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Gordon Brown suffers a triple blow today in his attempt to relaunch his premiership as a Times poll reveals a big slide in his leadership ratings and a new report attacks the way that Labour has handled medical training.
The day after Mr Brown made health the centrepiece of his new year fightback, an influential report seen by The Times will propose that responsibility for doctor training should be taken from the Department of Health and handed to a new body.
Furthermore, Mr Brown today faces more unwelcome headlines over sleaze after reports that Peter Hain, the Work and Pensions Secretary, failed to declare large donations towards his deputy leadership bid. According to the reports, the Electoral Commission is to investigate the failure by Mr Hain to give an accurate report of his expenditure and he could face a fine.
At the same time a Populus poll for The Times, the first of the year, shows that David Cameron has overtaken Mr Brown on the issue of the leadership qualities required to be Prime Minister. Six months ago, just after entering No 10, Mr Brown was ahead of Mr Cameron by 56 to 32 per cent on this measure. Now, the Conservative leader is ahead by 44 to 40 per cent.
There have been similarly large shifts against Mr Brown on other leadership issues, cutting his large lead on the question of being strong from thirty-two to six points, while Mr Cameron has moved farther into the lead with regard to their relative charisma and likeability.
Mr Brown’s leader index has also dropped sharply since June, to well below Mr Cameron’s, and to a depth only once breached by Tony Blair.
The findings came as Mr Brown appointed Stephen Carter, the former media industry regulator, to head his political and strategic team, announced an initiative to provide screening for heart disease, stroke and diabetes, prepared to give the go-ahead to a new generation of nuclear power stations, and toured broadcasting studios in an effort to show that he was back on track after pre-Christmas troubles.
That impression will be undermined today when the report by Sir John Tooke will say that the running of doctors’ training must be taken out of the hands of the Department of Health. The report, ordered last year after thousands of highly qualified junior doctors were left without training posts, recommends an end to government control of postgraduate medical training. It also recommends the introduction of a new body, NHS Medical Education England, that will manage “ring-fenced” funds needed to train the next generation of specialists.
Mr Brown has reacted to last year’s welter of political problems by putting Mr Carter, 43, the former Ofcom chief, in charge of his political strategy, communications and the policy unit in No 10. Born and educated in Scotland, Mr Carter has impressed Mr Brown on several occasions and now suddenly becomes one of the most powerful figures in the country, attending Cabinet meetings and reporting directly to the Prime Minister.
Mr Brown has been criticised for relying too much on a small group of young advisers and ministers. Mr Carter will be expected to provide him with the long-term strategic planning that he believes can help him to recover to win the next election.
The Conservatives dismissed Mr Carter as “a spin-doctor”. Caroline Spelman, the party chairman, said: “When he took office, Gordon Brown promised that spin would be consigned to the dustbin. Yet, on dozens of occasions since he became Prime Minister, his announcements have unravelled as the small print has shown the truth to be very different.
“Gordon Brown has provided no fresh start and no big vision. He should be hiring staff to deliver on his promises, not another chief spin-doctor to put more gloss on the failings of his Government.”
The poll, undertaken over the weekend, shows that the election of Nick Clegg as Liberal Democrat leader has given his party a three-point boost to 19 per cent, all at the expense of the Tories, down to 37 per cent. Labour has remained almost unchanged, up a point at 33 per cent. The main parties are back to where they were a year ago, before Mr Brown enjoyed a honeymoon with voters and the press.

Sam Coates's blog about Westminster, politics and spin
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As an RO in the civil service who earns less than a £1000 per month my pay rise has been postpoied for the past 8 months (in effect no rise)and we now we have been offered 1%. My nursary fees go up 5%. My gas and electricty bills have doubled in three years.
I voted for you three times, NEVER AGAIN.
Shut up announcing policy
Go and go NOW
Alan Gambles, wirral,
Mmm, Labour better have a focus group to understand what those poll results mean. Then have another one to check what the first focus group meant.
What does Brown actually believe in?
Financial prudence? No - 10 years of credit expansion then emergency bailouts to reckless banks and calls for inflationary rate cuts. Limited government? Ahem, no. Central planning? Maybe, as long as influence can be sold to the highest bidder. Low taxes? No. High taxes? Yes, but only if they can be slipped in under the radar. Better hospitals? Regional development? Nope again. Free trade? No opposition to Common Agri Policy or Fisheries protectionism as far as I can tell.
What have labour actually achieved? Then again, where do the tories stand on all of these things?
What principles will these people stand by, even if they are unpopular?
Adam, London, UK
and of course shirley hodge in Glasgow the labour party in scotland is beyond reproach and of course nobody is puling its strings with large undeclared "donations"..
tut tut
john Graham, london, uk
What I find amazing is that with all the problems, the receiving of illegal donations, mass immigration, illegal wars, pensions being raided, etc; 33% of the populace are still willing to vote for (what can only be described as) complete incompetence.
Beggars belief.
Graeme, Edinburgh,
People are beginning to see what this is all about.
So much money has been wasted, and we have so litttle for it.
This just seems to be countered by more promises of change. After 10 years of power this makes me feel a little sick There appears to be a no underlying philosophy on which to build the change. Initiatives are announced without enough thought, then seem to be abandoned a few months later. It would be nice to see some delivery on promises, rather than just more promises.
John Machin, Toddington,
Shirley Hodge, Glasgow.........
As Mr Obama said, "The real gamble in this election is to do the same things, with the same folks, playing the same games over and over and over again and somehow expect a different result. That is a gamble we cannot afford, that is a risk we cannot take. Not this time. Not now. It is time to turn the page."
A wonderful description of New Labour.....
As in the case of any party sweeping to the last days of decay, it multiplies public offices and takes upon itself the burden of maintaining more and more of its pauper subjects...just as Brown has done.
Phil, Preston,
The most amazing thing in the so called 'rise' of Cameron is the fact that while he is excellent at pointing out problems never once have I heard him mention any solutions which he might bring to these problems. Of course the great reality is that with Cameron comes Thatcherism in a different shaped box but with the same old disasterous crap inside. The duplicity of Cameron is there for anyone who wants to get beyond the slick appearance and public speaking skills but seems no one wants to look there. My biggest question about Cameron is who is really pulling the strings that makes his mouth go. Just like George Bush and the world had to wait quite awhile to find out who was pulling his strings but by then it was way to late.
Shirley Hodge, Glasgow, Glasgow
Crash Gordan has made the Uk the most personally indebted country in europe, increased taxes, increased the size of the civil service and robbed our pension funds.
Unelected, unloved and unwanted. Take the plunge and go for an election!
david barker, maidstone,
Do we really want Flashman as PM?
Tom, Cardiff,
Stuart Murray, you say of Brown: 'If he wants to be respected then he better start respecting those who WILL vote for him.'
The point is; in England we like to elect our leaders before they do the job, not after.
Brown's avoidance of a public vote or a competitive election for his job within his party is the problem. The man has no legitimacy, is untested and is now showing all the signs of being unqualified.
Shame on us for allowing him to steal the job and stay in it so long.
Zen, London,
Jim McCallum, Calgary, Canada, "Based on intelligence, know-how, experience and ability to run a country, based solely on these non personal attributes, Brown is a giant with the other party leaders mere minows." It is very obvious that you do not live here and perhaps do not watch PMQs and have not followed what has happened to the economic circumstances of the UK over the last decade. Far from being Prudent McBroon has been profligate with public sector finances; far from being Prudent he sold off our gold reserves at a time when gold was at its lowest for many, many years; far from being Prudent and reducing the size of government and public sector employees and moving government departments out of London to reduce overheads he actually increased the numbers and costs. Clegg has yet to find his feet and Cameron is still learning but Brown's handling of just about every issue so far, including Europe, Immigration, Northern Rock and loss of government data is poor to say the least.
Kenneth Armitage, Suffolk, England
Regardless of these new year Government initiatives, the people of this country have already decided the outcome of the next election--whenever it is.
The Conservatives will be returned with a moderate working majority.
william grierson, Kimpton, UK
Does this so call Mr Brown with a mandate to validate him as a PM actually have a vision? He seems to be a man with a vision of no vision! shame to those who back him cos he will only lead us to disasater that I am sure. despite Tony's critism I believe he was still a man of substance as oppose to Brown who exist in a vacuum
Rene , Bristol,
Another New Body. Something else that will have a huge staff to suck up the money poured into the health service and spent on anything but the nations health.
Anthony Box, Wretton, UK
For please some of the people read 'fool'. Brown is incompetent and the job is plainly to big for him
Michael, London, UK
Good to see that the Lib Dems are up in the polls with a new leader. Nick Clegg sounds as though this guy is in touch with what's going on in the world today.
Robert Bleakley, Manchester,
Whenever Scots have run England - the Stuarts, Ramsay MacDonald, the result has been disaster.
TomTom, Leeds, England
Maybe Gordon Brown would be seen as a better leader if he acted like one - the referendum over Europe, or lack of it, was dishonest and underhand but not very clever. If he wants to be respected then he better start respecting those who will vote for him.
Stuart Murray, Amsterdam, Netherlands
It isn't in the interests of democracy for any government to go on and on for ever. The polls reflect the fact that people intuitively feel this government has lived long enough.
Ubi, Edinburgh, UK
The old addage comes to mind
'You can please some of the people some of the time, but you cant please all the people all of the time' Brown is so wrapped up in trying to convince everyone to be British, that he overlooks the fact that most just dont! The quicker England and Scotland are Independent of each other the better. It becomes grating to Scots, when he stands up and lectures about how well he is doing regarding Education and Health in the UK, when everyone knows that they are devolved and not his responsabilty! He was reminded of the differences, when Scotland awarded its Nurses and Police the full 2.5% pay rise and he refused to do the same for the Nurses and police in England, so its no surprise that polls are now reflecting how unhappy everyone is with Brown and the Labour party
Edward, Newbury, Berkshire
They say you get what you deserve. Based on intelligence, know-how, experience and ability to run a country, based solely on these non personal attributes, Brown is a giant with the other party leaders mere minows. Sadly for Brown, inter personal skills are not his strengths and unfortunately all good leaders must have that skill. As a fellow Scot, it is obvious, the English majority want one of their own. Unfortunately for the poor English, there is limited talent available. Substance appears to be somewhat laking in the other party leaders while a better word to describe them is opportunistic. If labour are sensible, they should let Brown get on with the job, and six months before the next general election, get a new leader. That would probably be good for the UK also.
Jim McCallum, Calgary, Canada