Osborne: cutting the NHS, not the deficit

Conservatives ordered to correct NHS spending claims as Osborne prepares to announce higher borrowing this year.

"I'll cut the deficit, not the NHS", declared the Conservatives' memorable poster of David Cameron at the last election. But today, as he prepares to deliver his Autumn Statement at 12:30pm, George Osborne stands accused of doing the reverse: cutting the NHS, not the deficit.

With exquisite timing, the chair of the UK Statistics Authority, Andrew Dilnot, has written to the Health Secretary, Jeremy Hunt, challenging his claim that spending on the NHS has risen in real terms "in each of the last two years". In response to a complaint from the shadow health secretary, Andy Burnham, Dilnot concludes that, contrary to recent Conservative statements, "expenditure on the NHS in real terms was lower in 2011-12 than it was in 2009-10". The most recent Treasury figures show that while real terms spending rose by 0.09 per cent between 2010-11 and 2011-12, it fell by 0.84 per cent between 2009-10 and 2010-11. In other words, Hunt is wrong to claim that the NHS has received real-terms increases "in each of the last two years".

In fairness, Dilnot rightly goes on to note that "given the small size of the changes and the uncertainties associated with them, it might also be fair to say that real terms expenditure had changed little over this period." But the point stands: the Tories promised real terms increases in NHS spending in each year of this Parliament (routinely attacking Labour and the Liberal Democrats for refusing to do the same) and they failed to deliver.

As for the deficit, Osborne will almost certainly be forced to announce that he'll miss his deficit target for this year (£119.9bn) by as much as £30bn. For the first time since the Chancellor entered No. 11, borrowing is set rise in annual terms, a significant blow to his narrative of "balancing the books". Worse, confronted by OBR forecasts showing already anaemic growth becoming even weaker, he'll likely abandon his target to have the national debt falling as a share of GDP by 2015-16 and announce that an austerity programme originally intended to last for five years (2010-2015) will now last for eight (2010-2018).

The Tories will now enter the election with debt rising as a percentage of GDP, not falling. The Chancellor is right to abandon his second fiscal rule (the first - to eliminate the structural deficit over a rolling, five-year period - is likely to be narrowly met), rather than announce even greater tightening, but he has indisputably failed on his own terms. Based on the current trend, Osborne will announce in his 2014 Autumn Statement that austerity will last for another full parliament - until 2020. To paraphrase Cameron, the bad news will keep coming.

George Osborne pictured at the launch of the Conservatives' general election campaign on 4 January 2010. Photograph: Getty Images.

George Eaton is political editor of the New Statesman.

Photo: Getty
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The rise of the green mayor – Sadiq Khan and the politics of clean energy

At an event at Tate Modern, Sadiq Khan pledged to clean up London's act.

On Thursday night, deep in the bowls of Tate Modern’s turbine hall, London Mayor Sadiq Khan renewed his promise to make the capital a world leader in clean energy and air. Yet his focus was as much on people as power plants – in particular, the need for local authorities to lead where central governments will not.

Khan was there to introduce the screening of a new documentary, From the Ashes, about the demise of the American coal industry. As he noted, Britain continues to battle against the legacy of fossil fuels: “In London today we burn very little coal but we are facing new air pollution challenges brought about for different reasons." 

At a time when the world's leaders are struggling to keep international agreements on climate change afloat, what can mayors do? Khan has pledged to buy only hybrid and zero-emissions buses from next year, and is working towards London becoming a zero carbon city.

Khan has, of course, also gained heroic status for being a bête noire of climate-change-denier-in-chief Donald Trump. On the US president's withdrawal from the Paris Agreement, Khan quipped: “If only he had withdrawn from Twitter.” He had more favourable things to say about the former mayor of New York and climate change activist Michael Bloomberg, who Khan said hailed from “the second greatest city in the world.”

Yet behind his humour was a serious point. Local authorities are having to pick up where both countries' central governments are leaving a void – in improving our air and supporting renewable technology and jobs. Most concerning of all, perhaps, is the way that interest groups representing business are slashing away at the regulations which protect public health, and claiming it as a virtue.

In the UK, documents leaked to Greenpeace’s energy desk show that a government-backed initiative considered proposals for reducing EU rules on fire-safety on the very day of the Grenfell Tower fire. The director of this Red Tape Initiative, Nick Tyrone, told the Guardian that these proposals were rejected. Yet government attempts to water down other EU regulations, such as the energy efficiency directive, still stand.

In America, this blame-game is even more highly charged. Republicans have sworn to replace what they describe as Obama’s “war on coal” with a war on regulation. “I am taking historic steps to lift the restrictions on American energy, to reverse government intrusion, and to cancel job-killing regulations,” Trump announced in March. While he has vowed “to promote clean air and clear water,” he has almost simultaneously signed an order to unravel the Clean Water Rule.

This rhetoric is hurting the very people it claims to protect: miners. From the Ashes shows the many ways that the industry harms wider public health, from water contamination, to air pollution. It also makes a strong case that the American coal industry is in terminal decline, regardless of possibile interventions from government or carbon capture.

Charities like Bloomberg can only do so much to pick up the pieces. The foundation, which helped fund the film, now not only helps support job training programs in coal communities after the Trump administration pulled their funding, but in recent weeks it also promised $15m to UN efforts to tackle climate change – again to help cover Trump's withdrawal from Paris Agreement. “I'm a bit worried about how many cards we're going to have to keep adding to the end of the film”, joked Antha Williams, a Bloomberg representative at the screening, with gallows humour.

Hope also lies with local governments and mayors. The publication of the mayor’s own environment strategy is coming “soon”. Speaking in panel discussion after the film, his deputy mayor for environment and energy, Shirley Rodrigues, described the move to a cleaner future as "an inevitable transition".

Confronting the troubled legacies of our fossil fuel past will not be easy. "We have our own experiences here of our coal mining communities being devastated by the closure of their mines," said Khan. But clean air begins with clean politics; maintaining old ways at the price of health is not one any government must pay. 

'From The Ashes' will premiere on National Geograhpic in the United Kingdom at 9pm on Tuesday, June 27th.

India Bourke is an environment writer and editorial assistant at the New Statesman.

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