some Conservatives believe it will be impossible for David Cameron to win a majority at the next election is the scale of the defection of Liberal Democrat supporters to Labour. If Ed Miliband's party hangs on to around a third of the Lib Dems' 2010 voters, the Tories stand to lose dozens of seats at the next election - there are 37 Conservative-Labour marginals where the third place Lib Dem vote is more than twice the margin of victory. In the 1980s, it was the formation of the Social Democratic Party and the resultant split in the centre-left vote that allowed Margaret Thatcher to win successive landslide victories. In 2015, the collapse in support for the Liberal Democrats and the reunification of the left around Labour could bring Miliband to power.

This fact has led some Conservatives to wonder aloud whether a change of Liberal Democrat leader before 2015 is now in their interests. The hope is that a more left-wing leader such as Vince Cable or Tim Farron, both of whom have signalled their availability, could prompt the party's former supporters to return home from Labour. ConservativeHome editor Tim Montgomerie recently told me that "a left-wing replacement" of Nick Clegg in 2014 was "vital to Tory hopes".

Those with an interest in a Lib Dem recovery have been encouraged by polls showing that the party would perform better with Cable as leader. A ComRes survey last September showed that support for the Lib Dems would rise to 18 per cent under Cable, compared to 14 per cent under Clegg. However, it is doubtful whether this bounce would last once Cable was forced to take responsibility for all coalition decisions (something he has skillfully avoided doing to date. Few would know, for instance, that it was Cable's department that introduced higher tuition fees) It is also the case that the party's former left-wing supporters, those who defected from Labour over Iraq and top-up fees, are likely to prove the hardest to win back.

But as we get closer to the election, this discussion will be had with increasing frequency in Lib Dem and Tory circles. If the Lib Dems are still flatlining at 10 per cent in the polls in 2014, it is hard to see the party not taking a gamble on an alternative leader. The dilemma for the Tories is whether to help shore up Clegg's position, for the sake of coalition unity, or to tacitly encourage a revolt against him.

A poll in 2012 suggested that Liberal Democrat support would increase to 18 per cent with Vince Cable as leader. Photograph: Getty Images.

George Eaton is political editor of 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