For this week's magazine I have interviewed Shadow Health Secretary Andy Burnham. We know, of course, that he opposes the government's health reforms. But I was intrigued to hear how far he would commit Labour to reversing the plans if they are enacted. The answer, it turns out, is quite far. PCT's he said, would "definitely" be reinstated.
I have been mystified by Labour's stance on public service reform since the election. Indeed, ever since Gordon Brown took over from Tony Blair in Number 10 it hasn't been clear whether the party is for or against the use of market mechanisms and competition to drive change. (Ed Miliband, I gather, has not yet finalised his own thinking on this question.) But as far as the NHS is concerned Burnham made it pretty clear that the march of Blairism is halted.
The most efficient healthcare systems in the world are the ones that are planned and managed ... the argument that the market is cheaper just doesn't wash.
It was a long conversation and not all of it made it into the magazine - constraints of space rather than interest. So, for example, Burnham was revealing on the difference between his current job and his last one. He was reshuffled away from the education portfolio last month. Comparing Michael Gove's education reforms and Andrew Lansley's health plans he said:
They're both highly ideological, free market, damaging reforms and they will dismantle in both cases the infrasttructuire and state healthcare and state education. They're designed to do that, they're born of an innate distrust of planned and managed systems. Both reforms are almost identical in that.
But he noted that having shadowed both jobs:
Gove has been cleverer in both the momentum he set and the way in which he created a vision and went for it. Lansley has just created a mess. He's 18 months into the job and people are less about what he is trying to do.
I noted my impression that Labour seemed ready to accept Gove's plans as a fait accompli (they build on Blair reforms, after all). Having signalled that the health plans would be reversed, would he accept that the school reforms would not?
There is a differnece between health and education. A degree of school autonomy is a good thing the identity of the school, its independence - PISA [the Organisation for Economic Cooperation and Development's Programme for International School Assessment] backs autonomous schools within a strong system ... You wouldn't want to go completely back to the old days when the local authority replaced every window and all of that stuff ... But you need a strong system. In Education you would have to balance strong independent schools wth reassertion of the local authority role on fairer admissions.
We had a long conversation about public health. Burnham accepted that his party had sometimes crossed the line in terms of meddling in people's lives.
The tendency for Labour is sometimes to go straight to regulation, straight for the sledgehammer. I don't thnk we should do that.
But he sought to draw a distinction between interventions to protect children and the need for a lighter touch where adults are concerned:
And if people say 'nanny state' we'll just say 'Yeah, so what! We are working to give every child the healthiest possible start in life'
Naturally we talked about social care - the main theme in Burnham's campaign for the Labour leadership. He has been invited to cross-party talks on advancing the ideas contained in the Dilnot report on long-term funding. Not surprisingly, Burnham is wary. When he was Health Secretary and Lansley was his shadow equivalent talks collapsed in rancour. The Tories attacked Labour's proposals in a public campaign as a "Death Tax".
The irony of it was unbelievable. I got a letter from Lansley inviting me to take part in cross-pary talks on social care about a week into this job. Bear in mind, he initiated the talks last time, so it was about as alluring as an invitation from Liam Fox to talk about defence procurement with his friened Mr Werrity.
Burnham says he is prepared to participate but as long as certain conditions are met. They include confidentiality, guarantees on funding and access to the Department of Health Secretariat for figures and demographic modelling.
Given that Burnham has this week launched what he calls "the last push" to kill off Lansley's NHS reforms, I'd be surprised if collegiate negotiations on social care got under way any time soon.
As a parting shot I asked him he could imagine ever working with Liberal Democrats - given that they too have opposed aspects of Lansley's reform. He belittled their contribution. ("The Liberal Democrats haven't done anything to the Health Bill.") And could he ever imagine serving in a coalition with Lib Dems?
"People like Norman Lamb, I've got lots of common ground with. I'd work with people like that."
And Nick Clegg?
"Clegg's basically a Tory. It's like asking me if I could serve in a cabinet with Tories. I find it hard to imagine."
Read the rest in the magazine.