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Dr Louise Irvine interview about the NHS Crisis on Talk Radio this morning (interview begins 9 mins in).
Dr Louise Irvine: Good Morning James (Max, Talk Radio)
Talk Radio: Is (Jeremy Hunt’s) “Sorry” enough (over NHS Winter crisis)?
Dr Louise Irvine: “Sorry” is not enough. Patients are really hurting. Staff are really hurting. This is a dreadful crisis but it is one that happens year on year, and each year worse than the year before. When I heard Jeremy Hunt say “Sorry”, it reminded me actually of some of my patients who have been subject to domestic violence where an abusive partner keeps hurting you and then keeps saying sorry. What are you supposed to do? Keep saying, oh that’s all right then? At what point do you have to stop accepting sorry and actually start saying you are responsible. You have to take that responsibility. You have actually failed. I actually think that Jeremy Hunt should resign.
Talk Radio: You think he should resign. There are others who would say, look, he’s got a very difficult job, and the difficult job is trying to juggle an organisation that is outmoded, it is outdated in how it is structured, it wastes a lot of money, and it is a bottomless pit. You can never spend too much money on health, and we’re going to have to ration it. He’s doing just that.
Dr Louise Irvine: Those things you have listed I would say are myths. The NHS is one of the most cost effective and efficient healthcare systems in the world. It has actually suffered because of meddling by not just this government but by the coalition government.
Talk Radio: So, why yesterday, when I was speaking to various health professionals who know far more than I do, did they all say the way it is structured, the way the NHS procures its drugs, for example, the way that the NHS procures its services across the country, the way that the NHS hires people (particularly when it comes to temporary staff), all of these things and management as well, are quite wasteful.
Dr Louise Irvine: Yes. In 2012, the coalition government led by the Tories brought in a very costly reorganisation – we call it a redisorganisation – (it was) the Health and Social Care Act which did exactly that. It actually split the NHS up further. It created chaos and fragmentation. It has been criticised by The King’s Fund for being bewildering in its complexity and actually wastes a whole lot of money on what we call “transaction costs” by trying to make the NHS into a market structure. Yes, there is waste in the system. That is because of consecutive recent policies since 2012. The basic structure of the NHS is actually very sound and effective.
Talk Radio: Well, that’s your view and opinion and I understand that. If we’ve got a system that needs to be organised in a different way, you can either continue and just throw money at it or you can try and reform it, can’t you?
Dr Louise Irvine: If you compare the spending in the UK on health and social care, it is about 10% of GDP. Other comparable economies, for example, France, Germany, The Netherlands, Sweden, Norway, spend much more. They spend 11% of GDP which is actually about £18bn a year more. Now, therefore, the way that we actually organise and spend on our healthcare is one based on a principle of austerity, of cutting back on the spend. Compared with other countries that we want to compare ourselves to, we are actually underfunding our NHS. It’s gone through its longest funding squeeze. It’s 7 and a half years into a 10 year funding squeeze which is unprecedented. At the same time, we have bad planning, very bad workflow planning, not enough nurses, we’ve been making major cuts to public health. As I said, we are wasting lots of money on endless reorganisations. These are the issues. This is the bad planning that has been going on for several years now, under Jeremy Hunt’s watch. And, that is why the NHS is in crisis. It is not about the fundamental structure or the nature of the NHS. It is about what this government and the previous government have been doing to the NHS.
Talk Radio: Well, that is one argument but never, certainly in my lifetime, has anyone looked at the NHS and said it is doing everything marvellously. Even when, for example, there were significant amounts of money being pumped into it, we then had different kinds of scales. We had issues where hospitals were killing people, we had situations where hospitals were losing data, we had situations where hospitals were bungling operations. We are always going to have problems with the NHS because of its size, the huge amount of work that it does and, in essence, no politician of any political colour is ever going to get it right, are they?
Dr Louise Irvine: Well, by 2008, 2009, 2010, the NHS had actually improved significantly. I’ve been a GP since Margaret Thatcher was Prime Minister so I’ve been doing this job for a long time. The NHS had definitely improved during the years of the 2,000s. It’s not perfect. I was a critic also of aspects of Labour policy. They did though start to invest properly in the NHS and we did see tangible results. The NHS had its highest score of popularity with the public by 2010. The bungling…People are unsafe now. There are people are lying in corridors. There are people who are seriously ill who are now at risk of dying. There is an increase in the dangers that they are facing. This is not something that is from the past this is happening now.
Talk Radio: So, what Jeremy Hunt has proposed then is non-essential operations are being put off in order to ease the crisis. That’s quite a sensible thing to do, isn’t it?
Dr Louise Irvine: When you say non-essential operations, what do you mean? Do you mean ones that are not immediately life threatening? All operations are essential ultimately. Nobody goes in for an operation just for fun. So, we’re talking about what we call elective or planned operations. That might be a hip replacement. It may be somebody who is in severe pain or has been severely disabled by arthritis in the hip. Their having to wait longer and longer for that necessary intervention is actually going to cause longer suffering. So, you’re going to see real chaos. Putting off operations for a month or maybe longer is actually going to cause a huge backlog.
Talk Radio: OK. I understand that. So, if the solution is whether that Jeremy Hunt has to go or more money has to go into it, or all of these solutions that people come up with, where is the money going to come from to pump into the NHS that you would like to see clearly?
Dr Louise Irvine: Austerity is a deliberate policy of our government. It is not a policy shared by other similar Western countries who have not actually….
Talk Radio (interrupting): Well, it’s necessary because we’ve spent too much money and we’ve borrowed too much money.
Dr Louise Irvine: It’s a choice. Austerity is a choice and …
Talk Radio (interrupting): OK, where does the money come from?
Dr Louise Irvine: The money comes from taxation. That’s one way…
Talk Radio (interrupting): So, you wanna put up tax?
Dr Louise Irvine: That’s one way we could do it. We could actually start collecting some of the tax that is not being collected from tax avoidance. We could start reversing …
Talk Radio (interrupting): We can’t do that unilaterally. If somebody decides to move their money overseas and offshore. Guess what? You can’t get it.
Dr Louise Irvine: Most of the private healthcare companies that are providing healthcare in the UK are actually based in offshore tax havens. All the Private Finance Initiatives companies are….
Talk Radio (interrupting): So, what do you do? You just say, right, you can’t come to this country as you’re based offshore?
Dr Louise Irvine: You deal with it on an international level. I think the UK should have been all along…
Talk Radio (interrupting): But, that’s not gonna be done by next week.
Dr Louise Irvine: Well, no because this issue should have been planned long ago. As I was saying….
Talk Radio (interrupting): It’s very easy to say we’re gonna fix this just by taxing people more.
Dr Louise Irvine: We were saying this 3, 4 5, years ago. We could have been saying this when it was clear the NHS was heading off a cliff edge. This is a predictable …
Talk Radio (interrupting): But, the NHS has not had any less money.
Dr Louise Irvine: It has had effective flat line funding of 0.1% per capita real terms increase since 2010 at a time when real healthcare costs are going up by about 3% to 4% each year. And, that is international. That’s not the UK being inefficient. That is the cost of modern healthcare for a…
Talk Radio (interrupting): So, in essence, tax more and then we can have the NHS. What about asking people to pay something towards that? You mentioned France. In France they pay various aspects of their healthcare and you go into Europe and they have these hybrid models. Is that a good idea?
Dr Louise Irvine: Most of those European countries are spending more on health altogether. The evidence is that if you ask people to pay, it is the poor and more worse off that suffer most – the people who are the most sick. Actually, it increases inequalities. A tax funded system where everybody receives what healthcare they need at the point of use is actually the most efficient way of organising equitable healthcare.
Interview ends.
In his Telegraph article attacking Stephen Hawking’s 19 August speech on the NHS at the Royal Society of Medicine Jeremy Hunt made a series of statements that exhibited his trademark use of weasel words, distortions and omissions. But there was one outright lie that really bothered me as it exemplified the very thing he was being accused of by Hawking – shameless abuse of statistics. In the Telegraph article Hunt produced the following bar chart of the different parties’ manifesto promises on NHS spend by 2022-23.
I knew immediately there was something wrong with that graph because I had read the Nuffield Trust’s report on the different parties’ manifesto pledges on NHS funding and recalled that Labour had promised to increase funding by more than the Conservatives. I looked at the Nuffield report again and discovered that what Hunt had done was truly sneaky. He had used two different baselines from which to measure the different parties’ funding pledges, thus artificially deflating the Labour and Lib Dem NHS funding pledges by several £billion relative to the Conservatives.
For the Conservatives his baseline was current 2017/18 NHS spend (£123.7bn a year), and for Labour and the Lib Dems his baseline was the projected NHS spend in 2022/23 if existing government spending plans continued (£128.4bn a year).
To make a true comparison Hunt should have used the same baseline for all parties – either current or projected spending levels. That’s what the Nuffield report did.
It analysed the different parties’ manifesto spending pledges and estimated the promised NHS funding increase of each party by 2022/23 compared with spending this year.
The graph below from the Nuffield Trust shows the true picture. It also shows that all three parties’ spending pledges will mean a reduction in NHS spend as a percentage of GDP and will fall well short of various reliable predictions of NHS funding requirements.
Conservatives spending proposals would bring total health spending in England to £131.7 billion by 2022/23, an increase of £8 billion over spending this year.
Labour’s spending commitments would bring total health spending in England to £135.3 billion in 2022/23; an increase of £11.6 billion over spending this year.
The Lib Dems promised to increase NHS spending to around £132.2 billion in 2022/23; an increase of £8.5 billion over spending this year.
Jeremy Hunt’s bar chart should have looked like this:
Labour promised to spend nearly £4 billion more on the NHS than the Tories. The Lib Dems also promised to spend more than the Tories.
Hunt’s trick of using two different baselines tells the opposite of the truth. This isn’t “cherry picking”. It is a deliberately deceptive use of statistics. The real data was there, already analysed and easy to find. Hunt has a team of people working for him. He can’t pretend he didn’t know.
Recent figures show that NHS staff shortages have got worse but statistics don’t convey the dreadful reality of how this affects NHS staff and patient care. To understand the real impact we have to read the accounts of brave doctors, nurses and other health care staff describing the daily stresses of their work – stresses that are leading many to breaking point and to leave the NHS.
There are now more nurses leaving the profession than joining.
Those that remain struggle to provide safe effective care. In the recent NHS staff survey, 47% said current staffing levels were insufficient to allow them to do their job properly and 59% reported working unpaid overtime each week.
Staffing levels in some places are so poor that not only can quality care not be guaranteed, but safe and humane care is also at grave risk. Doctors and nurses are warning that this is creating another “Mid Staffs” across the country.
Recruitment from overseas to fill the gaps is now at risk too. Since the Brexit referendum applications from EU nurses have dropped 96%. This is having a serious impact on nursing numbers.
But the shortage of 30,000 nurses is not caused by the Brexit threat alone. The chronic shortage of nurses is the result of years of short-term planning, cuts to training places, underfunding of the NHS workforce and pay restraint – amounting to a real terms pay cut of 14% since 2010.
The government’s response is to try to minimise the scale of the staff shortages while announcing new initiatives that are inadequate to the problem.
For example Jeremy Hunt recently tweeted there were now 12,000 more nurses than in 2010.
But this is untrue. In May 2010 there were 280,950 nurses in England and in March 2017 (the most up to date stats we have from NHS Digital) there were 285,893. This is an increase of 4,943 or 1.6%. Yet over that period the population rose by 5% which means that there are now fewer nurses per person than in 2010. Key areas of nursing have suffered actual reductions in numbers: mental health being a prime example. See this excellent blog by David Munday for detailed analysis.
David Munday cites figures showing that between 2010 and 2017, the number of mental health nurses reduced by 4,942 (from 40,630 to 35,688) or 12.2%. It means a change from 1,296 people/mental health nurse to 1,549 people/mental health nurse.
This is scandalous given years of Government rhetoric about “parity of esteem” between mental and physical health.
There has also been a decline in numbers of community based nurses. One in seven district nursing posts were lost between 2014 and 2016. The government’s decision to hand over responsibility for children’s community nursing to local authorities while simultaneously cutting their funding has led to cuts in health visitor and school nurse numbers. Health visitors have declined from a peak of 10,309 in October 2015 to 9087 in March 2017.
The Government’s response to this is to say they will increase nurse training places. It has just announced some £16 million for 10,000 extra clinical placements for nurses, midwives and allied health professionals by 2020. It seems the government was only moved to act on funding because universities protested that they had been given no extra funding for the clinical placements. This is yet another example of a reactive decision to avoid bad headlines rather than sensible pro-active planning for the future – because extra nurse training places should have been funded years ago when people began warning about the impending crisis.
Latest data shows the number of nursing degree applications has fallen by 23 per cent this year compared with 2016. This is in large part due to the abolition of the NHS student bursary. Even though there are still more applicants than places there has been a reduction in applications from mature students with children – a group that has always been a key demographic for nurse recruitment, and more likely to stay on in nursing once trained.
But even if there is to be an increase in nurse training places, those new students will not qualify for several years, so will not help the current staff shortage. And increasing training places won’t help if high numbers of nurses still continue to leave the profession. The only way to ensure adequate staffing levels is to stem the flow of nurses and other health workers leaving the NHS and this means reversing the decline in pay and conditions. Pleas to the government to address this by nurses’ unions such as the Royal College of Nursing have fallen on deaf ears.
Nurses have reached their limit. In 2016 we saw unprecedented industrial action by junior doctors. Now it looks like the nurses are prepared to consider taking industrial action to defend their pay and conditions. The main nurses’ union, the Royal College of Nursing, recently surveyed its members to gain their views on industrial action and a majority indicated their support. As with the junior doctors this is not just about pay but about ensuring we have the necessary nursing workforce to provide safe high quality patient care.
Today, 15 different organisations representing NHS employees (including the Royal College of Nursing and the British Medical Association) have written to the Prime Minister urging her to scrap the draconian pay cap on our NHS staff. (1)
“The public sector pay cap has forced professionals out of jobs they love…
Those who stay are overstretched and under pressure to do ever more with less…
The longstanding cap stands in the way of recruiting and retaining the best in healthcare.”
The pay cap has meant that there has been a 14% fall in real-term nursing pay since 2014 (2). This is just one of the factors that is leading us towards a crisis in staffing.
Not only is it unfair, it is incredibly short-sighted. Along with the removal of the bursary that enables people from all backgrounds to train to become a nurse (3), the ever more stressful conditions leading to 50% of nurses considering leaving the profession (4), 1 in 10 posts already vacant and Brexit threatening to stop us recruiting the additional staff we need (5), this pay cap is simply making things worse – for nurses and, ultimately for us. And remember, it is not only nurses but other health care workers too, for example physiotherapists and OTs, that are affected by the loss of the student bursary and by the pay cap.
I have been so touched by the support I have had recently for standing up for nurses and other health workers – both in the election campaign and since then when you saw how Jeremy Hunt used his victory speech to personally attack me and accuse me of spreading falsehoods (6). I know that what I wrote in response, where I provided evidence about the extent of the NHS staffing crisis, resonated with so many people because of the respect and gratitude you feel for our NHS staff and your awareness of how vital it is to have adequate and sustainable staffing levels.
It’s time to remove this pay cap, to pay our nurses a fair wage and to start to take the steps to move the NHS back from the brink of a staffing crisis.
Thank you for reading
Louise
Dr Louise Irvine
Sources:
Dear Mr Hunt
On Thursday night, in your acceptance speech, you accused me of “falsehoods”.
In your words, you accuse me of lying about “both our record with the NHS and also our motives”. You were clearly rattled that over 12,000 people in South West Surrey showed their concern for the NHS and voted for someone who questioned your record, but that is what democracy is all about – holding the government to account.
The truth is that I haven’t lied for the simple reason that I haven’t needed to. The facts speak for themselves.
When I talked about your record, I drew out many facts:
None of these is a lie.
I also talked about the increasing privatisation for the NHS and your quote that “I am not privatising the NHS”. Was it a lie when I pointed out that the percentage of Dept of Health budget spent on for-profit providers rose by 25% in two years? [viii]
Perhaps it was my comments about funding that you felt were untrue. I said that the NHS had been underfunded and that future plans in the manifesto were insufficient. In fact, it was your government that was rebuked by the health select committee (including two Conservative MPs) for claiming that you’d be spending an extra £10 billion a year on NHS by 2020.[ix] They pointed out that a large proportion of this was taken from public health and doctor and nurse training budgets. Moving money around within a service to appear more generous than you actually are is fundamentally dishonest. [x]
In fact, your claim that you will be spending an extra £10bn per annum by 2020 compared with 2015 turns out to be only a £4.5 bn increase. This amounts to a 1.1% annual rise each year in the decade from 2010 -2020[xi], the biggest funding squeeze in NHS history and not even half of the 2.7% per annum forecast growth in need over that period, according to the NHS chief executive.[xii] As for the future, Prof Anita Charlesworth of the Health Foundation says that the promised extra funding for the NHS in the Conservative manifesto is far less than the NHS needs.[xiii]
Maybe you are accusing me of lying when I draw attention to NHS staff shortages and the disgraceful way you treat NHS staff:
In the election campaign I stated that your performance as Health Secretary is destroying the NHS, demoralising staff and risking patient safety. As you can see from the above, this is absolutely true.
Finally, you accused me of lying about your motives. I have no idea what your motives are for destroying our NHS, but I have tried to give you the benefit of the doubt.
I have assumed that you are doing it deliberately – in order to run it down and provide an excuse for privatisation.
If I were you I’d accept that interpretation, because the alternative is that this has all been caused by your sheer incompetence.
Patients and NHS staff deserve better than this. The NHS is a great organisation and provides excellent care to most people most of the time, thanks to its dedicated and hardworking staff. But it is cracking at the seams and sometimes failing, due to the many pressures it is under. I am motivated by the desire to defend the NHS and raise the alarm about the dangers it faces from a continuation of Conservative policies. And as long as you are health secretary I will continue to hold you to account for what you are doing to the NHS.
Dr Louise Irvine
[i] https://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity
[ii] http://www.qualitywatch.org.uk/indicator/ae-waiting-times
[iii] https://www.theguardian.com/society/2016/jul/04/nhs-child-mental-health-services-anxiety-depression
[iv] http://www.qualitywatch.org.uk/latest-data/combined-performance-summary-march-2017
[v] http://www.bmj.com/content/357/bmj.j2258
[vii] http://www.telegraph.co.uk/news/2017/05/18/nhs-care-among-worst-europe
[viii] https://www.bma.org.uk/collective-voice/influence/key-negotiations/nhs-funding/privatisation-report
[x] https://www.kingsfund.org.uk/projects/nhs-in-a-nutshell/nhs-budget
[xi] https://www.england.nhs.uk/wp-content/uploads/2016/05/fyfv-tech-note-090516.pdf
[xii] https://www.theguardian.com/society/2017/apr/29/nhs-nurses-pay-cut-12-per-cent-over-decade
[xiv] http://www.mirror.co.uk/news/uk-news/national-hell-service-landmark-nurses-10053340
I just wanted to say a massive thank you to all of you for all your amazing hard work and commitment and your fantastic spirit during these past few weeks. Whether you displayed a board, delivered leaflets, canvassed, tweeted, shared updated, attended hustings, managed street stalls – no matter how big or small your involvement – Thank You!
Most importantly, thank you for your votes.
You are all such wonderful people – willing to give your time, passion and energy for a cause you believe in. If there were more people like you, the world would be an infinitely better place.
We did very well. We dented Jeremy Hunt’s majority, highlighted the vital issues that matter not just in SW Surrey but, it seems, across the country – NHS, education, public services, Brexit, the environment – but particularly the NHS. We forced Jeremy Hunt to address his record on the NHS and all he could do was come out with the same old sound bites and accuse us of not telling the truth! Honestly? – That is really desperate!
I’m still digesting the result and its meaning for us all but overall it’s incredibly positive. It is almost unheard of for a small party to make such gains. It shows that at least 12,093 people in SW Surrey are really concerned about the NHS and the other issues we raised. You have sent Jeremy Hunt a strong message to express that concern.
We did have a progressive alliance in practice, where it really mattered. That’s why we came second. The support from the Green Party, and the Labour and Lib Dem members who campaigned for me was incredibly important and is a strong foundation for future collaborative work around progressive policies in the area.
We should all be very proud.
I’ll write again so we can re-group. We may have another election sooner than we think so, let’s give ourselves more than 32 days next time….
Enjoy the weekend…
Warmest wishes,
Louise
The constituency of South West Surrey has a real progressive alliance borne out the South West Surrey Compass Group. The group is affiliated to the national organisation (www.compassonline.org.uk) which describes itself as the home for everyone who wants to be part of a much more equal, democratic and sustainable future.
For two years, members of different progressive parties and progressives with no party affiliation in SW Surrey had been meeting under the auspices of the Compass group to discuss policy ideas together and to campaign together.
We realised that there was so much common ground between those of us who belonged to the Labour Party, the Liberal Democrats and the Green Party and other “independent” progressives to put up “progressive alliance” candidates in local and national elections, where other parties would stand down in favour of a single candidate. This is because a single progressive alliance candidate would have the best chance of winning against the Tories.
A big public meeting attended by over 200 people was held on 19th April, with national speakers from Labour, LibDems and Greens, on the day the General Election was called. The atmosphere was electric and there was an overwhelming desire to unite behind a single candidate to defeat Jeremy Hunt in what has hitherto been seen as a “safe” Conservative seat because of a divided opposition.
A further open public meeting was held in Godalming on 6th May to take forward the idea of a single progressive candidate in the General Election. Labour, Liberal Democrat, Green candidates were invited, along with Dr Louise Irvine who polled extremely well with very little organisation as the National Health Health Action Party candidate in the 2015 election. Liberal Democrat and Green Party candidates accepted the invitation, as did Louise.
Prior to the meeting itself, all potential progressive alliance candidates were asked if they agreed a common platform including support for a soft Brexit, electoral reform and protecting the NHS. Each of the candidates agreed to the progressive platform, united in wanting to challenge Jeremy Hunt.
The meeting was attended by a large number of members and supporters of various political parties and overwhelmingly endorsed Dr Louise Irvine as the progressive candidate best placed to defeat Jeremy Hunt over Ollie Purkiss, the Liberal Democrat, by a 10:1 majority. At the meeting, the Green candidate, Susan Ryland, agreed not to stand to rapturous applause, but Ollie did not make such an undertaking.
The local Labour party supported Louise Irvine from the floor but nationally the party did not back the initiative as it was against their rules to stand down candidates. Because they declared their support for Louise’s candidature, three of their local members have been suspended from Labour. But local Labour Party members have continued to campaign for Louise Irvine.
Although the Liberal Democrats insisted on their candidate standing, despite his participation in the Progressive Forum, Louise Irvine is supported by local Liberal Democrats, including Penny Rivers who has recently been elected as a Liberal Democrat Surrey county councillor, herself elected as a result of Labour standing down its candidate and securing a 27% swing away from the Conservatives.
On the ground, Labour Party members, Liberal Democrats, Greens, NHA and others belonging to no party who have been energised by the campaign are working together and campaigning for Louise. This IS a real progressive alliance. So while Labour and the Liberal Democrat parties have insisted on putting forward paper candidates, there is a real coming together of all progressive political forces in the South West Surrey constituency to unseat a deeply unpopular secretary of state for health who has caused untold damage to the NHS over the past five years.
The only way to get rid of Jeremy Hunt and oppose the Tories in SW Surrey is to support the opposition candidate most likely to win. With the active campaigning support of the Green Party and numerous local Labour Party and LibDem members I am confident that Dr Louise Irvine is the best placed candidate to achieve this.
Steve Williams
Chair, South West Surrey Compass
Dr Louise Irvine, National Health Action Party
The candidate selected by Lib Dem, Labour and Green party members in South West Surrey to kick out Jeremy Hunt.
And if you want to help me protect your NHS from Jeremy Hunt, please vote for me.
Over the last 10 days I have shared with you some of the topics that are most important to me – as I’m asking for your vote, it’s only fair that I share those issues that I care about.
I have written a lot about the NHS: How it’s being privatised to some companies operating in tax havens; about the outrageous sell off of our blood plasma services and about how the Conservatives’ cuts to the ambulance service could cost lives in Farnham and the surrounding areas.
I’ve talked about how the UK should be leading the world in standing up to Trump about climate change whilst also working locally to clean up the illegally polluted air that children in our area are breathing in schools. And I’ve talked about the education cuts that mean one school had to run an appeal for donations of toilet rolls.
And yesterday I blogged about how our amazing NHS staff are undervalued and overworked to the point where thousands are leaving the profession they love.
I am also extremely grateful to three women. Firstly, Penny Rivers, the Liberal Democrat County Councillor urging all Liberal Democrat supporters to vote for me. And to Margaret, my 101 year old friend who wanted us to record a video of the two of us chatting so she could tell everyone why she was voting for me. And, also to, Susan Ryland who is the Green candidate who stepped down to support me and has offered strategic advice and grassroots green support.
Today, I’ve written about the harm a “hard Brexit” could do to our economy, health and well-being as a nation.
Tomorrow is polling day. I urge every one of you to vote. I know that if Lib Dem, Labour and Green supporters vote for me then I can beat Jeremy Hunt. I also know that I am the only candidate that can.
So if you want to wake up on Friday morning to find that your constituency has sent a loud and clear message to Theresa May that we care about our NHS and won’t stand by and let her destroy it… If you want to wake up to the news that Jeremy Hunt has been kicked out of Parliament… Please vote for me on Thursday.
I will be honoured to be your local MP, fighting for the issues that you and I both care about.
Dr Louise Irvine, National Health Action Party