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Is the Social Contract in the UK Broken?

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A social contract is an implied agreement between The Government / Members of Parliament (MPs) / Institutions and The People. Both sides of the agreement have rights, responsibilities and expectations. But is the social contract in the UK broken?

To answer this question, we need to discuss the expectations of each of the group’s people:

The People are Expected to:

  • Work and/or contribute to society in other ways.
  • Pay taxes.
  • Abide by the law.
  • To be treated with dignity, fairness, equality & respect.
  • To treat others with dignity, fairness, equality & respect.
  • To exercise their rights to vote, petition and protest, if they choose to do so.

The Government / MPs / Institutions are Expected to:

  • To keep citizens (The People) safe – usually achieved through the Military and the Police.
  • To ensure all of The People have access to shelter (housing), food, water and appropriate clothing. To ensure that these basic survival needs are affordable.
  • To ensure of of The People have access to the NHS, safe and high quality healthcare. This ensures that the majority of the population are in good health.
  • To ensure that children / young people and vulnerable adults have access to Social Care services that keep them safe and support them.
  • To ensure all of The People have opportunities to learn through education establishments, libraries and apprenticeships. This develops a knowledgeable and skilled workforce for all of society.
  • To be financially responsible, ensuring the economy grows and benefits all. This includes ensuring employment opportunities for working-age people, ensuring pension schemes for the elderly and Welfare (benefit payments for: people on low wages, unemployed people, people who need extra support due illness or disability, support for families with children and support towards the cost of housing).
  • To develop, support, maintain and ensure accessibility for all of The People to key infrastructure such as water sanitation, waste disposal/recycling, energy/power systems, roads/public transportation and telephone / communication systems.
  • To create new laws for the good of The People.
  • To ensure that there is a system for individual people that brake laws, which includes both justice / consequences and rehabilitation. In the UK, this is through the Police, the Courts, Prisons and Probation services.
  • To ensure that all institutions adhere to Human Rights, are accessible and don’t discriminate or harass any of The People.
  • In Parliament, to represent and act in the best interests of both The People in the communities that elected them and the larger UK society.
  • To promote good diplomatic relationships globally and to advocate for / encourage peace.

I understand that the The Government / MPs / Institutions have a large number of complex expectations to meet. However, in the last few decades, it feels like on every single one of these expectations The Government / MPs / Institutions are failing to deliver. Not only are they failing to meet expectations right now, but it also appears that they are setting society up for further failures in the future.

In the last few decades, The Government / MPs / Intuitions have appeared to work for a select group of people within The People: the wealthy elite (see rising wealth inequality).

My opinion is that everything is broken. The social contract is broken, politics is broken, all public services are broken. It feels likes society in the UK is disintegrating right in front of my eyes.

This week Andy Burnham won the by-election in Ashton-In-Makerfield, Wigan. At one time, this would of given me hope. Andy Burnham is an experienced politician and to give credit where it is due, he was the Health Minister when I started my career as a Student Nurse.

Back in 2004 – The Labour Party’s bursey for Nurses scheme enabled me to go to University to become a Nurse. I was the first person in my family to go to University. The policy documents, ideas and follow through actions whilst Andy Burnham was Health Minister were good.

One basic but excellent idea I remember for the NHS, is calculating how many Nurses the NHS would need in the next 3 years. They then doubled the number of training places to ensuring we had enough Nurses qualifying at the right time.

I do have reasons not to hope for too much, or put my complete faith and trust in Andy Burnham as a Prime Minister though.

Before I list these, I want to say that what I’ve heard so far from Andy Burnham seems promising. Bringing back public transport, utilities and energy into Government ownership would not only go along way to addressing the cost of living crisis, but would also ensure the Government’s wealth security for future generations.

My reasons for not putting too much hope, faith or trust in Andy Burnham include:

  1. Josh Simons was the former MP for Ashton-In-Makerfield in Wigan. Josh appeared to well respected and liked locally, but suddenly gave up his seat to make way for Andy Burnham. This makes it feel like political game playing and acting in self-interest, rather than in the interests of The People. I am almost expecting that Josh Simons will get a peerage to the unelected House of Lords. Not because he earned it, not because The People will benefit, but because Andy Burnham promised him, in return for giving up his elected seat.
  2. It is rumoured that the proposed Clean Air Zone (CAZ) was Andy Burnham’s idea when he was Mayor of Greater Manchester. I should make clear that Andy Burnham now denies this, stating that it was the previous Conservative Government’s idea. But this doesn’t ring true for me. Before the CAZ, there was a proposal for a Congestion Charge for Greater Manchester. This would have reduced traffic, as only people with the money could afford to drive into the city centre. However the majority of The People in Greater Manchester voted to reject the idea of a congestion charge. The CAZ to me feels like another way Andy Burnham tried to implement this idea. It also doesn’t feel right that The Conservative Party would bring in a charge for motorists for ‘clean air’ or that they would want it to cover the whole of Greater Manchester.
  3. Another rumour relating to the proposed CAZ was that either a company that Andy Burnham’s wife owns or works for got paid £100m for all of the signage. I have never read anywhere that Andy Burnham has acknowledged this rumour or responded to it. Sometimes, silence from politicians makes me feel that they are covering their back, not saying anything to avoid incriminating themselves. If Andy Burnham was involved, influenced or was even aware of his wife’s involvement, this feels like a very real conflict of interests. What was done about this? We don’t know, because the rumour hasn’t been acknowledged, confirmed or denied.
  4. If the Greater Manchester Combined Authority, which the perception is that Andy Burnham was the leader of, did pay £100m for signage, that’s feels like a lot of tax payer’s money that has been wasted for a scheme that never materialised.
  5. Even if Andy Burnham has all the best of intentions and only wants to serve The People, there is a chaotic Labour Party and a whole political system set up that seems pretty happy with the status quo. Can Andy Burnham have the influence, charisma, ideas, motivation and energy to make the transformational change required?

I have never wanted for any one to prove my concerns about them wrong as I do about Andy Burnham right now. I want the social contract back. I want a fair and good society.

If you look at the collapse of every empire in history, they all have one thing in common. They happened (at least in part) because their ruling class (those with power) stopped serving The People and started serving either themselves, the wealthy elite or both.

What are your thoughts? Leave a comment below.

Write soon,

Antony

More Content From Antony

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There’s Nothing Quite Like Tooth Pain

Reading Time: 3 minutes

Last weekend, I had a Rituximab infusion aimed at keeping my vasculitis in remission. Then on Tuesday I started with pain in my lower jar and noticed that part of one of my wisdom teeth had broken away. I got an emergency Dentist appointment on Wednesday and had to have the tooth extracted.

Before the extraction and since, I’ve had pain in my lower jaw and face. There’s nothing quite like tooth pain is there? This actually reminds me what I’ve written about pain, in FINDING YOUR HAPPINESS:

Your Pain

Part of being alive is experiencing pain. There are different types of pain. Pain can be physical, mental or emotional. Any type of pain reduces your quality of life and will make you less happy.

You should address any pain promptly, to prevent it from getting worse and to promote healing.

Physical Pain
Physical pain is often managed, rather than cured or healed. Pain management can involve medications, exercises and sometimes surgery. Physical pain can be acute (coming on suddenly and is short term) or chronic (long term).

Acute physical pain is a sign that something is wrong inside your body. Chronic pain is caused by diseases and disorders inside your body. If you’re in physical pain, I highly recommend that you see your GP.

Your GP will complete an assessment, tests/investigations to work out the cause of the pain and work with you to develop a treatment plan.

A good example of physical pain is a broken leg. Imagine you fall and break your leg. You are in pain and seek medical attention. You have an x-ray that confirms the broken bone. You have surgery to repair it.
After surgery you have a period of immobilisation to allow the bone to heal and then have physiotherapy to regain muscle strength.

Within 3-6 months you are back to doing everything you used to do before the injury. Walking, running and dancing. Your leg is healed. You are healed.

Mental Pain
We don’t know enough about mental pain. Sometimes mental pain is managed, sometimes it is healed.

Mental pain is caused by mental illnesses. Sometimes mental illnesses run in families, suggesting that the cause could be genetic. Sometimes mental illnesses are caused by life events.

There are many different types of mental illnesses, some are acute and some are chronic. Examples of mental illnesses include anxiety, depression, bipolar and schizophrenia.

It can be difficult for a doctor to diagnose mental illnesses due to similar symptoms. Even Psychiatrists (doctors that specialise in mental health) have difficulty diagnosing mental illnesses.

Diagnosis of mental illnesses can take a significant amount of time. There’s no blood test or scans that can be completed to confirm whether an individual has mental illnesses or not, let alone which specific mental illness they have.

I would highly recommend that you see your GP if you are experiencing mental pain.

If you’re experiencing mental pain, don’t wait for a diagnosis. Start to manage your symptoms immediately, to the best of your ability.

In some cases people can fully recover from mental pain/illnesses. Whereas in other cases it is about long term management of symptoms.

Recovery from mental pain/illnesses doesn’t have set timescales. It usually takes months to years, depending on the individual and the circumstances. But every year many people do recover from mental pain/illnesses.

Emotional Pain
A conversation about emotional pain in western healthcare is not currently happening, but it needs to.

Symptoms of Pain
With all types of pain you will have a combination of physical, mental and emotional symptoms. Let me give you an example of this from my own life.

I once had severe stomach pains. They’d come and go, but were incredibly painful when present. I went to see my GP and had a range of tests/investigations. Everything came back normal.

However physically, my body always felt tight. Sometimes my chest felt tight, like it was difficult to breathe. At these times, my heart beat fast and I sweated excessively.

Eventually my GP diagnosed me with anxiety, a mental illness. I was prescribed medication and referred for therapy. It took several years, but I came to realise that my anxiety was often caused by my emotional state. Fear seemed to frequently trigger my anxiety.

I realised that in order to effectively treat my anxiety, I needed to address the fear. So that’s what I did.

Whatever symptoms of pain you have it is essential that you work out what it is and address the cause(s).

(From: FINDING YOUR HAPPINESS by Antony Simpson, 2026, pages 55-57.)

I’m currently on antibiotics and prescription painkillers. So I will be taking it easy this weekend.

Blog soon,

Antony

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The MiniMed Flex Insulin Pump by Medtronic

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MiniMed Flex™ Insulin Pump/System by Medtronic (Image From & Copyright © Medtronic, 2026)

In the USA, Medtronic recently released a press release about their new insulin pump called the MiniMed Flex.

I currently use Medtronic’s MiniMed 780G insulin pump, which has been nothing short of transformational, reducing my HbA1c from 99 to 52.

You can learn more about my experiences using this pump on these blog posts:

So you’d think I would be excited by this announcement, but I’m not. Instead of being excited, I’m very concerned. I’m concerned about:

1. Smartphone Control

The new MiniMed Flex pump will be controlled by smartphone. This means if my battery dies on my smartphone and I’m out, I’ll have no way of knowing my current blood sugar, no way of delivering insulin, no way of adjusting settings for exercise and no telling my pump what I need it to do. Bluetooth could also fail on my smartphone or the pump itself.

Currently on the MiniMed 780G insulin pump, I can control the pump through use of the screen and buttons on the actual device.

2. The Update Cycle of Medtronic’s App

Historically Medtronic’s update cycle of the App has been painfully slow. Everytime I have an Android software update on my phone it can take Medtronic a month or longer to update their App.

This has meant on some occasions in the past, I have been unable to get my phone to pair with my pump, sometimes for a number of weeks. Imagine if this happened with the MiniMed Flex, it would literally be unusable until Medtronic updated their App.

3. Lack of a Screen

Lack of a screen = lack of information. Especially if the bluetooth connection or pairing to a smartphone failed for some reason. My blood sugars could be going high or low without my knowledge. This could lead to a failure or delay in me taking appropriate actions.

4. No Information about Sound / Vibration / Flashing Light Notifications

There is currently no information about the MiniMed Flex pump’s ability to deliver sound, vibration or flashing light notifications. The MiniMed 780G insulin pump does all these and to different volume, intensity and number of repeats (depending on settings). I find these are extremely useful, especially when I am asleep at night.

4. A New Algorithm

The press release mentions a new algorithm for SmartGuard. This could lead to better or worse blood sugar control for me. I know the algorithm on my current MiniMed 780G insulin pump works for me. It helps me to spend much more time in range and is proven to lower my HbA1c. I have a real fear that this new algorithm might not be as effective for me.

5. How it is Powered

There is no information currently available on how the new pump is powered. Some people have suggested a button battery, others that it could be rechargeable and others have suggested it could be powered by an AA battery, like my current pump. Rechargeable would be a nightmare and I would definitely prefer a battery that can be replaced.

But again, I would be reliant on it being connected to a smartphone (and the smartphone being operational) to know the charge of the battery.

6. Whether I’ll be Forced to Upgrade

I get my current insulin pump from my local Diabetes Centre, provided by the NHS. This is the only way to get any sort of insulin pump in the UK. Privately funded or funding through an insurance model isn’t even an option.

It is likely that my local NHS Trust has an agreement with Medtronic for the latest tech and for free upgrades. According to the press release, users of the MiniMed 780G insulin pump in the USA will get a free upgrade to the MiniMed Flex.

But what if I don’t want the free upgrade and would rather stay on the MiniMed 780G insulin pump, will that be an option?

Conclusion

I am not alone in having concerns. There is a reddit post about it here. With the information I’ve currently got available and what I’ve learned from past experiences, I would 100% choose not to upgrade at this time. I only hope that I am given that option.

All Diabetes Type 1 Content

If you liked this post, you might like this page: All Diabetes Type 1 Content.

Blog soon,

Antony

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The Equality Act (2010) Explained

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Click on image for full-size.

The Equality Act (2010) is a UK law that is intended to protect people from discrimination, harassment and victimisation.

This is to ensure that everyone is treated with dignity and respect.

The Equality Act (2010) is about ensuring equality and fair treatment for all.

Before the Equality Act (2010) there were more than 100 pieces of other legislation that included details around protecting people from discrimination, harassment and victimisation.

The Equality Act (2010) starts by outlining the 9 protected characteristics:

  1. Sex
  2. Race
  3. Disability
  4. Sexual Orientation
  5. Gender Re-Assignment
  6. Religion or Belief
  7. Marriage or Civil Partnership
  8. Pregnancy and Maternity
  9. Age

Next the act goes on to define what is prohibited, including:

  • Direct discrimination of anybody with a protected characteristic.
  • Indirect discrimination of anybody with a protected characteristic.
  • Harassment of anybody with a protected characteristic.
  • Victimisation of anybody with a protected characteristic.

Equality Act (2010) applies to all public organisations, all private organisations and all third sector organisations, making it all encompassing.

It covers accessing or buying services, buying of products, all education establishments, the NHS, Social Care (plus all other local authority services), employment (all aspects) and pensions.

It places a responsibility on all organisations to make reasonable adjustments for anybody with a protected characteristic and outlines the potential legal consequences for not adhering to this legislation.

I am choosing to write about the Equality Act (2010) now because a certain right-wing political party is planning to abolish this Act and the legal protections it provides if the party gets into power. Scarily, this political party appears to be getting increasingly popular with every day that passes. It is looking like this political party might get into power at the next general election.

So I thought I would use this platform to explain what the Act offers and hopefully help people realise why it is important for every one. Regardless of whether you have a protected characteristic or not.

If you enjoyed this blog post, you might also like my post The Human Rights Act (1998) Explained.

Write soon,

Antony

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