Shadow health secretary Andy Burnham at the Labour conference in Brighton last year. Photograph: Getty Images.
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HS2 critic Andy Burnham to vote in favour tonight

Shadow health secretary will back the bill, despite previous criticisms, as it only applies to the first phase of the project.

Andy Burnham caused some ripples earlier this year when he refused to rule out voting against High Speed 2 in an interview with me for the NS (for which he was swiftly slapped down by Ed Miliband's office). He said then: "I’ve given no guarantees about supporting it. I’m not talking as a frontbencher here, I’m talking as the MP for Leigh. I will not let my constituents carry on paying through their taxes for the rail network when they don’t have reasonable access to it. It’s as simple as that. If the government’s going to lay new railtrack in my constituency, it can bloody well give us a station."

When I asked how he would respond if the government did not meet his demands, he suggested that Labour (which backs the project) would have to suspend collective responsibility and allow him to vote against the rail project. "If they don’t look again at the depot, I’d have to say to my own whips: 'everyone's constituency is going to be affected differently and everyone’s going to have to account. You can’t have a blanket position because it doesn’t affect everybody equally does it?'"

With this in mind, I asked a spokesman for Burnham whether the shadow health secretary would be voting in favour of HS2 tonight. He confirmed that he would be, but rightly noted that the vote covers the first phase of the scheme, "which only goes as far as Crewe" and therefore does not extend to Burnham's constituency. It is the vote on the second phase of the project (north of Birmingham), for which a separate bill will be tabled, that will be the real test of his position.

After Ed Balls's threat to withdraw support from the project last year failed to lead to outright opposition, it looks increasingly likely that Labour will continue to back the government. Shadow transport secretary Mary Creagh said yesterday: "Labour is supporting HS2 to cut congestion on the railways, better connect our great cities and help deliver a One Nation economic recovery.  HS2 will link and help regenerate our cities in the Midlands and North, get young people into work and help our small businesses to grow.

"The government has finally brought this Bill to Parliament after four years of delays and mismanagement which have caused costs to rise.

"We will continue to hold the government to account for keeping costs down on the project as there can be no blank cheque for this or any other project."

George Eaton is political editor of the New Statesman.

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Wrists, knees, terrible rages – I felt overwhelmed when Barry came to see me

I teach my registrars to be aware how a consultation is making them feel: that can give valuable clues to the patient’s own emotional state.

To begin with, it seemed that Barry’s wrists were the problem. He told me about the pain he was experiencing, the pins and needles that came and went in his hands. I started to examine him. His palms were calloused, his fingers thick and stubby, veterans of the heavy work he’d undertaken throughout his 57 years. Even as I assessed this first problem, he mentioned his knees. I moved on to look at those. Then it was his back. I couldn’t get to grips with one thing before he veered to the next.

I teach my registrars to be aware how a consultation is making them feel: that can give valuable clues to the patient’s own emotional state. Barry was making me feel overwhelmed, the more so as I learned that he’d been experiencing all these problems for years.

“Why are you coming to see me about them now,” I asked, “rather than six months ago – or in six months’ time?”

“I need some time off, doc.”

There was something about the way he wouldn’t meet my gaze. And again, that feeling of being overwhelmed.

“What’s going on at work?” I asked him.

His tone hardened as he told me how he’d lost his temper a couple of days earlier. How one of the others had been winding him up, and something inside him had snapped, and he’d taken a swing at his workmate and landed a punch.

Barry had walked out and hadn’t been back. I tried to find out if he’d heard from his boss about the incident, if he knew what was likely to happen next.

He told me he didn’t care.

We talked some more. I learned that he’d been uncharacteristically short-tempered for months; his partner was fed up with being shouted at. Sleep had gone to pot, and Barry had taken to drinking heavily to knock himself out at night. He was smoking twice his usual amount. Men like Barry often don’t experience depression as classic low mood and tearfulness; they become filled with rage and turn in on themselves, repelling those closest to them in the process.

Depression is a complex condition, with roots that can frequently be traced right back to childhood experiences, but bouts are often precipitated by problems with relationships, work, money, or health. In Barry’s case, the main factor turned out to be his job. He’d been an HGV driver but at the start of the year his company had lost its operator’s licence. To keep the business afloat, his boss had diversified. Barry hated what he now had to do. He was now a “catcher”.

I didn’t know what that meant. Getting up at the crack of dawn, he told me, driving to some factory farm somewhere, entering huge sheds and spending hours catching chickens, thousands upon thousands of them, shoving them into crates, stashing the crates on a lorry, working under relentless pressure to get the sheds cleared and the birds off to the next stage of the food production chain.

“It’s a young man’s game,” he told me. “It’s crippling me, all that bending and catching.”

It wasn’t really his joints, though. Men like Barry can find it hard to talk about difficult emotion, but it was there in his eyes. I had a sudden understanding: Barry, capturing bird after panicking bird, stuffing them into the transport containers, the air full of alarmed clucking and dislodged feathers. Hour after hour of it. It was traumatising him, but he couldn’t admit anything so poncey.

“I just want to get back to driving.”

That would mean landing a new job, and he doubted he would be able to do so, not at his age. He couldn’t take just any old work, either: he had to earn a decent wage to keep up with a still sizeable mortgage.

We talked about how antidepressants might improve his symptoms, and made a plan to tackle the alcohol. I signed him off to give him some respite and a chance to look for new work – the one thing that was going to resolve his depression. But in the meantime, he felt as trapped as the chickens that he cornered, day after soul-destroying day.

Phil Whitaker’s novel “Sister Sebastian’s Library” will be published by Salt in September

This article first appeared in the 21 July 2016 issue of the New Statesman, The English Revolt