12 hours ago
Times letters: Fixing the amateur way Britain is governed
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Sir, Munira Mirza's assessment of where we are going wrong appears spot on, and her scathing criticism of our politicians also rings true ('Here's how we can fix the way Britain is run', Jun 26). One hopes that the efforts of her Fix Britain group will bear fruit. However, given that, as she says, there is no shortage of sound input from think tanks, the issue would seem to have less to do with lack of sound advice than an unwillingness to act on it by those who govern us. As to her closing statement about people's reluctance to vote for a political party unless it can tell them exactly how it will fix Britain, the electorate appears to be showing no reluctance whatsoever. If opinion polls are to be believed, Reform is surging ahead — with only the merest nod to the 'how' and no nod at all as to the means by which Britain might be BrowneDatchet, Berks
Sir, Munira Mirza is unsparing in her critique of career politicians, whom she characterises as ignorant of their subject and the machinery of government, and as rabbits caught in headlights or consummate bluffers, seeking celebrity but lacking competence. Her proposition, however, is another think tank, a sector with which, as she points out, we are richly blessed. But the difficulty with think tanks is that the thinkers in them have no responsibility for the ideas they propose. They too seek celebrity, their job titles often being 'fellow' or some other quasi-academic handle. Perhaps she could instead found a school for politicians to teach them the machinery of government, and she and the other nine members of Fix Britain's advisory board could take their expertise properly into politics by standing for election as BrockFowlmere, Cambs
Sir, Many of us would endorse Munira Mirza's observation that 'something is fundamentally broken about Britain and the way we are run', and applaud the ambition of Fix Britain to 'prepare a prospectus for government' by putting 'the right plan' in place. But the right plan will make little difference if our political system itself remains unreformed, for it is within that system that the fundamental weaknesses of government in the UK exist. These include the lack of professional competence; the inability to create, take and implement strategic decisions in a timely manner; the excessively confrontational nature of party politics; the lack of a genuinely democratic mandate; and the pandering of political parties to the whims of today's voters rather than the needs of future generations. Without profound and coherent reform of our political system I fear that any plans made by Fix Britain will fall on stony General APN CurrieWinchester
Sir, Munira Mirza says the measure of success for her Fix Britain group will be 'a future in which no party stands for election without publishing a detailed and credible programme for government'. Yet within a short time of coming to power, any government will face issues entirely unforeseen during the programme-planning stage — Covid-19, the war in Ukraine, the energy crisis, Israel-Gaza etc — that will render its detailed and credible programme obsolete. As Mike Tyson said: 'Everyone has a plan until I punch them in the mouth.'Lucian CampLondon NW1
Sir, Emily Fabricius says that 'grateful patients' are surely the biggest reward for doctors (letter, Jun 26). As a consultant diagnostic histopathologist in NHS labs for 39 years, diagnosing 5,000 patients' diseases/pathology each year, I received a total of two letters from grateful patients. Both were consultant colleagues. My motivation was nevertheless for patient welfare, even though their gratitude may not have been explicit. Diagnosticians are the hidden and unrecognised back-room doctors but are nevertheless John McCarthyRet'd consultant pathologist, Newcastle upon Tyne
Sir, I couldn't agree more with Phillip Alderman about the importance of continuity of care (letter, Jun 25). Training to be a doctor, of whichever chosen speciality, is an apprenticeship — one in which the value of watching, absorbing, asking questions and being supervised by senior members of the 'team' should not be underestimated. The sense of belonging this brings, together with ownership of the patient and their journey, has been lost in the change to a shift pattern with reduced working hours and therefore the exposure to pearls of wisdom that you cannot glean from a book. The issue of continuous 'handovers' occurs not only in a hospital setting but also in GP practice, where almost exclusive part-time working contributes to loss of information and the inevitable Siobhan CarrollConsultant anaesthetist, Guildford
Sir, Phillip Alderman correctly links continuity of medical care with patient safety. Two systematic reviews have found that continuity is associated with lower patient mortality. Given the usual emphasis on patient safety, the policy blindspot on continuity is Sir Denis Pereira GrayFormer chairman, Academy of Medical Royal Colleges; Exeter
Sir, As a relative, friend and former nurse I have had the great privilege of sitting with people of many ages who are dying. Just being able to alleviate some of their distress and discomfort; holding their hand, moistening their lips and wiping their forehead. Praying, if it helps them, reading and softly playing their favourite music, remembering that hearing is the last sensation before consciousness is lost. And frequently reminding them how loved they are by everyone. That is my interpretation of assisted dying. Of course, this scenario is not always possible but I believe that, above all, love must be the dominant factor when you are comforting someone who is WickhamDorking, Surrey
Sir, Dr MWM Upton speaks of the palliative doses of morphine that are given when a patient is in great distress towards the end of their life (letter, Jun 24). My mother and father, and recently my husband, were allowed to die in this way. The kindness and mercy of such a palliation were profoundly helpful to them, and to me, as I sat with them at the end of their CoshBournemouth
Sir, Wes Streeting says there is no 'budget' for setting up an assisted dying service in a constricted NHS (news, Jun 26). He should surely balance against this cost the savings gained in not having to treat those patients who opt for assisted dying during the final six months of a terminal GrayIffley, Oxon
Sir, I agree with all of Alice Thomson's excellent article (Jun 25; letters, Jun 26) save for its headline 'Too many women see childbirth as traumatic'. This should have read: 'Childbirth is too traumatic for too many women.' The young women of my daughter's cohort were all traumatised by their birthing experiences, none being straightforward or without significant, unplanned interventions. Several have cited it as their reason for adopting a 'one-child' policy — devastating for an already declining birthrate and an indictment of our maternity services. Wes Streeting should roll his sleeves up and sort this SlaterStowmarket, Suffolk
Sir, Edward Lucas is right to highlight the cowardice of Nato ('Nato's Potemkin summit sends lethal signals', Jun 26). At a time when Ukraine needs to feel the support of Nato, the Nato summit was an appeasement of a maverick and unpredictable US president. It should have been a summit in which European nations reassured Ukraine of their commitment. At a time when civilian targets are being increasingly attacked in Ukraine, air support is essential. The attack on Dnipro train station on Tuesday was only a success because local units had run out of air defence missiles. Talk of increased Nato defence spending in the future is of no comfort here. I hope we don't live to regret Nato's EdwardsZhytomyr, Ukraine
Sir, I beg to differ with Georgi Holley about Glastonbury festival (letter, Jun 24). I live within a short walk of Worthy Farm and find the disruption minimal. Yes, we have a proliferation of pop-up camping sites but only for two weeks before the festival. Our lanes 'designed for horses and traps' are regularly visited by overlarge lorries, so no change there. Most of the festival is on-site and provides a gloriously memorable week for those who attend. The atmosphere is one to treasure and it is a safe environment for young people to celebrate the end of their exams.
My husband and I have volunteered there and regularly benefit from the free Sunday ticket given to locals. My children and grandchildren (ranging in age from 3 to 50) will join us this year and there will be something for all of us. I feel privileged to live in this glorious area and am glad to share it with others. Within a fortnight, all vestiges will have disappeared and we can return to our 'normally sleepy hollows'.Linda DaviesNorth Wootton, Somerset
Sir, I take issue with Alan Ward's suggestion that 'there are many more for whom a life on benefits is always going to be preferable to getting out of bed every morning to go to a job that is likely to be thankless, tedious and not even financially beneficial' (letter, Jun 26). In my experience of being forced on to benefits because work was not available — or because men aged over 50 were not wanted — I found few who enjoyed the experience. Benefits are too low to 'live on', and those seeking work (whether fit or otherwise) wish for routine, company and the sense of worth that work gives, even when it is badly paid. It is just not possible to live on benefits. Many of us now struggle to survive on a pension, so how can anyone survive on benefits, which pay much less? If Mr Ward knows those who can do it there are many who would like to learn from HerriottBraintree, Essex
Sir, Further to the letters on weight-loss drugs (Jun 26), I was in a school class with 32 other boys and I never knew anyone who was overweight. Of course, we had the perfect stimulus to avoid being overweight: it was called rationing. It worked, and as far as I know no one died from it. Maybe the government should start issuing ration books SharpScarborough, N Yorks
Sir, My Oxford interviewers asked me to define a gentleman (letters, Jun 23 to 26). Frantically I cited Chaucer's Knight ('a verray, parfit gentil knyght') and stepping out of a lift to expel wind. It proved insufficiently intellectual for a scholarship but did sneak me in as a BrooksSutton Coldfield, W Midlands
Sir, My late father, a dyed-in-the-wool Yorkshireman, once stated that a gentleman would always hold the door open for his wife when she brought the coal JordanTimperley, Cheshire
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