It's Michael Gove who is undermining school standards

Instead of playing to the gallery, the Education Secretary needs to learn from what works.

Talking the talk is not the same as walking the walk. The Education Secretary is full of bluff and bluster when it comes to rigour and school standards. He likes to pick a fight with anyone and everyone. This weekend it was the turn of head teachers to draw his criticism for daring to disagree.

But along with undermining the voice of the teaching profession, Michael Gove’s record is one of undermining high standards. The best countries in the world for education like Finland, Hong Kong and South Korea understand that the quality of an education system cannot exceed the quality of its teachers.

This is why the last Labour government set up Teach First to bring in additional, high quality professionals. We also strengthened training and professional development. But professional standards have been damaged. Michael Gove has allowed unqualified teachers into our classrooms – by changing the regulations governing academies and free schools. This is a big concern for parents. No one would want to be operated on by an unqualified brain surgeon. Why should your child be taught by an unqualified teacher? Instead of undermining teaching standards, Labour would strengthen them, with a new Royal College for Teachers.

Michael Gove has expanded the academies programme, at the expense of school improvement. The independent Academies Commission found that Labour’s “early academies …showed just how much could be achieved with high aspirations.” But today the process for selecting academy sponsors is "no longer rigorous", and academies that have converted since 2010 are not “fulfilling their commitment to supporting other schools to improve.” Instead, Labour would develop effective school collaboration - ensuring weaker schools work with stronger schools to raise performance across the board.

That means keeping a watchful eye on schools where performance slips. A good or outstanding school can quickly slip back to become coasting without effective oversight. But Michael Gove has removed local accountability and reduced the frequency of Ofsted inspections. That cannot be right.

This government has no vision for high quality skills. Since 2010, they have undermined vocational courses, such as the engineering diploma and cut back work experience opportunities and careers advice. Under Labour’s plans for a Tech Bacc, we would get businesses to accredit high quality vocational and technical courses, and ensure all young people study English and Maths to 18 alongside a high quality work experience placement. This kind of agenda is critical to bridge the divide between the world of education and the world of work.

Instead of meeting the challenges of a 21st Century economy head on, the Education Secretary is trying to recreate an outdated curriculum and set of exams. He has brought in an unnecessary phonics check for six year olds, which tests them on how to pronounce alien words. He stumbled from shambles to farce in his attempts to bring back O Levels and CSEs, while overseeing a fiasco in English GCSE grading. And now he wants to undermine a decade of progress towards fairer access to our top universities, by removing AS Levels as a progressive qualification toward a full A Level, despite dire warnings from Cambridge University.

This misguided approach stems from a failure to listen to the experts. I know what it takes to drive up school standards. As a minister, I was responsible for the London Challenge, set up in 2002, which saw schools in the capital go from being some of the worst in the country to some of the best. The success of London Challenge came from empowering the best head teachers to innovate and drive up standards. They then worked collaboratively with other heads in weaker schools to ensure a rising tide lifted all boats. Instead of attacking head teachers, ministers sought to work with them, knowing that professionals, not politicians, are the real experts.

You can’t raise standards without having the confidence of professionals. And since 2010, we have seen 6,000 qualified teachers leave the profession. Instead of playing to the gallery, Michael Gove needs to learn from what works. 

Education Secretary Michael Gove leaves 10 Downing Street in central London on November 21, 2012. Photograph: Getty Images.

Stephen Twigg is shadow minister for constitutional reform and MP for Liverpool West Derby

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Want to know how you really behave as a doctor? Watch yourself on video

There is nothing quite like watching oneself at work to spur development – and videos can help us understand patients, too.

One of the most useful tools I have as a GP trainer is my video camera. Periodically, and always with patients’ permission, I place it in the corner of my registrar’s room. We then look through their consultations together during a tutorial.

There is nothing quite like watching oneself at work to spur development. One of my trainees – a lovely guy called Nick – was appalled to find that he wheeled his chair closer and closer to the patient as he narrowed down the diagnosis with a series of questions. It was entirely unconscious, but somewhat intimidating, and he never repeated it once he’d seen the recording. Whether it’s spending half the consultation staring at the computer screen, or slipping into baffling technospeak, or parroting “OK” after every comment a patient makes, we all have unhelpful mannerisms of which we are blithely unaware.

Videos are a great way of understanding how patients communicate, too. Another registrar, Anthony, had spent several years as a rheumatologist before switching to general practice, so when consulted by Yvette he felt on familiar ground. She began by saying she thought she had carpal tunnel syndrome. Anthony confirmed the diagnosis with some clinical tests, then went on to establish the impact it was having on Yvette’s life. Her sleep was disturbed every night, and she was no longer able to pick up and carry her young children. Her desperation for a swift cure came across loud and clear.

The consultation then ran into difficulty. There are three things that can help CTS: wrist splints, steroid injections and surgery to release the nerve. Splints are usually the preferred first option because they carry no risk of complications, and are inexpensive to the NHS. We watched as Anthony tried to explain this. Yvette kept raising objections, and even though Anthony did his best to address her concerns, it was clear she remained unconvinced.

The problem for Anthony, as for many doctors, is that much medical training still reflects an era when patients relied heavily on professionals for health information. Today, most will have consulted with Dr Google before presenting to their GP. Sometimes this will have stoked unfounded fears – pretty much any symptom just might be an indication of cancer – and our task then is to put things in proper context. But frequently, as with Yvette, patients have not only worked out what is wrong, they also have firm ideas what to do about it.

We played the video through again, and I highlighted the numerous subtle cues that Yvette had offered. Like many patients, she was reticent about stating outright what she wanted, but the information was there in what she did and didn’t say, and in how she responded to Anthony’s suggestions. By the time we’d finished analysing their exchanges, Anthony could see that Yvette had already decided against splints as being too cumbersome and taking too long to work. For her, a steroid injection was the quickest and surest way to obtain relief.

Competing considerations must be weighed in any “shared” decision between a doctor and patient. Autonomy – the ability for a patient to determine their own care – is of prime importance, but it isn’t unrestricted. The balance between doing good and doing harm, of which doctors sometimes have a far clearer appreciation, has to be factored in. Then there are questions of equity and fairness: within a finite NHS budget, doctors have a duty to prioritise the most cost-effective treatments. For the NHS and for Yvette, going straight for surgery wouldn’t have been right – nor did she want it – but a steroid injection is both low-cost and low-risk, and Anthony could see he’d missed the chance to maximise her autonomy.

The lessons he learned from the video had a powerful impact on him, and from that day on he became much more adept at achieving truly shared decisions with his patients.

This article first appeared in the 01 October 2015 issue of the New Statesman, The Tory tide