The myth of the “big society”

The public don’t want to get involved. Do you blame them?

James and I have a column in the mag tomorrow in which we critically analyse David Cameron's "big society" big idea.

In the meantime, a couple of related things.

To what extent do people want to be part of this "big society" and accept the Tory invitation to "join" the government? Gary Gibbon of Channel 4 News asked Cameron where the evidence is that people want to be "prised away from the telly" in order to run public services or their local communities. The Tory leader said he "profoundly" believed that people want to be more involved.

Really? This poll from Ipsos-MORI asked voters if they wanted more involvement in the provision of local public services. Only one in 20 wanted "involvement", whereas one in four wanted "more of a say" and half of them only wanted "more information". (Incidentally, the poll also showed that less than a quarter of the public agreed with the statement: "There is a real need to cut spending on public services in order to pay off the very high national debt we now have.")

Another, earlier poll from the same company asked voters to what extent, if at all, they would like to be involved in "decision-making" in their local communities, to which 50 per cent responded "not very" or "not at all". And when asked about being "involved" in the running of the country as a whole, the percentage of "uninteresteds" increased to 55 per cent.

People seem to opt for quality over control. My colleague Tom Calvocoressi makes an interesting analogy between the "DIY government" being proposed by the Tories and the do-it-yourself checkout procedures on offer from Tesco self-service tills.

In a busy superstore, with long lines for the checkout, self-service seems like a great idea to start with, supposedly speeding up your progress and handing power and responsibility to you, the customer. But then the barcode won't swipe, "approval is needed" for your carton of milk, the bags have run out and the whole procedure ends up taking you even longer than queuing for a cashier.

Ultimately you conclude that it's quite nice having someone who is paid and trained to do the job for you. We have other things to be getting on with.

Or, as Jackie Ashley put it in the Guardian yesterday, "Perhaps the biggest problem is that the politicians dreaming up these plans are different from the rest of us. After all, they are quite happy to spend 24 hours a day, seven days a week working at politics. The rest of the country have a life."

Mehdi Hasan is a contributing writer for the New Statesman and the co-author of Ed: The Milibands and the Making of a Labour Leader. He was the New Statesman's senior editor (politics) from 2009-12.

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The big problem for the NHS? Local government cuts

Even a U-Turn on planned cuts to the service itself will still leave the NHS under heavy pressure. 

38Degrees has uncovered a series of grisly plans for the NHS over the coming years. Among the highlights: severe cuts to frontline services at the Midland Metropolitan Hospital, including but limited to the closure of its Accident and Emergency department. Elsewhere, one of three hospitals in Leicester, Leicestershire and Rutland are to be shuttered, while there will be cuts to acute services in Suffolk and North East Essex.

These cuts come despite an additional £8bn annual cash injection into the NHS, characterised as the bare minimum needed by Simon Stevens, the head of NHS England.

The cuts are outlined in draft sustainability and transformation plans (STP) that will be approved in October before kicking off a period of wider consultation.

The problem for the NHS is twofold: although its funding remains ringfenced, healthcare inflation means that in reality, the health service requires above-inflation increases to stand still. But the second, bigger problem aren’t cuts to the NHS but to the rest of government spending, particularly local government cuts.

That has seen more pressure on hospital beds as outpatients who require further non-emergency care have nowhere to go, increasing lifestyle problems as cash-strapped councils either close or increase prices at subsidised local authority gyms, build on green space to make the best out of Britain’s booming property market, and cut other corners to manage the growing backlog of devolved cuts.

All of which means even a bigger supply of cash for the NHS than the £8bn promised at the last election – even the bonanza pledged by Vote Leave in the referendum, in fact – will still find itself disappearing down the cracks left by cuts elsewhere. 

Stephen Bush is special correspondent at the New Statesman. He usually writes about politics.