Jeremy Hunt you are mishandling and have mishandled the NHS and in particular the imposition of new junior doctor working contracts.
This is not the first ministerial job that you have screwed up but your political career survives.
Could that be because you were one of those who supported Cameron in his bid to lead the Tory party?
This is what this retired NHS employee thinks:
On the back of Jeremy Hunt's announcement Thursday that he will impose new working contracts on junior doctors after failing to reach an agreement the fallout continues.
#dimposition was trending on Twitter Thursday as tweeters in England took to social media to express their anger.
Junior doctors in NHS England that means not in Scotland, Wales or Ireland will have new non-agreed working contracts forced on them in August unless Hunt is forced into a U Turn.
The Tory tactic of public letters that appear to show support from people linked to the debate are falling flat Friday.
In April 2015, days ahead of the UK General Election, #lettergate blew wide open. As we reported it was a case of "Business leaders dodgy Tory letter more mind games."
The Tories won the General Election but with a majority of just 12 seats.
But that letter included people who later distanced themselves saying they had not been asked but rather just included by Tory campaigners.
Seems this may have happened again.
Friday the Guardian reports "Health chief: letter backing 'whatever is necessary' on contracts was not agreed -NHS trust chiefs distance themselves from letter supporting plans to impose new contracts on junior doctors."
Is that down to misinterpretation of 'whatever is necessary' or something sleazier?
Either way Jeremy Hunt’s claim that he has the backing of 20 NHS bosses to impose new contracts on junior doctors quickly unravelled overnight; at least half said they had never agreed to support forcing the deal.
Health Minister Hunt joined a Tory Shadow Cabinet originally as Shadow Secretary of State for Culture, Media and Sport.
He made a pig's ear of that role and was moved on to Culture.
After a second pig's ear he was rewarded with the role of Health Minister.
The only qualification Hunt has to oversee healthcare in the UK appears to be that he co-authored a book calling for NHS to be replaced with private insurance.
How come Ministers need no qualifications? What next for Hunt - Chancellor?
That fits with the way he is handling NHS England while pretending that he is simply trying to fulfil a Tory manifesto pledge for a seven-day NHS.
The NHS of course is already a 24/7 NHS each and every day and night of the year.
Currently some services are limited at the weekend a bit like in parliament-Ministers only attend willy nilly during the week and it is closed weekends.
If and when parliament are recalled during vacations due to a national crisis the taxpayer foots the bill and it is a costly one.
If parliament wants a seven day working week that is a one pay fits all then they should lead by example but moreover they should reward staff.
Junior doctors already work far too many hours; they may get some sleep on a long night shift but if they are working on a busy hospital ward or department they may be run ragged covering more than ward across a huge site.
They already work weekends, nights, bank-holidays and more but on a shift basis; as these same doctors have to fit in lectures, study, training and more that is understandable. They also rack up debt as they undergo extensive training which lasts for years.
The conclusion has to be Mr Hunt that the new junior doctor working contracts, with the promise or is that threat of further changes in the working contracts of other staff, is only about cutting the service to the bone.
In allegedly trying to make a 24/7 NHS you are in fact wrecking the service - either so that it will be ripe, ready and cheap for your buddies when they come on the scene to privatise or undermine it completely in the minds of voters.
But either way you will fail.
The NHS has its problems but remains much loved and the pride of Britain and long may that continue.
The Tories along with Lib Dem coalition partners helped draw up new working contracts for junior doctors; the government describes "the current arrangements as "outdated" and "unfair", pointing out they were introduced in the 1990s." Talks on the new contracts stalled in 2012 and have been going nowhere.
The doctors looked set to take a pay cut as reclassifying unsocial hours came into force; 'normal hours' will be reclassified as being from "7am to 10pm, Monday to Saturday. Extra payments for unsociable working will be earned only outside of these times, rather than the current arrangements of 7am to 7pm Monday to Friday."
Working hours of 48 hours a week will remain and Hunt is promising the top limit of 91 hours will reduce to 72.
But can junior doctors trust the Tories? According to the Daily Mirror "Doctors threatening to strike say it's 'spin' and there are plenty of reasons it's nowhere near 11% . For some people it'll actually be a cut."
The government is trying to slowly but surely erase any positives accredited to former Labour governments; they were responsible for many previous N.H.S. pay and working hour improvements.
The doctors are not about to take new contracts lying down and "the junior doctors committee of the British Medical Association (BMA) is preparing to ballot its members about potential walkouts." With the government threatening to impose the new contracts on junior doctors in 2016 if agreement could not be reached battle lines were drawn.
But it seems the government has had a change of heart; offering an additional 10% pay rise on top of the restricted 1% or less for other N.H.S. staff could do the trick but what about those other staff members? How will they feel when they receive 1% or less knowing junior doctors are getting a whopping 11%?
The problem is all staff who work for the N.H.S. except for some managers, are essential to the best care of patients.
But some of the lower grade staff earn paltry wages and yes some are also on zero hours contracts.
There was a time when junior doctors worked crippling shifts that must have endangered patient and their own, health and safety; that was improved and under a previous Labour government when 'Agenda for Change' was implemented to correct an imbalance between private sector and public sector health care workers pay.
Working for the N.H.S. for around 13 years pre-retirement this writer experienced the good the bad and the ugly. Staff would say work here long enough and you will see any changes come around at least twice and that was a fact.
A succession of well paid 'project managers' appeared in an endless stream; in some cases it was difficult to know exactly what they did. Many may have only been on temporary contracts but were paid exceptionally well, often had already worked for the N.H.S. and retired and usually were handed another post without a problem when the role ended.
Can Hunt afford to give junior doctors 11%? Will it be a no strings attached offer? Will the government abide by any promises it makes?
Will Hunt have to rob Peter to pay Paul?
All N.H.S. staff deserve a decent working contract but can that be achieved under a Tory government that is hoping to privatise the service?
Sources and more information at:
BMA refuses to re-enter contract talks
Op-Ed: British parliament is closed as politicians begin their election campaigns in earnest. PM David Cameron has begun his campaign by announcing the NHS will be a 'truly seven-day' service by 2020 if the Tories are re-elected.
That is a promise then that he says will be delivered by the end of another five-year term in government but he has a bad track record on pre-election promises.
Doctors have already warned that a seven-day NHS for all services is not workable. It may be if the service receives a mass of funding but even then it is doubtful.
The NHS is a great British asset and deserves protection and funding but it has its limits. Cameron and the Tories are committed to privatising the NHS little by little and will not even guarantee it is safe from TTIP, the transatlantic trade deal.
Working for the NHS from 1999 until 2012 this blogger experienced some of the changes first hand. There was a saying 'work here long enough and you will see every reform come around again'.
That was certainly true and I watched as systems were introduced, replaced and reintroduced as demoralised staff ran on the NHS treadmill.
Cameron's latest NHS promise will only be workable with an increase in funding, more privatisation, efficiency savings, and slashing salaries although ask an NHS worker and they will say it will not happen. In January the Guardian reported;
Doctors have warned that plans to transform the NHS into a seven-day service are a waste of vital resources that could threaten the quality of care during the week and prove a danger to patient safety.
Following Cameron's advice then the Conservatives must surely be in for a ballot box beating at the election?
The problem is Cameron is craftily manipulating voters and playing mind games, for example by only taking part in a Q & A session rather than a debate with Labour leader Ed Miliband.
Those who thought he was too scared to debate may be right but more likely it is carefully stage managed politics paid for by wealthy donors in the UK, Alexander Temerko a former Russian businessman and others.
A truly seven-day NHS is the first of what will be a long list of Cameron promises aimed at winning votes. Will the other promises be equally non-workable?
The NHS already operates a 24/7 service but obviously not for all services such as outpatient appointments.
Conclusion; Cameron is taking control of the election campaigns by any means possible, fair or foul, but only if you let him.