Kamis, 12 November 2020

Coronavirus: Year-long waits for hospital care in England worst since 2008 - BBC News

Doctor examining x-ray
Getty Images

The number of people waiting over a year for hospital treatment in England has hit its highest levels since 2008.

Patients are meant to be seen within 18 weeks - but nearly 140,000 of the 4.35 million on the waiting list at the end of September had waited over a year.

The number waiting 12 months or more has increased sharply this year - the figure in February was just 1,600.

Surgeons said it was "tragic" patients were being left in pain while they waited for treatment.

And others warned the situation could become even worse during winter with the NHS seeing rising numbers of Covid patients.

In recent weeks, major hospitals in Bradford, Leeds, Nottingham, Birmingham and Liverpool, which have seen high rates of infection, have announced the mass cancellation of non-urgent work.

Chart showing long hospital waits
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'I'm in pain every single day'

Donna Doyle, 52, was referred for surgery at the end of 2019.

She has rheumatoid arthritis and osteoarthritis and needed reconstructive surgery on the front half of her right foot.

But her pre-op appointment was cancelled in the spring because of pandemic. And now she has been told she will have to wait until February at the earliest.

"The pain isn't something that affects me every now and then, it's a problem every single day," she says.

"Imagine two pebbles grinding against the bone in your feet. It's constant.

"It causes a lot of problems in my life, physically and mentally. I psyched myself up for having the surgery, so the day I was told nothing would be happening, I was so upset.

"I work from home at moment. And some days, my husband comes home and I'm crying, feeling really down.

"I'm fed up with seeing Matt Hancock say "the NHS is open for business" because it's not true. I'm being overlooked."

Donna Doyle
Other
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Prof John Appleby, director of research at health think tank the Nuffield Trust, said the situation was a "real concern".

Hospitals were facing a real battle to keep non-Covid services going, he said, pointing out the number of Covid patients in hospital had risen from just over 2,000 to more than 10,000 since the end of September.

"It is clear that over the summer months, NHS staff have put in tremendous amounts of work to boost activity across the board," he said.

"However, the service has fallen short of the tall order of recovering all non-Covid activity between the two waves of this pandemic."

Royal College of Surgeons of England president Prof Neil Mortensen said these patients had paid a "heavy price".

"It is tragic to see so many lives put on hold,2 he said.

"Each statistic represents someone waiting patiently, potentially in pain, for the treatment they need to get on with living an independent life.

"Older people and poorer people are particularly hard hit by these delays."

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Tracey Loftis, of the charity Versus Arthritis, said the situation was "appalling".

"We're currently seeing some hospitals entirely pausing elective surgery because of the pressures of the second phase of the pandemic," she said.

"The consequences of these further delays will reverberate for years to come."

Surgery
Queen Victoria Hospital

Chris Hopson, of NHS Providers, which represents hospitals, said the NHS was doing its best but was facing a really challenging winter.

"We are keenly aware of the inconvenience, anxiety and distress for patients caused by any delays for diagnostic tests, treatment or consultations," he added.

Alongside routine care, significant numbers have missed out on treatment for cancer.

The numbers receiving urgent check-ups have dropped by a quarter during the pandemic, with 300,000 fewer people seeing a cancer specialist from April to September than during the same period last year.

The numbers starting cancer treatment are also down by a fifth.

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'My cancer has spread'

Anoushka Kurkjian
Other

Mother-of-three Anoushka Kurkjian, 41, found a cyst on her breast in June.

She sought medical advice and was told it was benign but remained concerned because she was in pain.

As a last resort - three months later - she went to her local accident-and-emergency unit and was diagnosed with breast cancer.

She had been afraid to go because of worries over catching the coronavirus.

The cancer has now spread to her lymph nodes.

"If it had been a year ago, I would have gone in earlier," Anoushka says.

"I am now undergoing chemotherapy and have lost my hair.

"My breast cancer has spread.

"And I am scared.

"I feel very angry that I was not diagnosed earlier.

"I wish I could say to women, 'Seek treatment.

"'Don't be deterred.'

"Yes, Covid is a factor.

"But there's a lot more going on out there."

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But NHS bosses said cancer services had returned to pre-pandemic levels of activity by the end of September.

An NHS England spokeswoman said: "The NHS message to the public has always been clear - do not delay, help us to help you by coming forward for care."

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2020-11-12 16:37:00Z
52781184043082

How Boris's state-educated 'Scouser' Lee Cain clashed with Carrie and her well-heeled inner-circle - Daily Mail

How Boris's bullish state-educated 'Scouser' Lee Cain and his 'lad gang' clashed with Carrie and her well-heeled inner-circle in Downing Street's brutal civil war

  • Director of Communications announced his resignation last night amid row
  • Vote Leave alumni said to have wanted promotion to Boris's chief of staff 
  • But Carrie Symonds and others believed to have opposed change at the top

He's the state-educated ex-journalist who once dressed as a chicken to chase David Cameron around the country but went on to be his successor's media supremo.

Lee Cain is a rare everyman figure in the blue-blooded hierarchy of Old Etonian Boris Johnson's No 10 operation before his decision last night to quit as director of communications. 

His rise to become one of a limited number of people with the Prime Minister's ear was stark but he was a divisive figure whose brash style saw him make enemies among Tory politics' more well-heeled operators.

Mr Cain, who grew up in Ormskirk, a town in West Lancashire close to Liverpool, has developed a reputation as an ardent Brexiteer and helped forge Mr Johnson's tough stance last year which saw him controversially prorogue parliament in an attempt to prevent pro-Remain MPs blocking a no-deal departure. 

He was a key member of a coterie of Vote Leave 'lads' installed at the heart of Downing Street when Mr Johnson took power in the summer of 2019. 

Having successfully started Britain down the road to leaving the EU by winning the 2016 referendum, the hardcore of the brains behind the Brexiteer organisation fronted by Mr Johnson followed him into No10.

The hardcore of the group was a male quartet; Dominic Cummings, Cain, Oliver Lewis and Rob Oxley, aka Dom, Caino, Sonic and Roxstar. 

With a game plan of completely shaking up the internal operations of Downing Street, they formed an inner circle that has been accused of throttling access to the Prime Minister and gaining almost total control over the levers of power. 

This set them on a collision path with ministers and MPs, as well as other advisers, especially as Brexit and then the coronavirus pandemic threatened to overwhelm the Government.

And eventually they came together to force him out last night. And the Ormskirk Grammar and Stafford University graduate was apparently forced out by a group including Carrie Symonds, Mr Johnson's privately-educated fiancee.               

Lee Cain (pictured today) is a rare everyman figure in the blue-blooded hierarchy of Boris Johnson's No 10 operation before his decision last night to quit as director of communications

Lee Cain (pictured today) is a rare everyman figure in the blue-blooded hierarchy of Boris Johnson's No 10 operation before his decision last night to quit as director of communications

The hardcore of the group was a male quartet; Dominic Cummings, Cain, Oliver Lewis and Rob Oxley, known internally as Dom, Caino, Sonic and Roxstar

The hardcore of the group was a male quartet; Dominic Cummings, Cain, Oliver Lewis and Rob Oxley, known internally as Dom, Caino, Sonic and Roxstar

The Ormskirk Grammar and Stafford University graduate was apparently forced out by a group including Carrie Symonds, Mr Johnson's privately-educated fiancee

The Ormskirk Grammar and Stafford University graduate was apparently forced out by a group including Carrie Symonds, Mr Johnson's privately-educated fiancee

There are also claims that Allegra Stratton, Downing Street's new on-screen press secretary (pictured today), and senior aide Munira Mirza were against the move

There are also claims that Allegra Stratton, Downing Street's new on-screen press secretary (pictured today), and senior aide Munira Mirza were against the move

The departure was the culmination of a bitter power struggle inside Mr Johnson's top team, with rival factions battling for supremacy even as the government struggles to tackle the coronavirus crisis. 

Mr Cummings - also privately educated - had pushed for his ally to be appointed despite warnings from the PM's fiancée Ms Symonds - herself a former Conservative Party head of media - that it would be 'a mistake' given how the campaign against the pandemic had gone so far. 

She is said to have complained the No10 operation was being run in an 'uncollegiate' way and the PM was not getting 'good advice'.

There are also claims that Allegra Stratton, Downing Street's new on-screen press secretary, and senior aide Munira Mirza were against the move. It would have meant the PM's core circle being exclusively male.

Communities Secretary Robert Jenrick told BBC Breakfast: 'It's understandable that journalists, in particular, will be interested in the personalities of who works as advisers within Number 10 Downing Street.

'But the Prime Minister runs the Government. He is surrounded by a good team, a strong team of advisers, and, of course, the Cabinet.

'Our sole focus in Government is trying to steer the country through the pandemic.'

Downing Street has insisted that Boris Johnson remains 'absolutely focused' on the coronavirus pandemic despite the infighting inside No 10 leading to the resignation of Lee Cain. 

Pressed if the shake-up among senior staff was a distraction, he said: 'You've seen from the Prime Minister this week that he's absolutely focused on taking all the steps that are required to equip the country to beat coronavirus.'

The spokesman confirmed that he would replace Mr Cain as director of communications, though would remain a civil servant, and that Mr Cain would remain in the post until the new year.

Ten years ago, at the 2010 general election, Mr Cain, 39, was a reporter whose job at the Labour-supporting Daily Mirror saw him engage in fowl play by donning a man-sized rooster outfit to goad the future PM

Ten years ago, at the 2010 general election, Mr Cain, 39, was a reporter whose job at the Labour-supporting Daily Mirror saw him engage in fowl play by donning a man-sized rooster outfit to goad the future PM

Oliver Lewis
Rob Oxley (left)

Oliver Lewis (left) currently serves as a Brexit advisor while Rob Oxley (right, with the PM) now works as an adviser at the Foreign Office having served as No10 Press Secretary

One of the triggers for the turmoil has also been the appointment of Ms Stratton to front the televised news conferences that Number 10 is planning. 

The former Guardian and ITV journalist was also partly privately educated and is married to James Forsyth, the political editor of Tory magazine the Spectator - which also employs Mr Cummings' aristocrat wife Mary Wakefield.

Ms Stratton is thought to have wanted direct access to the Prime Minister rather than reporting to Mr Cain in order to do her job more effectively.

It was also reported that Mr Cain had preferred to choose someone else, BBC journalist Ellie Price, to the role instead. 

There is no fixed date yet for the start of those briefings, but Mr Johnson hopes they will help improve the Government's public image.

The post-Brexit trade talks are entering their end game, with a resolution needed shortly if a deal is to be implemented by the time transition arrangements expire at the end of the year, when the UK leaves the single market and customs union.

The weakened position of the Vote Leave contingent within Number 10 could make it easier for Mr Johnson to compromise, although he has repeatedly insisted he is prepared to walk away without a deal.

Ten years ago, at the 2010 general election, Mr Cain, 39, was a reporter whose job at the Labour-supporting Daily Mirror saw him engage in fowl play by donning a man-sized rooster outfit to  goad the future PM.

But after switching from journalism to political communications he swiftly rose through the ranks thanks to the EU referendum.

Again lining up against David Cameron he worked with Mr Johnson on the Vote Leave campaign fronted by the future PM which is credited with paving the way for the result of the 2016 referendum.

When Mr Johnson quit Mrs May's Cabinet over Brexit in 2018, Mr Cain continued working with him.

He then helped run his leadership campaign before joining his Government as director of communications.  

His proposed promotion to chief of staff would raise concerns among some Tory MPs that the Vote Leave operation is tightening its grip on the heart of Government.

It would also be controversial with some elements of the media who have been bruised by Mr Cain's uncompromising style.

Last year he ordered ministers to boycott BBC Radio 4's Today programme because of perceived bias. The ban was only lifted when the coronavirus pandemic struck.

The coronavirus crisis has also seen a series of communications missteps, with information affecting the lives of millions of people leaked out or selectively briefed before being formally announced. 

Mr Cain has also imposed a boycott of ITV's Good Morning Britain that has lasted for more than six months this year, in the middle of the pandemic.

He was also alongside Mr Cummings as he was quick to stamp his authority on No10 amid the Brexit crisis.

In August 2019, with his feet under the desk barely a month Mr Cummings  sacked chancellor Sajid Javid's media adviser Sonia Khan and had her frogmarched out of Downing Street by police.

She was accused of staying in touch with people close to her former boss, Philip Hammond, a Remainer, after stories ended up in the press.

Mr Cummings apparently demanded to inspect both Ms Khan's phones before immediately firing her.

In a damning slight to Mr Javid, who kept Ms Khan on at No10 after taking over from Philip Hammond, he was only told after the dramatic events.

There had already been a huge exodus of advisers from Whitehall by that point, with one former adviser telling MailOnline at the time Mr Cummings increasingly 'looks like a bully', and said his conduct raised questions for the PM.

Months later, in February this year, the writing was on the wall for Mr Javid himself after he found himself on the opposing side to Mr Cummings in a power struggle.

Lynn Davidson

Lynn Davidson (left) left her post as special adviser - or 'Spad' - to Defence Secretary Ben Wallace after rebuking Dominic Cummings over his behaviourin February

The Bromsgrove MP - who challenged Mr Johnson for the Tory leadership last year before becoming his top minister - was given an ultimatum by the PM that he must accept his political advisers being ousted and replaced by Cummings loyalists to stay in No11.

Instead he chose to walk away and was replaced by his deputy Rishi Sunak.

Days later he made a thinly-veiled attack on Mr Cummings in the Commons, saying he quit as chancellor because changes to the Treasury planned by the powerful aide were 'not in the national interest'.

The former minister used a resignation statement in the Commons - in front of a watching Boris Johnson - to say that a semi-merger of behind-the-scenes teams at No10 and N011 would hamper the finance department's ability to 'speak truth to power'.

He declined to name Mr Cummings directly, but joked that there had been a lot of gossip already about 'comings and goings', to laughter from MPs.

The following month, as the coronavirus pandemic took hold of Britain and the world, a political aide who confronted Mr Cummings over his lack of 'kindness' left the Government.

Lynn Davidson has been removed from her post as special adviser - or 'Spad' - to Defence Secretary Ben Wallace after refusing to be shifted to another department.

The departure emerged weeks after Ms Davidson clashed with Mr Cummings over his behaviour.

The maverick aide had swiped at the end of a meeting of Spads on February 14 that he would 'see some of you next week' - a reference to the impending reshuffle in which many of them lost their jobs.

Ms Davidson, a former reporter at The Sun and Daily Mail, later challenged Mr Cummings over the jibe, saying it had been out of order.

Senior Tory sources insisted at the time that her departure - first revealed by Buzzfeed - was not in response to the spat. They insisted Mr Cummings had nothing to do with changes to media Spads, which are being overseen by Cain. 

The influence of the group in Downing Street and the Treasury led to a caution from Bernard Jenkin, the chairman of the Liaison Committee, in June. 

Mr Jenkin, believed to have been proposed for the role because of his backing for Mr Johnson, told the Observer: 'Frustrations make No 10 advisers hyperactive, ever more directive, controlling, even bullying. 

'The effect is always the same. It leads to cabinet ministers feeling sidelined and hectored and senior officials becoming disengaged, resigned, even resentful.' 

Mr Cummings also attracted the opprobrium of a former minister's wife when she released a tell-all memoir earlier this year.

Sasha Swire, the wife of Sir Hugo Swire, branded him 'one of those odd amoebas you find in jars in school science labs'.

In Diary of an MP's Wife she said Cummings is a 'stark raving mad Rasputin', and that teaming him up with Michael Gove, the 'most volatile member of the Government, was always an explosion waiting to happen'. 

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2020-11-12 13:54:00Z
52781181093535

Dominic Cummings 'Vote Leave empire 'starts to fall apart' after Carrie row - Daily Mail

'There's a revolution happening': Dominic Cummings 'is looking for a way to leave No10 without losing face' as his Vote Leave empire 'starts to fall apart' after Carrie and her squad see off Boris aide Lee Cain in brutal civil war

  • Longstanding Johnson aide Lee Cain was being touted for major promotion to No10 chief of staff this week
  • The move appeared to have been blocked by opposition from the PM's fiancée Carrie Symonds and others
  • Mr Cain announced he is leaving last night revealing he had been offered the powerful post but turned it down
  • Speculation Dominic Cummings could follow Vote Leave ally Mr Cain out of the door amid meltdown
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Tories predicted Dominic Cummings could be next out of the Downing Street door today after an extraordinary civil war erupted in public - threatening to derail Boris Johnson's desperate struggle to control coronavirus. 

The heart of government is in chaos after longstanding Johnson aide Lee Cain, a Vote Leave veteran and Cummings loyalist, announced he was resigning with Carrie Symonds apparently having blocked his promotion to No10 chief of staff. 

The departure was the culmination of a bitter power struggle inside Mr Johnson's top team, with rival factions battling for supremacy even as the pandemic death toll topped 50,000 and the economy threatens to implode. 

Mr Cummings does not want the job himself, but had pushed for his ally to be appointed despite warnings from the PM's fiancée - herself a former Conservative Party head of media - that it would be 'a mistake' given how the campaign against the pandemic had gone so far. 

She is said to have complained that the No10 operation was being run in an 'uncollegiate' way and the PM was not getting 'good advice'. 

There are also claims that Allegra Stratton, Downing Street's new on-screen press secretary, and senior aide Munira Mirza fought the move, while there had been a huge mutiny from Tory backbenchers angry about lockdown policies and a series of humiliating U-turns on issues such as free school meals during school holidays. It would have meant the PM's core circle being exclusively male.

Mr Cummings turned up to work in No10 as usual this morning despite losing the latest tug of war for the premier's ear, and blanked questions about his own future. 

But senior Tories said it was clear that Mr Cummings was losing his grip on No10, and would soon be departing. 

One jubilant Conservative MP told MailOnline the 'grown ups have taken back control'. 'Vote Leave has left!' they said. 

A well-connected Tory peer said it was significant that special advisers had started briefing against Mr Cummings, and suggested he could be looking for an excuse to leave without losing face. 

'There is a revolution happening. Things have clearly started to fall apart,' they said.  

Labour seized on the shambolic scenes, saying No10 officials were like 'rats in a sack' and behaving 'pathetically' when the country was trying to navigate the worst crisis in generations.  

Boris Johnson 's top aide Lee Cain  (pictured arriving for work today) has announced he is quitting amid rumours Carrie Symonds was trying to block his promotion to Number 10 's chief of staff

Boris Johnson 's top aide Lee Cain  (pictured arriving for work today) has announced he is quitting amid rumours Carrie Symonds was trying to block his promotion to Number 10 's chief of staff

Boris Johnson (pictured arriving back from his morning run today) is struggling to hold his No10 operation together after the bitter power struggle

Boris Johnson (pictured arriving back from his morning run today) is struggling to hold his No10 operation together after the bitter power struggle

Dominic Cummings
Carrie Symonds

Mr Cummings (pictured left today) had pushed for his ally to be promoted in the face of opposition from the PM's fiancée Carrie Symonds (right), who warned his appointment would be 'a mistake'

There are also claims that Allegra Stratton, Downing Street's new on-screen press secretary, opposed the appointment

There are also claims that Allegra Stratton, Downing Street's new on-screen press secretary, opposed the appointment

Who's who in the civil war between Cummings' Brexit Boys and the 'Carrie Symonds crew' 

Cummings pictured outside Downing Street in one of the outfits that has made him an unlikely style icon

Cummings pictured outside Downing Street in one of the outfits that has made him an unlikely style icon 

TEAM CAIN 

Dominic Cummings 

Age: 48

Official title: Chief Adviser to the Prime Minister 

Boris Johnson's maverick Svengali, who gained national notoriety for his lockdown-breaking trip to Barnard Castle to 'test his eyesight' before a trip back to London. 

The former Vote Leave director backed his former campaign staffer Lee Cain to take over as the PM's chief of staff - prompting a bitter wrangle with Johnson's girlfriend, Carrie Symonds, who warned it would be a 'mistake'. 

Cummings, who is known for his acerbic demeanour and preference for hoodies and 'slob' style jackets over suits, eventually lost the vicious tug-of-war, prompting Cain's resignation and speculation that he could follow. 

He is known to have a difficult relationship with Symonds, with reports earlier this year suggesting she was opposed to his aggressive approach to politics and tendency to 'pick unnecessary fights' which could harm the PM's image. 

Mr Cummings was born in County Durham and is married to Mary Wakefield, a senior journalist with the Spectator magazine, a Tory bible that Boris Johnson once edited. 

Cummings ally Cleo Watson seen outside No10

Cummings ally Cleo Watson seen outside No10 

Cleo Watson 

Age: 31

Official title: Head of the Prime Minister's Priorities and Campaigns

It has become a familiar ritual in Downing Street: photographers clamour to take pictures of elegant Cleo Watson as she strides towards the No 10 door with a dishevelled Dominic Cummings, the pair looking, as one wag put it, like 'a gazelle with a pit pony'.

Watson is Cummings' special adviser and the pair share a close relationship, with one Whitehall source describing her as 'the Cummings whisperer' because she is one of very few people who can calm him down when he flies into a rage.

Watson is one of five high-achieving sisters from an extraordinary family whose story could come from a Jane Austen novel. Indeed, she is the second of her siblings to work closely with a Tory leader. Her sister Annabel, 41, known as Bee, was Theresa May's Chief of Staff. 

Watson worked with Vote Leave during the 2016 EU referendum, before landing a top job in the policy unit in No 10 during May's premiership. 

She remained at the heart of Government under Johnson and now boasts the title of 'Head of the Prime Minister's Priorities and Campaigns'. 

Oliver Lewis is another Vote Leave member to now work in No10

Oliver Lewis is another Vote Leave member to now work in No10 

Oliver Lewis (nickname 'Sonic') 

Age: Late 20s

 Official title: Brexit policy adviser

A former Vote Leave staffer, Brexit policy adviser Oliver Lewis is a close ally of Cummings - who is known to address him by the nickname 'Sonic'. 

Oxford-educated Lewis has been working closely with Michael Gove on No Deal preparations, and was inspired by Cummings' love of science to construct an enormous spreadsheet to model difference scenarios styled on techniques used by NASA. 

He has also worked closely alongside chief Brexit negotiator David Frost, and earlier this year was accused by EU sources of repeatedly trying to shut down negotiations, according to The Sun. 

After backing his mentor in his quest to install Cain at the top of Downing Street, Lewis has also become embroiled in the ugly fallout following Symonds' victory. 

Reports today suggested he was also 'seriously considering' his position.  

CARRIE'S CREW  

Carrie Symonds - seen at a Remembrance Day service in Whitehall on Sunday - has emerged as a force to be reckoned with in Downing Street

Carrie Symonds - seen at a Remembrance Day service in Whitehall on Sunday - has emerged as a force to be reckoned with in Downing Street 

Carrie Symonds

Age: 32

Official title: NA

Boris Johnson's fiancee and a former Conservative Party head of media, Symonds has emerged as a force to be reckoned in No10. 

She is known to have a difficult relationship with Cummings and blocked his bid to install his ally Lee Cain as the PM's chief of staff, insisting this would be a 'mistake' given how the campaign against the pandemic had gone so far.

A brutal stand-off ensued before Symonds emerged as triumphant - with Cain announcing his resignation and Cummings said to be also considering his position. 

Symonds grew up in west London and attended Godolphin and Latymer School, an independent day school for girls, and the University of Warwick. 

She worked for the Tory party from 2009, before hitting the headlines when her affair with Mr Johnson, 56, came to light. 

A passionate conservationist, she had a direct impact on government policy after a badger cull in Derbyshire was called off, a move that saved thousands of the animals. 

Allegra Stratton is poised to become the face of Boris Johnson's new US-style TV press briefings

Allegra Stratton is poised to become the face of Boris Johnson's new US-style TV press briefings

Allegra Stratton

Age: 39

Official title: No10 Press Secretary 

Allegra Stratton, the former journalist poised to become the face of Downing Street's first US-style televised press briefings, was the cause of the power struggle that erupted. 

After her appointment, she insisted she would be answerable to the PM only, not Cain. With the former Daily Mirror journalist fearing he was about to be side-lined, Boris offered him the role of chief of staff.

That's when Stratton and her allies stepped in, determined to prevent that happening.

Stratton is a respected former journalist for the Guardian and ITV among others, and helped Chancellor Rishi Sunak craft his public image before being poached by No10. 

Stratton is a fully paid-up member of the metropolitan elite who was educated at Latymer Upper School in London (fees, £21,000 a year) and studied anthropology and archaeology at Cambridge. She is married to James Forsyth, the political editor of the Spectator.

Interestingly, while Cain has been mocked for dressing as a chicken to stalk former Tory leader David Cameron in the 2010 election, footage has recently emerged of Stratton also dressed as one, dancing at a high-spirited Westminster party where veteran political pundit Andrew Neil led the conga. 

Munira Mirza is the phenomenally-bright head of No10's Policy Unit

Munira Mirza is the phenomenally-bright head of No10's Policy Unit 

Munira Mirza

Age: 42

Official title: Director of the Number 10 Policy Unit

Munira Mirza is the highly respected and phenomenally bright head of the Downing Street policy unit. 

A long-time Boris aide dating back to his time as London mayor, she prefers to work away from the limelight, but is also said to have made her opposition to Cain's appointment clear. 

The Oldham-born academic is a popular figure around No10. 'She has a huge brain but wears it lightly. Boris listens to her,' according to one source.

Mirza's family came to Britain from Pakistan, with her father finding work as a factory while her mother taught Urdu part time. 

She attended Breeze High School and Oldham Sixth Form College, where she was the only pupil to gain a place at Oxford, where she  studied English Literature. 

A former member of the Revolutionary Communist Party, Mirza is now one of the members in Johnson's circle, and was named by the PM as one of the five women who have shaped his life.  

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Ms Stratton was said to have only agreed to take the job if she reported directly to the PM, not Mr Cain - leaving him feeling 'wholly undermined'. 

Mr Cain apparently opposed her appointment and the pair had not spoken since she arrived in the role a fortnight ago. 

Tory MPs and advisers hailed the news as an opportunity for a 'reset' after a 'tribal and aggressive' first phase to the Johnson government. 

There had been a vicious response when it emerged Mr Cain was in the frame for the top job yesterday, with angry politicians sniping that it was a case of 'Cain not able' and another minister saying 'WTF?!'

In his resignation statement, Mr Cain confirmed he had been offered the powerful post - which allies insisted was 'basically what he does anyway' - but after 'careful consideration' would be leaving at the end of the year.  

He said: 'After careful consideration I have this evening resigned as No 10 director of communications and will leave the post at the end of the year.

'It has been a privilege to work as an adviser for Mr Johnson for the last three years - being part of a team that helped him win the Tory leadership contest, secure the largest Conservative majority for three decades - and it was an honour to be asked to serve as the Prime Minister's chief of staff.'

He also paid a glowing tribute to Mr Johnson's 'loyalty and leadership' and thanked his colleagues at Number 10.

In response to the resignation, Mr Johnson said: 'I want to thank Lee for his extraordinary service to the Government over the last four years.

'He has been a true ally and friend and I am very glad that he will remain director of communications until the new year and to help restructure the operation. He will be much missed.' 

The former journalist will serve until the end of the year when he will be replaced by the PM's official spokesman, James Slack. 

In a round of interviews this morning, Communities Secretary Robert Jenrick desperately tried to play down the situation, insisting the government's focus was still on the deadly pandemic.

He told BBC Breakfast: 'It's understandable that journalists, in particular, will be interested in the personalities of who works as advisers within Number 10 Downing Street.

'But the Prime Minister runs the Government.

'He is surrounded by a good team, a strong team of advisers, and, of course, the Cabinet.

'Our sole focus in Government is trying to steer the country through the pandemic.'

He told Sky News: 'At the end of the day, this is one individual.

'The Prime Minister runs the Government.'

Cabinet Office minister Michael Gove - Mr Cummings' former boss and still a close ally - was challenged in the Commons over whom he sided with in the extraordinary spat.

SNP Cabinet Office spokesman Pete Wishart said the 'faceless characters who actually run this country in Number 10 are at each other's throats'.

Mr Wishart asked: 'Whose side is he on – Dom's or Carrie's?'

Mr Gove replied: 'I'm on the side of people from Aberdeen to Aberystwyth who voted to leave the European Union, who want us as a United Kingdom to make a success of these new opportunities (Brexit).

'I know the Scottish Government is a total stranger to behind-the-scenes intrigue and briefing wars, so I can imagine his shock and amazement to see things reported in the newspapers.'

Mr Gove said the Government continues to make decisions in the interests of the whole of the United Kingdom. 

Commons Leader Jacob Rees-Mogg said Mr Cain's departure will be a 'loss to the Government'.

He told MPs: 'May I just say what a fantastic public servant he has been, somebody instrumental in ensuring the Vote Leave campaign was successful and somebody who has made a huge contribution to this Government.'

The cordial statements from Mr Cain and Mr Johnson masked disarray at the heart of government, with warring factions competing for influence in Downing Street.

Mr Cummings, who has stuffed the corridors of Number 10 with old Vote Leave allies, was initially thought to be considering his position but has resolved to stay in Government, the BBC reported. 

That Mr Cain's promotion was backed by Mr Cummings is one reason it caused such hostility among MPs. 

Tory Chief Whip Mark Spencer was said to have been 'inundated' with messages from MPs urging him to intervene with the PM to try to block Mr Cain's appointment.     

One former minister had warned that allowing No 10's Vote Leave faction to tighten its grip would be a 'nail in the coffin' of Mr Johnson's Government. 

Multiple sources said Ms Symonds, 32, had intervened to try to block the appointment.

One said: 'Carrie has had her own run-ins with Lee, but she's also been pressured by MPs to stop this.

'You have to remember she is a former director of communications for the party and has good relations with a lot of senior MPs.

'She has told the PM giving Lee the job would be a mistake – she's just been trying to stop him doing something stupid that would damage the Government.'

Another friend told the Times: 'She knows he runs the operation in an uncollegiate way where few people can get to him. 

'There's not a diversity of opinion, he is not getting good advice. His top advisers are running him into the ground.'

The appointment was also said to be opposed by other senior women in Downing Street, including Mr Johnson's policy chief Munira Mirza and incoming press secretary Allegra Stratton. Allies of Priti Patel insisted she had not been involved this week, despite claims she urged against the move. 

Election guru Sir Lynton Crosby, who masterminded Mr Johnson's mayoral victories in London, was also said to have told the Prime Minister to think again.

In another layer of intrigue, No10 is in the middle of a frantic hunt for the 'chatty rat' who leaked news of the blanket lockdown for England before a final decision had been taken.

The leak at the end of last month infuriated Mr Johnson, who had wanted to take a few days more to consider whether the draconian measures were necessary. Instead he was forced to summon a Saturday night press conference to confirm what was going to happen.

There are suggestions that ministers have now been ruled out of the formal Cabinet Office inquiry, with advisers in the crosshairs.    

Leading Tory backbenchers said there had been long-standing concerns about the Downing Street operation.

Sir Charles Walker, vice chairman of the 1922 Committee of backbench Conservative MPs, told BBC Radio 4's Today programme: 'I think there has been unhappiness about the Number 10 operation for some time.

'Members of Parliament have felt excluded from the decision-making process, and that's no secret.

'The real opportunity here is for the chief of staff position to be filled by someone who has good links with the Conservative Party and its representation in the House of Commons.'

Former Northern Powerhouse minister Jake Berry - a long-term ally of Mr Johnson who fell out of favour earlier this year - said the PM Johnson was 'stamping his Johnsonian authority' on Downing Street.

The Rossendale and Darwen MP told ITV's Good Morning Britain: 'The departure of Lee Cain does show, I think, that the Prime Minister is taking back control of his government.

'He's moving from a campaigning operation to an operation solely focused on good government. I think it's a good move for the Prime Minister.

'As we go past that grim milestone, as you say, of 50,000 deaths from this appalling disease, it's high time, I think, that there was a bit of a change of guard in Number 10.'

Asked about Ms Symonds being opposed to Mr Cain's promotion, Mr Berry said: 'I have been in touch with people in the building, that's not actually completely my understanding of what has happened.'

He said Mr Johnson had a 'renewed sense of mission', adding: 'I think this is a good sign that he is moving away from just being a campaigning government, coming out of the general election, and then the Covid crisis, and really stamping his Johnsonian authority across the Number 10 operation.'

Sir Roger Gale said Mr Cummings was a 'liability' and the PM needed a chief of staff in 'big boy pants'.

The veteran MP said: 'The Government, and Downing Street particularly, should be concentrating all of its efforts on the pandemic and on the end game of Brexit, and frankly this is a distraction that cannot and should not be allowed to take place, and the Prime Minister has got to get a grip on it.

'For my money Cummings is a liability and what the Prime Minister needs and deserves is a first-rate chief of staff who is a serious heavyweight, I think the expression currently in use is big boy pants.'

Guto Harri, who worked with Mr Johnson at City Hall, said it was an opportunity for a 'reset' to when he was one of the most popular politicians in the country. 

'It's a chance for a government that is more professional... and far less aggressive and tribal than it has been.' 

But Sir Keir Starmer seized on the chaos, telling LBC radio that the country would be 'scratching their heads'.

'This is pathetic. I think millions of people will be waking up this morning, scratching their heads, saying what on earth is going on?' he said.

'We're in the middle of a pandemic, we're all worried about our health and our families, we're all worried about our jobs, and this lot are squabbling behind the door of Number 10.

'It's pathetic. Pull yourselves together, focus on the job in hand.'

Downing Street insisted that Mr Johnson remains 'absolutely focused' on the coronavirus pandemic despite the infighting inside No 10 leading to the resignation of Mr Cain.

The Prime Minister's official spokesman said: 'The Prime Minister is fully focused on tackling coronavirus.

'I think you can see the progress that we're making in terms of rolling out mass testing, in securing vaccines and also in terms of making improvements to things such as test and trace.

'So, I think what you can see is the Prime Minister is absolutely focused on beating this virus and taking the measures that are necessary to get that R rate down and bring the infection rate back under control.'

Pressed if the shake-up among senior staff was a distraction, he said: 'You've seen from the Prime Minister this week that he's absolutely focused on taking all the steps that are required to equip the country to beat coronavirus.'

The crisis had been brewing for weeks with Mr Cain fearing his role could be undermined by the arrival of Ms Stratton, who is due to start daily televised briefings on No10's behalf in the new year.

Responding to the news of power struggles within No10, Labour deputy leader Angela Rayner tweeted: 'Pathetic and childish. In the middle of a pandemic, when a few hours ago we reached the tragic milestone of 50,000 deaths.

'This absolute shower wouldn't know governing in the national interest if it slapped them in the face.'  

Mr Cain is one of Mr Johnson's most trusted advisers, having been by his side since 2017 when he left Theresa May's Downing Street operation to work with him at the Foreign Office. 

When Mr Johnson quit Mrs May's Cabinet over Brexit in 2018, Mr Cain continued working with him.

He then helped run his leadership campaign before joining his Government as director of communications. 

The two men also worked together during the Brexit referendum in 2016, when Mr Cain was a press officer at the Vote Leave campaign masterminded by Mr Cummings and led by Mr Johnson and Michael Gove. 

Last year he ordered ministers to boycott BBC Radio 4's Today programme because of perceived bias. The ban was only lifted when the coronavirus pandemic struck.

Mr Cain has also imposed a boycott of ITV's Good Morning Britain that has lasted for more than six months.

This year he sparked a walkout by political journalists after he banned reporters from news outlets deemed unfriendly from attending a No10 briefing with officials.

Mr Cain has developed a reputation as an ardent Brexiteer and helped forge Mr Johnson's tough stance last year which saw him controversially prorogue parliament in an attempt to prevent pro-Remain MPs blocking a no-deal departure.

But this year it emerged he saw the Vote Leave job as a route into politics rather than a vocation.

A former colleague from his time as a journalist told PR Week: 'He told me: 'I just want to get into politics. I've applied for two jobs and I've got one of them.

'I've applied for head of broadcast for Remain and head of broadcast for Leave. If this ever comes out I'll be in a lot of trouble'.'

 

Munira Mirza
James Slack

Munira Mirza (pictured left), 42, the highly respected head of the Downing Street policy unit is also thought to have been against the promotion. James Slack (right) is set to become the new director of communications

That Lee Cain's promotion was backed by Mr Cummings, whose close relationship with Mr Cain is one reason it caused such hostility among MP

That Lee Cain's promotion was backed by Mr Cummings, whose close relationship with Mr Cain is one reason it caused such hostility among MP

Mr Cain, a Vote Leave campaign veteran who has served Mr Johnson since his stint at the Foreign Office, will be replaced as director of communications by James Slack, the prime minister's official spokesperson

Mr Cain, a Vote Leave campaign veteran who has served Mr Johnson since his stint at the Foreign Office, will be replaced as director of communications by James Slack, the prime minister's official spokesperson 

The appointment was also said to be opposed by other senior women in Downing Street, including Mr Johnson's policy chief Munira Mirza and incoming press secretary Allegra Stratton (pictured with Mr Cain)

The appointment was also said to be opposed by other senior women in Downing Street, including Mr Johnson's policy chief Munira Mirza and incoming press secretary Allegra Stratton (pictured with Mr Cain)

Cain is a former journalist who used to dress up as the Daily Mirror's election chicken, pursuing David Cameron and other leading Tories during the 2010 campaign

Cain is a former journalist who used to dress up as the Daily Mirror's election chicken, pursuing David Cameron and other leading Tories during the 2010 campaign

Jack Doyle is the government's deputy director of communications and is staying in the key post

Jack Doyle is the government's deputy director of communications and is staying in the key post

ANDREW PIERCE: How the Carrie Symonds Crew beat the Boris bruiser in their game of chicken

ByAndrew Pierce for the Daily Mail

The country may be in the grip of the greatest threat since World War II, the death toll from Covid may have passed 50,000 – but Downing St is now focused on a crisis of its own making.

Last night, Lee Cain, Downing Street's director of communications, sensationally quit after rashly deciding to take on a formidable quartet of Westminster's most powerful women.

While he was reportedly immediately replaced by the prime minister's official spokesman James Slack, the after-shocks of his departure will continue to reverberate for some time to come.

The confrontation was sparked, ironically enough, by the PM himself. He was so fearful that the thuggish Cain was about to quit that he wanted to promote him to the White House-style role of chief of staff post to entice him to stay.

Negotiations have been under way for several weeks but the news only emerged yesterday morning.

And that's when all hell broke loose and a rather unlikely 'Downing Street sisterhood' was mobilised. Leading the charge was Boris's glamorous partner Carrie Symonds, a former head of communications for the Conservative Party, who is not a Cain fan.

Leading the charge was Boris’s glamorous partner Carrie Symonds, a former head of communications for the Conservative Party, who is not a Cain fan

Leading the charge was Boris's glamorous partner Carrie Symonds, a former head of communications for the Conservative Party, who is not a Cain fan

With Carrie, arguably the most influential PM's spouse in modern political times, lined up against Cain, there was only ever going to be one outcome. Carrie also had Home Secretary Priti Patel, 48, the most senior woman in the Cabinet, on her side, along with Munira Mirza, 42, the highly respected and phenomenally bright head of the Downing Street policy unit.

Meanwhile, Allegra Stratton, 39, the former journalist poised to become the face of Downing Street's first televised press briefings – again shades of the West Wing – was the cause of the power struggle that has erupted.

No10's key players and their convenient connections

Boris Johnson's Government apparatus is intertwined with various parts of the Tory media and establishment through marriage and experience. 

Dominic Cummings, the PM's shadowy Svengali worked with Lee Cain as he led the Vote Leave campaign to victory in the 2016 referendum, before they were both asked to join Mr Johnson's new administration in Downing Street.

Mr Cummings is also married to Mary Wakefield, a senior journalist with the Spectator Magazine, a Tory bible that Boris Johnson once edited. 

The incoming No10 Press Secretary Allegra Stratton is a respected former journalist for the Guardian and ITV among others. But she is also married to James Forsyth, the political editor of the Spectator.

Elsewhere Dido Harding, the Tory peer who has faced much criticism after being brought in to run Test and Trace, has been married to Tory MP and former minister John Penrose for 25 years.

And current Financial Secretary to the Treasury Jesse Norman is married to Kate Bingham, who was appointed  chairwoman of the UK vaccines taskforce in May. 

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After her appointment, she insisted she would be answerable to the PM only, not Mr Cain –who happens to be an ally of Boris's top aide, Dominic Cummings.

With Cain fearing he was about to be side-lined, Boris offered him the prestigious new post.

And that's where the quartet stepped in, determined to prevent that happening.

But while the decision to hold a stand-off in such a time of crisis is remarkable, it is the sudden emergence of Symonds as a force to be reckoned with that has truly astonished Westminster.

'This is like something out of a soap opera,' said one frustrated Tory MP last night. For some weeks now, the PM, encouraged by many senior Tory MPs, has been mulling over the idea of a chief of staff to help bring some order to the chaos that has seemed to permeate No10's operations.

Yet after it emerged Cain was a frontrunner, the very same MPs responded with uproar. In his role as head of communications, Cain is held responsible for the widely- held view that this government always reacts to, but never controls, events.

Boris was taken aback by the sheer level of opposition to the Cain appointment from ministers, backbench MPs and advisers.

Yet he cannot have been surprised by the opposition from Carrie – friction between her and Cain is nothing new. In June last year, when Carrie and Boris had a domestic dispute in their London home, which was secretly taped and leaked to The Guardian, Cain handled the media fallout.

But he was enraged to learn that Carrie – or her pals – had taken matters into their own hands. A photograph was leaked to the Press that was designed to show the couple had kissed and made up.

However it soon emerged that the shot was taken long before the row, leading to more damaging headlines. Relations between Symonds and Cain never recovered.

Carrie's involvement only became clear yesterday after Laura Kuenssberg, the BBC's Political Editor, claimed that since she was opposed to the appointment, 'it might not happen'. Then she tweeted: 'Two Tory sources confirm Cain was offered job by PM at weekend after talking about it for few weeks; PM's fiancee, Carrie Symonds, however, said to be deeply unhappy about the plan; Not now clear what outcome will be.'

It was Kuenssberg too who broke the news that Munira Mirza and Allegra Stratton were also opposed to Cain.

A Westminster source explained: 'Sorry if this sounds sexist, but the women swapped notes to kill this off. Cain never had a chance against those four.'

One influential figure Cain had on his side was Dominic Cummings. A former Cabinet minister said last night: 'Lee is one hundred per cent a creature of Dominic Cummings. If he got the [chief of staff] job, it would have been more power for Cummings and more of the chaos of the last year.'

Meanwhile, for many Westminster watchers, the high level of opposition to Cain is underlined by the fact Munira Mirza allowed her objections to become known.

Mirza, a long-time Boris aide dating back to his time as London mayor, prefers to work away from the limelight.

The Oldham-born, Oxford-educated academic is a popular figure around No10. 'She has a huge brain but wears it lightly. Boris listens to her,' according to one source.

File photo shows Conservative Party leader David Cameron walking around Tamworth in Staffordshire followed by Lee Cain dressed as a chicken, working for the Daily Mirror newspaper

File photo shows Conservative Party leader David Cameron walking around Tamworth in Staffordshire followed by Lee Cain dressed as a chicken, working for the Daily Mirror newspaper

So why was she opposed to Cain? 'She never thought he was up to it,' said another source.

For her part, Priti Patel, the Home Secretary, worked closely with Cain when he was director of communications at Vote Leave in the 2016 referendum.

But she has become frustrated by his constant presence at her 'private' meetings with the PM.

And yet it seems that Boris Johnson was prepared to risk a rift with his partner, and his three most senior female allies, because he couldn't bear to lose Cain. '[Boris] regards Lee as his man on earth,' said an ally speaking before Cain quit. Ironically, with Cain seen off by Carrie & Co he only had himself to blame. It was, after all, Cain who persuaded Boris, in the teeth of opposition from Cabinet ministers, to appoint a woman journalist to do the televised Downing St briefings.

His joy at Boris's acquiescence was short lived, when the PM poached Allegra Stratton from Chancellor Rishi Sunak's team.

For ultimately, the pair are chalk and cheese. Cain, 38, who sports a heavy morning shadow and likes to relax watching boxing on TV, is a comprehensive school boy from Ormskirk in Merseyside.

Stratton is a fully paid-up member of the metropolitan elite who was educated at Latymer Upper School in London (fees, £21,000 a year) and studied anthropology and archaeology at Cambridge.

The daily Downing St press briefings will launch in January when, according to a former minister: 'Allegra will become a household name and would have eclipsed Lee who would have been toiling behind the scenes. It's why he was threatening to leave.'

Interestingly, while Cain has been mocked for dressing as a chicken to stalk former Tory leader David Cameron in the 2010 election, footage has recently emerged of Stratton also dressed as one, dancing at a high-spirited Westminster party where veteran political pundit Andrew Neil led the conga.

It's a fact of nature that chickens fight to the death to establish a pecking order. And in this particular case there is no doubt of the victor: Carrie and her quartet.

How Boris's bullish state-educated 'Scouser' Lee Cain and his 'lad gang' clashed with Carrie and Tory blue-bloods

He's the state-educated ex-journalist who once dressed as a chicken to chase David Cameron around the country but who went on to be his successor's media supremo.

Lee Cain was a rare everyman figure in the blue-blooded hierarchy of Boris Johnson's No 10 operation before his decision last night to quit as director of communications. 

His rise to become one of a limited number of people with the Prime Minister's ear was stark but he was a divisive figure whose brash style saw him make enemies among Tory politics' more well-heeled operators.

Mr Cain, who grew up in Ormskirk, a town in West Lancashire, has developed a reputation as an ardent Brexiteer and helped forge Mr Johnson's tough stance last year which saw him controversially prorogue parliament in an attempt to prevent pro-Remain MPs blocking a no-deal departure. 

He was a key member of a coterie of Vote Leave 'lads' installed at the heart of Downing Street when Mr Johnson took power in the summer of 2019. 

Having successfully started Britain down the road to leaving the EU by winning the 2016 referendum, the hardcore of the brains behind the Brexiteer organisation fronted by Mr Johnson followed him into No10.

The hardcore of the group was a male quartet; Dominic Cummings, Cain, Oliver Lewis and Rob Oxley, known internally as Dom, Caino, Sonic and Roxstar. 

With a game plan of completely shaking up the internal operations of Downing Street, they formed an inner circle that has been accused of throttling access to the Prime Minister and gaining almost total control over the levers of power. 

This set them on a collision path with ministers and MPs, as well as other advisers, especially as Brexit and then the coronavirus pandemic threatened to overwhelm the Government.

And eventually they came together to force him out last night. And the Ormskirk Grammar and Stafford University graduate was apparently forced out by a group including Carrie Symonds, Mr Johnson's privately-educated fiancee.           

 

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https://news.google.com/__i/rss/rd/articles/CBMidWh0dHBzOi8vd3d3LmRhaWx5bWFpbC5jby51ay9uZXdzL2FydGljbGUtODk0MTk5Ny9Eb21pbmljLUN1bW1pbmdzLVZvdGUtTGVhdmUtZW1waXJlLXN0YXJ0cy1mYWxsLWFwYXJ0LUNhcnJpZS1yb3cuaHRtbNIBeWh0dHBzOi8vd3d3LmRhaWx5bWFpbC5jby51ay9uZXdzL2FydGljbGUtODk0MTk5Ny9hbXAvRG9taW5pYy1DdW1taW5ncy1Wb3RlLUxlYXZlLWVtcGlyZS1zdGFydHMtZmFsbC1hcGFydC1DYXJyaWUtcm93Lmh0bWw?oc=5

2020-11-12 12:50:00Z
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