Lawson's EU intervention is a preview of the Tory war to come

If, as Lawson predicts, Cameron's renegotiation strategy fails, the Tory party will suffer its worst split since the reform of the Corn Laws.

There is a significant body of opinion in the Conservative Party that will not be satisfied until David Cameron finally supports what they really crave: unilateral withdrawal from the EU. That group has now won its most significant recruit in the form of Nigel Lawson. In a 2,000 word essay in today's Times, the fomer Tory chancellor writes that the EU has become "a bureaucratic monstrosity" that imposes "substantial economic costs" on its members, and that "the case for exit is clear". Having voted in favour of membership in the 1975 referendum, Lawson declares that he will vote "out" in 2017. 

For Cameron, already struggling to fend off demands for an early EU "mandate referendum" after UKIP's performance in the county council elections, the intervention could not come at a worse time. The Prime Minister's strategy is premised on the belief that the UK can use the euro crisis to repatriate major powers from Brussels, but Lawson warns that he is doomed to fail. In the most damaging section of the piece, Thatcher's former chancellor writes "that that any changes that Mr Cameron — or, for that matter, Ed Miliband — is able to secure" will be "inconsequential". He points out that the changes that Harold Wilson (who similarly renegotiated Britain's membership before staging an in/out referendum) was able to secure were "so trivial that I doubt if anyone today can remember what they were". Cameron, he suggests, will do no better. 

Lawson's piece is a reminder of why the EU referendum has the potential to result in the biggest Conservative split since the reform of the Corn Laws. Around a third of Tory MPs (by Tim Montgomerie's estimate) are committed to supporting withdrawal, with more likely to join them if, as Lawson predicts, Cameron fails to secure significant concessions. Cabinet ministers, including Michael Gove and Eric Pickles, have already signalled that they will vote to leave the EU unless Britain's membership is substantially reformed.

The question that will again be put to Cameron is that which shadow foreign secretary Douglas Alexander has continually asked: what percentage of your demands do you need to secure to support a Yes vote? 30 per cent, 50 per cent, 80 per cent? The PM's response is to say that no one goes into a negotiation "hoping and expecting to fail" but Lawson's pessimistic forecast will sharpen the debate. At a time when the Tories would do well to take Cameron's earlier advice to "stop banging on about Europe", the two Nigels - Farage and Lawson - have ensured that they will do little else. 

Former Conservative chancellor Nigel Lawson warns that any concessions David Cameron wins from the EU will be "inconsequential". 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