Ukip's message on the NHS is inconsistent. Photo: Getty
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Ukip's high command remains confused about the NHS

To outsource or not to outsource?

As Ukip hoovers up increasing support, and a few MPs along the way, it is starting to face a certain level of scrutiny regarding its policies.

The party's lack of consistency on the NHS is a particularly sore subject, following the revelation around the time of last month's by-election of Nigel Farage's enthusiasm back in 2012 for an insurance-based system run by private companies. As his party is now openly attempting to pick up Labour voters, Farage's former thoughts on NHS funding are damaging. So much so that he had to hastily insist that he would keep the NHS free at the point of use, without handing control over to "faceless private-sector companies".

But it's clear confusion about its approach to the health service endures among Ukip's high command. Writing in a column in the Express, Ukip deputy chairman Neil Hamilton suggests he would like to see more NHS outsourcing. He refers to "hopeless public sector procurement practices" compared to the efficiency of running a business in the private sector, and decries the "bloated budget" of the NHS. He concludes:

Unfortunately every time a private sector company produces money-saving ideas Labour and trade union dinosaurs start shroud-waving about NHS privatisation. We need to fight back because NHS inefficiency costs lives. One of them might be yours.

This approach to running the NHS sounds entirely at odds with Farage's recent defensive insistence against outsourcing. He told LBC in September:

The government aren’t just privatising the National Health Service, the Labour government following up the coalition, are privatising, or shall I say outsourcing, virtually everything . . . I actually think the bits of our life that government departments control should actually be controlled and run properly by government departments and not outsourced. So I am against outsourcing, I think we need a massive rethink about the way we’ve outsourced the National Health Service and much, much of what the state used to be competent to do in this country.

What does Ukip's inconsistency on the NHS mean for the election? First, it's clear from the need for Ukip to clear up its policy that Labour is so far successfully making the NHS a key electoral battleground. It is also good news for Labour because enthusiasm from key Ukip figures for outsourcing can give its "Ukip is more Tory than the Tories" attack line credence.

As for the Tories, although it is difficult for them to make popular statements on the health service, it will help them to some extent to have a party to point towards as less trustworthy on health reforms than they are so often accused of being.

Anoosh Chakelian is deputy web editor at the New Statesman.

Felipe Araujo
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Hull revisited: What happens when a Brexit stronghold becomes City of Culture?

We report from Hull, to find out if you can replace the kind of nostalgia that led to a Leave vote with cultural investment.

At 75 metres long, the offshore wind turbine blade erected across Queen Victoria Square, in the heart of Hull, is a sculpture intended to mark a new chapter in the city’s history. For the next 12 months, Hull, a city of more than a quarter of a million people in the northeast of England, will be the UK’s City of Culture.

The 28-tonne blade hails from the local Siemens plant. The German technology company employs around 1,000 people in the area, making it Hull’s biggest single employer.

Seen up close in this context – laid dormant in the middle of a town square instead of spinning up in the air generating energy – the structure is meant to remind passersby of a giant sea creature. It is also, I’m told, an allusion to Hull’s rich maritime history.


All photos: Felipe Araujo

Nostalgia is a big thing in this part of the country. At one point, Hull was the UK’s third largest port but technology and privatisation drastically changed that. The battle over cod fishing with Iceland in the waters of the North Sea 40 years ago has also dealt a major blow to a region with a long and proud trawling tradition.

People here still talk about a bygone era when the fishing industry provided jobs for everyone and there was enough money to go around.

Fast forward to 2017, and the country’s new capital of culture is the same city that voted 67 per cent in favour of leaving the EU last June. Its new-found prestige, it seems, is not enough to erase years of neglect by a political class “too busy for commoners like us”, as one resident puts it.

“More than a message to Brussels, it [the Brexit vote] was a message to Westminster,” Paul Leeson-Taylor, a filmmaker born and bred in Hull, tells me. “For the first time in a long time people in Hull felt like they had the chance to change something, and they took it.”

But while speaking to people on the high street and hanging out with locals at the Community Boxing Club in Orchard Park, one of the city’s most deprived areas, there is one word that consistently popped up in conversation – more than any specific policy from Westminster or the much-hated rules “dictated” by Brussels. Foreigners.

According to official figures, Hull’s population is 89.1 per cent white British. Still, immigration is big on people’s minds here.

During my two-day stay in the city, I find myself being the only black person in most places I visit – I’m certainly the only black guy at the boxing club. So when someone begins a sentence with “I’m not racist but…”, I know a tirade on immigrants is about to ensue.

“There are just too many of them,” Nick Beach, an estate agent whose Polish clientele is a big part of his business, tells me as he is about to teach a boxing class to local children. Beach was born in Shepherd’s Bush, in West London, but has been living in Hull for the last 20 years.

“When I go down there these days and go into Westfield shopping centre, it is very rare you get an English person serving you now,” he says. “I just find it disappointing that you go into your capital city and you are a minority there.”

These are the much-discussed “left behind”, a white working-class community that has gained particular prominence in a time of Brexit and Donald Trump. Under economic pressure and facing social change, they want to have their say in running a country they claim to no longer recognise.

For Professor Simon Lee, a senior politics lecturer at the University of Hull, immigration is only a superficial layer when it comes to explaining the resentment I witness here. For him, the loss of the empire 70 years ago is still something that as a country Britain hasn’t come to terms with.

“The reason for us to be together as a United Kingdom has gone, so what is the project?”

As destiny would have it, a foreign company will now play a major role on Hull’s economic future, at least in the short term. In the wake of the Brexit vote, there were widespread fears Siemens would pull out of the region and take its factory elsewhere. With the massive blade looming large in the background, Jason Speedy, director of the blade factory in Hull, assures me that isn’t the case.

“The Brexit decision has made no difference. We have made our investment decision, so Siemens, together with the Association of British Ports, has put in £310m. It’s all full steam ahead.”

As Hull becomes the country’s cultural hub for the next few months, the hope is that its residents stop looking back and start looking forward.

For Professor Lee, though, until there is a complete change in the power structures that run the country, the north-south divide will remain – with or without the EU. “The way you kill nostalgia is to have something new,” he said. “The reason why people here are nostalgic is because there is nothing to replace it with.”

Felipe Araujo is a freelance journalist based in London. He writes about race, culture and sports. He covered the Rio Olympics and Paralympics on the ground for the New Statesman. He tweets @felipethejourno.