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Technology can change the world – provided we have a measure of democracy, too

You could say we need a technological revolution for the many, not the few. 

Over the last five decades, the American Consumer Technology Association’s annual jamboree has grown to become the world’s largest tech show: attracting over 190,000 visitors and 4000 companies, with 7,460 reporters filing 59,969 reports over the course of four days in Las Vegas. In the process, it has achieved an almost mythical status – from unveiling the first-ever home VCR (Philips 1970) to Bill Gates’ resignation from Microsoft in 2006, and has included cameo appearances by the likes of Jay-Z and Barack Obama.

As a fully qualified geek (Electrical Engineering degree, 20 years in tech – before it was cool) and the shadow minister for Industrial Strategy Science and Innovation, I couldn’t resist seizing the opportunity to venture to Las Vegas while on a family holiday to the US’ west coast; hoping, against all hope, to see the progressive future of a technology-enabled, more equal world.

If only.

But I did emerge with a renewed conviction that technology can solve our problems – if we use it to do so.

In some ways, the most remarkable thing about the International Consumer Electronics Show (CES) was the way it demonstrated how technology has taken over our entire world. CES was a car show in the middle of a health show, which happened to be around the corner from a home show, which was adjacent to a sports show that was next to an entertainment show. Just about every sector was represented.

Nissan had a huge stand for their new autonomous vehicle showcasing the ‘Brain-Vehicle Interface’, as did Philips for their new sleep enhancing devices, and Huawei for their connected home. In 2018, technology can be used as an enabling platform to aid just about everything. And in a world where near enough everything is politicised, technology is very political.

But this was not evident from CES: not from the stands, neither the keynotes, nor the participants. There were few speakers from civic society nor governments, and those politicians who attended – such as Donald Trump’s Transportation Secretary, Elaine Chao – talked only of their ‘excitement’ at the sunlit uplands technology could guide us to. The show existed in its own, largely self-sufficient world. While Ford created an entire street to show off its autonomous cars, there was no reference to who would pay for the road, pavements, lamp-posts and guttering if only robots worked.

And as a politician rather than an engineer, it is the societal impact that matters most to me. One realisation brought about by my visit is that I have greatly under-estimated the consequences of driverless vehicles: communications, parking, urban layout, and public transport are all likely to be deeply impacted. The automobile industry is working to position cars as your personal moving office-cum-front room-cum-hotel-cum-lecture theatre; where you can work, maintain personal and social relationships, unwind and learn – all while going from A to B. How will crowded, under-funded public transport compete?

At the show, Nissan launched its Brain-to-Vehicle technology, which reads the driver’s brainwaves to determine when the car’s intelligence should intervene. Although I'm personally unsure about the inclusion of brain surveillance in the driving experience, it may well be the next logical step as we increasingly give up our data in return for ‘free’ services. Certainly the anthropologists at Nissan argued that this was the very definition of assisted artificial intelligence.

Fortunately, autonomous vehicles are not the only way to get around. Improvements in battery technology mean that – between electric scooters capable of folding away into airplane carry on, and electric bikes with the power of motorcycles – personal mobility has become a market in its own right.

Personal health and sport were also big themes at the event. Philips has brought back the night cap, which not only looks far more fetching than the Victorian original, but is now also capable of lulling you gently into a slumber before monitoring the quality of your sleep. Orcam’s discrete camera-glasses for the visually impaired can read text and recognise people, whilst L’Oréal’s UV Sense is a sensor small enough to be worn comfortably on your fingernail that detects ultraviolet exposure.

One aspect of the show that has remained largely unchanged is its demographics. Whilst the glossy adverts on the walls depict women and BME people using technology, those actually designing it were, with a few exceptions, male and largely white. As always, there were no queues for the women’s loos and while there were not any ‘F1 girls’, the gender balance was improved largely by attractive women, who were not engineers, being employed to ‘explain’ technological advances.

Weeks later, the World Economic Forum Annual Meeting in Davos was also dominated by technology, which the Prime Minister used as a fig leaf to cover the absence of vision for Brexit. Lacking in both the CES and Davos, was any sense that the interests of the many had any significant stake in what was going on. We need a Labour government to help change that.

Chi Onwurah is the Labour MP for Newcastle upon Tyne Central, and the shadow minister for industrial strategy. 

CREDIT: PETER DAZELEY/PHOTOGRAPHER’S CHOICE
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The overlooked aspect of patient care: why NHS catering needs a revolution

The NHS performs so many miracles every day – in comparison, feeding the sick should be a doddle. 

A friend recently sent me a photo from her hospital bed – not of her newborn baby, sadly, but her dinner. “Pls come and revolutionise the NHS” the accompanying text read, along with a plaintive image of some praying hands. A second arrived the next morning: “Breakfast: cereal, toast or porridge. I asked for porridge. She said porridge would be ‘later’. Never arrived. (sad face).”

Contrast this with the glee with which another friend showed me his menu at a Marie Curie hospice a few weeks later. He seemed to have ticked every box on it, and had written underneath his order for syrup sponge and custard: “extra custard please”. It wasn’t fancy, but freshly cooked, comforting food that residents looked forward to – “like school dinners”, he sighed, “but nice”.

To be fair, though budgets vary significantly between hospital trusts, a reliable estimate suggests £3.45 per patient per day as an average – only slightly more than in Her Majesty’s prisons, though unlike in prisons or schools, there is no legally enforceable set of minimum standards for hospital catering. As Prue Leith writes in the foreword to a 2017 report by the Campaign for Better Hospital Food, “this means hospital food is uniquely vulnerable to a race to the bottom in terms of food quality, and patient care”.

Plate after plate of disappointment is not only demoralising for people who may already be at a low ebb, but overlooks the part food has to play in the recovery process. Balanced, appetising meals are vital to help weaker patients build up strength during their stay, especially as figures released in February suggest the number of hospital deaths from malnutrition is on the rise. According to Department of Health findings last year, 48 per cent of English hospitals failed to comply with food standards intended to be legally binding, with only half screening every admission for malnutrition.

The Campaign for Better Hospital Food’s report, meanwhile, revealed that only 42 per cent of the London hospitals that responded to its survey cooked fresh food for children – even though the largest single cause of admissions in five-to-nine-year-olds is tooth extraction. Less than a third of respondents cooked fresh food for adults.

Once the means to produce fresh meals are in place, they can save trusts money by allowing kitchens to buy ingredients seasonally, when they are cheaper. Michelin-starred chef Phil Howard, recently tasked by the Love British Food organisation to cook their annual lunch on an NHS budget, explained that this, along with using cheaper cuts and pushing vegetables centre stage, allowed him to produce three courses rather than the two he’d been asked for. Delicious they were, too.

Andy Jones, a chef and former chair of the Hospital Caterers Association, who was there championing British food in the NHS, told me the same principles applied in real healthcare environments: Nottingham City Hospital, which prepares meals from scratch, saves £6m annually by buying fresh local ingredients – “I know with more doing, and voices like my small one shouting out, we will see real sea change.”

Unusually, it’s less a question of money than approach. Serving great hospital food takes a kitchen, skilled cooks and quality ingredients. But getting every hospital to this point requires universal legal quality standards, like those already in place in schools, that are independently monitored.

Nutrition should be taken as seriously as any other aspect of care. The NHS performs so many miracles every day – in comparison, feeding the sick should be a doddle. 

Felicity Cloake is the New Statesman’s food columnist. Her latest book is The A-Z of Eating: a Flavour Map for Adventurous Cooks.

This article first appeared in the 18 April 2018 issue of the New Statesman, Enoch Powell’s revenge