Lansley tells Cameron: “Back me or sack me”
The Health Secretary issues an ultimatum to Cameron after Clegg’s latest intervention.
By George Eaton Published 28 May 2011 11:43
After a week that has seen Nick Clegg threaten to dismantle most of Andrew Lansley's key NHS reforms – without a hint of dissent from David Cameron – it's not surprising that the Health Secretary's patience is wearing thin.
Four months ago, Clegg, like almost every other Liberal Democrat MP, voted in favour of the Health and Social Care Bill at its second reading. Yet he now insists that the NHS will not be open to any "any qualified provider" and that the reforms must promote co-operation, rather than competition.
Today's Daily Mail reports that Lansley has told Cameron to "back me or sack me", in a final attempt to persuade the PM to come to his aid. The Health Secretary came close to issuing such an ultimatum in public when he declared: "I don't want to do any other cabinet job. I'm someone who cares about the NHS who happens to be a politician, not the other way around."
Lansley's threat prompts the question: at what point would he walk away? He has already accepted that Monitor, the health regulator, will not be used to enforce competition and that GP-led consortiums will now include nurses and local officials on their commissioning boards. But he is less likely to accept the abandonment of the "any qualified provider" clause – one of the defining features of his proposals.
The key question remains whether Cameron shares Clegg's objections to the reforms, or whether his deputy is merely freelancing. It is hard to see how Cameron could accept Clegg's demands without precipitating Lansley's departure and further antagonising his increasingly restive backbenchers.
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20 comments
Reform is needed, but it's proving almost impossible to reform the bureaucratic NHS and drive the economy forward with the terrified Liberal Democrats pulling hard on the brakes.
Daily Mail story gets airtime here? Shiver.
Sack him then, for the whole saga stinks. We will lose free medical care in this country if we allow the Tories to continue with this raid. They've always apposed it from it's conception, Cameron says he wants the NHS, well we've heard his statements before and been fooled. They destroy the nhs at their peril, what do they think people will do, just stand by and suffer when they can't afford to pay for private insurance, they won't we'll have riots, just has we had in the 80s. Once its gone it's gone. What they should be doing is saving the 45 million per year from those who should pay and don't, why do they treat people when they've not paid, the payment should be before treatment not after. No money, no treatment except in emergencies. Cameron believes we will accept all he says, well we won't, and we won't forget either, memories stay. The Thatcher years remain with many, the pain, the jobless, the loss of homes, the division of families, the suicides of many from the Tories policies, I've not forgot. Is this the sort of society we want here, I don't think so. The NHS is a collective system that works, yes, it needs refining, but not on the scale they are doing which will destroy it.
Back, sack, and crack me.
Confiscate Lansley's wallet until after the bill is dumped
The point of the NHS was "treatment free of charge at the point of delivery." As long as that is respected the NHS exists. I don't see why the insistence that everyone in the NHS is a public employee makes service any better or faster or cheaper. Some of the pro-NHS has been fatuous statist rubbish. I don't know about the merits of Lansley's reforms in detail - I wouldn't trust the "independent" doctors whose salaries and pensions we fund...but something has to change. Buckets of money have been spent to little effect, so some reform must happen. I would start by making six figure NHS employees fund their own pensions after a certain level.
Has he spat the dummy out?
OK Sack him
Has Andrew got a fat civil service pension? Or any other means of visible support? Happily, hospitals need lots of volunteers - feeding elderly patients, emptying ..........., making tea.
Alternative Medicine
The phrase " Be careful what you wish for " springs to mind.
Andy, putting on a 'white coat' and hanging a stethoscope round you neck might just do it.
Doc Lansley has a good ring to it. No,maybe not George Clooney, but what a 'snow job'.
X-Men
Looks like the right of the Tory party may have found its next champion.
Back me or sack me eh? But what's it got to do with the P.M? I daresay he'll point out our NHS is supposed to be able to practically run itself.
I seem to remember how measure by measure even Mr.Blair P.M. became effectively unable to tell Parliament who is in charge of the public services when asked about this in the Commons. In fact, given all the reforms and changes made by the previous governments not to mention the enormous amounts of money pumped into the NHS during the past few years...can we please make the most of what we've got and get on with things? Perhaps with good management we might not even need a health secretary at all eventually, thus removing the need for any unnecessary and/or inappropriate dismissals.
Providing citizens in the face of our health and social care services can always say "No thanks, I can find an alternative" without fear or favour, we should be all right, I think. And this applies to NHS ill-health retirements applications and processes which are also not work related, in my view.
EASY !!! SACK HIM !!
"Back me or sack me, David", mmm, difficult one then! http://bit.ly/lJDYyu
Barbie, there's only free medical care in this country for people who pay no tax at all. Everyone else pays: so what's wrong with an insurance based system where the state guarantees payment of premiums for people on benefits?
sack him
Nigel Lawson once said that the NHS is the closest thing the British have to a state religion. If-hypothetically-the NHS was reformed to an insurance based system, like France's or Germany's or the Netherlands' health systems, where the private sector was allowed to have a significant presence and the standard of health care was similar or better than that provided by the NHS, would that be acceptable, Anton or Bryan?
There should be a national health service-that's a given. But it doesn't have to be the NHS.
Sack the evil man before he destroys the health care system that is there for the most important and vital issue to all of us which is our health and welbeing. Lansley is playing with our health, if it goes wrong it will be irreversible and people will suffer and die as a consequence whilst he feathers the nests of associates.
Firstly, it's a Mail story. Can you trust the story's accuracy? He does not actually say back me or sack me, he says he doesn't want to do any other job which is not quite the same thing.
If he has said those fatal words, then I have no problem with him being sacked but who do you get in place, a Minister on the Tory right who will carry through the plan anyway?
Cameron could have referred the Bill back to committee stage and has chosen not to do so, that speaks volumes on Cameron's thoughts on the Bill currently before Parliament.
Personally, the Bill should be sacked which would mean Lansley would go anyway and you get to kill two birds with one stone.
Clegg? He'll do nothing. It's empty rhetoric. He had every opportunity to oppose this Bill before, he didn't have to sign off on it and his silence up until the last month on the NHS speaks volumes about his personal stance, he's now just appeasing the party faithful by appearing to wield some influence when in reality he has none left regarding this Bill.
That's easy - sack him!