Monday, 26 February 2018

Infantilising Sport


On Saturday, I watched an excellent rugby international. No, not Scotland outplaying the “unbeatable” England. It was Ireland against Wales in Dublin. It was an exciting game, with flashes of brilliance. But what was particularly good about it was the refereeing. The man in question was Glen Jackson from New Zealand. He never once stopped the game to refer to the TMO (Television Match Official). How refreshing! And as a result the game flowed as it’s meant to.

I am tired of the way so many sports have come to depend on video replays. I guess it started with photo-finishes in racing, and then Hawk-eye at Wimbledon – which seemed a good idea after John “You cannot be serious” McEnroe. And then it spread to cricket with its snickometer and hot-spot. And rugby with the TMO. And football with VAR. At the recent Winter Olympics, video replays were rife in Pyeongchang: speed skating, ice dancing, fancy snow boarding and trick skiing. 

A notable exception is curling. One of its refreshing aspects was the way that opponents always agreed the result of an end - no disputing. It was grown up behaviour. (A shame we didn't come away with a medal, but I did admire Eve Muirhead going for broke with her last stone!)

So what’s wrong with it? I don’t mind the use of photo-finishes when the human eye really isn’t fast enough to separate out bicycle wheels, horses' noses or skate tips crossing the finishing line – though if they’re that close, what’s wrong with equal first? However my real objection is the use of video replays in sports’ competitions of any sort. And it’s not because of the interruption of the flow of play, even if that is annoying enough. It’s because it infantilises sport. It demeans referees and umpires (depending on your sport). Instead of the man or woman on the spot being the final arbiter, technology is appealed to. Human beings are judged by machines.

We need to re-establish human trust into sport. Of course your referee may make mistakes, but that’s life. There used to be an adage, “The referee’s decision is final.” It wasn’t a bad one. There was another, “You win some, you lose some.” It was a healthy attitude, more healthy, I’d suggest, than the present custom of arguing the toss whenever the decision goes against you. There’s little more ugly than a grown man representing his country confronting the referee when he’s judged to have committed a foul. The “You cannot be serious!” merchants of the sports arena need to grow up themselves. Umpires and referees are selected for their impartiality. They deserve to be respected more, not placed at the mercy of machines. Sport would become a great deal more enjoyable were its participants (and their teams and supporters) to accept decisions made by those who in fact carry out a no-win job with extraordinary skill and integrity, without resort to wretched machines.

I'm told that the amount of money that is now tied up in professional sport is the driver behind the technological juggernaut. Maybe, but at least in the field let’s have less, not more, technology and more, not less, trust in people.

Friday, 23 February 2018

Plus ça change


Keir Hardie was a fascinating and impressive character, as I’ve discovered from his biography by Bob Holman. It’s little wonder that he is often referred to as a hero. A brief account of his life by Professor Holman, https://keirhardiesociety.co.uk/about-keir-hardie/, begins, “Born illegitimate and in poverty in 1856 and working in the coal mines from the age of ten. Yet Keir Hardie was to become the main founder of the Labour Party. An active trade unionist, he was sacked by the pit owners and became a trade union official, living in Cumnock with his wife, Lillee, where he was active in a local church.” Near his conclusion he writes, “He should… be praised for the life he led. He put principles into individual practice. He lived modestly and never used politics to enrich himself. He wanted no honours. He spent little time with social elites and always kept in touch with ordinary people. We need his like today.”

Which perhaps goes some way to explaining why he was generally loathed by the press, controlled then as generally now by very rich press “barons”. He continually attacked vested interests. He considered the exploitation of workers as a flagrant violation of the Gospel imperative to love your neighbour as yourself and wasn’t afraid to say so. When he died, only his local newspaper in Scotland honoured his achievements. The Times  wrote: “It was Mr Hardie’s misfortune that he inherited more than an average share of Scottish dourness. The spirit of compromise played but a minor part in his activities. This negative much of his work for the party for which he worked, while his imagination led him astray on many vital points….`’  

Maybe the press proprietors’ antipathy to him was unsurprising. He had little time for them. He moved a private members’ bill in the Commons in 1901, which blamed poverty on private ownership and called for “a Socialist Commonwealth founded upon the common ownership of land and capital, production for use not for profit, and equality of opportunity for every citizen.” “This House and British nation,” he said, “know to their cost the danger which comes from allowing men to grow rich and permitting them to use their wealth to corrupt the press, to silence the pulpit, to degrade our national life, and to bring shame and reproach on a great people in order that a few unscrupulous scoundrels might be able to add to their ill-gotten gains.” That would be a powerful enough sentiment to express today. I imagine it was even more unpalatable then.

This week we’ve had the strange case of The Sun newspaper (along with The Daily Telegraph, The Daily Mail and The Daily Express, which all ran the same story) falling silent after breaking a scoop story about Jeremy Corbyn having been a Czechoslovakian spy in the 1980s. It proved groundless, but gave Conservative politicians licence to attack the man they most fear. However the newspapers have dropped the story – for the time being at least.HH
Hoho

Meanwhile the Deputy Labour leader, Tom Watson, in The Independent newspaper, “argued the new attacks on Mr Corbyn fit a pattern going back decades, which has also seen the same papers attack Ed Miliband’s father as ‘the man who hated Britain’ and vilified Neil Kinnock.
“Mr Watson’s attack comes as Mr Corbyn was forced to threaten legal action against Ben Bradley, an MP and a vice chair of the Conservatives, who, after reading the newspaper coverage, made claims on social media that the Labour leader had ‘sold British secrets’ to communist spies.
“In his article, Mr Watson writes: ‘Newspaper proprietors in this country abuse their power.
‘It’s a unique kind of self-harm for a newspaper to print a story they know is poorly sourced, decide to run it regardless because it suits their political agenda, and pass it off as news.’”

I suspect the same motivation lies behind this dislike of Mr Corbyn as lay behind the attacks on Keir Hardie over 100 years ago. He didn’t seek their favour or mince his words, unlike the majority of those in power in recent times. And in the last two election manifestoes Labour has committed to initiating Leveson Enquiry part 2, which they fear would place them under legal obligations rather than their own rather easy-going voluntary code. He is in their view a danger. What he certainly is not is a traitor, as some Tories were stupidly saying, as Andrew Neil ably demonstrated in his interview with Brexit minister, Steve Baker, on Wednesday – which is one of the best pieces of interviewing I have seen. “Surely the real scandal, Mr Baker, is not what Mr Corbyn has supposedly done, or not done; it’s the outright lies and disinformation which your fellow Tories are spreading. That’s the real scandal, isn’t it?” I urge you to watch the four minutes of eye-opening viewing. And where it started was with an under-researched malicious piece of journalism in one of our tabloid newspapers.

Tuesday, 20 February 2018

Charity concerns


Charities are suddenly under fire. Any misdemeanour (and there clearly have been a number, charity workers being as human as the rest of us with less altruistic occupations) is now leapt upon with the pharisaic zeal which seems to be the mark of this age. However I wonder whether charity workers are any more prone to sexual exploitation than, say, businessmen. Are the media up in indignant arms over people at a sales’ conference in the developing world using and abusing local women and minors? I suspect it happens.

I understand that there is a peculiar dissonance between the altruistic aims of an aid charity and such behaviour. Yet is there an element of foreign-aid bashing in the obsessive focus on a systemic failure in Oxfam? Is it a coincidence that it comes within weeks of the Oxfam report released at Davos, which pointed out “Eighty two percent of the wealth generated last year went to the richest one percent of the global population, while the 3.7 billion people who make up the poorest half of the world saw no increase in their wealth, according to a new Oxfam report released today”? Discrediting charities which speak uncomfortable truth to power would allow some very rich and powerful people to sleep more easily at night. It would also suit right-wing newspapers which campaign to reduce our country’s overseas aid budget of a mere 0.7% GDP. And of course politicians of an insular persuasion will use it as fuel to divert money from the ethical, and self-interested by the way, relief of our fellow human beings.

I trust that the overwhelming good performed by such charities will not be obscured by the fallibility of their human employees. We create enough misery throughout the world in one way or another. It would be an even bleaker place were charities such as Oxfam and Save the Children not to exist or were starved of support. It's tragic that 7000 donors have cancelled their subscriptions to Oxfam. Who will suffer? Not the donors.

Nevertheless, even before the Oxfam news, I had been thinking about the role of charities, maybe because I’d been reading Bob Holman’s biography of Keir Hardie (http://www.lionhudson.com/page/detail/?K=9780745953540). He famously had a contretemps with Lord Overtoun, the Scottish industrialist whose much lauded philanthropy did not extend to his own employees.

I wrote to a theologian I know:
“Do you think churches setting up things like food-banks, homelessness shelters and street pastors is a good thing? 
“What I’m wondering is this. Were they not there, the true effects of government cuts in the name of financial responsibility would be acutely obvious and politically intolerable. As it is, the churches’ benevolence mitigates the effects of cuts in benefits and cuts to policing, and the vulnerable suffer, so that the well-off can remain comfortable. ‘Let them make do with sticking plasters.’
“It suddenly occurred to me.”

He sagely replied, “There is a danger in providing permanent sticking plasters instead of sorting the problem; but I don't see how Christians can pass by on the other side when the man is lying there mugged. But if it becomes an excuse for not pushing on the political structural fronts, eg working for proper policing on the Jerusalem-Jericho road or a health service that is meeting the needs, then we are at fault.... And that easily happens with conservatives.”

As far as I know, this theologian is not a socialist. Keir Hardie (1856-1915) who shared his Christian faith certainly was. He was, as Professor Holman suggests, possibly Labour’s greatest hero. Hardie rightly wrote, “Poverty can never be remedied by charity, but only by justice.” That was his political motivation. “The Labour Party stands for something which no other party does. Its aim is the abolition of poverty.” What a great aim! Oxfam's vision is "We won't live with poverty". Little wonder some people would like to undermine it.

Wednesday, 7 February 2018

Tweeting truth


I want to gripe again. My question is this. When do you ever hear what a politician really thinks?
 
Cartoon from Cartoon Stock
Maybe Donald Trump’s tweets are genuinely his thoughts. But if they are, then where do his more reasonable speeches come from? Are they really what he thinks and wants? Or are they what his speech-writers reckon will go down well with his audience at the time? Certainly his minders minded when in the early days he strayed off-script. And it’s probable that they now also try to vet his tweets, with limited success it must be said.

Meanwhile on our side of the pond it’s fairly obvious that our prime ministers don’t have the time to write the host of speeches they choose to deliver every week. One imagines that their party minders, the ones who pre-brief on coming speeches, suggest a promising topic as well as a crowd or party pleasing line; the PM chooses it and the speech writers produce it for her to deliver. And so we have the curious phenomenon of shifting policy arguments stated with all the conviction of a university debating chamber.

How I long for a politician whom one knows where they stand! And I don’t think I am alone. I suspect the perceived straightforwardness of Jeremy Corbyn accounted for the unexpected success of Labour at the last general election, and the beautifully articulate rigidity of the honourable member for the 18th century, Jacob Rees-Mogg, explains similarly his unaccountable and regrettable popularity among certain circles. Even the wily Father of the House, Ken Clarke, remains consistent  at the expense of his colleagues falling asleep.

There is, it seems, a struggle between politicians of convenience and politicians on conviction. Sadly often those with political aspirations start off with conviction but the pressures of expediency and the pursuit of power soon squeeze them into the mould of convenience.

It would be nice to believe that a good interviewer might elicit the truth from a politician. But of course the party machines have that awful possibility covered as well. Their representatives are intensively trained in interview technique, which we recognise all too well. It seems to boil down to, “Don’t answer the question asked. Have a sound bite and repeat it at every opportunity. Above all, stay on message.” In my view, the adversarial nature of the interviewing game has done nothing for honest politics. Belligerent interviewers such as John Humphrys simply produce defensive politicians.
 
E B Herbert, The Fox Hunt
Let me add one thing. I’m not blaming politicians more than anyone else. The rest of us have a mob mentality, like a pack of hounds led by journalists on their high horses, seeking out any weaknesses and hunting down our prey to their political extinction. We relish the chase. Perhaps if we respected our politicians more, who are entrusted with a huge responsibility on our behalf, we might receive the respect of their honesty in return.

So, meanwhile, are Donald Trump’s tweets the nearest we will get to knowing the honest views of a politician? If this is as good as it gets, how sad.

Friday, 2 February 2018

Beguiling statistics


I’m not accustomed to watching BBC’s The One Show, but I did catch it on Wednesday this week, when there was an item on the charity Dentaid in Yorkshire town of Dewsbury. It mainly works overseas, but, as its website (https://www.dentaid.org/uk/) puts it, “It is a sad fact that many people in Britain are unable to access safe, affordable dental care. Although the NHS offers first class dental services, many vulnerable people aren’t registered with a dentist and only seek treatment when they are suffering pain.
“In some parts of the country there are long waiting lists for NHS dentists and people are developing dental problems while they are waiting for a place to become available.
“Dentaid is also aware that homeless people, those with a history of drug and alcohol abuse or patients with mental health problems can face obstacles when visiting a dental surgery.
“Furthermore, up to 40 per cent of children in the UK are not receiving any dental check-ups or oral health education.
Dentaid has a range of projects in the UK to tackle these problems.It offers free dental service to those who can’t get NHS treatment for one reason or another.” 


One of those was the mobile clinic visiting Dewsbury, treating around 200 people in a fortnight.
Photo from Dentaid's website; treatment in Dewsbury

This post isn’t about the multiple reasons, such as the cutting of school dental services and the push towards privatising health services, that have given rise to this. However it is about a passing remark made by Eddie Crouch, Vice Chair of the British Dental Association, being interviewed by Alex Jones and Matt Baker.

He stated, “Access to local NHS dentistry is a problem everywhere.” And so Alex Jones commented, with I assume a government statistic, “You know, there has been an increase in NHS dentists, 20%; so you would think that would improve things slightly. But not so?”

Eddie Crouch: “Well, what we’re talking about there is the global number of dentists actually in the NHS, but we’re not talking about the number working full-time in the NHS. That figure is irrelevant really. If the whole time numbers of dentists working in the NHS hasn’t increased, and in fact the funding hasn’t increased for a long time; so even if there were more dentists working in the NHS, they’re only working with the same amount of funding.”

He is of course right. Governments are fond of confounding criticism with statistics. Just watch Prime Minister’s Questions or listen to the Today programme. However one can select statistics to prove any case. Perhaps the most egregious example is to do with unemployment. The number of unemployed people has according to government figures been gratifyingly decreasing year by year. And yet oddly the average standard of living has also been falling and homelessness rising. One is therefore left with questions such as how many of the “employed” are working part-time, how many are on zero hours contracts, what sort of jobs are these “employed” working in and how many have been excluded from benefits by other means.

The important question is not about the statistics, but about the outcome. Mark Twain was reported as saying, “Figures often beguile me, particularly when I have the arranging of them myself; in which case the remark attributed to Disraeli would often apply with justice and force: ‘There are three kinds of lies: lies, damned lies, and statistics.’” I think he meant that statistics could be used to prove anything.  

It's an eloquent commentary on the current state of the NHS that desperate patients are being compelled to resort either to private firms - or to third-world charities.

Wednesday, 31 January 2018

Scape-goating Dr Hadiza Bawa-Garba


I referred to the NHS Newsday post on the left in a comment on my post of Carillion. It should give us all pause for thought and check any enthusiasm for contracting out even minor services. Here it is.

It’s not often I find myself agreeing with Jeremy Hunt, whom I suspect of being the smiling face of NHS privatisation – and it appears I’m not alone (Stephen Hawking and others accuse Jeremy Hunt of backdoor NHS privatisation) -, but I agreed with him when he tweeted that he was “concerned” about the implications of the case of Dr Hadiza Bawa-Garba. The General Medical Council may have been technically correct in upholding the rulings of the court, but if the original court did not hear all the evidence surrounding the tragic death of Jack Adcock, particularly about the systemic failures in the Royal Leicester Infirmary and the health trust then the question is whether justice was done in the first place.

I understand the boy’s mother wanting someone to be held responsible, but it seems unlikely that the right person was found guilty. The fact that Dr Bawa-Garba’s fellow doctors have crowd-funded over £200,000 to remedy what they fear is a miscarriage of justice which could affect them all is telling. An orthopaedic registrar explained their feelings on their Facebook page.
26 January at 22:17 ·
“So yesterday, a highly regarded junior doctor was struck off the GMC register after the GMC successfully appealed against the judgement of the Medical Practitioners' Tribunal Service.

“She was struck off because a child died. And that is a terrible thing. But as a tribe, we junior doctors are horrified. Why? Because this junior registrar, just back at work after more than a year off for maternity leave, has been scapegoated for system failings.

She was doing the job of two registrars, and the consultant who was supposed to be supervising her was in another city. So she was covering six wards and dealing with medical issues on the surgical wards, plus taking referrals and calls, with one FY1 (foundation year 1 doctor) and one SHO (senior house officer), both of whom were new to paediatrics. She was moving as quickly as she could, and working as hard as she could. She was no doubt anxious to make a good impression in her new post. She had had no trust induction. The blood reporting system was broken. She had missed handover because of a cardiac arrest. She mixed up two children and confused one DNAR (do not attempt resuscitation) child with another who was not - note the nurses had swapped the two patients beds around, and not told her. Concerns about the child deteriorating were also not raised to her by the nursing team. The child was given a medication for blood pressure, the last thing you would want for an unwell, dehydrated child, which she had quite rightly not prescribed, and then they arrested. How is this manslaughter? How she was then treated by her senior colleague and by the police when they arrested her 18 months later (it's not polite or reasonable to keep a breastfeeding mother away from her two-week old baby for seven hours while questioning her and any statement she signed at that time must be considered under duress) is another, horrifying issue.

“So why are we horrified? We have all been here. We have all been that doctor who is doing the job of more than one person, where our boss is not helping, and we are hours behind in what we need to do, everyone is annoyed with us, and we are annoyed with ourselves because we know our patients are not getting the care they should have. We have all been desperate to eat, and go to the toilet, and just sit down and do nothing for five minutes. We have all mixed patients up. So all of us look at this and think: 'This could me'.”

There’s an impressive professional assessment of the affair by a number of paediatric consultants: Account of GMC action against Dr Bawa-Garba.

As a mere layman, it seems that the hospital administration which permitted such pressure to be placed on a comparatively junior doctor’s shoulders have some answering to do. It appears to me that the sad sad death of a precious boy with Down’s Syndrome was caused by something more than one doctor’s human error. It involves poor management within the hospital, the irresponsible stretching of resources and, ultimately, the restricting of those resources by central government for its own socio-political purposes. That the individual doctor at the fulcrum of the system which caused her to make a mistake which proved fatal should bear the whole blame is a reprehensible example of scape-goating – a habit which it seems is becoming increasingly popular. There was once a time when the man at the top would accept responsibility for things which went wrong on his watch.

In the words of a searing article from the right-wing Bow Group,
“The outcome is to inflict a penalty on a single individual; to destroy an otherwise flawless career on this chain of events should chill every professional and indeed any member of the public. We all have a right to know our accuser and in this case it was clearly not the GMC as a whole. It has put back accountability of healthcare at least a decade by returning to the culture of shame the system by blaming the doctor. It was this refusal to see systemic failures that led to so many deaths in Mid Staffs and Morecambe Bay among others and has led in a much less publicised manner to a cruel and needless assault on the mental health and financial viability of many doctors, for some of whom it was too much to survive.” 

Finally I recommend an excellent post by Dr Rachel Clarke, a palliative care doctor who knows the pressures of being a junior hospital doctor in the NHS. She expresses the dangers of the case far more clearly than me. The Hadija Bawa-Garba case is a watershed for patient safety.

Monday, 29 January 2018

Bat and bird norms


This morning before dawn I woke up to hear our nocturnal robin singing quite energetically. I guess it’s not perversity that makes him or her tweet away in the night. I’ve always assumed it was the result of his/her territory being over the road from one of those orange sodium street lights. However I believe that this habit predates cars and electric lights. He's not abnormal. He may not, after all, have been corrupted by our modern culture.

It put me in mind of a story I’ve just come across in a blog article, Turning a Unicorn into a Bat: the post in which we announce the end of our marriage. It's a long and moving article about a gay husband and straight wife divorcing after a long and happy marriage held together by their shared faith. Lolly, wife to Josh, summarises the story like this. “Stellaluna by Janell Cannon. It’s a charming story with beautiful illustrations.
“Stellaluna was a tiny baby fruit bat. One day, Stellaluna’s mother was out flying with Stellaluna, when suddenly an owl attacked them. The owl knocked Stellaluna out of her mother’s grasp, but luckily she ended up safely in a bird’s nest. Stellaluna was allowed to stay in the bird’s nest as long as she acted like a bird. She ended up giving up all of her bat ways—she slept at night, ate bugs, and never hung upside down because Mama Bird told her that those things were wrong. Stellaluna tried very hard to be a good bird, even when it was very difficult.

“One night, Stellaluna ended up finding her bat family who convinced her that her bat ways were not wrong for her—that they were part of who she was. Maybe they were wrong for a bird, but not for a bat. They fed her delicious mango and taught her to fly at night and she realized she never had to eat bugs again. When she finally accepted her identity as a bat, she found happiness she never knew.”

If you want to hear the whole story being read, you can hear it here: Stellaluna read. Full life must include being the way you were made, mustn't it? When we dictate that someone should be like us, we run the danger of killing the real them.