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August 20th, 2008

Smashing up BAA - an improvement for passengers?

Posted by: Astrid Zweynert

baa.jpgWhen the government established the British Airports Authority in 1965, its aim was to make airports more flexible and profitable. Profitable they may have been but flexibility is not something that Britain’s larger airports are renowned for.

The list of complaints about BAA is a long one, both from airlines and passengers. Airlines says the charges levied are excessive. Travellers say airport terminals are overcrowded, delays are all too frequent and increased bureaucracy has prevailed since the tightening of baggage restrictions in August 2006.

Some commentators say competition will do wonders for airports which might get run for the benefit of airlines and passengers rather than the operating company, which sometimes has been criticised as being more interested in making money from its airport shops than in giving travellers a speedy journey through its terminals.

“BAA is one of Britain’s most arrogant, complacent and customer-unfriendly businesses. It’s a showcase for the disbenefits of immunity from competition,” Jeff Randall writes in the Daily Telegraph. “BAA handles more than 90 percent of all airport traffic in the South East, yet treats those who pay its wages - airline passengers - as a nuisance. As long as it enjoys such monopoly power, we can look forward only to more of the same.”

But others argue that with BAA’s more than 40 years of experience and the company’s investment in the UK’s airports, a break-up could cause even more problems, and crucially, might not help sort out one of the key issues for transport policy - airport capacity. Heathrow, for example, is so close to bursting point that even small disruptions can lead to big delays.

Even British Airways, which has experienced its fair share of problems at BAA-owned airports, pointed out after the release of the Competition Comission’s report that the “ownership structure is secondary and that the focus should be on tougher regulation to help create more capacity.

Five years ago, the government published a 30-year air transport policy document. It was born following an exhaustive consultation process, which was open to every person in the country. An impressive 500,000 people from all over Britain participated, a reflection on what a crucial part airports play in people’s journeys.

The policy document recognised that new capacity remains the key issue facing Britain’s airports. It recommended that two new runways should be built in the south-east - one at Stansted and one at Heathrow, provided robust environmental conditions could be met.

Do you think the breakup of BAA’s airport empire will help improve things for passengers? Or is a complete rethink needed on how airports are run?

July 3rd, 2008

Family doctors dislike government medicine

Posted by: Tim Castle

Health Minister Ben BradshawA simmering row between family doctors and the government has erupted after Health Minister Ben Bradshaw accused GPs of stifling competition by operating “gentlemen’s agreements” not to poach each others’ patients.

Laurence Buckman, chair of the British Medical Association’s GP Committee, told the BBC the claim was “absolute nonsense”, but then rather undermined his own argument by adding:

“Nor are we going to compete for patients, that is not the way general practice works.”

But that is precisely the way the government wants general practice in England to work in future. It wants to improve patient access to family doctors and believes offering the public a choice of GP surgeries will be a popular and vital element of its plan.

It has already arm-twisted doctors into agreeing to offer extra evening and weekend appointments and is building 150 polyclinics — now referred to as “GP-led health centres” — open early till late, seven days a week, where patients can get seen without needing to register.

“My view is you can compete and collaborate at the same time,” David Colin-Thorne, the government’s national clinical director for patient care, told a media briefing. “Patients need choice to drive up quality and for flexibility.”

Mayur Lakhani, a former chairman of the Royal College of General Practitioners, told the same briefing that his research into the medical experience of black and minority ethnic people had found they were afraid they would be struck off their surgery’s register if they complained about their GP.

When they did try to change to another practice, they were faced with a long list of questions asking why they wanted to move.

“That shows the big culture change we have to undertake. The receiving practice, instead of welcoming a change, were actually putting barriers up,” said Lakhani.

“I don’t think patients will change GPs and practices every six months, but I think the ability to do that is very important.”

Family doctors will come under greater scrutiny, with their surgery’s performance against quality standards and the views of local patients published on the NHS Choices website.

The government wants to sweep away the days of being stuck with an unsatisfactory GP practice. The question will be whether it can keep pumping in the resources — and keep doctors sufficiently on-side — to make sure there are enough GPs around for patient choice to become a reality.

May 14th, 2008

School Sports Day — and the mother of all challenges

Posted by: Kate Kelland

sample.jpg“Come on!” the man yells through the megaphone. “Your children need to see you taking part. They need to see you running”.

That dreaded time has come. The School Sports Day season is upon us —  and with it comes the mother of all challanges — the Mums’ Race.

When I say challenge, it’s not so much the distance, or speed, but the ludicrous array of dilemmas it throws up.

Should you do it at all? Are you setting a bad example by racing against others, or does the lesson of taking part override any question about the morality of trying to beat fellow human beings to the finish line?

Or should you politely ignore Megaphone Man’s  invitation, despite having enjoyed watching your own and other people’s children gamefully and un-selfconsciously crawling through tunnels, racing around cones and leaping over obstacles for the past two hours.

Should you win, and embarrass yourself and your child? Or should you lose, and embarrass yourself and your child? 

Should you run in sandals, a strappy top and a floaty skirt, and risk what Janet Jackson once described as a “wardrobe malfunction”, or slip on the running spikes and lycra and shrug off the sneers of those less well-prepared?

Well, it’s summer, and the children are only young. So the best strategy is probably to go barefoot, in the middle of the pack, balancing a bean bag on your head and laughing all the way.