It's Tom Watson's attack on Labour's EU referendum policy that should really worry Miliband

The former election co-ordinator's call for an early EU referendum highlights the danger of Labour replicating Tory divisions over Europe.

Ed Miliband rarely goes a day at the moment without some damaging intervention from a Labour figure. With the party holding off on all policy announcements until next month's conference, the vacuum has been filled by malcontents from past and present. The latest example is Tom Watson's interview in today's Guardian. The party's former campaign co-ordinator reminds us that the row over Falkirk remains unresolved, declaring that "a huge injustice has been done" to Karie Murphy, his former office manager and Unite's candidate of choice in the constituency. He adds: "When they finally complete this inquiry they will find out that she hasn't done anything wrong."

But more harmful than Watson's comments on Falkirk (which are merely a reiteration of his long-standing position) are those on Labour's EU referendum policy. No longer bound by collective responsibility, he calls for the party to support an early referendum next May (becoming the most senior figure in the party to do so) and criticises it for allowing the Tories to set the terms of debate. He warns: "Cameron has set the agenda on Europe; he wants a referendum, and if we don't engage with that debate then it won't be on our terms. So I would argue for a referendum next May – get it out the way before the election. That should be Labour's position. Yes to a referendum, and yes to remaining part of Europe."

His stance echoes that of shadow work and pensions minister Ian Austin, who broke ranks last month to call for an in/out EU referendum on the same day as next year's European elections: "[T]he truth is that the UK needs to decide and I would prefer it to do so more quickly. I know this isn't Labour Party policy but my view is that we should have a referendum next year on the same day as the European elections."

Coming out in support of an early referendum is one option that is under regular discussion within the shadow cabinet. It would have the advantage of getting Labour off the hook while also splitting the Tories down the middle. But if and when Miliband makes his move, it will have to be at a time of his choosing. It was the panic with which Cameron agreed to bring forward the draft referendum bill that allowed Labour to frame him as a weak leader who had lost control of his party. If Miliband is to avoid the same fate, he must seek to prevent more interventions like Watson's. A process by which Labour MPs drag Miliband towards a referendum and he eventually capitulates would be a political gift for the Tories.

Labour MP Tom Watson, who resigned as the party's campaign co-ordinator six weeks ago. 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