Lee Rowley: Brexit is big. But our politics is bigger – and I say that as a committed Leaver. Here are some ideas to boost it.

Remainers and Brexiteers alike must recognise the politicians are stuck in an ever-decreasing circle of fervour, hyperbole and hysteria.

Lee Rowley is MP for North East Derbyshire, and Co-Chair of FREER.

Brexit, Brexit, Brexit.  Has there ever been a time when one subject so overwhelmed the political debate in our country?  Where one political Death Star loomed over every facet of public policy to the point where, at least for the political class, nothing else appears to matter?

The last few months have felt as though we’ve entered some shadow realm where our relationship with Europe has obliterated UK politics.  Brexit gnaws away at the most reasonable people, engulfs even the most tangential subjects and saps the life out of even the most joyful of conversations – and I say this as a committed Brexiteer.  Even Christmas was not immune.  MPs were told to use the festive period to reconsider the Prime Minister’s deal as if an over-indulgence of mince pies and sherry would result in a sudden epiphany that it was, somehow, acceptable after all.

Now, don’t get me wrong: I have as strong a view on Brexit as the next person (perhaps even more so than many!).  Yet Remainers and Brexiteers alike must recognise the politicians are stuck in an ever-decreasing circle of fervour, hyperbole and hysteria.  And all the while, those outside the bubble tire of the indulgence of the political class.  The people made a decision two and a half years ago.  And they are bored of politicians trying to frustrate it.

The people are completely right – and for two reasons.  First, because we’ve got to honour the referendum result.  Second, and just as importantly, they are right because we’ve got to move on.  As a Party, there is so much that we have to do and, relatively, so little time to do it.  Not just the day-to-day responsibility of government, which needs continuous attention, but also because we’ve also got properly to wrestle with the underlying bigger issues which are going to determine whether we continue in government, whether we have the right answers to future challenges and whether, crucially, we can defeat the resurrected zombie of 1980s socialism.

So as the meaningful vote debate gets underway again, here is an article that doesn’t primarily focus on the EU for a change.  And here are six big issues that need our urgent attention when we, finally, move on from Brexit.

First, we’ve got to accept that there is a massive change coming in the way we live, work and play through technology – and that needs better thought and consideration than we’ve managed to date.  Mark Wallace was absolutely right a few days ago when he talked about the need to embrace technology and the good that it can bring for society.  Yet, more importantly, that change is coming anyway – and it is an abdication of responsibility if we don’t engage properly.  A recent report suggested that in the next 20 years, seven million jobs will be lost – one in every five in the country.  If the UK gets its act together, a similar number (or even more) could be created.  But we need to think it through.  And most people in Westminster still don’t even know what machine learning is.

Second, we’ve got to stop banning things.  As Conservatives, we have a guilty pleasure for paternalism; our inner restraints occasionally loosen as we believe people need to be saved from themselves.  We know we shouldn’t, but we do.  Yet, that isn’t what our mission is about.  Freedom is what sets us apart from the socialism – and that includes the freedom to make mistakes as well as take opportunities.  If, as a party, we really believe in this principle then we have to have the hard conversations with the country about why government can’t do everything, not just bask in a warm glow of where it can.  If we don’t make a clearer case about our belief in people, then we become a pale pastiche of Labour.  And, for those who believe that people over-indulge too much on sugary treats already, why would people choose the Diet Coke version of nannying government when they can have the full fat one from Jeremy Corbyn?

Third, we’ve got to stop the money arms race with Labour on public services.  As a Conservative, I believe in strong public services which help people up, support them when they need and make our country safer and secure.  You need money to do that.  But it isn’t an end in itself.  Spending an arbitrary number on education or increasing the health budget by a similarly arbitrary figure focusing on the wrong thing.  Corbyn is the one fixated on inputs and processes.  We should care only about the transformation money can bring and the outcomes it delivers.  Stop talking in billions.  Start talking about what we want to do and what we want to achieve by when.  How to raise the number of children getting world class education.  How to improve cancer outcomes.  How to connect people in the north by rail.  Focus the debate on outcomes or we will lose.

Fourth, we are going to have to have a proper discussion about what we want government to do in the future.  Demographic change, increasing demand and increasing complexity in health and social care are all going to strain public budgets in the coming decades.  Some assessments suggest the NHS is going to need another £50 billion.  The ONS thinks that there will be another eight million people over 65 in the UK in 50 years’ time.  It’s fantastic news that we are living longer but it also requires us to seriously reform our public services to avoid us becoming a national care home with a country attached to it.  People have a right to expect their government to come up with solutions and to be able to pay for it.  We need a clearer conversation with the public and a strong reforming mission as we renew in Government in the run-up to 2022.

Fifth, we are going to have to work out how we restore democracy.  Quite simply, the way in which we approach decision-making is stuck in the 1990s.  Political manifestoes declare lofty ambitions once every five years and then politicians disappear off to squabble about them.  We are awash in national and local consultations perpetuating a thin veneer of public involvement, followed usually by politicians doing whatever they want anyway.  A hundred years ago, politics was the practice of educated people taking decisions for the uneducated.  Absolutely rightly, no longer.  Today, politics should be a continuous process of discussion, debate and interaction with everyone – where that interaction matters.  And it will need to be a more local conversation than before which, by default, means accepting that services will be delivered differently in different places.  Democracy is fragile.  And we need to renew it.

Finally, we are going to have to learn how to “deliver” in government.  Another little commented national scandal is the continuing inability, across all parties, of government to function.  Carillion showed the limits of poorly structured services – not because private enterprise doesn’t work (far from it) but because it wasn’t set up properly.  Sitting on the Public Accounts Committee every week, I hear horror stories of billions lost through poor Government administration and projects, both public and private.  And the Civil Service leadership glides effortlessly through whatever screw-ups occur, no matter what.  Real reform of government requires proper leadership, a proper understanding of change management and deliverers who are actually held to account.  We aren’t even trying at the moment.

So, yes, Brexit is big.  But other things are bigger.  Taken together, these are the issues which will transcend individual portfolios and departments; the quiet problems which will monster us if we start thinking about them too late.  So, this week, as Brexit again sucks all the oxygen out of the room, remember this: we are essentially fighting over a foreign policy pivot and a future trading relationship.  Vast and existential they certainly are.  Yet at some point the Brexit fog will lift.  And, if we haven’t started to consider the underlying bigger challenges we face, then our party will be caught wanting.  More importantly, our country will be poorer.  And that’s a much bigger problem than whether flights will take off on 30th March (spoiler alert: they will).  Time to broaden our conversation.

May must ensure that increases in NHS spending are tied to outcomes

It’s a politically sensitive subject and the Government has a lot on its plate, but the Treasury is right to be concerned with ensuring value for money.

Today’s Financial Times reports that a new row is brewing between numbers Ten and Eleven Downing Street over Theresa May’s plans for extra NHS spending.

According to the paper, the Treasury is worried that the Prime Minister is pushing ahead with a £20 billion ‘reform’ plan which doesn’t actually secure adequate commitments to deliver savings and value for money.

Others have accused May of ‘displacement activity’, or needlessly dividing the Government’s focus in the crucial weeks before Britain’s departure from the European Union. But the Treasury complaint deserves scrutiny, because it illustrates the unhappy state of the will to healthcare reform in today’s Conservative Party.

Thanks in no small part to Dominic Cummings, who made NHS spending a central focus of the Leave campaign, there is now a consensus in favour of more of it which spans the Tories from the traditionally pro-NHS left to the usually reform-minded, but currently Brexit-focused, right.

By contrast, there is nobody talking seriously about major reforms to how the Health Service operates. Even Liz Truss, busily staking her claim to the mantle of the Cabinet’s most enthusiastic free-market reformer, hasn’t unveiled a plan for the NHS.

Perhaps this ought not to surprise us. Enthusiasm for healthcare reform historically comes in cycles, with the likes of Ken Clarke, Alan Milburn, and Andrew Lansley interspersed amongst Secretaries of State who take a more managerial approach. Jeremy Hunt, despite is high-profile clash with the doctors’ union, was one of the latter.

There are several reasons good reasons why Conservatives might be cautious of any ambitious programme for the NHS. Taking a bold stance on social care, which is subject to very similar pressures, arguably cost the Party its first comfortable majority in thirty years. Likewise the ill-fated Lansley reforms are still fresh in the memory and scarcely likely to motivate people to dip their toe in that particular pool.

Another factor, in light of a looming leadership election and the prospect of an election before 2022, is that Conservative members and voters alike are older than the average citizen, and likely to be unenthusiastic about disruption to health or social care.

Despite this, however, the Treasury’s concerns still need answering. ‘Spending more money’ is not an adequate substitute for an actual policy agenda, at least on the right, and passing the buck for serious reform to the next political generation will only make that reform much more difficult – and possibly painful – when its time comes.

How To Get The Best Out Of Green Juice

The fact that there are some health benefits that you can derive from green juice is no longer a matter of contention. There are cases of obesity around us today. Everywhere you go, if you are a keen observer, you will readily see people struggling with the excess mass of weight that has been forced […]

The fact that there are some health benefits that you can derive from green juice is no longer a matter of contention. There are cases of obesity around us today. Everywhere you go, if you are a keen observer, you will readily see people struggling with the excess mass of weight that has been forced on them. Everybody wants to maintain a trim figure; this can be achieved without hitting the gym. It is true that you can achieve this without having to partake in that strenuous, energy-sapping exercise regime. People have been asking the question: why organifi? We shall be making the attempt to answer that question in a way that will throw light into the matter.

If you really want to lose weight and get your health back, then you have to look in the direction of this supplement. What is required from you is a consistent mindset and the ability to go by the rules. These rules are not that difficult to keep; we have broken them down into three easy to follow steps. Anyone can make the best out of it; and at the end of it all, you will win the battle against obesity. Here we go:

Step 1: Start Your Day On The Right Footing

The first step that you take in the morning after getting out of bed matters a lot, if you want to achieve the expected results that count. After you get out of your bed in the morning, you are in fasting mode. You probably have not tasted anything for the past 6-10 hrs; coming out of bed, you need to break your fast first thing.

This is where the majority get it wrong. If you follow the expert tips here; then you would have taken the most important step in the day which is very instrumental to your success. Your first step in the morning should be hydration. You are strongly advised to kick-start the day with a warm glass of lemon water. The target is to boost your metabolism. That done, your digestion will be kick-started in the small intestine, it will also go further to cleanse your cells and hydrate your body. There is a good dose of vitamin C which you need to maintain a good health for the day.

This first step is the foundation that you will need; you are going to build on it. If you follow the tips above, then you have laid for yourself a solid foundation that you can build upon in your attempt to get the best benefits from Green Juice.

Step 2: Juicing Is Next

The next step that you are expected to take after the early morning lemon water is to go for a green juice. You can pick your base from anything from cucumber or celery as it suits your taste. You can now add some greens to it in the likes of kale. Most people detest the taste of greens in the mouth, so you can spice it up or sweeten it by adding no more than half an apple. Go on to add some lemon ginger to further aid the digestion properly.

This should be your pattern every morning from step one to two if you want the best of results. Do not fall into the temptation of going contrary to the tips advised above. You can never drink too much green juice. Drink at least 16 oz, you can go as far as 32 oz if you so desired. There is no harm in drinking several green juices spread across one day. Ensure that your other meal is colorful full of greens, veggies, fruits, nuts, and seeds.

Step 3: Automate Your Juicing Schedule

Let us now go on to the final stage in answer to the question: why organifi. The target is to get the best benefits out of the green. Having followed the steps that we have advised so far, we are now at the last step which is very critical if the gains that we have spoken about or heard about this supplement are to be fully realized.

For those that belong to the working class who have a very busy schedule, it will be pretty easy for them to overlook the steps that we have advised so far because of the pressure or work that they have to battle within their respective places of business endeavors. If there is a will, there will be a way out. If you truly desire to get the best benefits from the green, then you are expected to prepare yourself adequately well.

That goodness for the alarm that comes with watch devices. Do not leave anything to chances; you may likely forget to follow the routine when you are engrossed in your schedule if there is no system that will remind you when you are expected to take actions. You are strongly advised to set multiple alarms on your phone to remind you when it is time to take actions.

Never make the mistake of waiting until you are starving before you take appropriate actions. You are expected to stick with your schedule if you want the gains to count. Wait for the timer and follow its prompting every day of the week. In no time, you will realize that your body will adjust to the new routine in a perfect answer to the question: why organifi.

Ensure that you drink your juices according to the alarm and also eat your meals in obedience to the sound of the timer. Do not do that at other times but exactly when the timer goes off. That way you will be a winner. In no time, your body will get used to the new healthy schedule. Your system will start craving green juices and nourishing foods at a time that will give you the best benefits.

If you follow the above steps; then your weight loss goal will be effectively maximized.

Johnny Mercer: Ministers are asking for my vote next week. But I’m asking them for a vision – now.

I, like many colleagues, react badly to the Party’s decision to try and strong-arm me into voting for this deal.

Johnny Mercer is a member of the Defence Select Committee and MP for Plymouth Moor View.

I’ve no idea what to do. I’m looking for hope – for inspiration from the generation of Cabinet ministers and seniors members of our Party who led us to this point.

I came into politics for fairly niche reasons. I fought for years in an unpopular war and, fed up of the politicians feigning interest, I decided to run for office. My city of Plymouth – I’m passionate about it. Whilst my wafer-thin experience in politics helps me to retain a degree of perspective in these tumultuous times, it has also caught me out. I regret not being clear enough in some areas: for example, I never said that I wouldn’t vote Conservative in that notorious interview in October; I simply stated that a young, busy family attempting to assert itself in a competitive and chaotic world would probably take one look at the current political offerings and simply not take the time out to go and vote, because those offerings are so poor. But of course that view can be twisted. And I should have known that.

None the less, this perspective has also led me to some pretty dark conclusions of late. I have been firm in my criticism of this administration – one of which almost everyone knows my description, and one by which I resolutely stand by (though will not repeat). There are many people in this country who want – indeed need – a competent compassionate modern Conservative Government: I must speak out for them. The fear that they may turn to a Labour Party led by Jeremy Corbyn – particularly in Plymouth – is the single motivation for all of my interventions. Nothing more and nothing less.

But amidst all this, I have been looking for a vision – at no moment more so than now. There are plenty of colleagues who have come into Parliament to extract Britain from the European Union. They respect my endless diatribes about how this country treats its military, and in return I entirely respect them and their views on Europe. I remain ambivalent: the EU is an issue of course, but it is not the issue of our modern times. Many more people join the Conservative Party, as I did, for reasons other than Europe. I want to leave the EU – we must leave. But for what?

And I ask that not mockingly, but with a genuine desire to hear the answer. I, like many colleagues, react badly to the Party’s decision to try and strong-arm me into voting for this deal. The idea that a group of senior people in our Party who lost a 21 point lead in a self-indulgent general election – to Jeremy Corbyn – are advising me to now listen to my constituents, having singularly failed to do that themselves ever since David Cameron left office, is genuinely amusing. The arrogance of failing to answer the question – what is “Plan B”? – as part of a suite of unthinkable threats including a general election, no Brexit, or a no deal catastrophe, actually push me away from supporting this particular deal. The clear deception of red lines crossed without acknowledgement, and the idea of the UK being a junior partner in a relationship that we cannot unilaterally leave, leaves agnostics like me are looking for an alternative.

But I can’t hear it. How are my constituents – who voted almost 70 perc ent to leave the EU – how are their lives going to be better off in April compared to March, immediately after this momentous decision? How will being outside of the European Union help our core mission as modern Conservatives – to meet the challenges of a modern Britain that is changing so fast. Why or how is food going to be cheaper for some of my poorest families? How will being outside the ECJ help my small entrepreneurial businesses in Plymouth? How will our economy thrive to provide the jobs – the single biggest accelerant of life chances in our most deprived communities like mine. How will Brexit provide the engine that drives a health service so desperately in need of reform in places like Plymouth?

I could go on, but I won’t. At some point, someone, somewhere in a position of influence in this Party will wake up and realise that the politics of fear will only take us so far. It is easy to scare people into voting for you. It is harder to sell a vision, to advocate, to persuade – to lead people to a brighter future. But that is the key question this week. Can a case be made for a bright alternative, or are we going to accept this deal as ‘the best we can do’, ‘could always be worse’, answer that won’t encourage a single swing voter to vote for us at the next election? I wait with interest. More importantly, the country does.

29 November 2018 – today’s press releases (the 500 miles edition)

Later than usual this evening, as I’ve spent the evening at a Proclaimers concert, courtesy of my lovely wife… it wasn’t 500 miles away… PM leaving us in the dark on immigration Cable: May “running scared” of real opposition Lib Dems warn BBC that ‘Brexit debate’ may breach Ofcom code Government has let down victims […]

Later than usual this evening, as I’ve spent the evening at a Proclaimers concert, courtesy of my lovely wife… it wasn’t 500 miles away…

  • PM leaving us in the dark on immigration
  • Cable: May “running scared” of real opposition
  • Lib Dems warn BBC that ‘Brexit debate’ may breach Ofcom code
  • Government has let down victims over second Leveson Inquiry

PM leaving us in the dark on immigration

Theresa May has today refused to confirm when the immigration white paper will be published. She was asked by Liberal Democrat MP Norman Lamb after Ministers originally promised to publish the white paper last year, but that deadline has been repeatedly postponed.

Responding to the Prime Minister’s failure to answer his question, Norman Lamb said:

It is unacceptable that Theresa May is still refusing to answer this question. She has spent years talking of ending free movement, but today has once again refused to tell us when we will find out what this means.

The continual delays arising from cabinet splits are clearly because they know her proposals are dangerous for our public services and for business. There is already a shortage of workers in the NHS and social care and her proposals would only exacerbate them.

This failure to produce the white paper is leaving everyone in the dark. It is vital the Conservative Government either publishes the paper or comes clean and admits their plans are simply unworkable.

Cable: May “running scared” of real opposition

Leader of the Liberal Democrats Vince Cable has called out Theresa May for “running scared” of debating the real opposition. He said:

May is running scared of the real opposition. A debate shouldn’t take place between two cosy Brexiters.

“The public demand the full facts and figures on the cost of Brexit. They also deserve to hear all the options. A People’s Vote, including the option to remain, is the only real alternative. I will make that case anytime, anywhere.

Lib Dems warn BBC that ‘Brexit debate’ may breach Ofcom code

Liberal Democrat President Sal Brinton and Party Chief Executive Nick Harvey have written to the Director General of the BBC, Lord Hall, questioning the legality of excluding the Liberal Democrats from the proposed Brexit debate.

A letter has been sent outlining that the Party will seek legal advice on the decision of the BBC to exclude the Liberal Democrats. This was following on from a letter sent earlier this week, in which the Party expressed disbelief at the format which would see two party leader’s with strikingly similar views engage in an entirely superficial ‘debate’.

Without the Liberal Democrats, who are the only national party to consistently oppose Brexit, there would be a complete imbalance of the political narrative which exists within the UK.

If this format is found to be in breach of the Ofcom Broadcasting Code, the Party will seek a judicial review.

Government has let down victims over second Leveson Inquiry

Responding to the announcement that the second Leveson Inquiry will not go ahead after victims lost a High Court fight against the Government, Liberal Democrat MP Christine Jardine said:

The Conservative Government has let down those families who had their privacy invaded and their lives turned upside down by some of the press who behaved appallingly.

A commitment was made during the coalition that the Leveson Inquiry would be completed and that justice would be sought.

It’s not acceptable that this issue has been kicked into the long grass for so long, in an attempt to get us to forget it. But for the families that were affected by this intrusion, it will never be forgotten. They deserve better and the Liberal Democrats demand better for them.

David Simmonds: The case for more investment in early intervention

The long-term dividends for individuals, local services, employers, and the Exchequer can far outweigh initial costs.

David Simmonds is a Conservative councillor in Hillingdon and trustee at the Early Intervention Foundation.

As we learn more about the long-term benefits of early intervention, the case for long-term investment becomes clearer.

The basic principle of early intervention is as straightforward as it is familiar: it’s better to step in early, when a problem first starts to appear, than to wait and deal with the consequences later.

When it comes to children’s development, from their earliest years through to their transition into adulthood, the long-term consequences of failing to act early can include an increased risk of mental health problems, poorer academic achievement, reduced employment chances, increased antisocial behaviour, risk of offending, and reduced adult relationship quality – which, alongside other factors, can simply serve to perpetuate the cycle from one generation to the next.

In short, too many children are facing challenges or disadvantages that can threaten their future life chances, health, and happiness.

While early intervention cannot solve every problem, it can substantially improve children’s lives, if it is delivered to a high standard to the children or families who need it most. It is vital now, today, to ask whether this is being done, or whether some fundamental changes are required so that effective, early support can be provided to all those who stand to benefit.

First, however, we need to come to terms with the wider benefits that effective forms of early intervention can achieve. Leaving problems unresolved in childhood doesn’t only impact on the lives of individuals and families – it also impacts on society and our economy, by undermining the wellbeing of communities and reducing people’s opportunities to live positive, productive, successful lives.

Intervening early is crucial. There are good grounds to believe that investing early rather than later will lead to cumulative benefits – that the skills children acquire when they are young will lead to greater additional gains as they get older. And these benefits are widely shared, accruing to the whole of society and the wider economy, not just to public services and government bodies.

This ‘pay-off’ may be particularly large where early intervention leads to labour market gains. For example, the Department for Education has estimated that individuals who achieve five or more good GCSEs have additional productivity gains (counting benefits to the individual, Exchequer, and future employers) of around £100,000 over their lifetime, compared with those with qualifications below this level.

The flipside to this potential benefit is the potential extra costs associated with dealing with the long-term impacts of problems rooted early in life. The Early Intervention Foundation (EIF) has estimated that the cost of ‘late intervention’ – covering expensive, acute services such as mental health support, youth justice, and tackling school absenteeism or domestic violence – is nearly £17 billion a year across England and Wales. Though clearly these costs cannot be reduced to zero, this does outline the quantum of resources that are wasted in tackling issues that could have been dealt with sooner, and where the long-term outcomes for society could have been improved.

In short, we know that the costs of intervening early are likely to pay off to society in the long run. The sums can be difficult to do with great accuracy, given the complexity and assumptions involved, but there is a wide body of research which suggests that the value of these benefits to society is often far higher than the costs of intervening.

Now, those of us who advocate for early intervention – among which I count myself, as a trustee of the EIF and long-time champion of local early help services – are sometimes tempted to raise expectations just one peg too high, to alight on early intervention as a means of saving money in local services this year or next.

Early intervention can achieve such ‘cashable’ savings, but that’s when commissioners are able to turn around and decommission services or settings that are no longer required. If early intervention succeeds in reducing demand on a local service, but this additional capacity is immediately soaked up in dealing with other demands – perhaps issues or cases that have simply been on the waiting list – then what looks like a gain may not appear on the bottom line.

Of course, this is still a gain, if front-line services can address a wider range of problems or focus more time on the most urgent cases, but that’s not the same as saving money. As my colleagues at the EIF say, early intervention is not a financial coping strategy for local or central government, and arguments that rest on the potential for short-term cashable savings miss the bigger picture – and risk undermining the good case altogether.

Is enough being done to capitalise on the potential of early intervention? We know that there are some longstanding, oft-cited barriers within the system – from familiar challenges around funding and political short-termism, to less familiar issues, like just how much of what local services provide remains untested, and thus has not been shown to be working, with empirical evidence.

In their new report ‘Realising the Potential of Early Intervention’ the EIF has made a bold case for change, including some fundamental changes to happen at the national and local levels. As they argue, there are resources in the system, but more needs to be done to understand what impact it is having, and what scope there is to redirect funding to things which are more likely to be effective.

In early intervention. as in all areas, public money must be spent in ways that are more likely to improve people’s lives and which build our understanding of ‘what works’ to better inform future decisions.

“We need a radical shift in the NHS, from a hospital service for the ill, to a service to keep us healthy.” – Hancock’s speech, full text

“Over just the last year, emergency admissions at A&E have increased by 6.6 per cent. This rate of growth of demand is simply unsustainable.”

Matt Hancock, Health and Social Care Secretary, delivered the following speech today to the International Association of National Public Health Institutes.

We’re here to talk prevention. And if there’s one thing that everybody knows it’s: ‘prevention is better than cure’.

When I was thinking about prevention I looked into where this comes from. I’m told it was Erasmus, the 16th century Dutch philosopher, who coined the insight.

The irony was that Erasmus died suddenly from an attack of dysentery, which we now know is a wholly preventable condition.

The other person who can lay claim was Benjamin Franklin, who said: ‘an ounce of prevention is better than a pound of cure’.

And Franklin founded the first fire brigade in Philadelphia and made it one of the safest cities for fires in the world.

So prevention works. As the founding fathers knew.

Prevention saves lives and saves money.

Two of the biggest health successes of the 20th century had prevention at their core: vaccination and cutting smoking.

In the UK, both were achieved by careful and considered government intervention.

We didn’t outlaw cigarettes because blanket bans curtail personal freedoms and often have the opposite effect.

We encouraged better behaviour through informing the public and by stopping smoking in public places where it could affect the health of others.

We didn’t compel people to vaccinate against their will. We helped them see it was in their interests and everybody else’s too.

Ultimately, at the heart of our public provision for healthcare there’s a social contract. A social contract at the heart of our NHS.

We, the citizens, have a right to the healthcare we need, when we need it, free at the point of use.

But, we have a responsibility to pay our taxes to fund it, and to use the health service carefully, with consideration for others, and to comply with medical advice to look after ourselves.

Because the NHS is not just a service – it’s a shared stake in society.

Too much of the health debate in England has been about our rights: what we deserve, and what the NHS can deliver. And, of course, those rights are important.

But, I think we need to pay more attention to our responsibilities, as well as our rights.

Today, I want to talk about those responsibilities, and our task for the National Health Service to help empower people to take more care of their own health.

I want to talk about how we need to focus more on prevention to transform our health and social care system, save money, eliminate waste and make the extra £20.5 billion we’re putting in go as far as it can.

Because only with better prevention can our NHS be sustainable in the long term.

Over just the last year, emergency admissions at A&E have increased by 6.6 per cent. This rate of growth of demand is simply unsustainable.

But, of course, it’s not just about the finances. I want to talk about how preventing ill health can transform lives, and transform society for the better too.

That might sound radical. It is intended to.

The government-wide plan we are publishing today sets out how we need a radical shift in how the NHS sees itself, from a hospital service for the ill, to a nationwide service to keep us healthy.

Where those who work on the front line of the NHS including the GPs, who are its bedrock, feel confident to remind people of their responsibilities too.

So first, let’s talk about those responsibilities.

At the core of my political philosophy is a belief that the state has a duty to protect the most vulnerable in society, and an equally firm belief that we must empower people to fulfil their potential to be the best they possibly can be. From the education they receive in school, to the freedom they have to achieve in work.

And nowhere is this more true than with health.

Given this duty, our starting point is to ask: what contributes to living longer in good health?

The Prime Minister has set this question as part of the Ageing Grand Challenge – to seek five years’ longer healthy life expectancy by 2035.

The best evidence points to a 4-factor breakdown.

Around a quarter of what leads to longer healthier life is acute care – or what goes on in hospitals. The second factor is genetics. The third factor is environmental – things like air quality that an individual can’t control.

And the final factor is what people do – the choices they make, the lifestyle they choose.

Different people put different proportions on these four factors: but suffice to say they’re all important.

Yet currently, we spend the overwhelming majority of the £115 billion NHS budget on acute care.

Last year, we spent just £11 billion on primary care where the bulk of prevention happens.

Yet the combination of prevention and predictive medicine have more than twice the impact on length of healthy life.

That isn’t just the difference between life and death, it’s the difference between spending the last 20 years of your life fit and active, or in a chronic condition.

So our focus must shift from treating single acute illnesses to promoting the health of the whole individual. And from prevention across the population as a whole to targeted, predictive prevention.

So as the government is spending £20.5 billion more of taxpayers’ hard-earned cash over the next 5 years – the single, largest cash injection to the NHS ever – we must see the proportion of funding on primary and community care in the NHS rise. And that is exactly what will happen in the long-term plan.

But it isn’t just about the quantum of money. It’s also about reform.

I want to see people taking greater personal responsibility for managing their own health. For looking after themselves better, so staying active and stopping smoking.

Now, I want to address head on how we can do this without undermining people’s liberty.

Take alcohol. Like many people, I enjoy the odd glass of wine.

I support the budget in which we froze duty on scotch and beer. I don’t believe in punishing the masses to target those who need help.

Yet alcohol abuse puts a huge burden on the NHS. High-risk drinkers make up less than five per cent of the population, but consume over a third of all alcohol.

They’re more likely to end up in A&E. And drunk people are more likely to be responsible for abuse and violent attacks on NHS staff. I’ve seen it for myself. So we need action on alcohol that targets those who most need our support, without punishing those who don’t.

Likewise, we know that smoking contributes to 4% of all hospital admissions in England each year. And smoking costs the NHS around £2.5 billion each year. And this is despite the massive reduction in smoking over the past 30 years.

For smoking, the next step towards a zero-smoking society is highly targeted anti-smoking interventions, especially in hospitals.

If someone is admitted as a heart patient, and we know that stopping smoking could save their life, then we will do everything we can to help them quit, as they do in Ottawa.

This is a Canadian model I like the look of. I want to see bedside interventions in our hospitals so smokers who are patients are offered medication, behavioural support and follow-up checks when they go home.

And we need to fulfil our commitments to the obesity strategy, and set ambitious targets also on salt.

Salt intake has fallen by 11 per cent in under a decade, but if salt intake fell by a third it would prevent 8,000 premature deaths and save the NHS over £500 million annually. So we are working on new solutions to tackle salt and will set out more details by Easter.

Because focusing on the responsibilities of patients shouldn’t be about penalising people but about helping people to make better choices.

How do we do that? How can we empower people to take more care of their own health?

By giving people the knowledge, skills and confidence to take responsibility for their own health.

By using new digital technologies, to help people make informed decisions, with more access to primary and community care, and with more social prescribing, all aimed at stopping people from becoming patients in the first place.

So the second thing I want to talk about is how we must focus more on prevention to transform our health and social care system to save money, eliminate waste and get the best return on our extra £20.5 billion.

This isn’t just about empowering people to take more personal responsibility. It’s about reforming the system and harnessing new opportunities.

There are two new technologies in particular with the potential to change everything: the combination of artificial intelligence and genomics.

They promise the potential to unlock our genetic codes; and allow us to apply those codes to how we live our lives. To predict which of us are susceptible to which illnesses, to diagnose those already ill, faster, and to develop new tailor-made treatments to bring people back to health.

Together, they will transform medicine. We are finally now able to crack that genetic factor of our health.

We can intervene earlier. Save money on unnecessary and invasive tests. Eliminate waste by prescribing the right medication or the right treatment the first time round. And save NHS resources for people who really need it.

And this isn’t something that’s far off in the future. It’s already happening.

The new NHS Genomic Medicine Service is expanding.

In Cambridge, we’re at the cusp of sequencing the 100,000th genome, and are now aiming to sequence 5 million so we can diagnose rare diseases, more quickly and with fewer painful tests for patients.

The world-leading Moorfields Eye Hospital is working with the world-leading AI company Deepmind. Their AI system has made the correct diagnosis on over 50 different eye diseases with 94% accuracy – at least matching the best human experts. And that figure is only going to improve.

These technologies, and other new digital services giving targeted health advice, are starting to transform global medicine.

As it has been with every wave of technology for the last 70 years, the NHS must be at the forefront, embracing these new technologies and shaping them as they evolve and improve.

The NHS must go from being the world’s biggest buyer of fax machines to the tech pioneers of the future. And I know we can do it. Because we’ve done it before.

From 1796 when Edward Jenner developed the first smallpox vaccine, to 1928 when Alexander Fleming discovered penicillin, to 1950 when Richard Doll proved the link between smoking and cancer.

The next frontier of prevention is using the data at our disposal to predict who will be ill with what, and to get in there early.

The Prime Minister has spoken with great eloquence about the power of artificial intelligence to save lives by spotting cancer earlier – and we must do that.

But predictive prevention has a far broader application.

From diagnosing a susceptibility to dementia due to a vitamin deficiency, to motivating activity to tackle obesity, we can have better, more targeted interventions than ever before. Again, giving better results, and helping the NHS eliminate waste and save money.

Our aim is to prevent people becoming patients through personalised advice and intervention. Public Health England are leading the way on predictive prevention. They are bringing together a range of experts so we can scale up this pioneering work to a national level.

Now, I’ve talked about acute care, genetics, and choices. So let’s turn to the final factor in determining a healthy lifespan: the environment.

And this is linked to my third and final point: how getting prevention right will transform society for the better. Right now, we tend to think of things in isolation.

Pollution is seen as an environmental problem. Employment is something for the Treasury to worry about. And housing is either a public good or a private investment.

But health can’t work in isolation. Our health is affected by each and every one of those.

So a true focus on prevention means tackling the environmental factors that affect a person’s health too. It means a new drive for clean air, building on the successes of recent years in cutting emissions. Secure employment, building on the record number of jobs available now. Higher quality housing.

And it also means our GP surgeries, our hospitals, our care homes, our entire health and care system working more closely with local authorities, schools, businesses, charities and all the other parts that make up our communities.

It means employers playing a bigger role in helping their staff stay healthy and to return to health after illness. And we can learn from the excellent work of our military here.

Soldiers have an 85 per cent return-to-work rate after a serious injury, and they obviously have some very serious injuries. The equivalent rate for civilians is only 35 per cent. The reason why the military is better at getting people back to work is because they are more engaged in their workers’ recovery at every stage of the process.

Civilian employers must do the same. Employers have a responsibility to help improve the health of their staff and the nation. Each of us has a stake in our health and care system so each of us has a responsibility to work together to build a sustainable system. So, I want us to be open to new ideas and learn from other countries.

Like the Netherlands, for example. Where companies must demonstrate due diligence in their approach to the rehabilitation of sick staff and helping employees return to work.

To achieve this we need to strengthen the links between employers, their unwell staff, and the NHS.

That way, the challenge – for I never think of people as problems – doesn’t present itself at 3am at A&E.

Good health starts with the right pre-natal care, immunisation, nutritional support, fitness advice, minimising social media and mental health harms, secure employment, financial independence, safe housing, help with bad habits, friends and family to fight loneliness, careful and considered interventions at every stage of life into old age.

From cradle to grave, not just for the NHS, but for the whole of society.

Giving people responsibility for their own health. Empowering them to make the right decisions.

The best help when they need help. That is what getting prevention right means. That is the potential of prevention. That is the promise that it offers: a healthier, happier future for us all.

Botox is the best anti aging remedy

If you stay in or around Florida, then you must have simply heard of the town Boca Raton. Packed with so many charming places, like the Boca Raton Museum of art and the sea turtle sanctuary, it is one of the cities that see a high amount of tourist each year. There are also large […]

If you stay in or around Florida, then you must have simply heard of the town Boca Raton. Packed with so many charming places, like the Boca Raton Museum of art and the sea turtle sanctuary, it is one of the cities that see a high amount of tourist each year. There are also large ocean fronts, parks, golf courses and beaches all around the town, so who wouldn’t want to have vacation in such a lovely city. Make sure, you take Botox Boca Raton, which will give you good results. You will want to take help from the right people that are professionals, who can guide you to get your dream younger skin. But it is not easy as not many are real in the market. You need to be sure, that once, you take help of right people then results will be there.

Botox is a trendy anti-aging treatment. It is used as the best alternative to surgery. Moreover, part of what Boca Raton is also known for is their famous anti-aging treatment. With various spa and beauty salons all around the city, it is easy to get the absolute best treatment from this excellent place. All you need to do is book a cure and make sure that the doctor who is going to do the procedure is professional and you will leave feeling younger than you have in years. Botox Boca Raton is one of the best ways to feel good and young. If you want your skin to look younger, then you need to take help of good skin treatment and once you do that then results will surely be there.

Here are a few things you need to know about Boca Raton Botox treatment before you decide to have one.

  • Botox is minimally invasive

Don’t be carried away by the word ‘minimally invasive,’ it only means that the procedure does not use surgical approach. Botox is introduced into the body using injections which means that the doctor won’t have to cut you up and stitch you back.

  • Different products are used

Juvederm, radiesse, Restylane, belotero, scultra and many more are all part of the Botox filler treatment. Depending on what part of the body you want to use the procedure for any of the product can be used.

  • Botox works as an anti-aging treatment

Botox is used in reconstructive surgery to fill up wrinkles and part of the face that have shrunk due to aging. They help your face get that plump and fresh look without having to go under the knife. So if you are thinking about options for anti-aging treatment. This is great for you.

  • Botox treatment is temporary

When you are injected with Botox, it doesn’t last forever. The treatment wears off slowly, and you have to renew it from time to time. Your doctor will be in the best place to know when you should get another and also what product is suitable for you when you want to get the injectable filler. Botox Boca Raton, is one of the best and you can be sure, that you will get the best possible results in quick time. So what are you waiting for? Just go in for a product which is really good and then see the effects rolling out.

  • Get the treatment

After considering all the benefits of using Botox Boca Raton, the next step is to get an appointment with the doctor and go for the treatment. It is essential to make sure that you get a certified and trusted doctor to work on you. You don’t want your face having uneven contours form wrong administration of the fillers.

Boca Raton is one of the places you can get the best doctors for your injectable fillers, so if you stay in or around the city get an appointment today.

Make use of sun screen, this is a very important thing and it prevents you from getting dark and sunlight which is a very important thing. It is a very important thing that you need to protect your skin from UVA and UVB rays which can harm you skin in long run and you should take care and avoid any kind of problems which are there.

There are people who do not take this serious once get a little dark, and then they take get worried. This is a very important thing. SO if you want to keep yourself in good health, and have a nice skin, then you need to take help of a good sun screen. Many people are confused about selecting the right product and once you select the right product things will become much easier.

There are many people who are confused and do not know which product is the best and selecting the right one is never easy. If you want to go the natural way, then you can go in for fruit and vegetable paste made up of tomatoes and that will help you to protect yourself from the sun and will give you very good results. Also this does not have any side effects and that is the best part about it. Green tea is something more that can help you in long run to protect yourself from sun burn and that helps you a great deal and once that happens, it can protect you against the sun burn and that also the natural way which is the best way of doing things, there is nothing better. So what are you waiting for just go in for a quality product and you will not need to worry about anything natural remedy is even better and you will never have a problem. This is one of the best ways of treating yourself and once you do that you can also be sure, that there will be no side effects.

Many people are very confused and are not selecting the right product and then regret later.

CBD oils and chronic pains, such as arthritis

Many people often feel that there is just one way to take in CBD oils. Nothing can be further from the truth. Hence, we decided to write a short article focusing on the different kinds of ways in which a person can take CBD oils. How to take cbd oil? There are various methods which […]

Many people often feel that there is just one way to take in CBD oils. Nothing can be further from the truth. Hence, we decided to write a short article focusing on the different kinds of ways in which a person can take CBD oils.

How to take cbd oil?

There are various methods which can be used for taking in cbd oils into your system. Below we have mentioned a few of them.

Tinctures/Sublingual Doses: Tinctures are common and there is a good chance that you might have seen them in some place or the other. They are mixtures which have to be put under the tongue. Why under the tongue? Because that is a great way to directly go into a person’s bloodstream. Usually people prefer taking one or two drops depending on the intensity of the pain they are going through. Many people do not like taking CBD oils this way as it might not be as tasty as they would like. However, it is advisable to go through this distaste for a few minutes as tinctures are good ways to administer CBD oils and keep in mind that make use of best cbd oil for pain relief.

Cannabidiol oil is a kind of oil that is found on the leaves of the cannabis plant and is called hemp oil. Many people use it for various problems that may be in their body, we can also mention people who suffer from chronic pains such as arthritis.

Below we will talk about this oil that relieves the various chronic pains; I will present scientific evidence to show that this oil is effective, and I will mention its usability that in fact has been widespread in recent years you can make use of best cbd oil for pain relief.

The cannabis plant contains various chemicals that have psychoactive effects. People worldwide suffer from arthritis, and many people are diagnosed with this disability. There are two types of Arthritis Rheumatoid Arthritis and Osteoarthritis. Rheumatoid arthritis is an autoimmune disease, which causes many problems in the immune system of a person and one of them is inflammation. This type of arthritis usually affects the hands and feet causing swelling and pain. Osteoarthritis is another bone disease which causes knee pain, causing constant stiffness and pain, and then you should look for best cbd oil for pain relief.

Many studies show and suggest that CBD can help in the treatment of arthritis by relieving various inflammatory pains.

Cannabinoids such as CBD sticks together with the receptors that respond to the immune system. One of the important receptors, as is the CB2 receptor, plays an important role in the immune system by relieving pain. Many researchers indicate that CBD can affect a person’s body by attaching CB2 receptors, and also causes the body to produce natural cannabinoids. CBD can be found in oil or powder form so people can use it in gel form to dye the area affected by arthritis. CBD can also be taken in the form of a capsule or oral spray and it can be effective in all ways that I have mentioned.

Before using this oil, the person seems to be well informed but of course, he should consult the doctor as the use of cannabis products is not allowed anywhere. You can find it very easily online and order it from the comfort of your home it is not tough. Only thing you nee to keep in mind that the product is real and that is a very important thing you should keep in mind and once you do that then you can be sure of good effects on your body.

As we said and above, CBD oil affects the training of arthritis diseases by reducing inflammation and pain that the person may feel for a long time. CBD may affect the progression of RA, but may also reduce other symptoms that are closely related to inflammation, such as various fevers and frequent physical fatigue.

After listening to the effects of this oil, many patients want to use it but the many questions they make show that they are skeptical of its use. Patients are concerned about the side effects that this oil may have and actually has side effects. Many researchers have affirmed that this oil is safe to use because it is studied in very good laboratories.

The National Institute for Drug Abuse states that CBD oils found from cannabis leaves can not create dependence but it is proven to be a safe drug.

I recommend this kind of oil to all of the people I know because it is really effective and can’t cause people any addictive effect.

Everyone is welcome to try and I think, nobody cannot be disappointed.

How to Get Rid Of Weed

The most common question today is that how to flush the weed out of the body. There have been number of reasons why people want to flush out the weed out of the body. And the most common one is the drug test at the places of employment. The drug tests at work place normally […]

The most common question today is that how to flush the weed out of the body. There have been number of reasons why people want to flush out the weed out of the body. And the most common one is the drug test at the places of employment. The drug tests at work place normally involve testing your pee for the metabolites purposes. Metabolites are a kind of by product of a substance after it has been processed out of your bodies. When marijuana has been consumed by an individual the level of THC i.e.; tetrahydrocannabinol will automatically increase in the body. When your body cleanses out the THC out of your blood stream then only the metabolites are left behind. For more info visit www.exit-5.net/.

Marijuana smoke: what’s in it?

The smoke of marijuana contains in total of about 60 chemicals that are known as cannabinoids. The best known among them is THC which has signs leading to that someone has been smoking pot, memory loss, unsteady walk as well as random thoughts are common among them.

How to determine the quantity of THC present in the body?

There are a number of factors that will help you determine the level of THC and THC-COOH after any span of time, normally after the time of post consumption.

  • How often you consume:

When you are going to determine the level of THC in your system, the first and foremost thing to consider is the frequency of its consumption. Like for, do you smoke once in a month, once in a week or every day? While smoking are you taking only one hit or an entire joint? It’s obvious that the more THC and THC- COOH you will consume, the more it will accrue throughout the fatty tissue.

  • Total fat of the body:

As mentioned earlier THC and THC- COOH store itself in the fat cells, no matter how commonly or little you consume the weed. As a result more body fat is the result of the stored amount of THC metabolites in your body.

  • Metabolism and overall health:

It is a correct saying that the healthier you are the better off you will be. The metabolism of the body plays a very important role in breaking out THC to the different parts. If the metabolism of the body is good the level of THC stored in the body matters. Although with the help of exercise the level of THC can be pushed back into your blood stream at a very fast rate but this here does not implies that you throw away the healthy habits. It simply means that maintains a healthy lifestyle and does not work out too much before the test.

  • What are you consuming?

The amount of THC and THC- COOH depends on what you consume and the quality of item consumed.

Factors that influence in flushing out weed

  • Metabolism of individual
  • Frequency of exercise
  • Body Mass Index- the higher the number of body mass the longer it will take to be flushed out
  • Intervals of consumption
  • Potency of the weed
  • Amount of consumption
  • Parameters to test

Fastest and simplest ways to detox

Detoxing is a very serious task. Every one’s body has different effects to the possible detoxing methods. It is very important to know how the body is responding to your efforts and use natural materials that are safe. For those who want to detox in a hurry here are some very common ways that help in detoxing the body:

  • Fruit pectin: It is completely a DIY detox often used by those people who face blood urine or saliva tests. The idea of using this method is that higher fiber pectin present in the fruits prevents the THC metabolites to pass to the urine or to the bloodstream. The fiber in the fruits is supposed to flush out the THC that is fat soluble out of the body by movement of bowel.
  • Detox drinks: These are one of the best ways to put the drug out of the body. These drinks basically help in diluting the urine and remove toxins theoretically out of the body. Just like any other methods, these detox drinks contain laxatives, doses of vitamins etc.
  • Exercising: If you have a little time just say for a week then before the drug test some exercise can help you burn the fat cells of the body that hold THC. Exercising is considered as one of the best way to get drug flushed out before the test as exercising helps in burning the fat cells that store THC.
  • Sauna: Sauna and sweating are the healthiest way for detoxing the body. Studies have proved that routine use of sauna can help the body in building up of harmful compounds such as uric acid, lactic acid and sodium.
  • Healthy diet: One of the most effective ways to get THC out of your body is to eat lot of green fiber leafy vegetables several days before the drug test. Eating a diet that contains high fiber is essential to clear THC out of your system. Fruits and vegetables are te natural sources of fibers like pectin.

Harmful effects of weed on the body

Consuming weeds has a number of negative effects on the body. The effects may vary from person to person in different ways but it is up to you whether you consume it or not. Here are some harmful effects of consuming weed:

  • Trouble in thinking and remembering things
  • Bloodshot eyes
  • Cotton mouth or commonly known as dry mouth due to effect of the weed
  • Increased appetite that may lead to many other severe health problems
  • Fast heart rate
  • Coordination gets slowed down.

The evidences have shown that smoking weeds have very great harmful effects on the body making the person addicted to these weeds. It is better advised that never get indulged into these unhealthy habits as they may lead to severe health problems, and curing those problems is a time taking process and not at all easy.