Labour should learn from the National Health Action Party, not strangle it

The anti-privatisation party is pioneering a new sort of politics.

Yesterday, at just about the time the Chancellor was getting to his feet to give his Autumn Statement, I met with the leadership of Britain’s newest political party the National Health Action Party (NHAP). Launched in November, the party consists of medics and health academics to fight the commercialisation and break-up of the NHS. The question is why do they feel they are necessary and what does this tell us about the state of party politics?

Lets start with reaction of at least one person in the Labour Party to the NHAP.  Paul Richards, a former special adviser and now regular commentator, said on their launch that the NHAP "must be strangled at birth" as it might deprive Labour of valuable seats. There are at least two responses we could make to Paul’s rather emotive desire.  The first is how does he know where the NHAP are going to stand candidates? And second – how come, even for a moment, he didn’t consider why they felt it was necessary to form a party to save the NHS – or more bluntly why they no longer trusted Labour with that task?

What Paul’s reaction revealed was the darkest side of ‘Laboursim’, a culture which is just about dominant within the party. It believes that if you knock on enough doors, deliver enough leaflets, elect enough Labour MPs – then they will occupy the state on a majority basis and deliver socialism to the people. Anything that gets in the way of that obvious and clear cut process must be destroyed or "strangled at birth". Indeed, the rather obvious failure to deliver socialism can only be the fault of people who get in Labour’s way – ‘it can't be our fault so it must be them’.  Hence the rather Freudian anger at the doctors but also the Liberal Democrats, Caroline Lucas, Plaid Cymru, Respect, and any independents. Someone get the couch – we need a psychologist, not a surgeon.

So ingrained is the belief in this top-down of theory of change that if "socialism is what a Labour government does" (as Herbert Morrison phrased it) then what ever it does must be socialism.  So setting the bankers free to wreck the economy is wrapped up in the glorious and crucial sound bite of New Labour that "social justice and economic efficiency go hand in hand". It means ‘let capitalism rip and we will top skim the cream and give a bit it to the poor, not least the NHS.'

But the economic efficiency side of the equation cast its shadow over everything. First you had to hide any redistribution as it was anti-free market and eventually obediently lower taxes to a level that would help wreck the country's finances. In addition, investment in the NHS had to be through capital friendly PFI schemes. Doctors and nurses could not be trusted to manage delivery themselves, there could be no public service ethos, instead they had to be forced to compete through the creation of quasi-markets and contestability – or they had to beaten over the head with ridged performance targets that always ended in with one box being ticked at the cost of failure elsewhere. Private sector clinics were brought and the likes of Virgin Health and Circle encouraged along their merry profitable way.  The Tories have of course picked up on all this and will push it to its logical conclusion.  They want to see hospitals fail and go bankrupt, they want to see chaos – out of chaos, just like the banking crash, they will say this is the fault of the big state – what we need is full privatisation. The NHS offends their free market principles and they will not rest until every element of it has a price tag.

So maybe we can see why the medics, health academics and campaigners are a tad nervous about sitting back and trusting Labour. Some of the very people who are saying warmer and kinder things now were there when all this happened. The NHAP know the currency that matters most is votes. And they intend to grab them. Not to hurt Labour, they aren’t stupid, though a thoroughly New Labour scalp would feel be nice for them I’m sure. No, the people in their sights will be the Orange Bookers and the Tories. If Labour is sensible and not just tribal, it might recognise the electoral dividend of such a move – or it could try to strangle them at birth. 

The people leading the NHAP are brave and daring. They feel like pioneers of a new sort of politics, just as Labour’s original pioneers were after becoming disillusioned with the Liberals. They are more than a single-issue party but are using a single issue to raise issues of equality, power and democracy. They refuse to fit within the narrow confines of the Labourist model that denies you any voice and any say. In a world defined by Facebook, and everything that is good and bad about it, people want to form different identities and relationships at different times. The straitjacket of obedience and conformity cannot be placed over the complexity and diversity of the future.

This is just the taste of things to come. British party politics is entering a volatile phase. Expectations have never been lower about what the two main parties can deliver. Witness exactly how much more growth would come from Labour’s five-point plan. But if Labour remains necessary to the possibility of radical change it is far from sufficient. The fight for totemic issues such as tax justice feel remote from it as do the real change makers out there like 38 Degrees, UK Uncut and Mumsnet.

Labour is going to have to change its ways if it wants to live in the real world – a world now a million miles from the rigid, disciplined and hierarchical structures of an essentially Victorian age. Ed Miliband knows this, as does the Labour for Democracy network that launched this week. It is not just a policy change Labour needs for a good society, but a culture change.

P.S.  Sorry this is personal but linked. This week makes the 20th anniversary of the Valley Party, the one-off Greenwich based political party who stood candidates to get Charlton Athletic back to its famous ground. They didn’t win a seat but harvested so many votes that the Labour council caved in and gave them what they wanted. Let's hope the same is true for the NHS.

Neal Lawson's column appears weekly on The Staggers.

Demonstrators protest against the government's Health and Social Care Bill in London. Photograph: Getty Images.

Neal Lawson is chair of the pressure group Compass and author of the book All Consuming.

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David Cameron’s speech: a hymn to liberalism from a liberated PM

The Prime Minister spoke with the confidence of a man who finally has a full mandate for his approach. 

At every one of his previous nine Conservative conference speeches, David Cameron has had to confront the doubters. Those Tories who rejected his modernisation of the party from the start. Those who judged it to have failed when he fell short of a majority in 2010. Those, including many in his own party, who doubted that he could improve on this performance in 2015. Today, rather than confronting the doubters, he was able to greet the grateful. As the first majority Conservative prime minister for 18 years, he rightly savoured his moment. "Why did all the pollsters and pundits get it so wrong?" he asked. "Because, fundamentally, they didn't understand the people who make up our country. The vast majority of people aren't obsessives, arguing at the extremes of the debate. Let me put it as simply as I can: Britain and Twitter are not the same thing." Labour should pin that line to its profile. 

With a full mandate for his approach, Cameron went on to deliver his most unashamedly liberal speech to date. Early on in his address, he spoke with pride of how "social justice, equality for gay people, tackling climate change, and helping the world's poorest" were now "at the centre of the Conservative Party's mission". A lengthy section on diversity, lamenting how "people with white-sounding names are nearly twice as likely to get call backs for jobs than people with ethnic-sounding names", was greeted with a standing ovation. Proof, if needed, of how Cameron has changed his party beyond recognition. The former special adviser to Michael Howard, who avowed that "prison works", told his audience that prison too often did not. "The system is still not working ... We have got to get away from the sterile lock-em-up or let-em-out debate, and get smart about this." From now on, he declared, the system, would "treat their [prisoners'] problems, educate them, put them to work." 

There were, of course, oversights and lacuna. Cameron reaffirmed his commitment to a budget surplus but glossed over the unprecedented, and many believe undeliverable, that will be required to achieve it (and which may fail to do so). He hailed the new "national living wage" with no mention of the tax credit cuts that will leave the same "strivers" worse off. His "affordable" starter homes will be unaffordable for average-earning families in 58 per cent of local areas. But it is a mark of Cameron's political abilities that it was easy to forget much of this as he spoke. Like George Osborne, he deftly appropriated the language of the left ("social justice", "opportunity", "diversity", "equality") to describe the policies of the right. Cameron is on a mission to claim ownership of almost every concept associated with Labour. The opposition should not sleep easily as he does so. 

There was little mention of Labour in the speech, and no mention of Jeremy Corbyn by name. But when the attack came, it was ruthlessly delivered. "Thousands of words have been delivered about the new Labour leader. But you only really need to know one thing: he thinks the death of Osama bin Laden was a 'tragedy'". The description of Corbyn as the "new Labour leader" shows the Tories' ambition to permanently contaminate the party, rather than merely the man.

There are plenty of potential landmines ahead for Cameron. The comically lukewarm applause for his defence of EU membership was a reminder of how divided his party is on this issue. But today, he spoke as a man liberated. Liberated by winning a majority. Liberated by not having to fight an election again. Like a second-term US president, he was able to speak of how he was entering "the second half of my time in this job". Tributes to Osborne (the "Iron Chancellor) and Boris Johnson (greeted with a remarkable standing ovation) alluded to the contest to come. But whoever succeeds him can be confident of assuming a party in good health - and more at ease with the modern world than many ever thought possible. 

George Eaton is political editor of the New Statesman.