From a fly and flop break in Lanzarote to a beach hut in Whitstable, here’s where to go with a toddler in tow Ile de Ré, France Holidays with toddlers are tough. We’ve tried it all, from self-drive in South Africa to house swaps in Savannah, but our fondest memories are reserved for the Ile de Ré. On our summer hols last year we camped at Les Amis de la Plage, a lovely site by the beach with none of the big holiday park fuss, just brilliant, clean facilities including child-sized sinks and toilets, a baby changing area and purpose-designed shellfish washing stations. On the beach, there were pools at low tide for the kids to play in and surprisingly passable surf for me at high tide. We stocked up each day at the local market in Le Bois-Plage-en-Ré and then headed back to camp to consume the vast quantities of delicious claret and shellfish we’d bought. In the evenings, we often headed to Saint-Martin-de-Ré for a sunset stroll and dark chocolate ice cream from La Martinière, absolute bliss. • Pitches at Les Amis de la Plage (+33 546092401, les-amis-de-la-plage.com ) cost from €22 (high season) Ben Colclough, director of tourdust.com Princes’ Islands, Turkey Burgazada, one of the Princes’ Islands in the Sea of Marmara near Istanbul, is a weekend retreat that’s sleepy the rest of the time. Keen for a relaxed, self-catering break but also hooked on Byzantine mosaics, the Hall family (including George, then two-and-a-half, and Harry, nine months) spent a blissful week here early last summer. After morning pastries, fresh juices and Turkish coffee by the harbour, a 45-minute ferry ride (£2) slowly brought the city into view before docking at Kabataş, on the European shore. Transport-obsessed toddlers will love that Hagia Sophia is a tram ride away, while Taksim Square can be reached by funicular. Locals loved our boys, and ferry journeys were unexpected fun with them both getting plenty of attention. Car-free Burgazada can be toured by horse and buggy, or you could do as we did and just hang out by the pool until it was time for dinner on the quayside. • To rent the Serenity apartment on Burgazada for £650-£1,450 a week, see holidaylettings.co.uk Tom Hall, Lonely Planet Mull The Isle of Mull is second only to Skye in the Inner Hebrides for size and population, and it’s a wonderful place for a family holiday. Just getting here, usually via the beautiful ferry ride from Oban, is an adventure – and if the weather’s right the views from the breezy upper deck are a wonderful way to leave the real world behind. The ferry docks at Craignure, from where a 45-minute drive brings you to journey’s end at Calgary Bay, arguably Scotland’s best sandy beach. The former Calgary Hotel is a collection of self-catering properties – a week at Limetree Cottage costs £515 – £615 and makes the perfect base if the weather’s fine – and a cosy retreat if your luck’s out. Close by, Tobermoray – the setting for the television series Balamoray – has a great fish and chip van on the harbour wall. Mull has plenty of lovely short walks which can easily be tackled with small people in backpacks. • Limetree Cottage (+44 (0)1688 400256, calgary.co.uk/limetree.html ) costs from £405-£615 to rent for a week Tom Hall, Lonely Planet Lanzarote It was a bit of a surprise to find that fly-and-flop holidays are still possible with baby in tow. We took Lola, then six months, to Lanzarote for an autumn break at Casa Katharina, a smart but affordable house on a peaceful, if nondescript, estate near Playa Blanca on the island’s south-eastern side. Big hits included Sky TV and an outdoor pizza oven/bbq (dad), the garden’s giant cacti (Lola), the absence of almost anything to do (mum) and the private heated pool (everyone). The Canarian air was magically soporific, even for a teething baby, but if you’re likely to bore of a relaxed swim-read-snooze routine, there’s a wide, buggy-friendly promenade a five-minute walk away. In one direction you’ll find crashing waves and solitude, in the other an unpretentious resort with a small play park and relaxed beach bar where grinning waiters coo at children while parents drink beer with toes in the sand. • See Lanz Luxury Villas (+44 (0)121 275090, lanzluxuryvillas.com ) Emily Mathieson, Word of Mouth editor at Condé Nast Traveller Cabo Cope, Murcia, Spain I’d never heard of the Cabo Cope before, but was immediately intrigued by the prospect of unspoiled Spanish Mediterranean coastline. And realising that it is threatened by yet another concrete resort project, we decided to go down and see it for ourselves. This was as close as I could get to Laurie Lee’s experience when he first arrived on the Costa del Sol, I thought: arid mountains cascade unhindered by man towards the sea. It was perfect for driving along dirt tracks to find private beaches of crystalline water – shallow enough for toddlers, but with excellent snorkelling opportunities for adults too. We stayed at the Mayarí Hotel, in Calabardina, a pleasant oasis overlooking the sea, run by a child-friendly couple; a babysitting service was available and they were soon treating our little one as though he were part of the family. • Doubles at Mayari Hotel ( + 34 968 419748, hotel-mayari.com) from €76.50 Jason Webster, author of five books on Spain, including Or the Bull Kills You (Chatto & Windus) a detective novel set in Valencia Isola d’Elba, Tuscany, Italy One of the joys of holidaying with under-fives is that you’re not bound by the tyranny of the school calendar. Elban beaches that are unvisitable during Italian school holidays in August are quiet in May, when the island’s wild flowers bloom, and even June. Perfect white-sand crescents at Fetovaia and Cavoli, on the island’s south-west, make a great photo, but Sant’Andrea on the north coast is a tiny rock-pooler’s dream. Away from the crystal waters, my little ones love the open, boneshaker cable car ride to the 1,019m summit of Monte Capanne, for views as far as Corsica and right up the Tuscan coast. Just remember to hold on to their hands, and your hats … ours are still up there somewhere. There’s plenty of seafood on every menu, but at informal La Bussola, in Portoferraio, we can sample some serious flavours, such as the signature dish of steamed salt cod on shredded leeks and chickpea puree – and the kids share a pizza. The island’s best family accommodation is the boutique complex of affordable, spacious apartments at Casa Campanella, near Capoliveri. Ask them to book your ferry crossing from Piombino, to guarantee the best fare. • Apartments at Casa Campanella ( casacampanella.it ) cost from €1,900 per week for two to three people Donald Strachan, author of Tuscany, Umbria & Florence With Your Family (£12.99), published this week by Frommer’s Wind in the Willows caravan, Wales This gorgeous Romany caravan, made for a recent film of Wind in the Willows, is hidden away on top of a hay meadow in stunning Monmouthshire countryside. The caravan itself is compact – there’s just one large double bed – so it can only furnish a holiday for a small family: my husband, my six-year-old daughter and I squashed in happily enough. I’m not generally a fan of camping, but this was more comfortable than the usual, because a touch of luxury is provided by the off-grid cabin just a few feet away – the interior is worthy of an interiors magazine, with a sofa, large oven, dining table and a shower. But the most magical part was cooking meals over an open fire, with wood from the nearby copse, then getting tucked up inside the caravan at night and falling asleep to the occasional hooting of owls. • Prices range from £168- £258 for a two-night stay (+44 (0)844 500 5101, underthethatch.co.uk/willows ) Harriet Green, editor of the Guardian’s Family section Brittany, France Ten minutes inland from the seaside town of Binic, La Maison des Lamour is a collection of four cottages and five B&B rooms set on a former farm. The decor is stylish country – a sleek combination of modern furniture and accessories (free-standing baths, a chandelier of tea lights, slate-tiled walls) and antique finds (old picture frames and books decorate the bedrooms), with splashes of Cath Kidston-style floral cuteness. All of which will appeal to design conscious parents, though just as important is the kids’ paraphernalia – cots, high chairs etc, which make this a hassle-free family retreat. Breakfast (for B&B guests) of local breads, pancakes and jam will please adults and children alike. Outside there’s a large wooden fort for kids to let their imaginations run wild, along with a slide and swings, tunnels, a wooden horse, and a field full of ponies to ride in summer – and a river with pedalo hire. With a restaurant and farm shop on site, you could easily while away your days without getting into the car once, but the Lamours will happily recommend places to visit and eat in the area. • B&B from €75 (high season); cottages from €580 per week (peak season) (+33 2 96 74 13 63, lamaisondeslamour.com ) Jane Anderson, author of Brittany with Kids, published in May by Footprint Osea Island, Essex The Essex commuter belt is not the obvious place to look for a secret island untouched by time, but that’s what makes Osea so exciting. Until last year, this private island in the Blackwater Estuary near Maldon was run as an exclusive rehab clinic and recording studio. In January, it opened to the public for the first time in more than 100 years as a low-key holiday retreat offering self-catering accommodation in a collection of stylish weatherboarded 18th century cottages, a couple of beach houses and a grand Edwardian manor house which can sleep up to 20. Sailing and fishing trips can be organised, but the emphasis is on simple pleasures: beachcombing, foraging for berries and samphire, swimming, birdwatching and nature walks. Young children will love the chance to collect eggs from the hens, pick fruit from the orchard and visit the island’s two resident donkeys. Osea can be reached by road just twice in every 24 hours, when the waters recede to reveal a causeway built by the Romans across the rocky river bed. Although you are really just a 90-minute drive or a 40-minute train ride from London, when the tide comes in and the causeway disappears, the sensation of being cut off from the rest of the world is complete. • Prices range from £263-£512 for a week at the Sweet Shop, a one-bedroom cottage (07810 753226, oseaisland.co.uk) Joanne O’Connor, travel writer Kent Kids love the novelty factor of the Fishermen’s Huts in Whitstable, Kent. They’re like supersized versions of Dad’s garden shed, but with bedrooms, kitchenette and a bright green wooden front door that opens directly onto the beach. The paved beachside path is ideal for cycling, tricycling, scootering, toddling, or purposefully pushing a toy pram back and forth all day long – and it’s just a few car-free steps away. Let the kids explore while you sample some of the best oysters in England and take in the picturesque pebble beach and striking fishing boats. The huts may not be glamorously furnished and the stairs are a bit steep for young ones, but it’s the perfect seaside crash pad for beach-bound boys and girls. • The Fishermen’s Huts can be booked through the Hotel Continental, Whitstable (01227 280280, hotelcontinental.co.uk) ; family huts from £115 per night. The world-renowned Royal Native Oyster Stores ( whitstableoystercompany.com ) can be found along the path. For cycle hire, including children’s bikes, child trailers and tag-alongs, contact whitstablecyclehire.com Jonathan Knight is editor of Cool Camping and Cool Places guides Family holidays Tuscany Turkey Canary Islands Brittany Murcia Wales Spain Summer holidays Scotland guardian.co.uk
Continue reading …From a fly and flop break in Lanzarote to a beach hut in Whitstable, here’s where to go with a toddler in tow Ile de Ré, France Holidays with toddlers are tough. We’ve tried it all, from self-drive in South Africa to house swaps in Savannah, but our fondest memories are reserved for the Ile de Ré. On our summer hols last year we camped at Les Amis de la Plage, a lovely site by the beach with none of the big holiday park fuss, just brilliant, clean facilities including child-sized sinks and toilets, a baby changing area and purpose-designed shellfish washing stations. On the beach, there were pools at low tide for the kids to play in and surprisingly passable surf for me at high tide. We stocked up each day at the local market in Le Bois-Plage-en-Ré and then headed back to camp to consume the vast quantities of delicious claret and shellfish we’d bought. In the evenings, we often headed to Saint-Martin-de-Ré for a sunset stroll and dark chocolate ice cream from La Martinière, absolute bliss. • Pitches at Les Amis de la Plage (+33 546092401, les-amis-de-la-plage.com ) cost from €22 (high season) Ben Colclough, director of tourdust.com Princes’ Islands, Turkey Burgazada, one of the Princes’ Islands in the Sea of Marmara near Istanbul, is a weekend retreat that’s sleepy the rest of the time. Keen for a relaxed, self-catering break but also hooked on Byzantine mosaics, the Hall family (including George, then two-and-a-half, and Harry, nine months) spent a blissful week here early last summer. After morning pastries, fresh juices and Turkish coffee by the harbour, a 45-minute ferry ride (£2) slowly brought the city into view before docking at Kabataş, on the European shore. Transport-obsessed toddlers will love that Hagia Sophia is a tram ride away, while Taksim Square can be reached by funicular. Locals loved our boys, and ferry journeys were unexpected fun with them both getting plenty of attention. Car-free Burgazada can be toured by horse and buggy, or you could do as we did and just hang out by the pool until it was time for dinner on the quayside. • To rent the Serenity apartment on Burgazada for £650-£1,450 a week, see holidaylettings.co.uk Tom Hall, Lonely Planet Mull The Isle of Mull is second only to Skye in the Inner Hebrides for size and population, and it’s a wonderful place for a family holiday. Just getting here, usually via the beautiful ferry ride from Oban, is an adventure – and if the weather’s right the views from the breezy upper deck are a wonderful way to leave the real world behind. The ferry docks at Craignure, from where a 45-minute drive brings you to journey’s end at Calgary Bay, arguably Scotland’s best sandy beach. The former Calgary Hotel is a collection of self-catering properties – a week at Limetree Cottage costs £515 – £615 and makes the perfect base if the weather’s fine – and a cosy retreat if your luck’s out. Close by, Tobermoray – the setting for the television series Balamoray – has a great fish and chip van on the harbour wall. Mull has plenty of lovely short walks which can easily be tackled with small people in backpacks. • Limetree Cottage (+44 (0)1688 400256, calgary.co.uk/limetree.html ) costs from £405-£615 to rent for a week Tom Hall, Lonely Planet Lanzarote It was a bit of a surprise to find that fly-and-flop holidays are still possible with baby in tow. We took Lola, then six months, to Lanzarote for an autumn break at Casa Katharina, a smart but affordable house on a peaceful, if nondescript, estate near Playa Blanca on the island’s south-eastern side. Big hits included Sky TV and an outdoor pizza oven/bbq (dad), the garden’s giant cacti (Lola), the absence of almost anything to do (mum) and the private heated pool (everyone). The Canarian air was magically soporific, even for a teething baby, but if you’re likely to bore of a relaxed swim-read-snooze routine, there’s a wide, buggy-friendly promenade a five-minute walk away. In one direction you’ll find crashing waves and solitude, in the other an unpretentious resort with a small play park and relaxed beach bar where grinning waiters coo at children while parents drink beer with toes in the sand. • See Lanz Luxury Villas (+44 (0)121 275090, lanzluxuryvillas.com ) Emily Mathieson, Word of Mouth editor at Condé Nast Traveller Cabo Cope, Murcia, Spain I’d never heard of the Cabo Cope before, but was immediately intrigued by the prospect of unspoiled Spanish Mediterranean coastline. And realising that it is threatened by yet another concrete resort project, we decided to go down and see it for ourselves. This was as close as I could get to Laurie Lee’s experience when he first arrived on the Costa del Sol, I thought: arid mountains cascade unhindered by man towards the sea. It was perfect for driving along dirt tracks to find private beaches of crystalline water – shallow enough for toddlers, but with excellent snorkelling opportunities for adults too. We stayed at the Mayarí Hotel, in Calabardina, a pleasant oasis overlooking the sea, run by a child-friendly couple; a babysitting service was available and they were soon treating our little one as though he were part of the family. • Doubles at Mayari Hotel ( + 34 968 419748, hotel-mayari.com) from €76.50 Jason Webster, author of five books on Spain, including Or the Bull Kills You (Chatto & Windus) a detective novel set in Valencia Isola d’Elba, Tuscany, Italy One of the joys of holidaying with under-fives is that you’re not bound by the tyranny of the school calendar. Elban beaches that are unvisitable during Italian school holidays in August are quiet in May, when the island’s wild flowers bloom, and even June. Perfect white-sand crescents at Fetovaia and Cavoli, on the island’s south-west, make a great photo, but Sant’Andrea on the north coast is a tiny rock-pooler’s dream. Away from the crystal waters, my little ones love the open, boneshaker cable car ride to the 1,019m summit of Monte Capanne, for views as far as Corsica and right up the Tuscan coast. Just remember to hold on to their hands, and your hats … ours are still up there somewhere. There’s plenty of seafood on every menu, but at informal La Bussola, in Portoferraio, we can sample some serious flavours, such as the signature dish of steamed salt cod on shredded leeks and chickpea puree – and the kids share a pizza. The island’s best family accommodation is the boutique complex of affordable, spacious apartments at Casa Campanella, near Capoliveri. Ask them to book your ferry crossing from Piombino, to guarantee the best fare. • Apartments at Casa Campanella ( casacampanella.it ) cost from €1,900 per week for two to three people Donald Strachan, author of Tuscany, Umbria & Florence With Your Family (£12.99), published this week by Frommer’s Wind in the Willows caravan, Wales This gorgeous Romany caravan, made for a recent film of Wind in the Willows, is hidden away on top of a hay meadow in stunning Monmouthshire countryside. The caravan itself is compact – there’s just one large double bed – so it can only furnish a holiday for a small family: my husband, my six-year-old daughter and I squashed in happily enough. I’m not generally a fan of camping, but this was more comfortable than the usual, because a touch of luxury is provided by the off-grid cabin just a few feet away – the interior is worthy of an interiors magazine, with a sofa, large oven, dining table and a shower. But the most magical part was cooking meals over an open fire, with wood from the nearby copse, then getting tucked up inside the caravan at night and falling asleep to the occasional hooting of owls. • Prices range from £168- £258 for a two-night stay (+44 (0)844 500 5101, underthethatch.co.uk/willows ) Harriet Green, editor of the Guardian’s Family section Brittany, France Ten minutes inland from the seaside town of Binic, La Maison des Lamour is a collection of four cottages and five B&B rooms set on a former farm. The decor is stylish country – a sleek combination of modern furniture and accessories (free-standing baths, a chandelier of tea lights, slate-tiled walls) and antique finds (old picture frames and books decorate the bedrooms), with splashes of Cath Kidston-style floral cuteness. All of which will appeal to design conscious parents, though just as important is the kids’ paraphernalia – cots, high chairs etc, which make this a hassle-free family retreat. Breakfast (for B&B guests) of local breads, pancakes and jam will please adults and children alike. Outside there’s a large wooden fort for kids to let their imaginations run wild, along with a slide and swings, tunnels, a wooden horse, and a field full of ponies to ride in summer – and a river with pedalo hire. With a restaurant and farm shop on site, you could easily while away your days without getting into the car once, but the Lamours will happily recommend places to visit and eat in the area. • B&B from €75 (high season); cottages from €580 per week (peak season) (+33 2 96 74 13 63, lamaisondeslamour.com ) Jane Anderson, author of Brittany with Kids, published in May by Footprint Osea Island, Essex The Essex commuter belt is not the obvious place to look for a secret island untouched by time, but that’s what makes Osea so exciting. Until last year, this private island in the Blackwater Estuary near Maldon was run as an exclusive rehab clinic and recording studio. In January, it opened to the public for the first time in more than 100 years as a low-key holiday retreat offering self-catering accommodation in a collection of stylish weatherboarded 18th century cottages, a couple of beach houses and a grand Edwardian manor house which can sleep up to 20. Sailing and fishing trips can be organised, but the emphasis is on simple pleasures: beachcombing, foraging for berries and samphire, swimming, birdwatching and nature walks. Young children will love the chance to collect eggs from the hens, pick fruit from the orchard and visit the island’s two resident donkeys. Osea can be reached by road just twice in every 24 hours, when the waters recede to reveal a causeway built by the Romans across the rocky river bed. Although you are really just a 90-minute drive or a 40-minute train ride from London, when the tide comes in and the causeway disappears, the sensation of being cut off from the rest of the world is complete. • Prices range from £263-£512 for a week at the Sweet Shop, a one-bedroom cottage (07810 753226, oseaisland.co.uk) Joanne O’Connor, travel writer Kent Kids love the novelty factor of the Fishermen’s Huts in Whitstable, Kent. They’re like supersized versions of Dad’s garden shed, but with bedrooms, kitchenette and a bright green wooden front door that opens directly onto the beach. The paved beachside path is ideal for cycling, tricycling, scootering, toddling, or purposefully pushing a toy pram back and forth all day long – and it’s just a few car-free steps away. Let the kids explore while you sample some of the best oysters in England and take in the picturesque pebble beach and striking fishing boats. The huts may not be glamorously furnished and the stairs are a bit steep for young ones, but it’s the perfect seaside crash pad for beach-bound boys and girls. • The Fishermen’s Huts can be booked through the Hotel Continental, Whitstable (01227 280280, hotelcontinental.co.uk) ; family huts from £115 per night. The world-renowned Royal Native Oyster Stores ( whitstableoystercompany.com ) can be found along the path. For cycle hire, including children’s bikes, child trailers and tag-alongs, contact whitstablecyclehire.com Jonathan Knight is editor of Cool Camping and Cool Places guides Family holidays Tuscany Turkey Canary Islands Brittany Murcia Wales Spain Summer holidays Scotland guardian.co.uk
Continue reading …Arizona’s Republican governor has vetoed the “birther bill” passed by the state legislature . Jan Brewer called the bill, which would have required presidential candidates to prove their citizenship before appearing on Arizona ballots. “a bridge too far,” CNN reports. “As a former Secretary of State, I do not support designating…
Continue reading …Join us for our daily live blog debating the government’s controversial restructuring of the health service 12.03pm: At 1pm today there we will be holding a live Q&A session on Spire Healthcare’s new survey , which shows waiting times creeping upwards for a number of procedures. Online debating the pros and cons of turning to private providers for the answer will be: • Dr Jean-Jacques de Gorter , clinical director, Spire. • Jacky Davis , NHS consultant radiologist. We want the questions to come from you in the comments below, but here are a few suggestions: • Can private providers help reduce waiting times? • Do private providers save money? There’s evidence they cost more. • What are the risks of using private providers? • Do we have any examples of private providers working well and working badly? Why? • If we do use taxpayers’ money to fund private contracts, how can we get the most out of them? • Can GPs find themselves commissioning healthcare for patients from providers they might have an interest in? If so what can be done to prevent this conflict of interest? • If private providers take all of the work out of hospitals, what will this mean for the training of junior doctors? 11.51am: My colleague Hélène Mulholland has filed a story on David Cameron’s comments that “changes need to be made” to the NHS reforms ( see 10.03am ). Here are the key quotes from the prime minister (left): Yes, I think they do need to change. We need to get this right. But I don’t think it was wrong to get started rapidly on a process of change. While it’s an option to stick with the status quo, I don’t think it’s a sensible option. So I think it was right to get moving. But we have a moment now where the legislation is almost finished in the Commons, where I think it is right to stop and to pause, to rethink and improve because I think we can make further improvements to our policy. I think that is a different thing for the government to do. Normally governments just plough ahead regardless, but I think it’s important to see if we can further improve those policies and, at the same time, make sure we have more full-throated support from people working in the NHS, most of whom know change is necessary. I want to get them on board for the changes we are considering and see if they have ideas for further improvement. 11.33am: Sunny Hundal (left) at the left-liberal blog Liberal Conspiracy has just written this post criticising the NHS reforms . He says the government is confused and points to a recent YouGov poll for the Sunday Times showing that the public remains unconvinced. Response? Total support 27%, Total oppose: 52%, Don’t know: 21%. That’s a big thumbs-up from the public then. 11.23am: Peter Ward Booth, who describes himself as a partially retired NHS consultant and who followed the blog yesterday, sent this email to Rowenna this morning saying that practitioners and patients need more information about the reasons about the government’s reforms. Ward Booth tackles the important point about whether GPs are really in a position to cut the cash flowing into highly specialised hospital specialities. Of course we all know it’s about saving money – specifically targeting secondary specialist or hospital care – however you want to describe it. Yes, it is expensive, because it is super-specialised, with beds and highly trained healthcare workers. Yes, if GPs hold the funds, they will restrict referrals to save money, just as PCTs restrict referrals by declaring certain procedures “low priority” – euphemism for not treating a condition. Either way the quality of care will go down, unless you can afford private care. In the past governments tried to reduce the cost of secondary care by trying to have managers micromanage the running of the hospitals; the price was we have statistically a manager for every hospital bed. Managers are, however bright or motivated, driven by their political masters, not by patient or doctor needs. They are also very expensive. So let’s be honest and recognise we need secondary/specialist care, but address the costs issue separately. Let’s give the power to the consultants to run their own departments and have “costs” league tables as well as “outcome” league tables. Have teams of peers to review the failing units with the power to hire and fire. Above all the “reforms” should not be allowed to reduce specialist care to only those who can afford it. Yes, GPs are specialists, but not in surgery (or) cardiology. 10.37am: The health secretary got a boost today with a sympathetic and pithy portrait from the Independent’s health editor Jeremy Laurance . Laurance gets the health secretary’s deadpan humour to a tee, recalling his funniest personal anecdote about suffering a stroke while playing cricket. “People imagine politicians are a bit brain dead,” [Lansley] would say. “Well I am – and I have the MRI scan to prove it.” On a less humorous note, in the Guardian former Labour chair of the health select committee David Hinchliffe attacks the government for its pro-market tilt. The same market philosophy which impacted upon my constituents 20 years ago is at the heart of the health and social care bill. Its proposals are driven by an ideology totally alien to a health service whose success has been rooted in co-operation and collectivism. In the FT there’s more bad news for the government as one of four NHS trusts chosen to be early adopters of the electronic patient records pulled out – plunging the health service’s £12.7bn programme to create a vast patient database into “yet another crisis”. Also in an ominous sign of things to come, news that Trafford General Hospital is in a financial mess. It’s an iconic place in NHS history – treating the first ever state-funded patient when the health service was inaugurated in 1948. The Manchester Evening News says “the hospital where the NHS was founded could find itself £75m in debt by 2015″. And trust the Daily Mail to come up with a holiday story in health. The tabloid claims that a hospital is considering flying foreign patients overseas rather than fund their long-term care. One way to beat the Easter traffic. 10.32am: Rowenna points out a political spat in Scotland where Labour claimed that knife injuries cost the NHS in Scotland £500m a year – almost 5% of Scotland’s £11bn NHS budget. Nigel Hawkes on Straight Statistics has an interesting take on how politicians are using stats on the health costs of knife crime to score political points. He says the Scottish Labour party has promised a mandatory prison sentence for anyone found in possession of a knife outside their home. To justify the policy, they say knife injuries cost Scotland’s NHS £500m a year, or 4.5% of the health budget. But after some digging, Nigel says that even with the “best will in the world” it’s hard to see the total cost of knife crime exceeding £10m a year – or 50 times less than the Scottish Labour party is claiming. Scottish Labour’s policy doesn’t make much sense, Nigel argues, given that they are setting aside an extra £20m to provide the extra prison places that will be needed if more people are sent to jail as a result of their policy.” (Disclaimer: Rowenna is standing as a candidate in local elections next month in England for the Labour party.) 10.03am: Hello. I am Randeep Ramesh, the Guardian’s social affairs editor, and my colleague Rowenna Davis and I will be liveblogging the government’s radical NHS reforms all day. Today there will be a question and answer session on Spire Healthcare’s new survey , which sees waiting times creeping upwards in a number of procedures. No surprise perhaps that families are not getting fertility treatments at a time of cuts, but worryingly patients are facing long waits for hip replacements and hernia repairs. Online debating the issues will be Spire’s clinical director, Dr Jean-Jacques de Gorter, and NHS consultant radiologist Jacky Davis. Also Rowenna will be at a conference on looking how to close hospitals painlessly. Earlier this month welfare secretary Iain Duncan Smith marched to save his local hospital ; while his cabinet colleague Andrew Lansley has to marshal insufficient resources to meet rising demand, this is one of the most vexing political issues of the day. For those who missed it Andrew Sparrow has already caught up with David Cameron’s interview on the Today programme. The main take away is that there will be changes to the NHS reforms. Interestingly Cameron made a point of saying hospital doctors would have a say in how GPs commission services for their patients. The prime minister’s brother in law, Carl Brookes, works as a cardiologist in Basingstoke for the North Hampshire NHS trust and memorably told him he was concerned that family doctors would become too powerful under Andrew Lansley’s plans. You can email me at randeep.ramesh@guardian.co.uk or tweet at tianran . Rowenna’s email is rowenna.davis@guardian.co.uk and her Twitter name is rowenna_davis . NHS Health Public services policy Public sector cuts Andrew Lansley Randeep Ramesh Rowenna Davis guardian.co.uk
Continue reading …Hundreds of tourists evacuated after small blaze at Antoni Gaudí’s basilica, which caused damage but no injuries Police in Barcelona say a suspected arsonist started a small fire inside the Sagrada Familia basilica and forced the evacuation of hundreds of tourists. The blaze has been extinguished and no one has been hurt. A Catalan regional police official said around 1,500 people had been evacuated from Antoni Gaudí’s unfinished masterpiece. It is one of the most popular tourist sites in Spain’s second-largest city. The official said some tourists saw smoke coming from inside the sacristy and alerted authorities, and that the suspected arsonist was arrested. The official spoke on condition of anonymity in line with department policy. She said the fire caused damage but no injuries. The sacristy is the area where priests put on their robes in preparation for mass. Spain Europe guardian.co.uk
Continue reading …Susanne Ibru, 38, was convicted of harassment in her absence after repeatedly turning up at the footballer’s house A woman who disappeared from a magistrates court shortly before she was convicted of stalking footballer Rio Ferdinand and his family has been arrested. A warrant was issued for Susanne Ibru, 38, after she was found guilty at Macclesfield magistrates court of harassing Ferdinand by repeatedly turning up at his home in Alderley Edge, Cheshire. Ibru, formerly of Peckham, south London, but now of Newcastle-upon-Tyne, represented herself during her trial and cross-examined the Manchester United and England star before fleeing the hearing during the lunchtime adjournment on Monday. Cheshire police said she was detained in Warrington. Ibru was convicted in her absence of a harassment charge. Ferdinand, 32, told the hearing he was left “angry and upset” by Ibru’s visits. She turned up uninvited at the footballer’s home on three occasions between February and June last year. Ian Davies, prosecuting, said in the early hours of 21 February Ferdinand and his wife were asleep when Ibru woke him after pressing the intercom buzzer at the entrance gate. He went to a bathroom window and saw a figure wearing a hooded top. He shouted down to see who it was. She looked up and he was able to see it was Ibru. Asked by Davies how he felt, Ferdinand said: “At first I was angry and upset but then disturbed, really, because I have got a young family and this was not the time or the place to be coming to speak to me.” The player called the club’s security staff, who contacted police, and then watched on his CCTV as Ibru walked away and was stopped by officers at the end of the road. Ibru returned on 16 June, the court was told. Ferdinand said he saw her on the road opposite his house as he arrived home at about 8pm. He said he had no idea why she wanted to speak to him. Police attended and Ibru was given a formal warning to leave the couple alone. Her third alleged visit came just two days later, in the early hours of 18 June, and she was arrested. Crime Rio Ferdinand Helen Carter guardian.co.uk
Continue reading …Schools could close as early as June after teachers back ballot for industrial action over pension reforms Strikes could close schools as early as June after teachers backed a ballot for industrial action over the government’s proposed changes to pensions. Delegates at the Association of Teachers and Lecturers’ annual conference passed a motion condemning proposed reforms that will see public sector workers paying more towards their pensions, retiring later and receiving less when they do. The union’s executive will draw up plans for a strike ballot and consider the timing of any industrial action later today. Today’s vote could be a prelude to coordinated strike action by public sector workers against the government’s austerity programme. Unions are drawing up plans for strikes by June that could paralyse schools, universities, the courts and the civil service. Alice Robinson, senior vice-president of the ATL, told the conference in Liverpool: “Our only available bargaining weapon is a resounding demonstration by the teaching profession of their opposition to the proposed changes. “We need to send a loud and clear message that we and other teacher unions will not see our members so harshly treated to pay for a situation that is not of their making.” The University and College Union, which represents lecturers, has already held strikes over pensions, and the executive of the Public and Commercial Services Union decided last week to hold a ballot over job cuts and services. The decision will be confirmed at their conference next month. The National Union of Teachers will debate a motion calling for a series of one-day strikes over pensions at its conference later this week. The pension reforms, in a government-commissioned report by former Labour minister Lord Hutton, include raising the normal retirement age for state employees from 60 to 66 by 2020. Final-salary schemes will be scrapped and replaced by payments based on career averages. Ministers will also get more powers to raise employee contributions. The ATL has not taken national industrial action since 1979, when members withdrew from classrooms on a Wednesday afternoon to discuss a pay claim. The union’s motion, which was carried with an overwhelming majority, notes “with deep regret the lack of any change on the part of the government to its proposals for public sector pension schemes”. It calls on the union’s leadership to consider “whether the failure of negotiations and the failure of reasoned argument now justify a ballot for strike action.” There was just one dissenting voice in today’s debate. Trevor Cope, a teacher from Devon, said: “I left the NUT because of strike action. My conscience doesn’t allow me to support this motion.” ATL’s general secretary, Dr Mary Bousted, has previously said that school staff could walk out as early as this summer. Speaking last week, as she prepared to hand a petition bearing 15,000 signatures to the Chancellor, George Osborne, calling for ministers to rethink their proposals, Bousted said: “Education staff are being expected to pay more for their pensions, work longer before they can draw their pensions and get less at the end of the day. And we’re not just talking about small changes. “Because the government is changing the way teachers’ pensions are calculated, the value of their pensions will be reduced by 25% on average over the course of their retirement. In cash terms, that’s a loss of more than £60,000.” Teaching Schools Public sector pensions Trade unions Public services policy Jeevan Vasagar guardian.co.uk
Continue reading …London fire brigade says investigation into scrapyard fire that closed the M1 motorway has been handed over to police Fire authorities in London have said they believe the scrapyard blaze that closed a stretch of the M1 motorway and caused travel chaos at one of the busiest travel times of the year was started deliberately. A spokeswoman for the London fire brigade said the police were taking over the investigation into Friday’s incident in which an elevated section near Mill Hill in north London was badly damaged. “We believe the M1 fire was started deliberately. We have handed the incident over to the Metropolitan police,” she said. A Met spokeswoman said the fire had been treated as suspicious from an early stage: “The investigation continues, nothing has changed.” The blaze closed seven miles of Britain’s main north-south road between junctions 1 and 4 as many motorists were preparing to use the road for the Easter getaway. Two lanes have reopened in both directions. Transport authorities say they hope all lanes will reopen before Easter but warn there could be speed restrictions. London Transport Crime guardian.co.uk
Continue reading …Full coverage from the inquest into the death of newspaper seller Ian Tomlinson at the 2009 G20 protests in London 11.22am: Williamson said that portal hypertension, a kind of high blood pressure found in patients with liver disease, would have led to faster bleeding from the spleen – but not the liver. This view differs from what was said yesterday by liver specialist Dr Graeme Alexander . 11.10am: Patrick Gibbs QC , counsel for Harwood, has taken over questioning. He pointed out that Patel found “no detectable by the naked eye” rupture to the capsule of the liver. Gibbs asked: “what does that tell you about whether this is in fact the source of any blood?” Well, one wonders about the accuracy of the original description. There was, as I understand it, microscopic of haemorrhage to the liver, in that area. The consultant agreed it was an “oddity” that there was no rupture of this kind found on the liver. 10.58am: Back to the video footage (see below), Ryder points out that Tomlinson’s arm became trapped under his body when he struck the ground. We heard detailed evidence about this on Friday – here is that discussion and a still picture from the video . Asked by Ruder if he had seen this, Williamson replied: “Oh no.” The barrister asked if the assisted the consultant. He replied: “I wouldn’t have expected that degree of injury to rupture a normal liver. But this was not a normal liver.” The consultant by gave some of the strongest indications yet that Tomlinson died of internal bleeding: “I think there was very likely to have been bleeding from this liver. We know it was enlarged. There was a fall. We know there was 3 litres or heavily bloodstained fluid in the abdominal cavity. We know there is a subcapsule haematoma, on the outer aspect. If you put all of that together, you have very strong presumptive evidence he bled from the liver.” Finally, Williamson described that Patel’s suggestion that internal injuries may have been caused during rigorous CPR treatment after Tomlinson’s collapse was “implausible”. 10.56am: Matthew Ryder QC , counsel for the Tomlinson family, has begun questioning Williamson. It has emerged that the consultant has not seen the detailed footage of Tomlinson being hit with a baton and pushed from behind by police officer Simon Harwood. He has just been shown this footage: Ryder also told Williamson about the ECG chart readings when paramedics attached a defibrillator. We heard a lot about these yesterday . Williamson’s reponse: Well, of course, I am not a cardiologist, but it would seem to me that that makes acute coronary artery syndrome less likely. 10.39am: Finally Hewitt has questioned Willamson on the vexed question of the extent of blood in the three litres of fluid found in Tomlison’s abdomen. Williamson saw photographs of the fluid. This has proved a point of controversy throughout this inquest. See previous discussions here , here and here . Williamson: I would therefore expect that at least half of it was blood, possibly more. Hewitt: If it were about half and half, a loss of about 1.5 litres could have caused collapse in Mr Tomlinson? Williamson: Oh yes. That is quite a substantial bleed, over a short period of time. Very substantial. 10.35am: Williamson’s said his view – that internal bleeding was more likely to be the cause of death than a heart attack – came with an important caveat. He said in his report: In summary, I believe that Dr Cary is much closer to the cause of death than Dr Patel, but I am left with one major uncertainty. The consultant told the jury that sufficient trauma to the liver might have been expected to leave marks on the outside of the body and “pretty obvious” damage to the liver, at postmortem. That said, Williamson said he still sided with Cary. It seemed to me that Dr Cary’s pathologist was much more the plausible. One cannot rule out coronary artery disease, perhaps acute coronary syndrome, and he was a smoker. But there is precious little evidence in support. 10.27am: Hewitt has asked Williamson to explain who – Patel or Cary – he believes was correct. On Patel’s theory, he said: Whether or not coronary artery disease was the proximate cause of death is a little doubtful, because we don’t see [sufficiently blocked] coronary arteries. On Cary’s theory, he said he believed from the photographs that “at least half, maybe more” of the fluid found in Tomlinson’s abdomen would have been blood. Three litres of blood would be about half [the volume in] your circulating body, and it might kill a healthy person, let alone someone who was as unhealthy as Mr Tomlinson. Even a litre or two might have been – probably was too much for him tolerate. Williamson added: “He was a very sick man and it is therefore reasonable to suggest that a lesser insult, if you like, a lesser trauma.” 10.11am: The jury is in an we’re about to begin. The first witness is another medical expert, Professor Robin Williamson , who a consultant surgeon. He is being questioned by Alison Hewitt , counsel for the inquest. He has a particular expertise in diseases of the liver. 10.01am: You can follow my Twitter updates from court @PaulLewis and use the hashtag #inquestblog if you have questions or comments. 9.59am: The 15th day of the Ian Tomlinson inquest is about to commence. I expect we only have another couple of days of evidence left now. On Monday the inquest heard that a leading heart specialist had analysed the readings obtained by a defibrillator used by paramedics after Tomlinson collapsed revealed, and concluded he could not have died from an arrhythmic heart attack . His findings undermined the explanation for Tomlinson’s death by the pathologist Dr Freddy Patel, who had claimed he died of a natural causes. Confronted with the new evidence, Patel altered his explanation of the death and speculated – seemingly off the cuff – that the newspaper seller may have died of a hypoxia, or lack of oxygen. Paramedics have already ruled this out. The new defibrillator evidence was consistent with the other explanation for Tomlinson’s death: that he died of internal bleeding in the abdomen, from injures sustained when he was pushed to the ground. Dr Nat Cary, the second pathologist, said internal bleeding was now the “only real possibility” . Cary’s explanation was also backed by a liver specialist. In total four pathologists examined body. We shall hear from other two (who broadly agreed with Cary) today and tomorrow. Ian Tomlinson Police G20 Protest Paul Lewis guardian.co.uk
Continue reading …Rolling coverage of all the day’s political developments as they happen 10.42am: Q: Didn’t Labour pave the way for £9,000 fees by introducing top-up fees? Miliband says top-up fees allowed the last government to expand student numbers. Q: Are you in favour of for-profit universities? Thomas says Labour has supported existing private universities. Q: What contribution do you think the “Purple Group” of MPs can make? (This is a reference to group that Rachel Sylvester has written about in the Times today. I’ll post more about this later.) Miliband says he is keen on the colour purple. All contributions to the debate about Labour’s future are welcome. Q: Lord Mandelson said recently that if Labour had won the election, tuition fees would have gone up to £6,000. Were you aware of that plan. And who was to blame for the purpose of the Browne review being “perverted” in the way you mentioned earlier? (See 10.37am) Miliband says that he did not know Mandelson thought before the election tuition fees would have to go up to £6,000. And, as for who told Browne that his plans should assume a student funding cut of 80%, Miliband says it was an assumption “driven by the Treasury”. That’s it from the press conference. I’ll post a summary shortly. 10.37am: Miliband is taking questions now. Q: Should RBS be allowed to give Stephen Hester a £7m bonus? (RBS is due to rubber-stamp Hester’s bonus payment today. ) Miliband says the government has not done enough to curb bonuses. Q: Are you in favour of variable fees? Thomas says variable fees are an example of how ministers are trying to find a solution to this problem “on the hoof”? Q: Labour set up the Browne review. But now you are proposing a graduate tax. Isn’t Labour breaking its promise? Miliband says that Browne’s plans envisaged an 80% cut in student funding. When he first heard about this in government, he asked where that figure came from. He never got a satisfactory explanation. But it suggested that the purpose of the review had been “perverted”. Q: Would Gordon Brown be a good candidate for heading the IMF? Miliband says he would be a “strong candidate”. But there is not a vacancy. 10.35am: Gareth Thomas is speaking now. He says Vince Cable, the business secretary, is on record as saying that if universities charge tuition fees higher than the £7,500 average anticipated by the government, ministers have two ways of responding to the funding shortfall: cutting university grants, or cutting student numbers. 10.30am: Ed Miliband is speaking now. He says that later today he will be going to Leicester, where almost exactly a year ago Nick Clegg promised at De Montfort University not to vote in favour of a tuition fees increase. If universities charge fees at the levels at which they are planning, the government will have to find up to £500m extra to fund the cost of those loans, Miliband says. Filling a hole of £500m by cutting university places could mean over 30,000 fewer young people going to university. Miliband says he is demanding two guarantees from David Cameron. First, David Cameron must tell us if he still believes £9,000 fees are the exception. And, second, he must tell us whether he intends to cut university funding or university places. 10.26am: Labour have done their own survey of university tuition fees. They say that 95% of universities which have released their charges are planning to charge more than £7,500, the figure that the government expected to be the average, and that 70% of universities that have published figures are planning to charge the maximum, £9,000. Labour says that, to fund tuition fees at this level, the government would have to cut the number of student places by around 36,000. 10.20am: I’m at Labour’s HQ where Ed Miliband’s press conference will be starting soon. We’ve been given another dossier. Last week’s was about health. This is entitled “Letting down the next generation” and it’s about how the government is “kicking away the ladders of opportunity for young people”. 9.50am: But David Willetts hasn’t persuaded Gareth Thomas, his Labour opposite numbers. According to PoliticsHome, this is what Thomas told Sky this morning about the government’s tuition fee policy. Whether it’s naivety or just a basic mistake is not clear, but it’s certainly true that the government have got their figures hopelessly wrong. Their belief that fees of above £6,000 would be the exception is quite clearly completely and utterly wrong … Ministers in the run-up to the tuition fees vote back in December were arguing that universities charging more than £6,000 would be the exception, but even at that point independent experts were arguing that fees of £9,000 would very quickly become the norm rather than the exception. We don’t think that the trebling of tuition fees is fair or is necessary and our worry is that it won’t be sustainable. Because so many universities are charging above £6,000, then actually the government will have to introduce further cuts to the university teaching grant or worse cut student numbers. I’m off to the Labour press conference now. I’ll post again before 10.15am. 9.45am: The Labour press conference is going to focus on higher education, it seems. David Willetts, the universities minister, told Sky this morning that the average fee charged by universities would be “signficantly lower” than £9,000, despite media reports to the contrary. According to PoliticsHome, this is what he said: We have to see what happens. Our understanding is that behind the headlines many universities are offering a range of fees, sometimes different fees for different courses, sometimes different fees for students from low income families. For that reason we believe that the average fee is going to be significantly lower than £9,000. Of course nobody will know exactly what it will be until the autumn of next year when students turn up at universities and we know the exact numbers and the exact fees they are facing. Willetts made a similar point yesterday in an article for Comment is free. 8.43am: Despite a brave try (see 8.20am) , Evan Davis never really quite nailed David Cameron on massive contradiction between the government’s localism philosophy and Eric Pickles’s obsession with outlawing bin taxes. But there was plenty of good material in the interview. Here are the highlights. • Cameron signalled that he would not allow Gordon Brown to become head of the International Monetary Fund. Brown had been described as the “clear favourite” for the post, which should become available if, as expected, the current IMF managing director, Dominique Strauss-Kahn, leaves to run for the French presidency. EU countries choose a candidate to run the IMF together, but Cameron almost certainly killed any chances Brown might have by saying he would be unacceptable. It does seem to me that if you have someone who didn’t think we had a debt problem in the UK, when we self-evidently do have a debt problem, then they might not be the most appropriate person to work out whether other countries around the world have debt and deficit problems … Above all, what matters is that the person running the IMF [is] someone who understands the dangers of excessive debt, excessive deficit, and it really must be someone who gets that, rather than someone who says that they don’t see a problem. • Cameron suggested that the IMF should be headed by a non-European. By convention, the World Bank is run by an American and the IMF is run by a European. But Cameron suggested that the top job should perhaps instead go to an Asian. It may well be that, actually, when you think that the IMF has got to be listened to and taken seriously by countries not just in the West, but all over the world, it may well be it’s time actually to have a candidate from another part of the world in order to increase its standing in the world … We’ve got the rise of India and China and south east Asia, a shift in the world’s focus, and it may well be the time for the IMF to start thinking about their shift in focus too. • He suggested that Vince Cable and Kenneth Clarke was safe from the prospect of being sacked. That’s because he named them as “big figure” politicians who were an asset to the government. One of the strengths of this government is that the big figures of British politics have come together into this cabinet. As well as Vince Cable, we’ve got Ken Clarke, we’ve got Iain Duncan Smith, we’ve got William Hague, we’ve got Chris Huhne. It’s a cabinet of talented [people]. • Cameron said that getting net migration down to tens of thousands per year was an “ambition”. This seemed an attempt to placate the Liberal Democrats. Last week, after Vince Cable said that getting migration down to tens of thousands (ie, below 100,000) was not government policy, Tory sources insisted that he was wrong, and that this was policy. The Lib Dems insisted that this was just an aim, which was not the same as a policy. Today Cameron adopted Lib Dem terminology, describing the target as an ambition. (In practice, this is just a pedantic linguistic dispute – because there is no disagreement about what the government is trying to do – but it is important to the Lib Dems. “We all have our own way of explaining things,” Cameron said at one point.) • He said that “in principle” he was in favour of changing the provisions in the Act of Settlement saying that royals who marry a Catholic have to give up their right to the throne and that male heirs take precedence over female ones. But he stressed that this would take time, because other countries would have to change their laws too. • He defended the government’s right to put controls on the extent to which councils can raise council tax or impose bin charges. When it was put to him that these measures contradicted the government’s commitment to localism, he said: “There’s always a balance between wanting to protect people from excessive charging [and localism].” • He confirmed that there would be real changes to the health bill. The problem with the bill was not just a failure to communicate what it was trying to do, he said. He signalled, as he has down before, that when the new two-month consultation on the bill is over, the membership of the GP-led commissioning consortia will be widened. • He said the Lib Dems had been “excellent coalition partners”. 8.30am: I’ll post a full summary in a moment, but the strongest came when David Cameron was asked about Gordon Brown becoming managing director of the International Monetary Fund. Brown has been tipped as the favourite for the job. But Cameron said he would be the wrong candidate. It does seem to me that if you have someone who didn’t think we had a debt problem in the UK, when we self-evidently do have a debt problem, then they might not be the most appropriate person to work out whether other countries around the world have debt and deficit problems. • Cameron signals that he will stop Gordon Brown taking charge of the IMF. After the interview, Cameron remained in the studio and insisted on doing the racing tips, as he did on the programme at the end of last year. He picked a horse called “Stormin Gordon”. (But not for the IMF.) His other pick was called Red Samantha. (Warning to punters: Cameron’s previous tips both lost.) 8.27am: Q: Would you support Gordon Brown for managing director of the International Monetary Fund? Cameron says he would be concerned about someone who did not understand the dangers of debt taking the post. [That's a pretty clear no.] He also suggests that it might be time for the job to go to someone who is not a European. The last question is about Nick Clegg. Cameron says the Lib Dems have been good coalition partners. That’s it. The interview is over. 8.20am: Q: If you are committed to localism, why are you banning councils from doing things like imposing bin charges. Cameron says he is committed to localism. But there is always a “balance”. Q: But you should councils be banned from imposing charges for a recycling centre? Cameron accuses Davis of missing the bigger picture. He is introducing a general power of competence, that will give councils more power. He hopes this will encourage better people to become councillors. Q: Why are you penalising councils that want to put up their council tax? Cameron says the government is rewarding councils that freeze the tax. Q: But that amounts to penalising those what want to raise council tax. To suggest otherwise is “disingenuous”. Cameron says that if councils want to raise council tax by a certain amount, they will be able to hold a referendum on this. But he does not meet a lot of people who want to pay more tax, he says. Q: Do you agree with changing the rules saying an heir to the throne cannot marry a Catholic? Cameron says that “in principle” he is in favour of changing the rules about male heirs taking precedence and about anyone marrying a Catholic having to give up their right to the throne. But other countries would have to change their rules too. This will take time. 8.17am: On health, Cameron says the government was right to see if it could improve the health bill. He wants to see if he could get more “full-throated support” from those in the NHS. Q: The NHS chief executive has said that the NHS needs to press ahead with change on the ground. Why? Cameron says there is no mystery. There are elements of reform that everyone believes need to go ahead. Q: That sounds as if nothing is changing. Can you identify a substantive change you will make? Cameron says hospital doctors are worried that there will be no place for them in “GP commissioning”. They want a role too. Q: And will councillors be involved? Cameron says one of the aims of the bill is to heal the divide between medical care and social care. Q: So it was not just a failure of communication? The reforms had to change too. Cameron says that’s right. The plans did need to change. Cameron says he has a “very strong personal commitment” to what the NHS means. It’s a “precious thing”. 8.14am: Q: Is it policy to cut net migration down to tens of thousands? Cameron says that is the ambition. Q: If you fail to get migration down to tens of thousands, will that mean the policy has failed? Cameron says there are a series of policies in place. If those policies work, then immigration will come down. Q: Will it be a failure of policy if net migration comes down to 150,000, not 80,000? Cameron says he wants to get net migration down to the level it was in the 1980s and 1990s. Q: But what is policy? Cameron says there are a series of policies. “If we put those in place, we will achieve the ambition,” he says. 8.10am: Davis says there will be another interview about AV. But he will talk about the local elections. Q: Are we in coalition phase two? Is more dissent now allowed? Cameron says there are two parties in the coalition. But the need for the coalition is as strong as it was a year ago. The two parties have to sort out the economy. There is a lot further to go. Between them they have come up with a series of good and “decisive” policies. It’s not a “lower common denominator” government. Q: Are you comfortable with Lib Dems like Vince Cable expressing dissent? Cameron says what matters is that there is agreement over policy. And there is. Of course coalitions have their own tensions and difficulties and noises off, and you have to be relaxed about that. Q: Did you ever consider sacking Cable? Cameron says one of the strengths of the government is that the “big figures” of politics have come together. He mentions Ken Clarke, Iain Duncan Smith, William Hague and Chris Huhne. The government is dealing with problems that have foxed other governments, he says. 8.10am: Evan Davis is interviewing Cameron. He’s starting now. 8.01am: We’re hearing from David Cameron and Ed Miliband this morning. Cameron is doing an interview on the Today programme at 8.10am. The transcript of his most recent interview, on Sky at the weekend, is here . I expect he’ll be asked about subjects like Libyan and the health bill. But he won’t be asked about the alternative vote, Evan Davis revealed on Twitter this morning. That’s because of broadcasting rules about interviews with one side on the AV campaign having to be matched by an interview with someone from the other side. And Miliband will be holding a press conference at 10.15am. He will be discussing education and opportunities for young people alongside Gareth Thomas, the shadow universities minister. Today is the deadline for universities wanting to charge tuition fees of more than £6,000 to have to submit their plans to widen access to the government’s access watchdog, the Office for Fair Access (Offa). Otherwise, it’s a mixed day. Cameron and Andrew Lansley are holding an NHS “listening” event. Harriet Harman is on the campaign trail for Labour in Bristol. And members of the Association of Teachers and Lecturers will debate an urgent motion at their conference in Liverpool instructing its executive committee to consider whether a ballot for strike action is justified. As usual, I’ll be covering all the breaking political news, as well as looking at the papers and bringing you the best politics from the web. I’ll post a lunchtime summary at around 1pm, and an afternoon one at about 4pm. David Cameron Andrew Sparrow guardian.co.uk
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