Will Cameron appoint a technocrat as Britain's next EU commissioner?

His party wants a eurosceptic but the PM may decide that he needs a business figure with a record of constructive engagement with Brussels.

One year ago this week, David Cameron promised to renegotiate the UK's role in the EU and hold an in/out referendum by 2017. It was an attempt by a weak Prime Minister to close down the EU debate and head off a backbench revolt and the UKIP insurgency. It has not worked. In the last 12 months he has talked about little else and viewed key political debates on welfare, immigration and jobs through the prism of EU membership.

This year things could get a lot worse. In May, the European Parliament election could see the Tories come third, behind Labour and UKIP, for the first time ever in a national contest. More important is the choice of the UK's next EU commissioner in October. The uninspiring names of fired cabinet ministers such as Andrew Mitchell and Michael Moore have been floated, although the long-held Tory hope that Nick Clegg would slope off to Brussels looks dead.

The lack of obvious candidates leaves a more intriguing possibility. Cameron has written to industry and business leaders to ask whether the next commissioner should be a non-political figure. The choice is politically toxic. Any candidate would need to bridge the huge chasm between the coalition parties' views on Europe. No eurosceptic could effectively fight Britain's corner in Brussels but anyone seen as pro-EU would be fiercely opposed by large sections of the Conservative Party.

The next commissioner will be Cameron's key EU cheerleader with the unenviable task of achieving unprecedented UK-led reforms. In 2009, Britain's choice, Labour peer Cathy Ashton, was handed the foreign policy brief in what is now seen as a major error. Michel Barnier, the French-born commissioner for internal markets, has wielded by far the most power in the last five years. Ashton's role has been far more limited.

Now the UK is seen as an outlier on financial services - it was outvoted 26-to-1 on introducing a bankers' bonus cap - the chance of a Brit succeeding Barnier to the post is remote. This leaves the trade and competition briefs as the two key roles for the UK reform agenda. Employing someone with expertise could boost the chances of taking these positions.

So, who should get the job? Names in the frame include the CBI director general John Cridland. He runs a pro-European, pro-business lobby organisation but has also tussled with EU regulations and its tortuous policy-making process. Leaders of financial service trade bodies also have a pedigree of battling EU rules and winning key victories for the UK and the sector. 

Liberal Democrat MEP Sharon Bowles is a Brussels veteran and international expert on financial services regulation. In her role as chair of the powerful Economic and Monetary Affairs committee no one has seen more EU horse-trading. She likes the idea of a technocrat, telling me: "It's an interesting idea. If you put forward good business credentials there is a good chance the new President of the Commission will look at the talent and put them in the best position.

"I always thought Cameron would look among his own kind. There are still people supportive of the Conservatives even if they are not politicians. I don't know how someone who has never been involved in politics will find it because it is quite political. However, it is an interestingly refreshing thought."

Samuel Dale is politics reporter at Money Marketing

David Cameron speaks during a press conference at the end of an EU Council meeting on October 25, 2013. Photograph: Getty Images.
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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