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The question Lib Dem MPs must ask themselves

Will passing the health bill improve patient outcomes in the NHS?

There appears to be some confusion as to what the Lib Dem members were saying about The Health and Social Care Bill at Spring Conference over the weekend. Let me attempt to clarify things.

In short we are asking our MPs and Peers to decide if the cost of passing the Health and Social Care Bill is a price worth paying.

We don't like this bill. We trust our Conservative coalition partners on the NHS about as far as we can throw them. Our peers have done a tremendous job at amending the bill but it still has a very bad smell hanging around it. Even Nick made clear in his speech to conference that "this isn't a Liberal Democrat bill".

Nonetheless, there are some good things in the bill. No one pretends the NHS is perfect. Even Andy Burnham - who wrote an open letter to all Lib Dem members last week - says there is work to do to "enable the NHS to make some of the difficult service changes it needs to make to have a care model ready for the challenges of this century".

But everyone in the party does agree on one thing. Somehow - oh, how has this been allowed to happen - we have been manoeuvred into a position whereby if the bill passes, in the eyes of the electorate the responsibility for it will lie with us. And even if in the long term it turns out that supporters of the bill are right and the NHS improves through the passing of this bill, we wont get any of the credit, and we will get still get hammered by the voters for passing it. The cost of allowing this legislation comes with a heavy price tag for the Lib Dems.

So here is the question our Parliamentarians need to consider. It is perhaps a fairly obvious question - but in the midst of negotiations both around the bill and within the party, it is one that hasn't been asked enough.

Are you absolutely convinced that passing this bill will improve all patient outcomes in the NHS?

If you are - and I'm duty bound to point out this means you believe you know better than just about every professional healthcare body in the country - then you must pass this bill, no matter what the electoral cost to the party. It may mean another 80 years of electoral oblivion but if that's what you believe, you should put the NHS before the party.

But if you're not sure (and until the Risk Register is published, how can you be?), then is the cost of passing, as Nick calls it, the Conservatives' Health and Social Care Bill a price worth paying?

The members have done their bit and been clear that they don't think that it is.

But it's up to you now.

Richard Morris blogs at A View From Ham Common, which was named Best New Blog at the 2011 Lib Dem Conference.

24 comments

Len's Egg's picture

In what way is it up to us? I think the public and the professional bodies have made pretty clear they have truck with the bill. The Lib Dems at the conference-whether by design or coercion- blew the opportunity they had to stop it in its tracks. So thanks for that you spineless bunch of gerrymandering Tory Lickspittles. The Lib Dems at the conference did not deliver when it counted and should be counted in the same breath as the Lord Betrayer Clegg.

Freeman2's picture

Well put Len's Egg.

Stuart Eels's picture

Richard Morris

What's the point, you won't have lots of MPs to write after the next election, all the Lib/Dems had a chance to make a difference and blew it big time. Now Clegg , Huhne, Laws and Saint Vince Cable have shown us they are worthy heirs to Tone's New Labour!

Mike's picture

How can Clegg say the bill isn't a Lib Dem one but a Tory one when he signed off on it at the very beginning of the process?

Why don't Lib Dems face up to the inevitability of the destruction of their pitiful excuse for a political party?

Joe Grimond must be turning in his grave.

mike cobley's picture

Of course this is not the only question that MPs should consider; it is their job not just to ponder on which policies to back, but also to fully reckon the consequences of their actions. And the consequences of backing the Lansley bill will be the ultimate obliteration of healthcare in the UK as we know it (and its replacement with something small, mean, narrow and cruel).

Market mechanisms will not enhance, or augment, or elevate the cause of patient care; they will mutate it into commodities to be bought and sold. Because markets respond to buying power, not need.

Callum's picture

The Lib Dems have disappeared up their own political back sides and there is no medical procedure available to extricate them from this very smelly position.

Weep's picture

Could this have anything to do with why things have panned out as they have during the Lib Dem conference?

http://njuice.com/2Bw

Owen Jones (The one who wrote 'Chavs'!)'s picture

Only joking, it is me, really. Only I've dropped the adolescent, anti-Tory, faux Marxist dogma so I'm unrecognisable. Thanks!

Richard Morris's picture

Stuart Eels - Andy Burnham is considering asking Labour MPs to support the Lib Dem amendments to the Opposition motion this afternoon. Last vote on the bill I believe something like 17 didn't turn up to vote. Please make sure they do today

Marxist Nutter's picture

Len's Egg for PM!

Rick's picture

"We have been manoeuvred into a position whereby if the bill passes, in the eyes of the electorate the responsibility for it will lie with us"

Don't worry, we all still know it was the Tories' bill, the Lib Dems were just useful idiots.

Owen Jones's picture

Can I just clarify that whoever this Owen Jones is, it's not me (i.e. the apparently pre-pubescent one who wrote 'Chavs'). Thanks!

Jules's picture

As a former LD council leader I'm just staggered, even with intimate knowledge of a party that dithers and fudges... vote not to vote on instructing MPs to drop the bill, then vote against instructing them to pass it with amendments. Basically Conference has abdicated the chance to reflect their views either way and left it up to the Lords. Which, given that *they* voted against their own amendments a few days ago, inspires no confidence. A picture of MPs, Lords and members desperately tossing an explosive package back and forth to each other wouldn't be far from the truth.

Carolekins's picture

Speaking as someone who was in the right place last Saturday, i.e. outside the Sage protesting together with lots of others, many (like me) with homemade banners imploring the Lib Dems to do the right thing, I think we should put the political arguments aside and focus on the substance: the fact that virtually every organisation representing health professionals opposes the bill, the fact that the Government will not allow us to see the risk register, the fact that hospitals will allow up to 49% of private beds in hospitals. The fact that noboby knows what exactly will happen with the competition elements of the bill until they are tested in the law courts. It's a no-brainer: of course they should not go ahead with the bill.

Stuart Eels's picture

Richard Morris-how in the hell am I supposed to do that? you are meant to have the connections pal!

Richard Morris's picture

Own Jones - as promised. This one's for you.
http://aviewfromhamcommon.blogspot.com/2012/03/owen-jones-this-ones-for-...

Alex M's picture

Jules is pretty much correct.

Once the "drop the bill" motion lost the ballot (narrowly on 2nd preferences) the anti-HSCB grouping faced a challenge. The leadership's "Shirley Williams" motion was pretty anodyne. The best opponents could really hope for was to persuade Conference to withhold its endorsement for the Lords supporting the Bill at 3rd reading. Which is what happened.

That may well be a largely symbolic outcome. But you'd hope the leadership are able to read the symbolism and act accordingly.

However, I've absolutely no confidence that they will. Clegg, Burstow et al would appear to support the Bill and to have done so from the start. Even though the LibDems are not bound by the Coalition agreement on this issue. The leadership appear to be prioritising shoring up the Coalition over anything else. V poor.

Owen 'Basketball' Jones's picture

Who is this cock? 'If you are - and I'm duty bound to point out this means you believe you know better than just about every professional healthcare body in the country'-is this the extent of your informed opposition? Do you even know what's in the bill, Richard? I can only hope, for their sake, that your voice isn't an influential one within the Lib Dems. But I'm pretty sure it's not.

Owen 'Basketball' Jones's picture

Oops, I see he's written for the NS before. And re the whole 'Cameron's poll tax' thing. Did you mindlessly oppose that without bothering to understand the reasoning behind it too, Richard?

Richard Morris's picture

Lens Egg - sorry, I haven't made myself clear; 'Its up to you now' is addressed to Lib Dem MPs and Peers who now have a choice to make, the members having told them what they think. You're quite right, the public and people who work in the NHS have made their position perfectly clear.

Jules, Alex - hard to disagree. We could have been more straightforward - but the grass roots made it clear that in the end, we can't support this bill.

Owen Jones - if you've got a point to make, why not make it. Mindless abuse doesn't get you anywhere.

Owen Jones's picture

'If you've got a point to make, why not make it'. My point is that you don't. You've spent two columns attacking the Tories and the bill without offering any explanation as to why you object to it. Of course, you're not alone. I remember Burnham being asked the same question three times by Andrew Marr, and the best he could offer was to reel off the bodies' who are perceived to oppose the bill, based on the balloting of a tiny minority of their members. So my 'point' is: drop the childish, overblown rhetoric about the nasty Tories 'destroying' 'our NHS', and clearly expound your arguments against the bill.

Owen Jones's picture

Can you see my point, though? Condemnation after condemnation, but no substance whatsoever.

Richard Morris's picture

Owen - well, that will be because I was trying to make different points in both this piece and the other you cite. I try and keep posts to 500 words and make one point in each. But seeing as you've asked so nicely, I will write something in response to the question you ask in my own blog sometime this week. May take a few days - I've got a lot of MPs and Peers to write to. Will post here when it's up.

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