Mehdi Hasan: "What is the point of the Liberal Democrats?"

They have sacrificed their distinctive beliefs and principles and received little in return.

"What is the point of the Lib Dems?" ask politicians, journalists, Lib Dem activists, Labour activists, students, taxi drivers and anyone else who has ever expressed a view on - or even a passing interest in! - British politics.

Nick Clegg and Danny Alexander have been touring the broadcasting studios trying to defend the Lib Dems' position (well, what position? They u-turned - again! - between Friday and Sunday) on Cameron's Euro deal (or lack thereof).

But consider this: in my mind, the Lib Dems had five issues which made them so distinctive and appealing to progressives: support for immigration; support for the European Union; support for electoral reform; opposition to tuition fees; opposition to the Iraq war.

Let's look briefly at the record of the past 18 months:

(1) Immigration: before the general election, the Lib Dems backed an amnesty for illegal immigrants. An amnesty, for crying out loud! And what have they done in government? Backed a cap on net migration.

(2) Europe: the Lib Dems were the most Europhile of the three major parties and, upon forming their coalition with the Tories, claimed they could constrain the Tories' Eurosceptic tendencies. In office, however, Nick Clegg finds himself Deputy Prime Minister of the most isolated and marginalised British government of the post-war period, with the UK now looking like its heading for the EU exit door. Bravo!

(3) Electoral reform: for the Lib Dems, PR used to be the be-all and end-all of British politics. But what happened? They agreed to a Tory proposal for a referendum on the non-proportional alternative vote (AV) and then lost the subsequent AV referendum, thereby closing the door on electoral reform for a generation.

(4) Tuition fees: the Lib Dems, lest we forget, pledged not just to oppose any increase in university tuition fees but to scrap them altogether. In government, however, not only did they fail to scrap the fees but ended up tripling them. Good job!

So that just leaves, (5) Iraq, which the Lib Dems opposed but, given their track record, will probably perform an inglorious and screeching U-turn on sometime between now and 2015. Keep an eye out for the press release from Danny Alexander welcoming the fall of Saddam Hussein and reports of a "furious" Vince Cable said to be on the verge of quitting...

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.