The US is about to arm the Syrian rebels - it's decision time for Cameron

The decision by the Obama administration to provide lethal aid means that the Prime Minister can no longer remain on the fence.

The US has finally confirmed what the UK and Europe have long regarded as clear: that the Syrian government has used chemical weapons against the rebels and that President Obama's famous "red line" has been crossed. 

"Following a deliberative review our intelligence community assesses that the Assad regime has used chemical weapons, including the nerve agent sarin, on a small scale against the opposition multiple times in the last year," said the White House's statement. 

"Our intelligence community has high confidence in that assessment given multiple, independent streams of information. The intelligence community estimates that 100 to 150 people have died from detected chemical weapons attacks in Syria to date; however, casualty data is likely incomplete."

After this statement, deputy national security adviser Ben Rhodes announced that the US would provide "further support" to the opposition's Supreme Military Council, including "military support". The language was deliberately opaque. Was Rhodes referring to non-lethal equipment such as vehicles, communications and body armour, or was he referring to military arms? "I can't detail what type of support yet" was his response. But judging by reports from the US media, the answer is the latter. The New York Times states that the administration has decided to supply the rebels with "small arms and ammunition", describing it as "lethal aid". It's also notable that while playing down reports that a no-fly zone is set to be established on the Jordanian border, Rhodes said nothing to rule out this option. 

All of which means that it is now decision time for David Cameron. After succeeding in lifting the EU arms embargo, Cameron insisted at PMQs this week that the government "had not made a decision to supply the Syrian opposition with weapons", adding that it was providing "assistance, advice and technical help". When Ed Miliband pressed him on what "safeguards" were in place should lethal equipment be supplied, he again declared: "we are not supplying the opposition with weapons. We are supplying them with technical assistance and non-lethal equipment." 

But the US decision to supply "lethal aid" means that the Prime Minister can no longer remain on the fence. On the Today programme this morning, Conservative MP John Baron, one of many sceptics on the Tory benches, declared that "we don't have to follow the US". The question for Cameron, who has all but confirmed that the Commons will be given a vote on arming the rebels, is whether we will. 

Syrian rebel fighters belonging to the 'Martyrs of Maaret al-Numan' battalion leave their position after a range of shootings on June 13, 2013 in the northwestern town of Maaret al-Numan. Photograph: Getty Images.

George Eaton is political editor of the New Statesman.

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.