As the countdown to the General Election begins, people grow increasingly nervous. The spectres of triumph and disaster lurk hidden from view as we approach the electoral starting gate.
Some with long memories fear the false step – the promise to reverse Brexit without referendum, the trumpeted amnesty to illegal immigrants etc.
Some with equally long memories bemoan a lack of boldness and differentiation – where is the penny on income tax for education ?
Much my depend on your local political geography. In the leafier parts of the South saying ‘we are not the Tories’ may be sufficient. In the Labour dominated north it’s certainly not.
This underlines the need to have a message that impacts in the North and does not startle the horses or the electors in the South.
There are such messages particularly in the field of health and education.
I think it is now accepted that the Coalition Health and Social Care Act 2012 was one of the most pointless, opportunity-squandering and ham-fisted pieces of legislation in modern times with most of its provisions (CCGs etc) now abandoned or reversed.
Parliamentarians persisted with it despite the concerns of nearly all health professionals, the Lib Dem conference, Baroness Williams and colleagues like Andrew George and other brave souls.
It was not a charter for privatisation but a definitive and conclusive expression of the market principle when applied to health which although rampant in the Blair years had to be toned down even then to get through the Commons. It proved unworkable in our NHS which still tries to cling to Beveridge principles.
What if though we were to revisit those principles and abandon the costly, bureaucratic internal market in the NHS – where the piled on overheads of administrators, defending as commissioners and providers their own silos, disappear ? Arguably the necessary creation of the new Integrated Care Boards has already blurred the boundaries within the internal market. Commissioners and providers are now working together as the NHS to desperately husband scarce resources.