Andy burnham

Labour's plans for a national care service aren't looking too sharp this morning.  Andy Burnham is expected to announce a cap on residential costs for the elderly later today – to be funded by freezing inheritance tax bands, raising the statutory retirement age, and (lo!) efficiency savings.  But the full, free-for-everyone-at-the-point-of-use service will have to wait some time – or at least until a new independent commission has decided on how it can be funded in the long-term.  In other words, the government has decided to park the death tax issue until well after the election. Presentationally speaking, this is proving difficult for the government.

One story which has been rumbling along in the background of Ashcroft and Chilcot – and, indeed, over the past few months – is the fallout from Andy Burnham's claim that NHS bodies are now the state's "preferred provider" of healthcare in this country. With those two words, in a speech last September, the Health Secretary appears to have pulled the process of reform back a few years – as private and voluntary sector providers have tried desperately to back out of a process which they now feel is weighted, impossibly, against then. Anyway, I'd recommend that you check out Nick Timmins' excellent coverage of the latest develoments over at the FT.

The sword of truth is working overtime this afternoon. First, Andy Burnham writes a letter to David Cameron demanding answers about a £21,000 donation from John Nash, chairman of CareUK, to the office of, oh dear, Andrew Lansley. As Paul Waugh notes, a conflict of interest scandal looms here because CareUK is a private firm that makes £400m running GP surgeries and so forth for the NHS. But the truth will out as they say. It turns out that the Chairman of BUPA, Lord Leitch, wasted £5,000 on Gordon Brown’s unopposed leadership campaign. BUPA also does rather well out of the NHS. The indefatigable Waugh has dug up this gem from a speech Leitch made to the Lords: 'When we debate healthcare in the UK, all too often the focus is on the NHS alone.

More evidence today that the TUC is dictating government policy on public services. Nick Timmins in the FT notes that Andy Burnham’s new guidance to health authorities requires them to treat NHS organisations as the “preferred providers” of care, reversing the Blair/Milburn reforms which opened up health care to private suppliers. By insisting that NHS providers have ‘at least two chances to improve’ before failing services are put out to tender, and that NHS staff should have the opportunity to bid not just once but twice for any new service contracts, Burnham is effectively excluding private providers from the process. It’s no surprise that Unison welcomes the move as a ‘significant policy shift.’ No word yet from Andrew Lansley.

I am instinctively sceptical about health scare stories, so have been watching the Swine Flu story with much suspicion. We are seldom reminded that it's less serious than normal flu. Hysterically, Andy Burnham claims there could be up to 100,000 infections a day in Britain next month - the latest worldwide tally is 121,000. We are told how many die from swine flu, but not how many have also died from normal flu so we can put it in context (the DoH, remarkably, can't tell me).   Proper diagnosis is not being done by our doctors. Virtually anyone with a summer cold is being told to stay at home for seven days - result! - and prescribed Tamiflu just in case.  I went hunting for the normal flu figures, but found something else instead: that this is a London flu.