Nhs

Yes, the NHS Must Treat Fat Folk

A truly repellent piece by Cristina Odone in the Telegraph in which she argues for NHS-rationing by liefestyle and wealth. That’s not quite how she puts it, for sure, but her suggestion that (middle-class) pensioners are losing out to (lower-class) fat people and that something should be bloody done about this is the kind of classist call for healthcare rationing that well, let her make her case herself… [A]ge comes to us all, and is not the result of  lifestyle choices. There are plenty of conditions, though, that are the direct result of bad habits, poor diet, and the wrong choices [Sic]. These conditions range from obesity and diabetes to

Is Andrew Lansley’s time finally running out?

A few months ago, I was invited to speak at the Health Service Journal conference, and hugely enjoyed meeting various reformers from within the NHS (and, of course, their enemies). One representative from the NHS Confederation pointed out that in most countries which were run by coalitions, the junior party was always given control of health — because nothing good can ever come from it. When things are going well, you hear nothing. When flu epidemics strike, then health is a horrible brief. A good point, which David Cameron may be taking to heart. Patrick Hennessy reveals in tomorrow’s Sunday Telegraph that Cameron is mulling a pre-Olympics reshuffle which would

Nick rises to Harriet’s limp challenge

Basketball in America. Netball at PMQs. Harriet Harman, Labour’s venerable form-prefect, took her leader’s place today and lobbed a few rubbery missiles at the PM’s under-study, Nick Clegg.  It came down to arithmetic. Even if Hattie had stormed it at PMQs she had no hope of reviving her extinct career. But Clegg has it all to play for. He was ready for it too. Assured, combative and well-briefed, he filled his replies with fresh, punchy rhetoric. (Mind you, his match-fit performance should be credited to his party activists. Clegg must have spent the last 22 months fielding nasty questions from chippy wonks at Lib Dem constituency meetings.)  Hattie tried to

The Lib Dems vote ambiguously on the Health Bill

The motion passed by Liberal Democrat conference this morning means that the party is neither supporting nor opposing the Health Bill. The rebels having lost the vote on whether or not to debate their ‘Drop the Bill’ motion, but managed to amend the so-called Shirley Williams’ motion to remove the line calling on their peers to vote for it. This is a blow to the leadership who were confident last night of winning the vote this morning. But it is nowhere near as bad as the conference — which, remember, still has the power to make party policy — deciding that the bill should be dropped. It is, though, another

Clegg reassures his party about the Health Bill

Lib Dem Spring conference is turning out as the leadership would have wished. The support of Shirley Williams for the Health Bill seems to have been enough to reassure delegates that they should back the bill in its amended form; they’ve already voted to debate the leadership friendly motion tomorrow morning not the ‘Drop the Bill’ one. In a question and answer session with activists just now, Clegg — to huge applause — urged the party to side with Shirley Williams not Andy Burnham. This appeal to Lib Dem tribalism seems to be winning the day on the health issue. Clegg, as he always does at conference, used the Q&A

Clegg rallies his party

Nick Clegg pushed his members to ‘stop lamenting what might have been and start celebrating what is’ in his rally speech to the Liberal Democrat spring conference. He told them ‘now is the time to move on, to stop justifying being in government and start advertising being in government’. The debate over the Health Bill, though, threatens to dominate the conference. Clegg in his speech went out of his way to pay tribute to Shirley Williams, who is now on the leadership’s side on this issue, lauding the ‘outstanding work Shirley is doing in the House of Lords to protect our NHS’.  This was met with warm applause. But it

The Lib Dems could kick up a storm over the NHS Bill

Lib Dem spring conference is, perhaps, the most potent reminder of the cultural differences between the two coalition partners. In the Tory party pretty much the only thing that members get a real vote on is who the candidate in their constituency should be and who they want as party leader, even then that choice has been whittled down to two options by the MPs first. By contrast, the Lib Dems grassroots still get to determine the detail of party policy. The Health Bill’s problems really began at the last Lib Dem spring conference. It was a vote there that led to Nick Clegg seeking a whole host of changes

Nervous times for Clegg ahead of the Lib Dem spring conference

This weekend’s Lib Dem spring conference is the next big political hurdle for the Health Bill. If the conference votes against the Bill, then it will create a huge political headache for the government and be a severe embarrassment to Nick Clegg. Talking to Liberal Democrats ahead of the vote on Sunday morning, I’ve been struck by how worried some Clegg supporters are that the vote might be lost. Now, this could well be expectations management. But there are more than a thousand Lib Dem members who have signed the Lib Dem petition against the bill. On balance, I think it is more likely than not that the leadership escapes

These NHS bouts are becoming more insipid by the week

Health reforms again dominated PMQs today. That’s four weeks in a row. And the great debate, like a great sauce, has now been reduced to infinitesimal differences of flavouring. David Cameron repeated his claim that 8200 GP practices are implementing his policies. But, corrected Ed Miliband, that’s not because they love the reforms. It’s because they love their patients. He quoted a Tower Hamlets health commissioner who berated the PM for confusing reluctant acquiescence with whole-hearted endorsement. Fair enough. But this nicety won’t resonate beyond the tips of either men’s brogues. The rest of the bout was a repeat of last week’s effortful stalemate. Mr Miliband had a list of

So much for taking the politics out of the NHS

So here we are again. At least Lord Justice Leveson had the humanity to give us a couple of weeks off whining celebrities, shifty ex-journalists and declaiming newspaper editors. From the Health and Social Care Bill there is no respite. The Bill is back in the House of Lords and Liberal Democrat guerrillas are wound up for a fresh assault on the lumbering mule train as it passes through. Does anyone care any more which bit of this battered and bleeding legislation has been chosen for further victimisation in this week’s shenanigans? In case you do, it is part three of the Bill, the casket that carries the remains of

Clegg shifts into NHS attack mode

The letter from Nick Clegg and Shirley Williams to Lib Dem MPs and peers raises several interesting questions. The first of which is why did Clegg champion these health reforms back in the day? Four days after the first reading of the bill, the deputy Prime Minister had this exchange with Andrew Marr: Andrew Marr: ‘Huge change to the NHS just coming down the line. Was that in the Liberal Democrat manifesto?’ Nick Clegg: ‘Actually funnily enough it was. Indeed it was.’ Second, how does the Clegg-Williams claim that ‘This is not the Bill that we debated as a party last March’ fit with the Tory line that the amendments to

Tim Farron wants competition dropped from the Health Bill

Will there be further changes to the Health and Social Care Bill? Liberal Democrat President Tim Farron certainly wants some, as he told ITV’s Party People last night: ‘If the new competition introduced through this Bill is removed, then I think it’s better on the books than it is off it… What I want is for the Lords to propose changes that will remove the new competition elements from the Bill and I would like the Government to give way on those things. It’s all to play for.’ Farron’s echoing the call made by fellow Lib Dem Shirley Williams last week and by a group of activists who have submitted

The tension’s rising inside the coalition

Talking to a Downing Street adviser earlier this week, I was struck when they observed that a ‘2014 election wouldn’t be too bad really. David would have done his best, Nick would have done his best. But they just couldn’t make it work anymore.’   The Tories have spent some time recently contemplating the possibility that the coalition might not run for the full length of the parliament. At a recent Chequers away day, the prospect of the Liberal Democrats walking out in 2014 was openly discussed.   That this possibility is even being talked about is revealing of the mood inside the coalition, which is the subject of my

Miliband snipes, Cameron deflects, Bercow bobs

Let’s be honest. I shouldn’t say this but I can’t help it. I’m fed up. The NHS reform process has been dragging on for months, and still there’s no end in sight. Ed Miliband brought it up at PMQs for the third week running. The position remains the same. Miliband loves it. Cameron lives with it. The PM claimed that 8,200 GP practices are now practising his reforms and the Labour leader replied with a list of professional bodies — nurses, doctors, midwives, radiologists — who oppose them. And that’s exactly the trouble, for me, at least. If the issue were a race-horse some crazy campaigner would plunge beneath its

Miliband revels in his NHS attack

Today’s PMQs was a reminder that whenever Ed Miliband goes on the NHS he is guaranteed a result. Indeed, I don’t think I’ve ever seen Miliband enjoying himself as much in the chamber as he was today. When Andrew Lansley leaned over to try and tell Cameron the answer to a question, Miliband mockingly remarked ‘Let me say to the Health Secretary, I don’t think the PM wants advice from you’. As Cameron’s assaults became more direct, Miliband did not — as he often does — go into his shell. As he sat down at the end of it all, the Labour leader had to push down on his knee to

Nick Clegg’s NHS squeeze continues

As I said last week, Nick Clegg is in a tricky position when it comes to this Health Bill. Thanks to the concessions that he secured and welcomed last year, he can’t now just slander it outright. But thanks to the concerns of his own party, he will also be reluctant to endorse it in full. The result is the sort of ambiguous performance that the Deputy Prime Minister put in on ITV’s Daybreak show this morning. He did get stuck into Labour for their ‘outrageous’ misrepresentation of the reforms. But when it came to actually supporting the Bill, it seemed to me that he used generalisations — such as,

Miliband guarantees a return to Brown’s Big Idea for the NHS

It would be so much easier for Ed Miliband to attract headlines if he could shout in Andrew Lansley’s face. As it is, the Labour leader has had to make do with giving a speech today attacking the NHS reforms. Within the parameters of what he might say, it’s an okay effort. The predictable lines about ‘creeping privatisation’ are leavened by the admission that ‘the question is not reform or no reform. It is what type of reform.’ And he adds, by way of a cross-party sweetener, that he would ‘get round the table’ with David Cameron to discuss ‘the future of the NHS’. But the substance of the speech,

A question of trust for Andrew Lansley

It’s not too surprising that people trust ‘organisations representing doctors nurses and other health professionals,’ well above David Cameron and Andrew Lansley, when it comes to the NHS reforms. People are sceptical of politicians in a way that they aren’t of the health service, its unions and its workers. 64 years of ‘national religion’ status for the NHS, and many more years of gross political let-down, have made sure of that. But today’s YouGov findings still shine a fresh light on Cameron and Lansley’s changing approach to the reforms. A year ago, they clearly looked at charts such as that above and thought, ‘Woah, we’d better get those organisations on

Tory Ministers need to back the Health Bill

Tomorrow’s Downing Street meeting on the implementation of the health reforms is meant to send the message that the bill is definitely going ahead. Number 10 is keen to shore up the bill ahead of Liberal Democrat Spring Conference following the uncertainty caused by Rachel Sylvester’s column and Conservative Home’s call for the bill to be dropped. Indeed, I understand that at the Quad dinner on Monday night, Nick Clegg and Danny Alexander made the basic political point that the Liberal Democrats would feel absolved of the need to support the bill if any Tory minister came out publicly against it. But Tory ministers still need to muster more public