Nick Clegg has been giving a speech at the think-tank Demos today, setting out his vision for what this Parliament should achieve – and what the Liberal Democrats should get from it.
The heart of the argument is in this early section:
Now that the Liberal Democrats are in government, liberal ideas are being deployed directly. What you are seeing is liberalism in action. And I can tell you that as Deputy Prime Minister, my liberal instincts are stronger than ever. Our goal is clear.
By the time of the next election, on 7 May 2015, Britain will be a more liberal nation.
This goal will be delivered in partnership with the Conservative Party. Our two parties are distinct and independent, but we are united in our zeal for reform.
David Cameron and I just this week wrote an article together arguing in favour of a radical redistribution of power. Sometimes the differences between us are on matters of substance; but very often they are merely questions of language. David Cameron’s eloquent description of what he calls the Big Society is what I would call the Liberal Society.
The speech goes on to detail the policies that will deliver the liberal promise, including the inevitable section about tackling the deficit. As he forcefully puts it,
There would be, to my mind, absolutely nothing liberal about handing over £70 billion to the bond markets to service the debt we inherited from the previous government. That is money that should go on public services – on schools and on hospitals – not bond dealers’ bonuses.
It’s very similar to the argument Gordon Brown used to make back when he had a brief budget surplus, arguing that paying down debt reduced interest payments and freed up funds for public services. How times change.
As for the liberal objectives in mind, Nick Clegg summaries them thus:
This parliament will be a challenging one. But it is also set to be a truly reforming parliament – a liberal parliament. By 2015:
power will have been radically redistributed towards people
our civil liberties will have been restored
our broken political system will be repaired
our economy will be balanced, green and growing
The list is potentially a powerful one if achieved, but it is doubly dependent on the economy – not only because the economy is the dominant issue in itself but also because if the economy does not do well, many people will be much less inclined to pay attention to issues such as political reform or the environment. The better the economy does, the bigger the audience there will be for these other policies.
Here’s the full text:
Last year, I wrote a pamphlet for Demos, arguing that the liberal moment had come. I argued that demands for a new approach to politics, for a radical redistribution of power, would soon have to be met by a liberal agenda.
That moment arrived on May 7.
Our challenge now is to seize this moment, the liberal moment, and to ensure that we help to deliver a liberal parliament – a great reforming parliament that carries out a fundamental redistribution of power to the people.
Liberal ideas have of course influenced politicians in other parties since the Liberal Party was last in office. Think of Roy Jenkins, as Labour Home Secretary, one of the great Liberal reformers. And today, James Purnell, since his escape from Westminster, has been pursuing his idea of ‘power egalitarianism’, which overlaps strongly with liberal thinking. The Prime Minister has described himself as a liberal Conservative.
Now that the Liberal Democrats are in government, liberal ideas are being deployed directly. What you are seeing is liberalism in action. And I can tell you that as Deputy Prime Minister, my liberal instincts are stronger than ever. Our goal is clear.
By the time of the next election, on 7 May 2015, Britain will be a more liberal nation.
This goal will be delivered in partnership with the Conservative Party. Our two parties are distinct and independent, but we are united in our zeal for reform.
David Cameron and I just this week wrote an article together arguing in favour of a radical redistribution of power. Sometimes the differences between us are on matters of substance; but very often they are merely questions of language. David Cameron’s eloquent description of what he calls the Big Society is what I would call the Liberal Society.
Today I want to show how we are setting about working towards the goal of a more liberal Britain, against an extremely difficult economic backdrop, in alliance with our Conservative coalition partners. I will address four themes:
Liberalism as a philosophy for government.
Liberal Economics: the liberal thinking animating our economic policy
Liberal State: the role of the state in a liberal society
Liberal Politics: the liberalisation of politics and our political systemLiberalism
In my Demos pamphlet, I wrote that ‘the job of a liberal government is to disperse power’. Liberalism is based on the simple, profound belief that power should rest in the hands of people. Power is too often hoarded by elites, beyond the reach of citizens. When liberals see power hoarded in centralised political institutions, corporate monopolies, or unaccountable bureaucracies, we instinctively reach for the sledgehammer.
I recognise that recent political history is littered with examples of politicians who were strong decentralisers in opposition but centralisers once they were settled in their Whitehall departments. It is not enough to declare a decentralising agenda: we have to deliver on it.
Now that we are in government, I hope you will see that we meant it, and that this is an aspiration we share with our Conservative coalition partners. This Government is deeply committed to the decentralisation of power – in politics, economics and in public services. To take just a few examples:
More powers for Local Authorities
Greater autonomy in our schools
A radical dispersal of power in the NHS
Locally-based partnerships to promote enterpriseThis desire to put power in the hands of people is based on an optimistic assessment of human nature, and human capability. It is an article of faith for liberals that people with power and capability will make better choices about how to lead their lives than government, or other institutions.
A free society is a better society, so long as people have the resources and opportunities to make the best of their lives.
Indeed, I believe illiberal politics is usually based on pessimism. When politicians or political parties fall prey to the idea that people are not capable of creating good lives and good communities for themselves, they resort to central government fiat and regulation.
I think the last government sometimes fell into this trap. One of the problems we face today is that the people do not trust politicians; but it is perhaps an even greater problem that politicians very often do not trust the people.
I said a moment ago that individual liberty requires not only freedom from interference but also resources. Independence requires knowledge, health, money, skills – these are described by the Nobel prize winner Amartya Sen as capabilities.
These capabilities do not emerge out of thin air. So liberal societies, populated by powerful citizens, must attend to the production and distribution not only of cash, but more importantly to the production and distribution of capabilities.
As Sen puts it:
“Responsible adults must be in charge of their own well-being; it is for them to decide how to use their capabilities. But the capabilities that a person does actually have depends on the nature of social arrangements, which can be crucial for individual freedoms. And there the state and the society cannot escape responsibility.”
I agree. This is a vital element of the liberal approach, as opposed to libertarians, or neo-liberals if you prefer. Libertarians believe that simply clearing away obstacles will set people free. Liberals understand that for a person to have power over their life, they need capabilities too.
There is one further point to make on liberalism as a governing philosophy, which relates to responsibility. The Government’s programme will be based on the core values of freedom, fairness and responsibility. These values strongly reinforce each other.
It should be clear, for example, that responsibility goes hand in hand with freedom. Liberal societies only function when people take responsibility for themselves, and for others. An irresponsible society necessarily becomes either an anarchic or authoritarian one.
Jo Grimond, one of my predecessors, wrote that: ‘a corollary of freedom, just as important as order, is responsibility. Freedom entails the acceptance of responsibility. Responsibility is meaningless without freedom’.
This, then, is the liberal political vision: a society made up of powerful, responsible citizens.
Liberal Economics
This vision animates the legislative agenda of the government in a wide range of areas, from civil liberties and criminal justice, to the environment and public service reform.
But I want to look first at the economy, and in particular the colossal challenge of repairing the public finances. We are facing the biggest budget deficit since the Second World War. Britain will in 2010, carry the biggest deficit in Europe. For the financial year 2010/11, the structural deficit will be around 8 per cent of GDP. If we do not take action to tackle the deficit, by the end of this parliament we will be paying £70bn just to service our debts.
Everybody accepts that decisive action was required. The Labour government had set out plans for spending reductions representing two-thirds of the cuts proposed by the Coalition government – without specifying what those cuts would be.
David Cameron and I, along with our colleagues in both parties, decided that Labour’s plans did not go far enough. In our view, there was a clear and present danger to the economic sovereignty of the nation. It was called an emergency budget for a reason. It was a budget aimed squarely at retaining democratic control over the public finances. As a nation, we faced a real risk of losing control of the management of our economy to unaccountable financial markets.
I understand that these economic judgements are contested ones. Reasonable people can disagree about our assessment, our judgement, of the relative risks involved here.
But let me be crystal clear about where the Liberal Democrats stand. This was a Coalition budget, not a Conservative budget. The Liberal Democrats stand full-square behind the Budget judgement.
There would be, to my mind, absolutely nothing liberal about handing over £70 billion to the bond markets to service the debt we inherited from the previous government. That is money that should go on public services – on schools and on hospitals – not bond dealers’ bonuses.
The action we have taken on fiscal policy is also intended to keep down the cost of borrowing. The deficit outlook we inherited as a government was likely to force up interest rates, which would deal a devastating blow to families and businesses. Affordable borrowing – for the government, but also for businesses and families – is vital to the economic recovery.
There is some concern that the budget measures risk creating a ‘double dip’ recession. The opposite is the case. If we had not taken action in the budget, and interest rates had risen, that would have been the quickest route to an early double dip recession.
We are also committed as a Government to unlocking bank lending. Capital is the lifeblood of the economy, as we were reminded so brutally two years ago. We will be taking the necessary measures to get capital flowing again to British businesses.
Of course, getting there will be a painful process. Nobody could possibly have wanted to enter government to find a huge budget deficit waiting. The temptation, especially for politicians, is to delay the pain, to put off decisions that will be unpopular. That is a temptation to which the previous government succumbed, and the mess we are now clearing up is their legacy. But by acting now, we are very much more likely to see strong economic growth in the medium-term. It is pain for gain.
It is absurd to claim that there is a chasm between the Government and the Opposition on the budget measures. We learn, courtesy of Lord Mandelson’s memoirs – produced, it has to be said, with a speed and efficiency sadly lacking by Labour in government – of Alistair Darling’s plans for last November’s Pre Budget Report.
Mr Darling wanted to cut income tax at the bottom and reduce corporation tax – while raising VAT over successive years to 19 per cent. He also opposed a rise in National Insurance on the grounds that it would be a ‘tax on jobs’. If this sounds familiar, it might be because Mr Darling’s preferred options are uncannily similar to those in last month’s emergency budget.
It is a shame Mr Darling could not persuade Gordon Brown. It is also shameful for Labour to attack the Coalition for measures their own chancellor wished to implement.
Let me now set out some of the thinking behind some of the tax changes, which are a good example of liberalism in action. The Government increased the income tax threshold by £1,000 to £7,475 and raised Capital Gains Tax by a full ten percentage points to 28 per cent. As you know, the coalition government has pledged to prioritise cuts to taxes on income, particularly low income, rather than cuts in inheritance tax.
In the budget we also announced that we would examine the case for switching aviation tax from per-passenger to a per-plane duty, as well as a review of the climate change levy to give more certainty and support to the price of carbon.
These reforms and reviews are in line with long-standing liberal views about taxation, and two preferences in particular:
for taxing ‘unearned’ income rather than ‘earned’ income; and
for taxing pollution rather than peopleI don’t want to overstate the case on the basis on one emergency budget. But I do think it is reasonable to claim that the contours of a distinctly liberal approach to tax – of a fiscal liberalism – are now visible.
Liberal State
There have been some fears expressed that the Budget represents an ideological exercise, designed to shrink the state. But the Coalition deficit reduction plans are driven by economic necessity, not by ideology.
Too often, political philosophy is boiled down into these kind of binary questions: are you pro-state or anti-state? Do you want a small state or big state? The answer to these questions is then used a proxy for a political position.
To be on the left, in this analysis, is to be in favour of a big state, high public spending and high taxation to pay the bills. To be on the right is to believe the opposite to all of these.
For liberals, the questions are essentially meaningless. A liberal state cannot be equated to a particular level of government spending as a proportion of GDP. It is perfectly possible to have a state that spends small amounts on a highly authoritarian state apparatus. It is perfectly possible to have a state that spends large amounts in a manner that is liberating.
Take education. A centralized, dictat-driven school system with no diversity, no choice, and no flexibility would be illiberal no matter how much it cost. A system that allows for choice, freedom, and diversity is a liberal one – with the price tag a separate question.
Michael Gove’s plans to allow for greater autonomy in schools, along with more localized diversity of provision and more choice for parents is a quintessentially liberal approach. This is an area where the state needs to back off.
But the education system is also failing to promote social mobility. Too often, poor children end up with a poor education, compared to their more affluent peers. Here is an area where the state does need to intervene more aggressively, by providing a targeted pupil premium, giving more power to the most disadvantaged children in the system.
So: less state intervention in the running of schools, more state intervention in promoting social mobility. Is the state getting smaller or bigger in this scenario? To my mind, it’s a ludicrous way of framing the question. The liberal test for any form of state intervention is whether it liberates and empowers people.
So it makes no sense whatsoever to use a phrase like ‘small state liberal’. Someone with a fixed view about the size of the state is not a liberal. It is not the size of the state – it is what the state does that matters. Does it hoard and exercise its own power, or disperse power and build capability in our citizens?
Similarly, a liberal cannot hold a simple ‘for’ or ‘against’ view of regulation. It is clear that in many areas, we have not had enough regulation in the last decade – the banks and the housing market being the most obvious examples. On the other hand, we have seen far too much regulation for small businesses, and too much micro-management in the day-to-day lives of ordinary people. A liberal cannot say that a state is too big – but we can certainly say the state has become too big for its boots. Labour over-regulated in some areas, but under-regulated in others.
Liberal Politics
Last – but most definitely not least – I want to turn my attention to the urgent question of political reform. It is clear that a rotten political system has lost the confidence of the public, and rightly so. Power is hoarded in Downing Street, Westminster and Whitehall; the First Past the Post voting system is past its sell-by date; and the House of Lords is running behind the rest of society’s progress by approximately one hundred years.
As I have said, the driving liberal mission is to place more power in the hands of people. In politics this means:
More power to select, and deselect, their representatives
More power to choose local priorities, rather than being dictated to from the centre
More power for people to express their political preferencesIn all of these areas, this parliament will see great progress. The referendum on the voting system next May will give people the chance to choose a new voting system. The proposal to equalize the size of parliamentary constituencies will give each vote a more equal weight.
The decentralization drive will put more power in the hands of local authorities, but also in the hands of community groups, neighbourhood associations and local public services.
House of Lords reform has been on the liberal agenda for well over a century. I am not going to hide my impatience on this issue. In some ways, I feel like we are back to help finish the job we as liberals started in 1911. We need a House of Lords that is fit for purpose, and fit for the 21st century. I am acutely aware that this is an area of reform that has defeated countless previous administrations over the last few decades. But those administrations did not have Liberal Democrats in them.
I am delighted, however, that today there is cross-party support for many of the measures I have mentioned. I look forward to working with people from all parties on the urgent task of political reform.
We should not imagine, however, that political reform is only concerned with the systems and structures of politics – urgent though that reform is. We also need to reform the conduct of political life.
For too long, British politics has been stuck in a stale, artificial duopoly. Differences of opinion within parties have been denied or hidden, disagreements between parties have been artificially inflated by what Grimond called ‘the distorting pressures of parliament’.
Politicians have seen little contradiction between lecturing the nation on the need for civility and responsibility while operating in a House of Commons that has too often resembled a cross between a bear-pit and a football terrace.
The fact of emergence of coalition government is changing the way politics is conducted, in a hugely positive direction. Of course it is challenging for all of us in government. It is challenging for the civil service. And it poses a challenge to the opposition parties too. But I am hugely excited not only by the measures being undertaken by the coalition government, but the way in which we are undertaking them.
The biggest change is in the way political decisions are made. Open discussion is encouraged, not thwarted. We want robust dialogue and dissent in politics: indeed, from a liberal perspective, argument is a critical tool of progress. But we do not need poisonous tribalism.
Sometimes we can agree to disagree. A compromise might sometimes be the best way forward, rather than representing a defeat for politician X and a victory for politician Y. Sometimes – and here I am going to court great controversy – we might even change our minds.
It is too easy for politicians to fall into the trap of knee-jerk opposition, to spend all their time in a combat stance, to stop listening to those with whom they disagree. But the time for this kind of politics has passed. There is a thirst for a new and different way of doing politics, and I think we are responding. Politics is changing before our eyes, and I am genuinely afraid that the Labour party is blind to the transformation.
This parliament will be a challenging one. But it is also set to be a truly reforming parliament – a liberal parliament. By 2015:
power will have been radically redistributed towards people
our civil liberties will have been restored
our broken political system will be repaired
our economy will be balanced, green and growingIf the coalition Government succeeds, by 2015 Britain will be a more liberal nation, a nation of stronger citizens living in a fairer society. I am under no illusions about the scale of this ambition. But I am also in no doubt that we can achieve it.
A liberal Britain. That is the goal. That is my mission.
13 Comments
A crucial section in this is where Nick says:
‘So it makes no sense whatsoever to use a phrase like ‘small state liberal’. Someone with a fixed view about the size of the state is not a liberal. It is not the size of the state – it is what the state does that matters. Does it hoard and exercise its own power, or disperse power and build capability in our citizens?’
Well, I’ve used ‘small state liberal’ and phrases like it. Let’s assume I am wrong, as Nick suggests, and take the Budget and the cuts on Nick’s own terms: ‘what the state does that matters’. If you do that, then the Budget and cuts are quite simply doing less to help people. By scrapping school buildings programmes, by reducing housing benefits, by cutting schemes which help people get back to work, and so many other things, the state is doing less, not more, ‘disperse power and build capability in our citizens’.
So Nick, I’m sorry, but what makes ‘no sense’ is to dismiss arguments about the size of the state as having no relevance to whether or not the state is helping people. And let’s not forget, in the 2008 tax debate at conference, the leadership argued that the state was spending too much. So clearly the leadership has a fixed view of the size of the state, and that view is that it’s too large.
Wow! The Nick Clegg v Richard Grayson show. No wonder others are reluctant to venture here.
Anyway, mention is made in Nick’s speech that if progress is not made on the economy, people will be less likely to take an interest in other matters eg the environment. It could easily be argued (as I have indeed, argued) that too much “growth”, or “progress on the economy” could well spell bad news for the environment. Surely we need a way to share the benefits of our (as likely as not) reduced economy to ensure we can also buy ourselves time to convert our economy to a reduced use of natural resources (not just carbon!) We seem bent on accelerating the train towards the buffers!
“Liberalism is based on the simple, profound belief that power should rest in the hands of people. Power is too often hoarded by elites, beyond the reach of citizens. When liberals see power hoarded in centralised political institutions, corporate monopolies, or unaccountable bureaucracies, we instinctively reach for the sledgehammer.”
To this list of powerful vested interests, Thatcher would of course have added “trade unions”, to which she took the sledgehammer. In the Thatcher era, Britain’s industrial problems were relentlessly talked up to create a sense of crisis. The harm wreaked by strikes was endlessly reported in the Tory media, with all blame placed on the union side. Socialists were depicted as the slaves of defunct Marxist economists, while the Right’s dependence on equally defunct and dogmatically ideological “liberal” economists was discreetly ignored. The dangerous beasts of the TUC were duly driven out of the jungle.
Onlooking Liberal/SDP Alliance politicians were generally accused of understating the importance of what had been gained. Twenty years later, it seems more likely that we understated the dangers of what had been lost. A jungle, or competitive ecosystem, is a balance of powers. When one dangerous beast is driven out, others rush to fill the vacuum of power. The dominant beasts in the jungle are now private companies, to which government has become largely subservient. Freed of trade union constraints, companies have moved to gain increasing control of national policy. This has been the underlying cause of the rise in social inequality throughout the last twenty years, largely irrespective of which party was (ineffectually) in government.
Now we have a new generation of radical Conservatives at the helm, and this time their enemy is not the unions, but the state. In the Cameron era, Britain’s financial problems are being relentlessly talked up to create a sense of crisis. The harm wreaked by state organisations is endlessly reported in the Tory media, with all blame placed on the bureaucracy. Organisations which protect workplace safety or food quality are jeered as evil state control freakery, while the Right’s dependence on a dogmatic enterprise ideology is discreetly ignored. Does this sound familiar?
There are differences this time round. Useful idiots have been co-opted to assist the Conservative onslaught. Policies designed by private companies to expand their opportunities in health and education have been dressed up as glorious liberation movements. The Tories have also happily embraced genuinely liberal ideas such as scrapping ID cards and cutting back prisons, since such policies broaden their appeal, while also helpfully adding to the propaganda pressure against the state. Massive savings in bureaucracy have been promised if we change the NHS commissioning system from public toward private. The facts that a whole new bureaucracy will be needed, and that reorganisations commonly increase costs, are not important if your underlying key goal is to provide opportunities for your allies in private industry.
But in truth, the state is not simply the enemy of the individual. On the contrary, it is often the bulwark on which he or she depends. At its best, the state can be countervailing power which responds to the will of the people through democracy, and which is vitally needed to keep the other big beasts of the jungle under control. The Tories are not primarily working to roll back the over-mighty state when it spies on us or colludes in torture, much as it might serve their propaganda purposes to claim so. Their primary aim is to roll back an under-powered state, for example when its Food Standards Agency makes it harder for the junk food industry to profit while causing an obesity epidemic. Their primary aim is to stop the state enforcing equality measures in health and education, and empowering the next great advance towards the split society.
If power is truly to “rest in the hands of people”, then high-flown philosophy has to be translated into practical policy which will achieve those aims. It is not enough to empower us all to shop at Tesco, or to empower local councils to look on while GPs reorganise into companies.
State power can of course be misdirected, and it certainly isn’t the solution to everything. But the dismantling of the state’s role in protecting the individual from exploitation by powerful commercial interests is a huge step backwards. No true Liberal Democrat can happily support such an attack on the power of the individual.
Two points –
Out of the blue we have the most fundamental reform of the NHS since its inception. These plans didn’t appear in the manifesto’s of either of the governing parties or the coalition agreement. There is simply no democratic mandate to carry out these reforms which are clearly ideological in nature. Improving the voting system is entirely beside the point if politicians feel no obligation to be open and honest with the electorate.
It’s all very well being for freedom and fairness but it is questionable whether economic liberalism delivers either for the vast majority. I suspect enjoying a good deal of inherited privilege rather skews one’s opinion about where real freedom and fairness lies. Where in short are the policies aimed at the “production and distribution of capabilities”? Is the free school agenda an expression of this idea? If so i think it is daft to pretend the main beneficiaries of these type of proposals will be anyone other than those who are already rich in “capabilities”.
“Liberalism is based on the simple, profound belief that power should rest in the hands of people. Power is too often hoarded by elites, beyond the reach of citizens. When liberals see power hoarded in centralised political institutions, corporate monopolies, or unaccountable bureaucracies, we instinctively reach for the sledgehammer.”
What I’d like to see is more focus on the power (and this usually means wealth in reality) of corporate elites, hi net worth individuals and their offspring (given Zac is toast of the day).
Far more insidious than politicians (and public bodies) supposed ‘power’: one of the main criticisms of new labour from social democrats, socialists and assorted leftists (including in the LIb Dems) is that Blair (especially) was in thrall ‘to power’. Brown talked a good ‘statist’ game but only in reality rediscovered social democracy (as distinct from neoliberalism) after the credit crunch necessitated a mass intervention to stop capitalism from collapsing.
The ‘power of the state’ (as opposed to the ‘power of the wealthy and privileged’) is going to be one of the myths that is slain under the coalition.
“Liberalism is based on the simple, profound belief that power should rest in the hands of the propertied. Power is too often hoarded by democratically elected statesmen, sometimes beyond the reach of wealth. When liberals see power hoarded in centralised political institutions, trade unions, or (the easy demonisation of our times) public bureaucracies, we instinctively reach for the sledgehammer.”
There were some spelling mistakes.
The ‘simple, profound belief that power should rest in the hands of people’ is distinctly unprofound and inadequate to the needs of the modern age. Classical liberalism was born in an age profoundly unlike our own, and while certain aspects of state power and the individual always need addressing, we live in a culture where much of that pro-individual ethos has been internalised. Nick Clegg has almost nothing to say about the corrosive reach and effect of such corporations as News International or BAE or Serco etc etc, yet the marketing and lobbying power of these organisations exerts a deadly influence on the way this country is run.
But Nick is firmly on course towards a Liberal Britain, a place apparently where the size of the state doesnt bear any relation to the character of the provision of public services. Well, that was the subtextual argument of the Blair government – you know, ‘what matters to people is that the NHS is free at the point of use’, which was repeated ad nauseam, heavy with the implication that any financial arrangements within the NHS before treatment reached the patient was of no interest to the ordinary public. Dont you worry your silly little heads about contracting and private sector providers, run along now.
This of course is the fundamental belief of the monetarist/Atlanticist politicians and economists, that the shape of national and international finance has been decided and the public has no business interfering in it, or even imagining that somehow in a democracy the people have the right to determine the course and nature of their economy – perish the thought.
Nick seems to touch on this, claiming that we couldnt abandon sovreignty to investors, only he says so in the context of this being the only course of action, and that there is no alternative. Needless to say, I couldnt disagree more.
I read through his speech and was soon overcome with a mixture of weariness and aggravation, the former caused by the scattergun peppering of paragraphs with liberal-this and that, and the latter because the policies thus far set in motion will bring about the diminishment and demise of this party. First, Nick seems to openly imply, in speechs and articles, that this party is IN FACT the Liberal Party, connotations which suggest that the influence of social democrats no longer matters. Well, I can tell you that it matters to me and I have no intention of laying down the principles which I have campaigned for and which I thought made up an integral part of this party’s ethos.
Secondly, we will be blamed for every calamity that is visited upon the public for the life of this coalition. How can anyone doubt it? It’s no use claiming that somehow people will understand that we sniffily disapprove of thousands of public sector jobs being flushed, of all those ordinary peoples live being thrown under the bus – the public will turn to us and say, you were the ones who kept the thugs in power so you’re to blame. We will be responsible for all the bad things to come – unless we do the decent thing and pull the plug.
Now.
@AndrewR “These plans didn’t appear in the manifesto’s of either of the governing parties or the coalition agreement.”
I also had never heard of the NHS plans being in either document. Then I looked, and they seem to be there, in the Tory manifesto it says:
“We will strengthen the power of GPs as patients’ expert guides through the health system by: giving them the power to hold patients’ budgets and commission care on their behalf”
…
“we will be able to cut the cost of NHS administration by a third and transfer resources to support doctors and nurses on the frontline”
See the annotated copy of the manifesto on the Guardian website. Go to page 57 on that interface (it’s page 46 in the paper copy). http://www.guardian.co.uk/politics/interactive/2010/apr/13/conservative-manifesto-2010-policy-guide
The full coalition agreement says the same thing.
The argument then can go several ways. The voters / the media were useless at reading what the documents said. Or the parties were being misleading (by also saying things like “We will stop the top-down reorganisations of the NHS that have got in the way of patient care”). Or the media (especially, say Polly Toynbee) have hyped up the changes when describing them last week, they’re not so radical – we didn’t mind them when we read the coalition agreement.
@Francis Irving
I read through the Conservative manifesto before I posted and I did notice the two sections you highlight. The policy is to delegate the entire commissioning function to GP consortiums, abolishing the primary care trusts and strategic health authorities. Surely no-one could be expected to infer that policy from either statement. The conservatives clearly decided that being upfront and honest about their health policy would lose them votes.
Also, the policy is clearly inconsistent with the coalition agreement e.g
“We will ensure that there is a stronger voice for patients locally through directly elected individuals on the boards of their local primary care trust (PCT).”
As I said the PCT’s are being abolished. As I understand it the policy had to be reviewed by Nick Clegg amongst others because the government itself recognised that it represented a departure from the coalition agreement. The whole thing is profoundly anti-democratic.
I agree, it doesn’t explicitly say “abolish PCTs”.
But it does make me wonder, what did people who knew about the NHS think it meant? It would be a pretty radical dismantling of PCTs just to remove their commissioning function to GPs. And *obviously* reducing cost of NHS administration by a third will require radical changes.
I’d like to see a proper analysis of this new policy, rather than just knee-jerk newspaper columnists and Labour supporters opposing it for the sake of opposing it. How much is it really privatisation, and how much is that just what the opposition want us to think it is?
There is a genuine complaint that the NHS has too much management, rather than medical professionals making decisions about spending. Maybe this addresses that complaint, and saves money. Maybe it gives more local accountability, by moving other functions from PCTs to local councils. And maybe it won’t lead to any privatisation, because doctors will choose to employ staff themselves to do the work, rather than outsource it.
If you read the white paper it sounds like giving power to professionals, not privatising it. Sure, that’s spin, but then so is the opposition’s view. Where’s the evidence the policy will lead to privatisation? And isn’t it also up to us, as voters and citizens, to make both non-profits and councils and GPs themselves are able to do the commissioning well, cheaply and democratically? If we’re lazy and it ends up fully privatised, isn’t that our own fault?
quoth Francis I – “Where’s the evidence the policy will lead to privatisation?”
Plenty to see, I’m afraid. See this from the Guardian – “http://www.guardian.co.uk/politics/2010/jul/16/austerity-drive-billions-private-sector
As I’ve said before, under New Labour the process of hollowing out the NHS was begun and the Tory-Libdem government openly says that it is merely building on the work previously undertaken. And this is where we have to deal with the ugly facts of core functions. The core function of the NHS is, we can all agree, is treatment of illness and the advancement of the wellbeing of the public-at-large. The core function of any private sector company, regadless of their product, is maximise profit/minimise loss. Anyone can see that these are diametrically opposed (and for examples of the consequences of the latter’s triumph in healthcare I recommend seeing the Michael Moore movie, SICKO).
That private sector, market-driven ethos is fine when its all about stamping out widgets or selling dvds or kitchenware, but when that ethos is deliberately introduced into public service provision things quickly go awry. Thus far, the damage has been concealed – do we know what proportion of the health budget has gone on private sector profit, executive bonuses, or shareholder dividend? It would be interesting to know this and for it to be openly debated. Yet it seems that our erstwhile government has NO interest in allowing these uncomfortable aspects into the stream of the debate.
In the end, Francis is right – if the NHS and state education end up privatised, either openly or in all but name, then yes, it will have been our fault. In this light, we should let Mr Pugh know of our opposition to market contrivance in the NHS in no uncertain terms.
Francis Irving,
Point taken, up to a point. You have shown that the Tories did, after all, put something into the small print of their manifesto to cover the plans Lansley has now announced. But they wrote it very carefully so as not to give the game away. A one-liner promising to give GPs some power to commission care “as patients’ expert guides through the health system” sounds like a limited experimental development. It does not sound like a massive reorganisation in which the entire commissioning job is turned over to the GPs!
So the Tories clearly did all this by stealth. And why did they have to adopt stealth? Clearly, because their policy was something to be ashamed of. Presumably, because they know very well that their aim is profits for their sponsors, and that “efficiency” is just a line to spin to a credulous public.
We should be ashamed to be associated with this.
“So the Tories clearly did all this by stealth.”
But more to the point, _why_ did the Lib Dems agree to this, when the Coalition agreement had explicitly ruled it out?
It seems very questionable in principle, compared with the clear proposals for democratic accountability in the Lib Dem manifesto and (albeit in an weaker form) in the Coalition Agreement.
But worse than that, there seems to be a very widespread feeling that these changes are being imposed without adequate consultation and over a very unrealistic timescale.