The media are obsessed about making immigration a make-or-break issue for political parties. Column inches are devoted to UKIP totally disproportionately to the number of MPs they actually have.

While George Osborne will squeak his aspirations for hardworking people, ‘putting right what so badly wrong’, the country is less than impressed. He will ask for credit while doing his lap of honour, completely oblivious to the cost-of-living crisis forced upon the British public through unfettered privatisation of public services causing distorted competitive markets. However, Osborne doesn’t understand the distress of disabled human casualties at the hands of ATOS. He is instead obsessed by a race to the bottom which has made insignificant progress in tackling corporate tax avoidance. He has made little progress in the exploitation of workers in zero-hour contracts.

It is said that the civil service are already making plans for a Labour government on May 8th 2015. Anyone who has lived through Lord Kinnock asking ‘Are you all right?’ in the Sheffield Rally of 1992 will know not to count their chickens while they are still in the incubator.

Jeremy Hunt’s strategy of trying to frame Andy Burnham for all the woes of the NHS has spectacularly backfired. Hunt, trapped by the legacy of Lansley’s “Health and Social Care Act” which he dares not mention, gets nostalgic about Mid Staffs in the same way that motorway drivers slow down on the opposite carriageway at the sight of a car crash, but he has offered no constructive solutions about how efficiency savings don’t turn into dangerous staffing cuts. Hunt is also spectacularly lacking in insight as to why NHS whistleblowers don’t appear to be protected, despite all the promises. He talks and acts like somebody who has little experience of how the medical and nursing staff do their professional work and seems unconcerned about citizens losing their local hospitals.

The media have also been given a free run in running down the NHS. Memes such as ‘the NHS is unsustainable’ have gone unchallenged remorselessly, with think tanks known to be sympathetic to private health providers offering impassionate advice.  The statement ‘the NHS is unsustainable’ has become dangerously confused with the statement ‘the NHS is underfunded’, with NHS Trusts running a deficit more of a sign of the notion we can’t afford the NHS rather than we’re giving it sufficient resources. Once you frame the narrative in these terms, it gets extremely dangerous for right-wing politicians. The debate no longer is about cutting your coat according to your cloth, a phenomenon clearly familiar to people with low incomes, but instead the debate turns into the people with the higher incomes in society not ‘pulling their weight’. The public seem keen to ‘out’ the nonsense of Osborne’s claim “we’re in it together”. And the right – even though there is no evidence that the left believe the opposite – certainly don’t want to go down the road to looking as if they’re unpatriotly running the country down “because we cannot afford it”.

And of course we are never going to be able to trust the Conservative administration when legislation appears from nowhere to implement a £2.4 bn reorganisation. We seem to be able to afford this, and yet we cannot afford a pay rise for the majority of nurses in the NHS. And if we can’t afford the NHS, how come many Trusts are running the bare minimum of frontdoor staff, while millions are returned unspent to the Treasury? Managers might be fulfilling their four hour target but medical teams in the rest of the hospital are left picking up the pieces over investigations  not requested or results not followed up. For many, the economy and the cost of living crisis are huge issues. But the NHS also remains a totemic issue for Labour.

Andy Burnham needs to establish a few basic groundrules.  He has pledged to repeal the loathesome Health and Social Care Act, and to remove clause 119 ‘the hospital closure clause’.  He definitely needs to pledge to make sure that the NHS is not privatised further under his watch. He needs to be unashamed of securing an adequate level of funding, even despite the neoliberal fetishes of austerity currently.

This might stop ill-informed political commentators from spewing out their corporate memes for the duration of a Labour government. But time is running out – for those of us who wish to protect the NHS, we need to stop looking inwards, but need to start campaigning hard.