Nhs

‘NHS good, private health bad’. ‘State good, market bad’. ‘Four legs good, two legs bad’. Whenever political leaders get into a tight corner they have to find allies fast. There is no time for reasoning to work its gentle magic. Basic sentiments need to be stirred and the popular favourite is usually hate. Yesterday Mr Clegg used this classic strategy to rebuild his support base. The cold-hearted Tories were at it again, dismantling that icon of compassion the NHS. In public they were declaring their undying love for it but out of sight they were promising fat profits for ‘health care corporations’ once the new law was passed. Mr Clegg

If there’s anything that stands out from Andrew Lansley’s interview with the Sunday Times (£) it is his air of quiet defiance. Of course, the Health Secretary sounds some of the conciliatory notes that have crept in to the government’s rhetoric since they decided to pause, listen and engage on NHS reform. But he also stands up for the original reforms as he conceived them. “From my point of view,” he says, “the White Paper was setting out what sensible, intelligent people inside the NHS were saying.” For him, the concerns that remain are not with the general thrust of his reforms, but with “implementation, the nuts and bolts of

Number 10 has now taken charge of coalition health policy to such an extent that the Department of Health press office was caught unawares by the news that the Prime Minister was to deliver a major speech on health next week. David Cameron is determined to present the coming substantial changes to the Lansley reform plan as the changes he wants, not the ones forced on him by the Lib Dems. To that end, the head of the NHS future forum, a body Cameron has set up to oversee the NHS listening exercise, Steve Field telling The Guardian that he thinks all competition should be removed from the bill is

Why should Cameron ditch the Lib Dems? Coalition has made his party more radical, more electorally successful – and the worst ideas in the Cabinet come from men with blue lapels. Take Andrew Lansley. His press release today would have been shocking had it come from a Lib Dem, and denounced as dangerous leftist nonsense that renders the government’s overall message incoherent. Ed Balls’ arguments against cuts have routinely been challenged in Coffee House. So we can hardly be expected to applaud when his arguments are plagiarised by a Tory. The hapless Lansley, whose needless and complex heath reform bill has stalled, is today trying to win back the initiative

Another story to sour Andrew Lansley’s cornflakes this morning: the King’s Fund has released a “monitoring report” into the NHS which highlights, among other things, that hospital waiting times are at a 3-year high. The figures they have used are available on the Department of Health website — but unshackled from Excel files, and transcribed into graph form (see above, click for a larger version), they are now, it seems, a discussion point. The Today Programme tried to bait a couple of NHS chieftains on the matter earlier. The worst they could extract from either of them was that, “[waiting times] haven’t got massively longer now, but people are worried

There’s a fantastic post by Nicholas Timmins at the FT’s Westminster blog. Using the example of Enfield Council, which has just blocked moves to close failing wards in a local hospital, Timmins argues that councils commissioning healthcare is a recipe for disaster: ‘The reason council commissioning of care is a not a good idea is that it mixes representation without taxation. Councillors have democratic legitimacy. But they don’t raise the money for the NHS. So over the long term, giving them responsibility for commissioning is simply a recipe for councils to say there is not enough money in the system and to blame central government for the NHS’s deficiencies, rather

Is Andrew Lansley hearing rather than listening? Dame Barbara Hakin, one of the Department of Health’s national managing directors, has written a letter to some GPs that suggests the pace of health reform will not be affected by the ‘legislative pause’. Hakin writes: ‘Everyone within the Department of Health is very aware of the support shown by the GP community to date and we have been struck by the energy and enthusiasm demonstrated in pathfinders across the country. Therefore, although the Government has taken the opportunity of a natural break in the passage of the Health and Social Care Bill, we are very keen that the momentum we have built

Reassurance — that’s what the happy trio of David Cameron, Nick Clegg and Andrew Lansley sought to emit during their NHS event earlier. And reassurance not just about where the coalition is taking the health service (although there was plenty of that), but also about the “listening exercise” they are engaging in now. Although all three men suggested that the broad scope of the NHS reforms would remain — decentralisation, greater responsibilities for GPs, and all that — they also hinted that “substantive” changes will be made to the Bill as it stands. As for what those changes will look like, there were few specifics. Yet it did sound as

Get your guide to body language out for tomorrow morning Cameron, Clegg and Lansley will be doing a joint event on NHS reforms. The three men all have subtly different messages to get across and there are concerns in Tory circle that Clegg will use the occasion to present himself as the defender of the NHS against these Tory reforms. Cameron will be walking a tightrope at tomorrow’s event. He will have to show that he is listening, that this whole exercise is not a sham, but without abandoning the principles on which the reforms are based. Expect Cameron, who will only have arrived back in the country hours before