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LJH's avatar

Totally agree. I’m pretty sure Starmer promised he was going to give us a Government that would “tread more lightly” on our lives. That’s a good instinct. But getting his homework marked ad nauseam by panels of busybodies seems like the opposite of that. Just crack on, chaps! We’ve had 14 years of Tories and they’ve left a horrible mess. You don’t have time for this.

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Steve H's avatar

I think you’re spot on with the trust point. Possibly the single most pernicious aspect of having had Tory governments that were shit at delivery, even on their own terms (eg small boats), for 14 years is that lots of people have concluded that politicians of all stripes will not deliver. And the most pernicious aspect of the new media landscape is that players will shamelessly lie and say the government has not delivered even when it has. This is especially damaging with the over 60s, who often subsist in a specific corner that tells them black is white (immigration is a great example of this).

On your broader point, I have once seen deliberative decision-making done well and used to accelerate, rather than decelerate, transformative change. But it was at a relatively micro level: changing how stroke care was delivered in London. Stroke consultants were very skeptical about the changes at the outset, but the deliberative process helped get them on board, and it saved hundreds of lives every year. But it needed a very smart and aggressive team to do it — Tony Rudd, Ara Darzi, Ruth Carnall, Hannah Farrar, and others. And it wasn’t a truly public process, because the participants were all specialists.

https://www.england.nhs.uk/london/wp-content/uploads/sites/8/2019/09/London-Stroke-Model.pdf

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