Article

|

I’ve had the mixed blessing of having to go into work throughout the Covid-19 pandemic. I am obviously luckier than some to have a job but that offered me no protection against the envy I felt towards those working from home. As reduced timetables pushed my daily commute to nearly two-and-a-half hours combined with my pre-existing belief that I am more productive working from home I would trek into work, grumbling about work-life balance, as I passed other people taking advantage of their reclaimed travel travel time by going for a run or a stroll.

It was almost inevitable I would start cycling in. First of all with a borrowed Brompton which I’d use to miss a few stations at the beginning and end of the commute as I built up to using my hefty old bike that would creak and groan as I finessed my form and route to get the daily travel time well under two hours. And I enjoyed it.

Even during this summer’s heatwave I would cycle to and from work, taking it a little easier in the morning to try not to get too sweaty but making it a little more challenging on the way home. I would set little goals. Try to stay in higher gears a bit longer uphill, have secret races with cars that could clearly beat me on the straight but had to slow right down for traffic calming. I’d obsess over segments on Strava, usually wondering why it was so slow when I’d felt so quick. It all added to the enjoyment.

When it wasn’t a fair-weather thing, and I found myself opting for the bike knowing I’d have a headwind the whole way or that I’d get soaked in the rain, I felt I had become a proper cyclist. I was just enjoying it.

And then I stopped enjoying it. I don’t know exactly when. But at some stage I realised I’d not had a moment’s pleasure while cycling for a while. It had changed. No longer free and fun, it had become more stressful. The secret races with cars morphed into constant threat assessment. Do they know I’m here? Are they really going to try to turn left just in front of me? Did they really need to pass so aggressively? And the journey got slower as cars blocked cycle-lanes using them to peek out so they could turn, or drove close to the curb preventing cyclists getting to the head of the line at lights. While I optimistically assume that most of this was unintentional, rather than anti-cyclist, behaviour there isn’t much room for nuance when competing against one-and-a-half tonnes of car.

Looking for an upside I only had one incident of abuse, but that’s probably because that’s mainly reserved for women.

It was also quite notable that it felt distinctly worse cycling in Wandsworth (my commute would take in four boroughs). I don’t know if this was something to do with the nature of Wandsworth drivers or the transport policy in Wandsworth Council. My previous experience suggests the latter, although the recent entitled outcries by drivers aggrieved at cyclist-friendly policies might suggest the former has a part to play as well. It was both sad and sadly predictable that Wandsworth, in so many ways a like a discount version of the current government, would u-turn on its attempts at rebalancing streets in favour of pedestrians and cyclists.

I do, of course, get why people would want to drive. Public transport is filling up and might not feel safe. Time tables are still restricted. Buses a split between schools and everyone else. But the pressures on people to get back to work to save Pret A Manger are there. I get that there are a mix of motivations and that while there are undoubtedly some who fervently believe in their God-given right to drive an over-sized 4×4 on narrow urban stress most are probably just doing what they think is right. And perhaps they are, it’s quite hard to know what is right when the current rules are that you should work from home except that you should go to work but never be with more than six people unless there’s money involved because it’s a shop or a pub when you should wear a face covering apart from when you shouldn’t.

It is just another example of mismanagement, both nationally and locally, the pandemic and its consequences. It just feels a shame that having seen so many benefits of a city with fewer cars bring air and noise pollution we are so desperate lose them all. It does, I suppose, just add one more reason why I rather like home-working.

Article

|

I am now enjoying a short break between jobs. Fortunately (and I know there are many in a less fortunate position) it is a planned break. Originally intended to include the Paris marathon and a lengthy break with the family my plans have changed to pretty much just staying at home. Even the things I can still do are affected. I no longer run in a straight line as I curve around people mutually maximising our social distance. My plans to make up for lost time as a school governor have transformed from lesson walks and observations to video meetings and a focus on health and safety and safeguarding.

If it was a badly timed break it is also a badly timed job start. I am, after a brief dalliance in the private sector, returning to the NHS. I cannot pretend it’s a noble move: it was not COVID-19 motivated and by the time I’ve got to grips with my role, new organisation and relationships we may well be past the pandemic peak but the virus will still make starting a job in any organisation an unusual experience.

But the pandemic does highlight why I am going back to the NHS. I was a late and accidental joiner but felt a strong sense of purpose from my very first day. Part of the reason I’m returning is because, even though remained in healthcare, I never felt that same sense of purpose after I left. The NHS is a huge and complex organisation and my contribution was, and will be, small. But the NHS is the sum of those small contributions and each one is worthwhile.

As I stood at my front door joining in the last night I was reminded of the Nigel Lawson comment that the NHS was the nearest thing this country has to a national religion. He, of course, made that comment with the sneering contempt you would expect him to have for a public sector institution. It was clear last night, though, the public attitude would be very different.

The NHS, despite its imperfections (often introduced, I would argue, in the attempts to ‘improve’ by introducing the market) and years of underfunding, remains one of this country’s greatest assets. I’m very much looking forward to having some time with my family but incredibly proud and excited and just a little impatient to be back in the NHS.

Article

|

An interesting take in The Guardian on the impact of a decade of reform on the response to Coronavirus. England’s ravaged public health system just can’t cope with the coronavirus:

The impoverishment of the NHS and the public health system in England is not the only depletion that has occurred in civil society that makes us ill-equipped to respond effectively to the greatest global health crisis in a century.

One of the first acts of the coalition government when it came to power in 2010 was to dismantle the regional structures that had provided a coherent mechanism for integrating and carrying out government policy within the English regions…the coalition also stripped the NHS of its regional management tier following the wide-ranging “reforms” of the 2012 Health and Social Care Act.

The result is the absence of any integrational, coordinating or management function at a regional level in England that could operate between Whitehall departments and the various bodies, often very local, that are charged with implementing government policy. The fact that some national bodies have adopted internal organisational boundaries that cover completely different geographical territories has also complicated the situation. This is notably and unfortunately true with respect to the key health bodies, NHS England and Public Health England.

I had been pondering what impact the reforms introduced since 2010 have had. Things like the move of public health from the NHS to local government can make it more responsive to local needs but also more at the mercy of local financing whims and at the cost of losing central control.

I am, by instinct, a localist but there is a lot to the argument that stripping out the middle tier and fragmenting other provision across the public, private and third sector has harmed our initial ability to mobilise against the pandemic.