David Cameron answers journalists' questions on May 27, 2014 as he arrives at the EU Headquarters in Brussels. Photograph: Getty Images.
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Cameron is running out of time to show that he is serious about keeping Britain in the EU

The Prime Minister should stop indulging the idea that Europe is a conspiracy perpetrated by other countries against Britain.

The Conservatives don’t have a position on EU membership but they have a trajectory. The motion is towards the view that Britain should leave; the speed is controlled by David Cameron’s ability to pretend that reform can persuade most Tories to stay.

If the next election is lost, that fiction will expire along with Cameron’s premiership. His successor would be chosen by despondent party members craving congress with schismatic Ukippers. Only Europhobic candidates need apply. If, on the other hand, Cameron wins a second term, he will discover before October 2017 – the date proposed for a referendum – that no amount of “renegotiation” can unify his party around an “in” campaign.

Cameron doesn’t want to be remembered as the prime minister who lost Britain’s EU membership by accident but his attachment to the project is plastic. It yields under pressure from anti-Brussels hardliners. Every precedent of his nine years leading the party suggests that if he felt his security as leader depended on making yet more concessions to the Brexit camp, he would do it.

The current Downing Street line has two strengths. First, it avoids civil strife in the party – there are, after all, still a handful of pro-European Tories and a silent agnostic majority that simply wants the issue neutralised. Second, it reflects what voters appear to want. Opinion polls show support for staying in a reformed EU to be the most desired outcome – a golden mean between quitting and the status quo. The way No 10 draws the map of European policy, Ukip occupies one fringe, banging the drum for embittered isolation, with the Liberal Democrats and Labour at the other extreme, drifting towards Euro-federation. In theory, that leaves Cameron in possession of the moderate, sceptical centre.

The obstacle to holding that course is the belief that Ukip is a lost tribe of the right that needs clutching ever tighter to the Conservative bosom. So Cameron is sure to come under pressure to toughen up his line on Europe in the coming months. Tories report their referendum offer is rejected on the doorstep as counterfeit currency – just another flimsy politician’s promise. The bigger concern is the way Nigel Farage has successfully conflated views about EU membership and anxiety over immigration. Ukip voters are not all fretting about constitutional cessions of parliamentary sovereignty but they do say they want the “gates shut”, which is incompatible with participation in the single European labour market.

For Tory sceptics, the natural conclusion is that changes to the rules on free movement of workers should top Britain’s list of renegotiation demands. Other EU leaders have made it clear that the principle of porous borders is sacrosanct. In any case, there won’t be any substantive discussions before May next year because other heads of government – chiefly the German chancellor, Angela Merkel, whom Cameron regards as the pivotal figure in his plan – are waiting to see whether the Tories can survive a general election before deciding how likely the prospect of a British exit is.

Meanwhile, the UK’s diplomatic capital in Brussels is running low. Merkel is unimpressed by the decision of Tory MEPs to make common cause in the European Parliament with Alternative for Germany, a fringe party hostile to the single currency. The alliance compounds the offence caused in 2009 when Cameron took the Conservatives out of the European People’s Party (EPP) – the mainstream centre-right group of which Merkel’s Christian Democrats are lead players. German officials and diplomats are scathing about that choice, seeing it as a naive and self-defeating gesture that surrendered British influence in exchange for a moment’s respite from implacable Tory MPs. Merkel took some persuading that Cameron should be taken seriously after such an elementary blunder.

On another front, Cameron is campaigning to block the appointment of Jean-Claude Juncker, a former prime minister of Luxembourg, as the next president of the European Commission. (Even quite ardent British pro-Europeans fear that Juncker’s unrepentant federalism would be counterproductive.) That the Tories would have more of a say in the matter had they stayed in the EPP is a point made with some relish by those in Brussels who are tired of British equivocation and who doubt that Cameron’s heart is really in the EU.

It is still possible that Juncker will be thwarted, in which case No 10 will boast that Cameron’s way works after all and that supine Europhiles are always too quick to surrender. But each time the Conservative leader advertises himself as the antidote to whatever is brewing in Brussels, it becomes harder to see how he can one day stand at the front of Britain’s “in” campaign.

The logic of the referendum policy is that the threat of exit must be real if other countries are to be jolted into making concessions. Yet there are no concessions that can satisfy those Tories who only ever wanted a threat of exit so that it could one day be realised.

If the Prime Minister is serious about keeping Britain inside the EU, he would stop indulging the idea that Europe is a conspiracy perpetrated by other countries against Britain. He would defend Brussels institutions and their founding principles and support, without queasy caveat, the idea of free labour movement. He would push back when his MPs nudge him towards the exit. He would declare that Conservatives do not believe “out” at all costs is a sensible position. He would, in other words, alter the trajectory of his party. He does none of those things and it is almost impossible to imagine him doing them before the election. Afterwards it may be too late. 

Rafael Behr is political columnist at the Guardian and former political editor of the New Statesman

This article first appeared in the 04 June 2014 issue of the New Statesman, 100 days to save Great Britain

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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.