The UK in splendid isolation

Hungary signals willingness to take part in EU treaty leaving the UK on its own.

Well, that didn't last long. The UK's short-lived alliance with Hungary is over after the latter's government indicated its willingness to take part in the proposed treaty change, subject to a parliamentary vote. Sweden and the Czech Republic (the only other two countries not to sign up to the process) had already done so.

Here's the key paragraph from the revised statement issued by European heads of state:

The Heads of State or Government of Bulgaria, Czech Republic, Denmark, Hungary, Latvia, Lithuania, Poland, Romania and Sweden indicated the possibility to take part in this process after consulting their Parliaments where appropriate.

In other words, the UK really is in splendid isolation. As Rafael wrote earlier, Cameron's non-deal has led us to the outermost margin of the EU and ever closer to the exit. Indeed, the more excitable europhiles are suggesting that's exactly where we're heading. Former Europe minister Denis MacShane has declared that there is now "little point in Britain staying in the EU. Bill Cash has won and I congratulate him and other Eurosceptics on their victory." If such talk grows, the pressure for an in/out referendum (as advocated by the Lib Dems at the last election) will increase.

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.