If you wanted to design a policy that looks like it fixes the NHS workforce crisis without actually fixing it, you might end up with something very like the Medical Training (Prioritisation) Act 2026. The Act requires the NHS to prioritise UK-trained doctors when allocating foundation and specialty training posts. In plain English: British graduates … Read more
Immigration has fallen sharply in both Britain and the United States over the past year. In Britain the change has been dramatic. Net migration fell from 649,000 to 204,000 in the year to June 2025 — a drop of roughly two-thirds. In the United States border encounters have collapsed from around 1.5 million to roughly … Read more
UK Politics 2025 British politics in 2025 has been described as chaotic, unstable and on the brink. That description is everywhere — in headlines, in think-tank briefings, and in the permanent background noise of grievance that now passes for commentary. It is also mostly wrong. What 2025 actually shows is something more unsettling: a government … Read more
Hysteria about immigration continues to dominate political debate in the UK — in the traditional media and across social platforms. The government is now under intense pressure to introduce tougher asylum rules to “appease public concern”. But that concern isn’t rooted in reality. Since Labour came into power last year, net migration to the UK … Read more
One of my old PCT colleagues died a couple of weeks back. A North East GP who was a staunch advocate of clinical leadership. If you have half an eye on the news, you’ll know something big is happening inside the NHS. But the scale of the NHS reforms 2025 is still flying under the … Read more
Another Magic Wand The latest “big idea” in economics is wealth taxes. The claim: Britain’s collapsing public services and messy finances exist because the rich don’t pay enough, and governments are too timid to act. I’m always suspicious of these kinds of fads. The right had its laffer curves, trickle-down theory and efficient markets. The … Read more