There’s a growing crisis in our A&E departments. Ambulance crews have to wait to hand over their patients to staff at A&E until a cubicle is available. At the same time hospitals are really struggling to discharge patients to go home or to community health services due to cuts in social services.
As a result of the delays in discharging some patients from hospital, there is a lack of beds for people arriving at A&E. So people stay in A&E and ambulances have to wait.
Ultimately, the delays at A&E are a result of problems all the way through the system, partly from money being spent on a top-down re-organisation and partly as a result of massive cuts in council services. Doctors’ leaders have now spoken out about the growing crisis, warning that the system has been left unsafe by “political meddling”.
It’s no good David Cameron blaming everyone else for problems in the health service – under him:
- thousands of nursing posts have been lost,
- we’ve had a wasteful and damaging reorganisation he promised wouldn’t happen,
- walk-in centres have closed,
- the new 111 service has collapsed, and
- they have cut social care to the bone.
David Cameron promised to protect the health service but the crisis he’s created in A&E reveals the truth: you simply can’t trust him or Nick Clegg with the NHS.
In recent weeks and months people have been shocked by how little tax some companies seem to pay in Britain. Sometimes there are good reasons why, such as funding investment in research and development. But all too often companies that pay low taxes in Britain are doing so because they can bend the rules to their advantage.
The Government has a particular responsibility to make sure that the tax burden doesn’t fall disproportionately on one group of taxpayers or another and that the taxes that are due are actually paid. Keeping the tax system up to date and, where necessary, reshaping it to take account of how international business is organised and run, is a vital part of that process.
There is widespread concern that the government is failing to do that. While good British firms and millions of families are paying their fair share, some firms don’t seem to be. This is not right and needs to change, and to tackle tax avoidance we need action in a number of areas.
We need to look at how the tax system can be reformed to make sure that it works properly in the modern world and for society today and delivers outcomes that are clearly and transparently fair. We also need to reform the rules that allow companies to have a lot of business in Britain but pay little, or no, tax in this country
We need a recovery made by the many, not just a few at the top and tackling tax avoidance so that we can all have confidence that everyone is paying their fair share is central to this.