Why Brexit Britain needs to upskill its workforce

Simon Kuper in The FT

A British hospital director told me he was hunting for staff to replace foreign doctors and nurses leaving because of Brexit. He hadn’t found many qualified Britons queuing to replace them. In fact, he specified: “Not one!” 

You could interpret this as yet another cautionary tale about Brexit. In an age when the chief global business cliché is the “war for talent”, the UK is fighting a war against talent. But if I were a Brexiter, I’d say: Brexit should be the prompt for Britain finally to start training enough of its own talent. 

Obviously, I’m not arguing that every departing foreigner frees up a job for a Briton. Economists dismiss such reasoning as the “lump of labour fallacy”. Rather, I’m saying that if the UK wants to avoid economic decline, it will need to train far more of its own nurses, construction workers, bankers, architects, etc. For a country whose policy has always been not to educate the working class, that would be a reversal of history. It would come too late for the over-45s (the generation that actually voted for Brexit), but it could transform the futures of young Britons. And it’s doable. 

The British tradition is to educate each class separately, writes historian David Cannadine in Class in Britain. Even in the 18th century, posh males went to public schools and Oxbridge, whereas the poor were taught almost nothing. The purpose of education then, says Cannadine, “was more to teach people their place than to give them opportunities to advance”. His words apply pretty well to today’s country. The alumni of nine expensive “public” schools are now 94 times more likely than the average Briton to reach the elite, according to London School of Economics research. (The conservative Daily Telegraph reported the findings under the headline, factually accurate as far as it went, “Boys’ public school dominance over British elite has ‘diminished significantly’ over time”.) 

The UK — without any more wars of conscription and with few surviving factories or mines — now struggles to find a use for low-skilled people who live in places where they can’t perform personal services for higher castes (see this week’s cover story on Blackpool). 

Before Brexit, the rest of the country didn’t need these people. High-skilled immigrants staffed world-class British sectors such as the City and London’s creative economy. In healthcare, the UK developed a brilliant racket: let a poor country like Romania fund a nurse’s education, then underpay her to look after sick Brits. Low-skilled immigrants eager to work all hours for little money gave the UK cafés, carers and corner shops that seldom closed. Low-skilled Britons could have done these jobs, but mostly didn’t. 

The coming wave of British talent is largely immigrant too: the kids who have made London’s state schools the UK’s best, plus the offspring of Russian, Chinese and other foreign elites who fill the public schools. Many of these people would love to stay and make the UK richer. 

But Brexiters want to cut immigration. The obvious, if tricky solution: equip working-class Brits to do jobs from nursing to banking. “That’s the opportunity,” says Charles Leadbeater, a consultant who has long advised British governments on innovation and education. “I just think it won’t happen. It would require something like a wartime national mobilisation of people and skills. That would require state leadership of the kind most Brexiteers abhor.” 

Leadbeater points out that Tory Brexiter politicians — almost none of whom send their children to state schools — rarely talk about apprenticeship schemes à la Switzerland. Instead, their vision seems to be a low-tax, low-regulation Britain. 

Jonathan Portes, economics professor at King’s College London, adds: “The problem of UK vocational education has been known for at least a century. We’ve always neglected it. When I was involved in government we had a new skills strategy every two years, and none of them worked.” 

Anyway, executing Brexit will distract ministers and civil servants for years to come. “The government has neither the fiscal room nor the mental bandwidth to do much about skills,” says Portes. In fact, in August the UK removed the NHS bursary for people training to be nurses, midwives and speech therapists, among other professions. Students now have to fund their courses themselves, knowing they can expect a low lifetime salary. 

If Britain doesn’t upskill its workers fast, it will lose skilled jobs. It will continue to have the world’s best universities per capita only if it can find enough Britons to replace departing foreign academics. Much the same applies to finance or design. Meanwhile, low-skilled foreign fruit pickers have already melted away since the pound plunged. With few Britons queuing to replace them, much of this year’s produce rotted in the fields. 

So the most likely post-Brexit outcome is a Britain that cannot keep itself in the style to which it has become accustomed. The war against talent will probably leave the UK looking a bit more like today’s English seaside towns, or most of the country in the 1970s: culturally homogeneous, relatively poor and under-serviced. On the upside, housing should be cheaper. For many Brexiters, I suspect the trade-offs will be worth it.

Is this the loneliest generation?

The Government is trying to quantify social isolation amid health fears

Brian Brady

Sunday, 13 January 2013

Government officials have been ordered to find out exactly how lonely Britain's population is, amid concerns that "the most isolated generation ever" will overwhelm the NHS.

The Department of Health is attempting to measure the extent of "social isolation" in the UK, after warnings that it has sparked spiralling levels of illnesses including heart disease, high blood pressure, dementia and depression.

Research has revealed that loneliness is a growing problem in the UK – particularly among the elderly – with one in three admitting that they sometimes feel lonely. Among older people, more than half live alone, 17 per cent are in contact with family, friends and neighbours less than once a week, and almost five million say the television is their main form of company.

However, the trend is expected to worsen in the coming years. The Office for National Statistics disclosed last year that the number of Britons living alone has risen to a record 7.6 million – one million more than in 1996 and amounting to almost one in three households.

But beyond the personal problems the "loneliness epidemic" presents, ministers have been put on alert over its wider impact – and financial costs. Loneliness is blamed for piling more pressure on to health and social care services, because it can increase the risk of complaints including heart disease and blood clots. Experts also believe it encourages people to exercise less and drink more – and ultimately go to hospital more often and move into residential care at an earlier stage.

The Government's attempts to measure social isolation among people using health and social care will increase the pressure on the NHS and councils to tackle the problem now – to slash millions from their spending on the effects of loneliness in the future.

The care and support minister, Norman Lamb, said: "For the first time, we will be aiming to define the extent of the problem by introducing a national measure for loneliness. We will be encouraging local authorities, NHS organisations and others to get better at measuring the issue in their communities. Once they have this information, they can then come up with the right solutions to address loneliness and isolation."

It is the latest in a number of attempts to gauge, and change, the national mood: Tony Blair appointed the LSE academic Lord Layard as his "happiness tsar", while David Cameron has previously tried to measure people's well-being. In each case, the driving aim was to cut health and social welfare costs by making people feel better about their lot.

An official guide on combating isolation, issued to local authorities by the organisation Campaign to End Loneliness, says: "Tackling loneliness will reduce the demand for costly health care and, by reconnecting individuals to their communities, it will give renewed access to older people's economic and social capital." The guide points out that a scheme in Essex where lonely people were "befriended" by volunteers cost £80 per person but produced annual savings of £300 per person. Another project directing older people to local services cost £480 but realised savings of £900 per person.

Anne Hayden, a Dorset GP, saved more than £80,000 in costs for six patients who were "high users of NHS services" with a befriending scheme to boost their emotional well-being. David McCullough, chief executive of the WRVS (formerly the Women's Royal Voluntary Service), said: "It's to the benefit of not only the patient, but also the NHS as a whole, that GPs spot the early warning signs of isolation and refer patients to services such as befriending or community centres."

Case study

Win Noble was a nurse who had to give up work to care for her husband after he had a stroke and heart attack.

"It's not until you're on your own that you feel miserable. My husband died in 2001. I had nursed him for 20 years.

"In 2005, my next-to-oldest daughter died and then so did my youngest daughter. I was on my own because the rest of the family don't live in the area and I'm partially disabled, so I can't really socialise. One of my other daughters is housebound, one lives in Rhyl and one in Skegness and my only son is in Sleaford. I hadn't seen my son for five years but he rings me and came down this week.
"I don't see the others. I used to read a lot of books, from the mobile library, and I do a lot of puzzles just to keep occupied.

"Age Concern contacted me and suggested a craft class. After a few weeks they started to get a group together to play games like Scrabble and have quizzes. I got really involved and really enjoyed it. I became a volunteer and people needed me again."

Rachael Bentham

Jacintha Saldanha: Duchess hospital nurse suicide note 'criticised hospital'

A suicide note left by the nurse found dead after the hoax call to the hospital treating the Duchess of Cambridge criticised fellow staff, it emerged tonight. 

By Gordon Rayner, and Andrew Hough in The Telegraph

11:45PM GMT 13 Dec 2012

The letter was one of three Jacintha Saldanha, 46, wrote before she was found hanging in her room at a nurses’ accommodation block at the King Edward VII Hospital in London last Friday.

Injuries to her wrists were also found, a coroner heard today. Attempts were made to revive the nurse but they were "to no avail".

Mrs Saldanha, from Bristol, had left three suicide notes for her family and had also written emails and made telephone calls that police believe might help shed light on what happened, the court was told.

Tonight, reports claimed that one note specifically addresses her employers and criticism of hospital staff despite officials previously maintaining they were fully supportive of the nurse. 

The Guardian reported that one note also specifically referred to the hoax call made by the two Australian radio presenters while a third detailed wishes for her funeral.

Two notes were found at the scene in central London and the third recovered in the nurse’s belongings.

The mother of two’s family has been given typed copies of the three handwritten notes by the police and has read the contents, the Guardian claimed.

It has been reported that the family did not know about the hoax call until after Mrs Saldanha’s death.
Today, during a five-minute hearing at Westminster Coroner’s Court, Det Chief Insp James Harman said Mrs Saldanha, a night sister, was found by a colleague and a security guard who called the emergency services.

DCI Harman told the court: “At this time there are no suspicious circumstances apparent to me in relation to this death.”

Detectives are talking to witnesses, friends, colleagues and Mrs Saldanha’s telephone contacts, DCI Harman said, in order to establish the circumstances that may have led to, and contributed, to her death.

Referring to the two 2 Day FM presenters who made the prank call, he added: “You will be aware of the wider circumstances in this case and I can expect in the very near future we will be in contact with colleagues in New South Wales to establish the best means of putting the evidence before you.”
Coroner’s officer Lynda Martindill said Mrs Saldanha’s accountant husband Ben Barboza, 49, had identified her body. The coroner opened and adjourned the inquest, with a full hearing listed for March 26 next year.

None of Mrs Saldanha’s family attended the hearing, but one of her colleagues was there. The coroner said: “Can I express my sympathy to you and to the family.”

Mrs Saldanha was a nurse at King Edward VII hospital, West London, where the Duchess of Cambridge was being treated for severe pregnancy sickness.

During the hoax call, the nurse transferred the DJs, believing they were the Queen and Prince of Wales, to a colleague who described in detail the condition of the Duchess of Cambridge during her hospital treatment for severe pregnancy sickness.

The Australian DJs, Mel Greig and Michael Christian, have both issued emotional apologies for her death and have since been moved into “safe houses” and given 24-hour bodyguards after receiving death threats.

It emerged last night that the broadcasters responsible for airing the call are to be officially investigated by the Australian Communications and Media Authority, which regulates radio broadcasting, in line with the Commercial Radio Codes of Practice.

Her family are set to receive more than £320,000 from Southern Cross Austereo, the parent company for whom the presenters work for.

The hearing comes on the day that Southern Cross Austereo (SCA) is to resume advertising on 2 Day FM. All profits from the adverts until the end of the year will be donated to a memorial fund established in aid of her family.

Keith Vaz, the Labour MP who is helping Mr Barboza, daughter Lisha, 14, and son Junal, 16, said a memorial service would be held in Bristol tomorrow, followed by one in Westminster Cathedral on Saturday. The hospital has offered bereavement counselling for the family in Bristol, which they have decided to take up, he added.

He did not attend the hearing but said of the family: “They are grieving in their homes, they are comforting each other and the community is comforting them, that is why they have not come.” Her body was released to her family in order to arrange her funeral in India.

A hospital spokeswoman tonight said no one in senior management knew what the contents of the notes left were but she said officials “were very clear that there were no disciplinary issues in this matter”.

Both the nurses involved had been offered “full support” and “it was made clear they were victims of a cruel journalistic trick,” she added.