Will Cameron suspend collective responsibility over the EU?

If Ken Clarke is free to put the europhile case, eurosceptics will want to be able to argue for withdrawal.

After Michael Heseltine's intervention at the weekend, today it's the turn of the europhiles' other big beast, Ken Clarke, to offer his two penn'orth on the Europe debate. In an interview with the FT, the former Justice Secretary, who now attends cabinet as a minister without portfolio, warns that David Cameron's plan to hold a referendum on a "new EU settlement" for Britain could unintentionally lead to withdrawal. He notes:

All referenda are a bit of a gamble. I don’t think we can take a Yes vote for granted.

I think one of the problems is, because so much of the media is overwhelmingly eurosceptic, no one has really campaigned very vigorously for the case for British leadership in the European Union for probably a decade or more.

The problem for Cameron is that the gap between what Tory MPs want from a renegotiation (see the list of demands issued by the Fresh Start group today) and what he can deliver is so great that he has set himself up for failure. As a result, he will find it harder to persuade his party and the public that Britain should remain in the EU when a referendum is held.

Elsewhere in the interview, Clarke, who has warned Cameron against seeking to use the eurozone crisis to repatriate powers from Brussels, bluntly compares those who support withdrawal to the "hangers and floggers" who demanded a referendum on capital punishment in the 1970s. "If you realise you’re doomed in parliament you demand a referendum – that’s what the hangers and floggers used to do," he says.

One issue that Clarke's fusillades against euroscepticism raise is whether collective ministerial responsibility applies to him. His plan to share a platform with Peter Mandelson to argue for full British engagement with the EU suggests not. In response, we can expect eurosceptics to ask whether those ministers who privately favour withdrawal should also be free to put their case.

As I noted earlier this week, the last time Britain held a referendum on the EU in 1975, Harold Wilson took the unusual step of suspending collective cabinet responsibility (as Cameron has over the boundary changes bill) in order to allow his ministers to support either side in the campaign. Seven Labour cabinet ministers - Benn, Barbara Castle, Michael Foot, William Ross, Peter Shore John Silkin, Eric Varley - went on to unsuccessfully argue for withdrawal from the EEC (the vote was 67-33 in favour of membership). In this week's Spectator, James Forsyth reported that there are "at least nine Cabinet members" who would be inclined to vote "out" in a referendum if Cameron only proves able to secure minor concessions such as the exemption of the NHS from the Working Time Directive

We're a long way off from a referendum but expect Cameron to be asked as early as Friday whether he would allow Conservative cabinet ministers to campaign for exit.

Ken Clarke, who attends cabinet as a minister without portfolio, has argued that Britain should not seek to repatriate powers from the EU. Photograph: Getty Images.

George Eaton is political editor of the New Statesman.

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Is anyone prepared to solve the NHS funding crisis?

As long as the political taboo on raising taxes endures, the service will be in financial peril. 

It has long been clear that the NHS is in financial ill-health. But today's figures, conveniently delayed until after the Conservative conference, are still stunningly bad. The service ran a deficit of £930m between April and June (greater than the £820m recorded for the whole of the 2014/15 financial year) and is on course for a shortfall of at least £2bn this year - its worst position for a generation. 

Though often described as having been shielded from austerity, owing to its ring-fenced budget, the NHS is enduring the toughest spending settlement in its history. Since 1950, health spending has grown at an average annual rate of 4 per cent, but over the last parliament it rose by just 0.5 per cent. An ageing population, rising treatment costs and the social care crisis all mean that the NHS has to run merely to stand still. The Tories have pledged to provide £10bn more for the service but this still leaves £20bn of efficiency savings required. 

Speculation is now turning to whether George Osborne will provide an emergency injection of funds in the Autumn Statement on 25 November. But the long-term question is whether anyone is prepared to offer a sustainable solution to the crisis. Health experts argue that only a rise in general taxation (income tax, VAT, national insurance), patient charges or a hypothecated "health tax" will secure the future of a universal, high-quality service. But the political taboo against increasing taxes on all but the richest means no politician has ventured into this territory. Shadow health secretary Heidi Alexander has today called for the government to "find money urgently to get through the coming winter months". But the bigger question is whether, under Jeremy Corbyn, Labour is prepared to go beyond sticking-plaster solutions. 

George Eaton is political editor of the New Statesman.