Boris highlights Tory contradiction on electoral reform

Cameron cannot claim that FPTP always produces a decisive result and warn a hung parliament is possi

It's worth reading Boris Johnson's interview with the Telegraph today, particularly for the passage in which he suggests that he may be open to supporting electoral reform.

Discussing a recent debate with Alan Johnson on proportional representation, he remarks:

Although my side won the debate and I was listening to the arguments, I have to accept that there are arguments that are difficult to despatch very easily. There is an unfairness in the current system. The advantage of first-past-the-post is that it delivers a decisive result. But that very virtue may be disproved. If it turns out that we wanted to kick them out and we didn't, that is a big argument against FPTP.

Boris has recognised a key contradiction in David Cameron's approach to electoral reform. On the one hand, the Tory leader consistently claims that first-past-the-post always produces a decisive result. On the other, he spent much of this week warning of the risk of a hung parliament. These two propositions are not mutually compatible.

Should Cameron wish to make a credible case against electoral reform, he'd better start thinking of some new arguments.

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George Eaton is political editor of the New Statesman.

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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.