Showing posts with label NHS. Show all posts
Showing posts with label NHS. Show all posts

Thursday, 15 March 2012

MORE ON LABOUR'S NHS SHAME

Lord help me, quoting Simon Carr twice in two days. What is to become of me? Nevertheless, the Independent's somewhat fuzzy commentator reports on PMQs with Nick Clegg yesterday and notes the following:

'The most revealing exchange suggested that Labour may be losing the argument on the Health Bill. Clegg gave her three bite-sized facts to chew on: 1) Labour was wanting to spend less on the NHS than the Coalition. 2) Sweetheart deals with the private sector were now illegal. 3) There was a new statutory duty to reduce health inequalities.'

Absolutely, Simon. Labour is utterly exposed on the NHS Bill for all these reasons and more, including the simple fact that they did more than any other government to bring private enterprise into the NHS, normally at the expense of existing services. Sadly no one has yet gone in with the proverbial stiletto to finish them off. Add to that the fact that Lib Dem histrionics on this Bill are neither helping the coalition nor the party and you've got a clear field currently being left for Labour which we should own as the party which has played with a straight bat on this throughout.

Carr ends by speculating that the coalition may be more solid than people think and may persist after 2015. That's a big claim to make on the back of a single PMQs and it will strike terror into the hearts of both Tories and Lib Dems. For Lib Dems with a knowledge of our history, memories of the post-1918 coalition governments may cause them to shudder a little [Google it if you want to know more: if I attempt a summary here I will be hauled up for getting the building in which a deal was struck or the pen used wrong].

Wednesday, 14 March 2012

LABOUR OPPOSITION TO THE NHS CHANGES - AS PRINCIPLED AS A NEWS OF THE WORLD JOURNALIST

Simon Carr in the Independent is a bit too frothy for my liking but his commentary on the NHS debate yesterday contains one telling paragraph:

'Labour was castigated, though probably not chastised. Oh, the things they did in government. The practice-based commissioning. The private treatment centres. The £67 billion of private money debt. The £12bn private IT system. And the franchising out of a hospital that Lansley is being vilified for. "The only secret Tory plan they find is a Labour plan," he yelled. For all the fury, maybe there is a secret consensus underneath it all.'

I know this is just a light-hearted dig at politicians in general but it nicely encapsulates the double standards of the Labour Party, which introduced GP commissioning and greater competition into the NHS, often at the expense of existing NHS providers. I wonder what Andy Burnham would say to this. You get the feeling he would cheerfully blame the Tories for the Iraq War if he was asked to.

Monday, 27 February 2012

PRESS RELEASE FROM THE ROYAL COLLEGE OF BLOGGERS ON THE PROPOSED NHS CHANGES

The arguments over the health bill continue to rumble on and the consequence of the debate is that any light shed on the substance of the proposals has been lost in the heat of political discord. I am but a humble pundit and my conclusions can be oversimplified thus:

1. Labour is being about as dishonest about this Bill as it is possible to be. There is not one single, solitary measure in the proposals which was not being introduced during the last Labour government. Any Labour politicians who says otherwise is lying. Bare-faced, Pinocchio-nosed lying. Competition, GP commissioning, private companies providing care - with huge government subsidies and few targets, fragmentation of the service - all were introduced, or extended, under Labour. The difference with the current proposals is that they offer a coherent approach to the piecemeal New Labour 'let's try this and see what the focus groups say' approach. It may not be everyone's cup of tea but it has the aim of improving the service for the long-term. Labour tinkered and threw money at the NHS, keeping it chugging along while the costs rose and rose; the coalition government is trying to redesign it to work for another 60 years as we all get older and need more and more interventions to keep us chugging along. You can't blame Labour for trying to derail the proposals but their dishonesty is breathtaking.

2. The Lib Dems support the spirit of these changes and we should have the courage to support the letter of them as well. Our Peers are acting on solid principles but if they continue to insist on major changes the Bill will be blunted beyond any practical use and we will look like we twist with the wind on health. That is Labour's role. I don't suppose anyone loves the proposals unreservedly but they are coherent and they are government policy. We should support them - not without reservation but without the impression of panic every time another Royal College (who knew there were so many?!) comes out against the changes.

3. No one likes change. If someone came along to your company and told you that a shadow office would be set up to compete with you for work, you'd probably be fed up as well but that's the modern world of public sector service provision. I experienced it in the 1990s in the local authority I worked for and it stank and completely demoralised the staff. It happened twice, which did nothing to the general mood. However, by the time I left the organisation was incalculably leaner and fitter, proving that the nasty medicine worked there - not without tears but it did work. Because of my personal experience of this process I am not completely for the proposals and I sympathise with the poor people who will have to introduce them. However, I recognise that something has to change in the NHS.

4. The Tories did promise no major changes to the NHS and they broke that promise. We didn't. Let them fight that battle, not us.

The analogy that comes to my mind is an old VW camper van. Everyone loves them and there are lots of old ones on the road which have been patched up and repaired to within an inch of their rivets but there will come a time when the trusty old wagon will not be economically repairable any more. The choice then becomes to pay over the odds or to try something new.

I have always used the NHS and I always will. I believe completely in public sector provision and I am 100% convinced that the NHS will remain free at the point of use and that the service I receive will be just as good, if not better, once the proposed changes are introduced. I wish Lib Dem peers with the power to ruin us at Westminster would recognise this.

If the proposals fail, the government fails and the Lib Dems are done for. So here's a mad idea for the day. Why not suggest that a Lib Dem minister takes over from Lansley in delivering this policy. The poor 'volunteer' would have to be dragged to the Department of Health by several teams of wild horses but they could then set about explaining the changes, which Andrew Lansley has not done. I don't think he has done anything wrong: his only crime has been to stick to his principles, which any sensible politician knows never works. A Lib Dem Secretary of State for Health would be able to present a fresh approach and demonstrate that the Lib Dems can deliver tough changes. They wouldn't become wildly popular but the legacy for our party could be immense. I wouldn't dream of suggesting who that lucky volunteer might be but we have the people to do this and do it well.

The Tories would be delighted because they would perceive the pressure moving away from them but a good Lib Dem Secretary of State could damn them robustly for the manner in which the proposals were introduced, while still playing with a straight bat on getting the sensible changes implemented.

Sunday, 17 April 2011

NHS REFORMS - GOVERNMENT TOLD TO RETHINK BY NICK

Way to go, Nick! Following our recent party conference (the Lib Dems are the only truly democratic party in the country) which told the leadership most members were not happy with plans for NHS reform, Nick Clegg has today called for major changes to the plans which guarantee that the moves under the previous government to privatise services in the NHS are stopped.

Nick has confirmed that 'there will never be privatisation of the health service on our watch'.

We're still the good guys.