Clegg hits out at Cameron over NHS reforms

Deputy PM attacks Cameron for undermining the NHS while declaring that he loves it.

He may once have boasted that the government's NHS reforms were in the Liberal Democrat manifesto, but Nick Clegg is now chipping away at Andrew Lansley's masterplan. The BBC has obtained a copy of a Lib Dem policy document signed by Clegg which demands that Monitor, the health regulator, should have a duty to promote NHS colloboration rather than competition.

The document states: "We cannot treat the NHS as if it were a utility, and the decision to establish Monitor as an "economic regulator" was clearly a misjudgement, failing to recognise all the unique characteristics of a public health service, and opening us up to accusations that we are trying to subject the NHS to the full rigours of UK and EU competition law."

It's a demand that has been echoed by the British Medical Association and by the independent-minded Conservative MP Sarah Wollaston, and one distinctly at odds with Lansley's original vision of a market-based NHS. In his address to Lib Dem MPs and peers last night, Clegg said:

There must be no change in the way competition law operates in our NHS. No to establishing Monitor as an economic regulator as if health care was just like electricity or the telephone, and no to giving anyone in the NHS a duty to promote competition above all else.

But it's Clegg's coded criticism of David Cameron that is most striking. He is reported to have said:

People get confused when one day they hear politicians declare how much they love the NHS and the next they hear people describing themselves as government advisers saying that reform is a huge opportunity for big profits for health-care corporations.

The Deputy PM doesn't mention Cameron by name but it's clear who he has in mind. After all, it was the Prime Minister who declared in a speech on Monday: "[I]t's because I love the NHS so much that I want to change it." And it was his adviser Mark Britnell (recently appointed to a panel of senior health policy experts by Cameron), who told a conference for health-care corporations:

The NHS will be shown no mercy and the best time to take advantage of this will be in the next couple of years.

One legacy of the AV referendum campaign is that Clegg now feels liberated to speak out. Cameron's failure to block the vociferous attacks on his deputy by the No to AV campaign means that Clegg is a lot less willing only to air his grievances in private.

George Eaton is political editor of the New Statesman.

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Will the House of Lords block Brexit?

Process, and a desire to say "I told you so" will be the real battle lines. 

It’s the people versus the peers, at least as far as some overly-excited Brexiteers are concerned. The bill to trigger Article 50 starts its passage through the House of Lords today, and with it, a row about the unelected chamber and how it ought to behave as far as Brexit is concerned.

This week will, largely, be sound and fury. More peers have signed up to speak than since Tony Blair got rid of the bulk of hereditary peers, triggering a 200-peer long queue of parliamentarians there to rage against the dying of the light, before, inevitably, the Commons prevailed over the Lords.

And to be frank, the same is ultimately going to happen with Article 50. From former SDPers, now either Labour peers or Liberal Democrat peers, who risked their careers over Europe, to the last of the impeccably pro-European Conservatives, to committed Labour and Liberal politicians, there are a number of pro-Europeans who will want to make their voices heard before bowing to the inevitable. Others, too, will want to have their “I told you so” on record should it all go belly-up.

The real battle starts next week, when the bill enters committee stage, and it is then that peers will hope to extract concessions from the government, either through defeat in the Lords or the threat of defeat in the Lords. Opposition peers will aim to secure concessions on the process of the talks, rather than to frustrate the exit.

But there are some areas where the government may be forced to give way. The Lords will seek to codify the government’s promise of a vote on the deal and to enshrine greater parliamentary scrutiny of the process, which is hard to argue against, and the government may concede that quarterly statements to the House on the process of Brexit are a price worth paying, and will, in any case, be a concession they end up making further down the line anyway.

But the big prize is the rights of EU citizens already resident here.  The Lords has the advantage of having the overwhelming majority of the public – and the promises of every senior Leaver during the referendum campaign – behind them on that issue. When the unelected chamber faces down the elected, they like to have the weight of public opinion behind them so this is a well-chosen battleground.

But as Alex Barker explains in today’s FT, the rights of citizens aren’t as easy to guarantee as they look. Do pensions count? What about the children of EU citizens? What about access to social security and health? Rights that are easy to protect in the UK are more fraught in Spain, for instance. What about a British expat, working in, say, Italy, married to an Italian, who divorces, but wishes to remain in Italy afterwards? There is general agreement on all sides that the rights of Brits living in the rest of the EU and citizens of the EU27 living here need to be respected and guaranteed. But that even areas of broad agreement are the subject of fraught negotiation shows why those “I told you sos”  may come in handy sooner than we think.

Stephen Bush is special correspondent at the New Statesman. His daily briefing, Morning Call, provides a quick and essential guide to British politics.