The Government has broken a critical promise on the NHS

A new regulation means that every service commissioned will have to be open either to competitive tendering or the Any Qualified Provider system.

“The NHS is safe in our hands”, the government has been proclaiming - and it promised last year that it wouldn't be forcing competition into the new system for commissioning services.

Yet, surreptitiously, Jeremy Hunt has introduced in the National Health Service (Procurement, Patient Choice and Competition) Regulations 2013 (S.I., 2013, No. 257) - a regulation that does just that. Every service commissioned, with a very small number of exceptions, will have to be open either to competitive tendering or the Any Qualified Provider system. These are bureaucratic, dull-sounding, words, which could have a huge impact.

Unless there's a big public and parliamentary outcry, this fundamental change to the NHS will open almost every aspect of the NHS to the foreign multinational healthcare companies and money-draining, staff-exploiting ways. And it is a massive broken promise. A widely publicised letter from then Health Secretary Andrew Lansley on 16 February 2012, issued as the Health and Social Care Bill struggled to get through parliament, said: "It is a fundamental principle of the Bill that you as commissioners, not the Secretary of State and not regulators, should decide when and how competition should be used to serve your patients’ interests."

Jeremy Hunt has just spectacularly broken that promise - and he must not be allowed to get away with it.

Under his plan the regulator Monitor will be able to decide when commissioners have breached competition regulations, will be able to set aside contracts and impose competitive tendering and the offer of Any Qualified Provider. Green MP Caroline Lucas is with Ed Miliband jointly proposing a “prayer” (that’s the official form – and a further argument for modernisation of parliamentary procedure), that if it wins sufficient parliamentary support could at least force parliament to debate the regulations. (Please email your MP to ask them to back it – EDM No 1104.)

Public opposition is also going to be important – please sign the 38 Degrees petition.

If allowed the come into effect, the damage caused by these regulation will be almost irreversible, since once our much-valued local hospitals and services are broken up, it would take an immense amount of money to re-establish them.

Moving towards an American-style system, immensely expensive, profit-driven, which doesn't put the needs of patients first, is an ongoing disaster (we’ve already gone far too far down this road, and been seeing the consequences) and this is a big step on the accelerator towards that.

I’m delighted that Green Party spring conference last weekend strongly backed an emergency motion opposing Jeremy Hunt’s regulation, and restating our commitment to a publicly owned and publicly run NHS.

The Hunt regulations are part of a broader government direction that’s clearly driven by ideology. This government has a simple mantra – private good, public bad. Despite the fact that we know that outsourcing is a disastrous, expensive model that delivers poor services and slashes wages, this government is wedded to this ideology – just as is far too much of the top bureaucracy of the NHS, who either come from the private health sector, or are the glossy recipients of mediocre MBAs, who’ve learnt a few neo-liberal management mantras and know nothing else.

The NHS is a world-admired system, which despite the damage done by the marketising trend that started under Margaret Thatcher and was enhanced by Tony Blair’s Labour, still provides for the vast majority of Britons superb quality healthcare, which they receive independent of their financial status. The system is under strain, with our ageing population, increasingly expensive medical technology and massive drug company profits. And it is under attack from a rightwing media that’s backing the privatising agenda.

We do need to make improvements, particularly to focus more on prevention than treating people when they’re ill, and ensure that perverse incentives and bad management don’t produce more Mid Staffs, but bleeding off billions in profit to multinational health companies is not only financial madness, it will also result in huge damage to the service we all receive – and all need.

Natalie Bennett is the leader of the Green Party of England and Wales and a former editor of Guardian Weekly.

Jeremy Hunt. Photograph: Getty Images

Natalie Bennett is the leader of the Green Party of England and Wales and a former editor of Guardian Weekly.

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I could have sworn that the Lincoln City striker was my dustman...

Watching a game on tenterhooks to see if the manager picks his nose.

Too busy thinking about other things, so didn’t at first realise that I was witnessing possibly the greatest event in the history of civilisation. Or since 1863, when the FA was formed.

I had tuned in to watch Burnley v Lincoln City for the pleasure of seeing if the former’s manager, Sean Dyche, is ever going to pick his nose in public. His hand goes up to his nose every 30 seconds, gives it a rub, then when he’s about to start poking around inside, he thinks better of it, only to start again a minute later. He clearly can’t help it – it’s a nervous tic, which all managers have, though some hide it better.

Then I started studying the Lincoln team, none of whose phizogs, mannerisms or walks I know. By this stage in the season, I am pretty familiar with every regular Premier player, having grown accustomed to his face, his smile, his ups and downs. When it’s a Cup match with a team from a lower division, in this case a non-League team, the players are strangers. I would not recognise any of them in my porridge.

Then I saw someone I swore was our dustman, large and beefy, with Bobby Charlton hair. I thought he must have wandered on to the pitch from the burger bar – but, no, he was a Lincoln forward, the 16-stone Matt Rhead. Even on the couch, cradling my Beaujolais, I could hear Burnley fans shouting, “You fat bastard.”

Lincoln’s captain was called Waterfall, another player I hadn’t come across before, one of those footballers who spend their whole life in the lower divisions, becoming local legends, if they last long enough, but completely unrecognised elsewhere.

I googled his first name, and oh, my God, it’s only Luke. Luke Waterfall, how romantic is that? Straight out of Mills & Boon. Did he assume that name when he went into show business, Lincoln City Division?

I started thinking of all the fab new names in football, a source of endless reverie when the game is dull. I’m allowed to do this when watching on my own. When watching with my son or anyone else, I impose house rules, which state that all conversation must be linked directly to what is happening on the screen.

Jesus at Man City, what a gift from, er, God for the headline writers. He arrived in January for £27m, a bargain already, especially if he continues to work miracles, har, har. It says “Jesus” on the back of his shirt. His first name is Gabriel, after the archangel, presumably. The sub-editors will have fun with him for years – “Jesus saves”, “Jesus wept”.

I remember waiting in the 1970s when the Scottish player Gerry Queen joined Crystal Palace. I knew that events would turn him into a headline. Then he got a red card: “Queen sent off at Palace”.

The all-time classic football headline was used in February 2000, when Inverness Caledonian Thistle beat Celtic 3-1. The result, one of the biggest upsets in Scottish football, led to the Sun headline

Super Caley go ballistic

Celtic are atrocious

In a lifetime of subbing, you don’t get many occasions when all the planets align so exactly.

The new names that I’ve been enjoying this season include Dunk at Brighton. Haven’t noticed him walking into a headline yet, and I can’t imagine what it will be – something to do with “Dunking donuts”, or “Dunk and disorderly”?

I’ve always liked Robert Snodgrass, now at West Ham. His name sounds so Dickensian. And Southampton’s Virgil van Dijk – wow, my Hollywood hero. Harry Winks at Spurs: what a shame he wasn’t given shirt number 40. When Jeffrey Schlupp appeared in the Leicester line-up last season, I couldn’t wait to decide if his name would fit a verb, a noun, a term of abuse, or a form of semi-sleeping, such as the way I schlupped on the sofa watching Burnley v Lincoln.

Then, blow me, I was wakened violently from my reveries. Just before the end, Lincoln scored – making them the first non-League team to reach the FA Cup quarter-finals in 103 years. And I was watching, sort of . . . 

Hunter Davies is a journalist, broadcaster and profilic author perhaps best known for writing about the Beatles. He is an ardent Tottenham fan and writes a regular column on football for the New Statesman.

This article first appeared in the 24 February 2017 issue of the New Statesman, The world after Brexit