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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Leader: Labour and the Brexit debacle

The party appears to favour having its cake and eating it – yet the dilemma is not insuperable.

In the year since a narrow majority of people voted to leave the European Union, the Brexit project has not aged well. Theresa May’s appeal to the electorate to “strengthen” her hand in negotiations was humiliatingly rejected in the general election. Having repeatedly warned of a “coalition of chaos” encompassing ­Labour and the Scottish National Party, the Prime Minister has been forced to strike a panicked parliamentary deal with the Democratic Unionist Party. European leaders have been left bewildered by events in the United Kingdom.

The Brexiteers, who won the referendum on a fraudulent prospectus, have struggled to cope with the burden of responsibility. In the manner of Dr Pangloss, they maintain that the UK will flourish outside the EU and that those who suggest otherwise are too pessimistic, or even unpatriotic. Yet wishful thinking is not a strategy. Though the immediate recession forecast by the Treasury has been avoided, the cost of Brexit is already being borne in squeezed living standards (owing to the pound’s depreciation) and delayed investment decisions.

At the same time, far from disintegrating as the most ardent Leavers predicted, the EU is recovering, with a revival of the Franco-German axis under Emmanuel Macron and Angela Merkel. Donald Trump’s antics have dispelled the illusion that “the Anglosphere” can function as an alternative to the bloc. Britain has embarked on the great task of withdrawal at a time of profound national and global instability.

For all this, the Brexiteers retain an indisputable mandate. What the Brexiteers have no mandate for is their model of withdrawal. And there is a nascent majority in the House of Commons for a “soft” exit. Roughly two-thirds of voters remain supportive of Brexit but they have no desire to harm the economy in the process. A recent YouGov survey found that 58 per cent believe Britain should trade freely with the EU, even at the cost of continued free movement into Britain.

In these circumstances, Labour has profited from ambiguity. Jeremy Corbyn’s promise to uphold the referendum result and to end free movement won the respect of Leavers in the election. His pro-migration rhetoric and promise of a “jobs-first” Brexit impressed Remainers, who were in the mood to give the Tories a bloody nose. Although Labour fell 64 seats short of a majority, it partly spanned a divide that had been considered unbridgeable.

Mr Corbyn’s desire to avoid the cross-party Brexit commission proposed by some commentators and MPs is understandable. As Ed Smith observes on page 22, Brexit is a metaphorical “plague” that contaminates all those who touch it, claiming one Conservative prime minister and fatally infecting another. The Tories, who inflicted an unnecessary EU referendum on the UK, must not redistribute the blame.

As the Brexit negotiations progress, however, Labour cannot maintain its opacity. While vowing to retain “the benefits of the single market and the customs union”, it has also pledged to “end” freedom of movement. Like the risible ­Boris Johnson, Labour appears to favour having its cake and eating it. Yet the dilemma is not insuperable.

The logical extension of the party’s vow to give the economy priority over immigration control is to support continued single-market membership. This is the most practical and reliable means of ensuring that Britain’s dominant services sector retains the access it requires. Membership of the customs union would ensure the same for manufacturers. Economic retreat from the EU, which accounts for 44 per cent of all UK exports, would unavoidably reduce growth and living standards.

Such an arrangement need not entail continued free movement, however. Under existing EU rules (not applied by the UK), immigrants resident for longer than three months must prove that they are working (employed or self-employed) or a registered student, or have “sufficient resources” to support themselves and not be “a burden on the benefits system”.

It falls to Labour, as a reinvigorated and increasingly popular opposition, to chart an alternative to the ideological Brexiteers on the Tory benches as well as in the virulent right-wing press. Is Mr Corbyn a covert Brexiteer? It does not really matter. What matters is that he leads a party of committed Europeans who have no wish to see Britain humiliated, its influence in the world reduced, and its economy damaged by the folly of the Brexit debacle. 

This article first appeared in the 29 June 2017 issue of the New Statesman, The Brexit plague

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