Three referendums that could change Britain as much as losing the empire

In the next five years, the Scottish independence referendum, an in/out EU referendum and a border poll on Northern Ireland could force a rethink of the entire British state.

"Devices for despots and dictators". That was Clement Attlee’s brisk dismissal of referendums and it held sway as the default view in British politics until the 1975 national referendum on continued British membership of the-then European Economic Community.

Since then, the growth in the use of referendums – and in calls to use them – seems inversely proportionate to the natural authority our risk-averse political leaders now wield. The bigger the decision, the less they want to take it.

As a result, there are now three big constitutional referendums lumbering into view over the next five years. Each is significant, but their combined effect could represent the biggest shock to the system since the break–up of the British empire.

The first is the referendum on Scottish independence. Alex Salmond knows that timing here is crucial and a date is so far elusive, although we know it is likely to be in autumn next year. Like a bee’s sting, he has one go at this. If he mistimes the vote and a majority of Scots opt for the status quo, his lifelong project will be over. It is likely, however, that a consolation prize will see extra concessions wrung out of a relieved Westminster in the form of 'devo max'. Don’t ask what that means though; as Scottish Secretary Michael Moore recently pointed out, it’s a "brand without a product".

The second referendum is more speculative. Sinn Fein is agitating for a ‘border poll’ on Northern Ireland’s constitutional status in 2016 – the centenary of the Easter Rising. So far, so predictable; that’s what an Irish republican party is for. But the Good Friday Agreement makes allowance for such votes and what makes this call slightly more intriguing is the reaction of some unionist commentators and politicians. The Democratic Unionist’s Arlene Foster recently said her party might "call [Sinn Fein’s] bluff" on the issue and support a vote. "Sinn Fein are trying to cause instability in Northern Ireland," she claimed.

"If we have the border poll then that instability goes away and, in actual fact, what we have is a very clear validation of the Union and that’s something we’re looking at at the moment."

With the recent census demographics still showing a majority of Protestants in Northern Ireland (albeit tentatively) could this be a smart move by unionists, a last decent chance to show a majority want to remain part of the UK?

The third referendum is, of course, David Cameron’s promise of an in/out EU vote following a renegotiation of Britain's membership. The PM has not set out what powers he wants to repatriate, nor if he would campaign to remain in the EU if his demands were not fully met. By 2017, the date a Conservative-led government would expect to hold the poll, both Northern Ireland and Scotland could conceivably already find themselves outside the UK.

For believers in the constitutional status quo, winning the three votes is not likely to settle grievances in the long-term. Scottish nationalism will continue to be an electorally potent reaction against Westminster rule, while the hope that Northern Ireland’s disputatious existence will be neatly resolved is the supreme elevation of optimism over reality. But winning a referendum on British membership of the EU would be a powerful fillip for pro-Europeans and would help put eurosceptics back in their box, at least for a while.

If all, or any, of these plebiscites were won by the forces of separatism, the shockwaves would force a rethink of the entire British state from its very foundations. In terms of importance, 'losing Ireland'; is the least significant, strategically and economically.

The intriguing question is which of the other two is more important: Scotland going its own way, or the whole of Britain voting to leave the EU? If both came to pass, might the new United Kingdom of England and Wales download the application form for NAFTA membership?

David Cameron and Alex Salmond attend the Drumhead Service in Edinburgh, Scotland. Photograph: Getty Images.

Kevin Meagher is associate editor of Labour Uncut and a former special adviser at the Northern Ireland office. 

Photo: Getty
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The big problem for the NHS? Local government cuts

Even a U-Turn on planned cuts to the service itself will still leave the NHS under heavy pressure. 

38Degrees has uncovered a series of grisly plans for the NHS over the coming years. Among the highlights: severe cuts to frontline services at the Midland Metropolitan Hospital, including but limited to the closure of its Accident and Emergency department. Elsewhere, one of three hospitals in Leicester, Leicestershire and Rutland are to be shuttered, while there will be cuts to acute services in Suffolk and North East Essex.

These cuts come despite an additional £8bn annual cash injection into the NHS, characterised as the bare minimum needed by Simon Stevens, the head of NHS England.

The cuts are outlined in draft sustainability and transformation plans (STP) that will be approved in October before kicking off a period of wider consultation.

The problem for the NHS is twofold: although its funding remains ringfenced, healthcare inflation means that in reality, the health service requires above-inflation increases to stand still. But the second, bigger problem aren’t cuts to the NHS but to the rest of government spending, particularly local government cuts.

That has seen more pressure on hospital beds as outpatients who require further non-emergency care have nowhere to go, increasing lifestyle problems as cash-strapped councils either close or increase prices at subsidised local authority gyms, build on green space to make the best out of Britain’s booming property market, and cut other corners to manage the growing backlog of devolved cuts.

All of which means even a bigger supply of cash for the NHS than the £8bn promised at the last election – even the bonanza pledged by Vote Leave in the referendum, in fact – will still find itself disappearing down the cracks left by cuts elsewhere. 

Stephen Bush is special correspondent at the New Statesman. He usually writes about politics.