‘Slow death of the NHS’: RT asks what a Tory govt means for the health service
Two days before polling day Labour leader Ed Miliband urged voters to “rescue the NHS,” warning it faced “savage cuts” and a “financial time bomb.”
A week later, while Miliband is taking a long overdue holiday in Ibiza, Tory minister Jeremy Hunt is assuming responsibility for Britain’s Department of Health for the second time.
Labour’s manifesto included key pledges on the health service, such as injecting an extra £2.5 billion in funding to pay for 20,000 more nurses, 3,000 midwives and 8,000 GPs.
Miliband also promised to repeal the controversial Health and Social Care Act – which further opened the door to privatization – and cap the amount of profit private companies can make from the NHS at 5 percent.
The National Health Service (NHS) was a key talking point of the general election campaign and Labour were keen to portray the Tories as a party that would wreak havoc on the institution, which former Tory Chancellor Nigel Lawson famously said was the “closest thing the English have to a religion.”
With the Conservatives now in power, RT has approached leading voices in the debate around healthcare to find out what the next five years have in store for the National Health Service.
Prime Minister David Cameron pledged to “ring-fence” the NHS budget last October if his party was re-elected.
“The next Conservative government will protect the NHS budget and continue to invest more,” he told the Tory party conference in Birmingham.
Alan Taman, spokesman for Keep Our NHS Public, told RT the public should reject such assurances and be very concerned about the future NHS budget.
“NHS funding will of course change under this government … What worries us – and what we think should worry the British public – is how that altered spending will translate into how health services are provided.
“We expect to see increased amounts going to private providers. And even more public money wasted in the costly and completely unnecessary burden of NHS organizations having to draw up tenders for contracts that shouldn’t have been put up for tender in the first place.
“So ask not ‘how much is this government spending on the NHS?’ Ask ‘Why is this government committed to spending more for an idea which plainly does not work: running a market for health care?’” he added.
This is the best NHS x David Cameron meme yet pic.twitter.com/T5R23KX0SU
— tia⚓️ (@dis_functional) May 10, 2015
Caroline Molloy, healthcare campaigner and Editor of OurNHS at OpenDemocracy, told RT the NHS has already suffered funding cuts despite Cameron’s promise to “ring-fence” the service’s budget.
“He told us ‘I'll cut the deficit, not the NHS,’ but another recent study shows that payments to hospitals for treatments have been cut by 10 percent across the board,” said Molloy.
“He is fully signed up to the plan by Simon Stevens (his appointment as head of the NHS, and former Vice President of US Health Insurer United Health) for a further £22 billion of cuts, and an increasing reliance on volunteers, ‘self-care’ and ‘care in the community’ even though the UK already has fewer hospital beds and fewer doctors per head of population than most other rich countries.”
Molloy said Cameron’s plan to roll out personal budgets which cap individuals’ healthcare entitlements resembles the ‘voucher scheme,’ which late-Prime Minister Margaret Thatcher wanted to “but didn’t dare” introduce.
The privatization of the NHS didn’t begin under the Conservatives, but with Tony Blair’s New Labour.
With the appointment of Alan Milburn as health secretary in 1999, New Labour began injecting business concepts into the health service that were previously alien.
As retired GP and Primary Care Trust chair Kailash Chand wrote for OpenDemocracy: “The last Labour government laid the groundwork for everything that the [then] Tory-led coalition is now doing to the NHS.
“Market structures, foundation trusts, GP consortia and the introduction of private corporations into commissioning were all products of an ill-conceived Labour vision of ‘public service reforms.’”
Milburn – who lines his pockets as a private healthcare consultant – was outspoken earlier this year in suggesting Miliband’s pledge to “reform” the NHS along similar lines.
British Medical Journal reporter Gareth Iacobucci told RT: “As the NHS strives for greater efficiency and new ways of working, it is likely that more services will be outsourced to private sector providers over the next few years.”
“Currently around six percent of the NHS’s budget is spent on private sector providers. This is likely to increase incrementally over time as the government continues to promote patients’ right to choose where they receive certain treatment.”
Taman, of Keep Our NHS Public, echoes Iacobucci’s prediction of further NHS privatization.
“The tendency to contract out services to private providers preferentially will continue and NHS services will continue to be put under threat.
“We believe this is not what most people want, and not what most people have been led to believe, but it will happen remorselessly unless it is opposed.”
Barrie Brown, National Officer of Health at Unite the Union, said staff in privatized sections of the NHS will not have the same pay and benefits of public employees.
“We believe this is something that undermines the effectiveness of the NHS,” he told RT.
Impact on services
With the NHS guaranteed to experience big changes over the next five years, the obvious question to ask is how will this affect its services?
In order to gain a more accurate idea of what the future holds, Caroline Molloy looks to the past.
“The 2012 Act abolished the government’s duty to provide a comprehensive health service which has existed since the foundation of the NHS in 1948, and last year we saw local health bosses propose refusing all routine operations to obese people and smokers,” she told RT.
“Cameron's closest health advisers have proposed charging for GP appointments and stays in hospital beds, and if the government refuses to scrap the hugely expensive market system that costs at least £10 billion a year, or fund the NHS properly, it is likely that by 2020 we will not have an NHS left that we recognize.”
Taman is less certain of what the next five years of Tory majority rule hold for the health service.
“Where we will be in 5 years' time is hard to predict. Because the NHS is not going to disappear all at once. No one is going to announce its demise,” he told RT.
“But there are cold certainties: the cherry picking, contracting out and slow starvation of what is left will continue. That slow death of the country's greatest idea will continue unless people find the will to fight for it.”