{"id":49869,"date":"2021-03-19T14:01:07","date_gmt":"2021-03-19T13:01:07","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=49869"},"modified":"2021-03-20T08:57:13","modified_gmt":"2021-03-20T07:57:13","slug":"andy-cowper-an-aria-of-revenge-sung-by-dominic-cummings","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2021\/03\/19\/andy-cowper-an-aria-of-revenge-sung-by-dominic-cummings\/","title":{"rendered":"Andy Cowper: An ARIA of revenge, sung by Dominic Cummings"},"content":{"rendered":"

Evidence\u00a0given this week to the House of Commons Science and Technology Select Committee<\/a> by blogger and data science fanboy Dominic Cummings (ex-leader of the Brexit referendum-winning Vote Leave campaign and ex-chief advisor to the UK’s prime minister Boris Johnson) matters quite a lot for the NHS and its staff.<\/p>\n

Both the Brexit referendum and the UK’s 2019 general election campaigns proved that when up against a badly-led opposition, Cummings is a successful campaign leader. In this context, he has considerable form with the NHS.<\/p>\n

He\u00a0acknowledges that his infamous<\/a> and\u00a0misleading bus-borne claim<\/a>: “We send the EU \u00a3350 million a week: let\u2019s fund the NHS instead” probably gave the Brexit campaign decisive momentum with the voters.<\/p>\n

The NHS later returned the Brexit-cash-based compliment, with NHS England\u2019s leader Simon Stevens\u00a0using that “Brexit bonus” claim in a November 2017 speech<\/a> to help him back the government into a political corner that won the NHS a significant, multi-year funding increase\u00a0announced by the then prime minister Theresa May<\/a> in 2018.<\/p>\n

While Cummings\u2019 evidence to the committee was on the theme of the Advanced Research and Invention Agency (ARIA), his legacy pet project for cutting-edge scientific research, the points that really caught people\u2019s attention were his withering criticisms of the Department for Health and Social Care.<\/p>\n

The \u201csmoking ruins\u201d of the Department for Health<\/strong><\/p>\n

Cummings told the committee<\/a>:\u00a0“DH had absolute total disaster in terms of buying – how it buys, procures, how it deals with science and tech. It\u2019s why we had to take vaccine process out of DH.”<\/em><\/p>\n

He\u00a0continued<\/a>,\u00a0“in spring 2020 you had a situation where the Department for Health was just a smoking ruin in terms of procurement and PPE and all of that, you had serious problems with the funding bureaucracy for therapeutics on Covid \u2026 It’s not coincidental that the vaccine programme worked the way it did. It’s not coincidental that to do that we had to take it out of the Department of Health.<\/em><\/p>\n

\u201c(Chief Scientific Officer) Patrick Vallance then comes to Number 10 and says: \u2018this shouldn\u2019t be run out of the Department for Health, we should create a separate task force\u2019 \u2026 Vallance, the Cabinet Secretary, me, and some others said: ‘Obviously we should take this out of the Department for Health, obviously we should create a separate task force, and obviously we have to empower that task force directly with the authority of the prime minister\u2019.\u201d<\/em><\/p>\n

Credit for vaccination<\/strong><\/p>\n

Both the procurements of the Vaccines Taskforce (originally led by Kate Bingham) and the vaccination programme planned and delivered by the NHS with logistical support from the Army and volunteers have been massive successes. It is unsurprising to see Cummings join a long queue of people wanting to be associated with these successes.<\/p>\n

Nevertheless, his criticism of the DHSC will hit home. The DHSC was responsible for procurement of personal protective equipment (PPE), which has already been the subject of\u00a0wide criticism<\/a>;\u00a0successful legal challenge<\/a> over not publishing contracts; and\u00a0an NAO report<\/a> exposing a “fast lane” for contacts of MPs and ministers which was 10 times more likely to result in a contract than usual channels.<\/p>\n

DHSC was also directly responsible for Public Health England\u2014the body whose mid-pandemic abolition to create the new National Institute For Health Protection raised many eyebrows and much suspicion of blame-shifting. NIHP is due to open next month, yet the government is yet to appoint a leader or chair, with\u00a0advertising for the latter role<\/a> giving candidates just a week to apply. It is almost as if the government already has a candidate in mind. Purely co-incidentally, Test And Trace boss and Conservative peer Baroness Harding is the interim NIHP chair.<\/p>\n

At the very end of the evidence session, Cummings intervened to emphasise how keen he is to give evidence to the committee\u2019s joint “lessons learned” inquiry with the Health Select Committee chaired by previous health secretary Jeremy Hunt. As I\u00a0wrote here last June<\/a>, the PM\u2019s \u201cvery proud\u201d rhetoric on the government\u2019s \u201cworld-class\u201d response will run hard into reality once a proper review is held.<\/p>\n

All of this will have an impact on the current health secretary Matt Hancock, whose energetic Alan Partridge-esque communications style is unlikely to save him from being re-homed in a Cabinet reshuffle likely in June or July.<\/p>\n

Politics and personalities<\/strong><\/p>\n

Understanding national government antics is every bit as much about personalities as it is about politics. Mr Cummings\u2019 quest for revenge eaten cold is psychologically coherent with what we know of the man.<\/p>\n

Like his former boss Boris Johnson, Dominic Cummings is a needy narcissist. Both men\u2019s specific requirements for approval are different, however.<\/p>\n

Cummings is perhaps best understood as a rubbish Rasputin who thinks he\u2019s Machiavelli. He left his job in Downing Street late last year<\/a> after what is understood to have been friction between himself and Number 10 press chief Lee Cain, and the PM\u2019s new press secretary Allegra Stratton and fianc\u00e9e Carrie Symonds.<\/p>\n

Cummings wants to be considered a politico-strategic and scientific genius, as his lengthy blogs on his personal website reveal. He is famously imperious to deal with, and (like the PM) does not believe that rules apply to him.<\/p>\n

Regarding his evidence, it is worth remembering that Cummings has\u00a0form for re-writing history<\/a> \u2013 in 2020, he edited his 2019 blogpost to pretend that he predicted covid-19.<\/p>\n

Boris Johnson is a different kind of needy narcissist who wants to be a beloved, “world king” Great Man of History (as his\u00a0heroically bad biography of his idol Winston Churchill<\/a> shows).<\/p>\n

To date, positive opinion polling suggests that the electorate continues to buy Johnson\u2019s Panglossian clown act, particularly with a halo effect from the successful vaccination campaign to date.<\/p>\n

The relentless, detailed grind of government, and the score-settling that will lie ahead in any public inquiry into covid-19, still have ample capacity and time to tarnish that halo\u2019s shine.<\/p>\n

\"\"<\/a><\/p>\n

 <\/p>\n

Andy Cowper<\/strong> is a freelance journalist and editor of <\/em>Health Policy Insight.<\/em><\/p>\n

Competing interests<\/strong>: none declared.<\/p>\n","protected":false},"excerpt":{"rendered":"

Evidence\u00a0given this week to the House of Commons Science and Technology Select Committee by blogger and data science fanboy Dominic Cummings (ex-leader of the Brexit referendum-winning Vote Leave campaign and […]<\/p>\n

More…<\/a><\/p>\n","protected":false},"author":66,"featured_media":49870,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18927],"tags":[],"class_list":["post-49869","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-andy-cowper"],"yoast_head":"\nAndy Cowper: An ARIA of revenge, sung by Dominic Cummings - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/03\/19\/andy-cowper-an-aria-of-revenge-sung-by-dominic-cummings\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Andy Cowper: An ARIA of revenge, sung by Dominic Cummings - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Evidence\u00a0given this week to the House of Commons Science and Technology Select Committee by blogger and data science fanboy Dominic Cummings (ex-leader of the Brexit referendum-winning Vote Leave campaign and [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2021\/03\/19\/andy-cowper-an-aria-of-revenge-sung-by-dominic-cummings\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2021-03-19T13:01:07+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-03-20T07:57:13+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2021\/03\/dominic_cummings.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"540\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"julietwalker\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"julietwalker\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2021\\\/03\\\/19\\\/andy-cowper-an-aria-of-revenge-sung-by-dominic-cummings\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2021\\\/03\\\/19\\\/andy-cowper-an-aria-of-revenge-sung-by-dominic-cummings\\\/\"},\"author\":{\"name\":\"julietwalker\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/373707d32533c2cbca204980b8cd3493\"},\"headline\":\"Andy Cowper: An ARIA of revenge, sung by Dominic Cummings\",\"datePublished\":\"2021-03-19T13:01:07+00:00\",\"dateModified\":\"2021-03-20T07:57:13+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2021\\\/03\\\/19\\\/andy-cowper-an-aria-of-revenge-sung-by-dominic-cummings\\\/\"},\"wordCount\":1015,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2021\\\/03\\\/19\\\/andy-cowper-an-aria-of-revenge-sung-by-dominic-cummings\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2021\\\/03\\\/dominic_cummings.jpg\",\"articleSection\":[\"Andy Cowper\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2021\\\/03\\\/19\\\/andy-cowper-an-aria-of-revenge-sung-by-dominic-cummings\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2021\\\/03\\\/19\\\/andy-cowper-an-aria-of-revenge-sung-by-dominic-cummings\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2021\\\/03\\\/19\\\/andy-cowper-an-aria-of-revenge-sung-by-dominic-cummings\\\/\",\"name\":\"Andy Cowper: An ARIA of revenge, sung by Dominic Cummings - 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