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Outsourcing, NHS, and the “modern anomie”
Jon Cruddas recently gave a progress report on how the evolution of ‘One Nation’ policy was going, In an article by Patrick Wintour published yesterday, Cruddas describes a ‘modern anomie’, a breakdown between an individual and his or her community, and alludes to the challenge of institutions mediating globalisation. Cruddas also describes something which I have heard elsewhere, from Lord Stewart Wood, of a more ‘even’ creation of wealth, whatever this means about the even ‘distribution’ of wealth. One of the lasting legacies of the first global financial crisis is how some people have done extremely well, possibly due to their resilience in economic terms. For example, it has not been unusual for large corporate law firms to maintain a high standard of revenues, while high street law has come close to total implosion in some parts of the country. In a way, this reflects a shift from pooling resources in the State to a neoliberal free market model.
The global financial crash did not see a widespread rejection of capitalism, although the Occupy movement did gather some momentum (especially locally here in St. Paul’s Cathedral). It produced glimpses of nostalgia for ‘the spirit of ’45”, but was used effectively by Conservative and libertarian political proponents are causing greater efficiencies. Indeed, Marks and Spencer laid off employees, in its bid to decrease the decrease in its profits, and this corporate restructuring was not unusual. A conservative and a libertarian have several things in common, the most important is the need for people to take care of themselves for the most part. Libertarians want to abolish as much government as they practically can. It is thought that the majority of libertarians are “minarchists” who favour stripping government of most of its accumulated power to meddle, leaving only the police and courts for law enforcement and a sharply reduced military for national defence. A minority are possibly card-carrying anarchists who believe that “limited government” is a delusion, and the free market can provide better law, order, and security than any goverment monopoly.
Essentially a libertarian would fund public services by privatising them. In this ‘brave new world’, insurance companies could use the free market to spread most of the risks we now “socialise” through government, and make a profit doing so. That of course would be the ideal for many in reducing the spend on the NHS, to produce a rock-bottom service with minimal cost for the masses. And to give them credit, the Health and Social Care Act was the biggest Act of parliament, that nobody voted for, to outsource the operations of the NHS to the private sector, which falls under the rubric of privatisation. Outsourcing is an arrangement in which one company provides services for another company that could also be or usually have been provided in-house. Outsourcing is a trend that is becoming more common in information technology and other industries for services that have usually been regarded as intrinsic to managing a business, or indeed the public sector.
Many expected the election of the present government to herald a more determined approach to outsourcing public services to the private sector. Initially came the idea of the “big society”, with its emphasis on creating and using more social enterprises to deliver public services, but the backers for this new era of venture philanthropism were not particularly forthcoming. The PR of it, through Steve Hilton and colleagues, was disastrous, and even Lord Wei, one of its chief architects, left. No one in the UK likes the idea of domestic jobs moving overseas. But in recent years, the U.K. has accepted the outsourcing of tens of thousands of jobs, and many prominent corporate executives, politicians, and academics have argued that we have no choice, that with globalisation it is critical to tap the lower costs and unique skills of labor abroad to remain competitive. They argue that Government should stay out of the way and let markets determine where companies hire their employees. But is this debate ever held in public? No, there was always a problem with reconciling the need for cuts with an ideological thirst for cutting the State. Unfortunately, cutting the State was cognitively dissonant with cutting the ‘safety net’ of welfare, which is why the rhetoric on scroungers had to be ‘upped’ in recent years by the UK media (please see original source in ‘Left Foot Forward’). And so it came to be, the Compassionate era of Conservatism came to pass.
Here in the UK, in 2010, the government indicated that it wanted to see new entrants into the outsourcing market, and the prime minister visited Bangalore, the heart of India’s IT and outsourcing industry, for high profile meetings with chief executives of companies such as TCS, Infosys, HCL and Wipro. Nobody ever bothers to ask the public what they think about outsourcing, but if Gillian Duffy’s interaction with Gordon Brown is anything to go by, or Nigel Farage’s baptism in the local elections has proved, the public is still resistant to a concept of ‘British jobs for foreign workers’. However, it is still possible that the general public are somewhat indifferent to screw-ups of outsourcing from corporates, in the same way they learn to cope with excessive salaries of CEOs in the FTSE100. The media have trained us to believe that unemployment rights do not matter, and this indeed has been a successful policy pursued by the Conservatives and Liberal Democrats. People do not appear to blame the Government for making outsourcing decisions, for example despite the fact that the ATOS delivery of welfare benefits claims processing has been regarded by many as poor, the previous Labour government does not seem to be blamed much for the current fiasco, and the current fiasco has not become a major electoral issue yet.
And the list of screw-ups is substantial. G4S – the firm behind the Olympic security fiasco – has nowbeen selected to support the Police Service of Northern Ireland at the G8 Summit next month. Despite the company’s botched handling of the Olympics Games contract last summer, G4S has been chosen to supply 450 security staff for the event at Lough Erne, County Fermanagh The leaders of the world’s eight wealthiest countries are expected in Fermanagh on June 17 and 18. Meanwhile, medical assessments of benefit applicants at Atos Healthcare were designed to incorrectly assess claimants as being fit for work, according to an allegation of one of the company’s former senior doctors has claimed. Greg Wood, a GP who worked at the company as a senior adviser on mental health issues, said claimants were not assessed in an “even-handed way”, that evidence for claims was never put forward by the company for doctors to use, and that medical staff were told to change reports if they were too favourable to claimants. Elsewhere, Scotland’s hospitals were banned from contracting out cleaning and catering services to private firms as part of a new drive towards cutting the spread of deadly superbugs in the NHS. There were 6,430 cases of C. difficile infections in Scotland in one year recently, of which 597 proved fatal. The problem was highlighted by an outbreak of the infection earlier this year at the Vale of Leven hospital in Dunbartonshire which affected 55 people. The infection was identified as either the cause of, or a contributory factor in, the death of 18 patients.
Whatever our perception of the public perception, the impact on transparency and strong democracy merit consideration. As we outsource any public service, we appear to risk removing it from the checks and balances of good governance that we expect to have in place. Expensive corporate lawyers can easily outmanoeuvre under-resourced government departments, who often appear to be unaware of the consequences, and this of course is the nightmare scenario of the implementation of the section 75 NHS regulations. Even talking domestically, Where contracts privilege commercial sensitivities over public rights, they can be used to exclude the provision of open data or to exempt the outsourcer from freedom of information requests. Talking globally, “competing in the global race” has become the buzzword for allowing UK companies to outsource to countries that do not have laws (or do not enforce laws) for environmental protection, worker safety, and/or child labour. However, all of this is to be expected from a society that we are told wants ‘less for more’, but then again we never have this debate. Are the major political parties afraid to talk to us about outsourcing? Yes, and it could be related to that other ‘elephant in the room’, about whether people would be willing to pay their taxes for a well-run National Health Service, where you would not be worried about your local A&E closing in the name of QUIPP (see this blogpost by Dr Éoin Clarke). Either way, Jon Cruddas is right, I feel; the ‘modern anomie’ is the schism between the individual and the community, and maybe what Margaret Thatcher in fact meant was ‘There is no such thing as community’. If this means that Tony Blair feels that ‘it doesn’t matter who supplies your NHS services’, and we then get invasion of the corporates into the NHS, you can see where thinking like this ultimately ends up.
What more can Labour do?
There’s an old adage that a third of all the people who know you will love you, no matter what you do, a third of people will hate you, no matter what you do, and the rest will simply be indifferent. It’s only one day every few years, but there will be millions on 7 May 2015 (if that’s the actual date of the General Election) who literally won’t be arsed to go down to their local election headquarters, because they feel their vote will not make any difference.
As usual, all of the nation’s woes and triumphs will be distilled into an election campaign, where you can sure that some things will be blown up out of all proportion, and other things won’t be discussed. Because of the short attention span of the media, and possibly even some readers/listeners, many issues will be distilled into soundbites. Remember the ‘tax on jobs’ debate we had last time in 2010 when the economy was actually recovering, prior to any discussion of ‘double dip’ or ‘triple dip’. You can rest assured that there’ll be no debate about A&Es closing, or the GPs’ out-of-hour contracts. Immigration is likely to be a headline though, not least because of Nigel Farage whose party has yet to get a MP elected to Parliament. However, the debate won’t go anywhere near how migrant workers are needed to keep the NHS alive, or the inevitability of globalism.
All Councillors I know are incredibly passionate about their ‘doorstepping’, and the general impression that I get is that the general public is generally more clued in than one might expect. However, because of the nature of politics, it’s going to be as usual pointless voting for certain parties in certain constituencies. Last time saw Nick Clegg being propelled into the limelight, with his famous tuition fees pledge. If there is to be another battle of the personalities, it is likely that Nigel Farage will be invited this time. Some gimmick like the “worm” will be back, and we’ll all be none the wiser until polling day.
So does this mean that politics doesn’t matter? Probably yes, as long as politicians fail to inspire potential voters. Many people on the left wing are just totally uninspired between a choice between Tory and Tory lite, and do not see a Labour leader leading on issues such as disability, a state-run NHS, or an economy which doesn’t take workers for a ride. Is there much Labour can do? Possibly get a move on, as people are totally sick to death of waiting for the climax of this neverending “policy review”, which many suspect will not answer certain fundamental issues, such as the fate of NHS Foundation Trusts. We seem to be waiting an eternity to find out what else will accompany ‘The Living Wage’ as a major manifesto issue, and if Labour didn’t do as well as they had wished for in the local elections it was simply because many voters did not consider them to be offering a valid alternative.
This is dreadful, when you consider quite how disastrously this current parliamentary term has gone for the Conservatives and Liberal Democrats. Clearly, ‘One Nation’ is going to run into trouble, if voters in the South of England only feel as if they have a choice between the Conservatives and Liberal Democrats. If the Greens are becoming increasingly popular, it is because many people believe they deserve it: for example taking a strong stance against the Bedroom Tax. Labour indeed seems to be populated by ‘big personalities’, but there is no coherent strand to their philosophy at the moment. Their narrative appears to be a collection of sparse streams of consciousness, and this does not constitute a useful sense for direction.
It is not too late for Labour to remedy this. The reputation, deserved or not, that Labour is “fiscally incontinent” is going to be difficult to shift. Whether or not Labour was right to increase the deficit through recapitalising the banks as an emergency measure is not going to be a battle to be won now, ever. If anything, the Coalition have already won that battle, as they still cite the deficit for the reason that they are governing ‘in the national interest’. Labour can take the lead on a NHS which is universal and comprehensive. It can decide to push for an economy where workers have some security and long-term prospects in their job. It can also decide to represent the views of disabled citizens, many of whom have felt demonised by this Government.
Or else, despite great Councillors, it can carry on being… well… very bland.
The Tories have never had any ideology, so it's not surprising they've run out of steam
A lot of mileage can be made out of the ‘story’ that the Coalition has “run out of steam”, and this week two commentators, Martin Kettle and Allegra Stratton, branded the Queen’s Speech as ‘the beginning of the end’. There is a story that blank cigarette packaging and minimum alcohol pricing policies have disappeared due to corporate lobbying, and one suspects that we will never get to the truth of this. The narrative has moved onto ‘immigration’, where people are again nervous. This taps into an on-running theme of the Conservatives arguing that people are “getting something for nothing”, but the Conservatives are unable to hold a moral prerogative on this whilst multinational companies within the global race are still able to base their operations using a tax efficient (or avoiding) base. Like it or now, the Conservatives have become known for being in the pockets of the Corporates, but not in the same way that the Conservatives still argue that the Unions held ‘the country to ransom’. Except things have moved on. The modern Conservative Party is said to be more corporatilist than Margaret Thatcher had ever wanted it to be, it is alleged, and this feeds in a different problem over the State narrative. The discussion of the State is no longer about having a smaller, more cost-effective State, but a greater concern that ‘we are selling off our best China’ (as indeed the late Earl of Stockton felt about the Thatcherite policy of privatisation while that was still in its infancy). The public do not actually feel that an outsourced state is preferable to a state with shared responsibility, as the public do not feel in control of liabilities, and this is bound to have public trust in privatisation operations (for example, G4s bidding for the probation service, when operationally it underperformed during the Olympics).
It is possibly this notion of the country selling off its assets, and has been doing so under all administrations in the U.K., that is one particular chicken that is yet to come home to roost. For example, the story that the Coalition had wished to push with the pending privatisation of Royal Mail is that this industry, if loss making, would not ‘show up’ on the UK’s balance sheet. There is of course a big problem here: what if Royal Mail could actually be made to run at a profit under the right managers? Labour in its wish to become elected in 1997 lost sight of its fundamental principles. Whether it is a socialist party or not is effectively an issue which seems to be gathering no momentum, but even under the days of Nye Bevan the aspiration of Labour was to become a paper with real social democratic clout. One of the biggest successes was to engulf Britain in a sense of solidarity and shared responsibility, taking the UK away from the privatised fragmented interests of primary care prior to the introduction of the NHS. The criticism of course is that Bevan could not have predicted this ‘infinite demand’ (either in the ageing population or technological advances), but simply outsource the whole lot as has happened in the Conservative-led Health and Social Act (2012) is an expedient short-term measure which strikes at the heart of poverty of aspiration. It is a fallacy that Labour cannot be relevant to the ‘working man’ any more, as the working man now in 2013 as he did in 1946 stands to benefit from a well-run comprehensive National Health Service. Even Cameron, in introducing his great reforms of the public sector in 2010/1 argued that he thought the idea that the public sector was not ‘wealth creating’ was nonsense, which he rapidly, unfortunately forgot, in the great NHS ‘sell off’.
The Conservatives have an ideology, which is perhaps outsourcing or privatisation, but basically it comes down to making money. The fundamental error in the Conservative philosophy, if there is one, is that the sum of individual aspiration is not the same as the value of collective solidarity and sharing of resources. This strikes to the heart of having a NHS where there are winners and losers, for example where the NHS can run a £2.4 bn surplus but there are still A&E departments shutting in major cities. Or why should we tolerate a system of ‘league tables’ of schools which can all too easily become a ‘race to the bottom’? Individual freedom is as relevant to the voter of Labour as it is to the voter of the Conservative Party, but if there is one party that can uphold this it is not the Conservatives or the Liberal Democrats. No-one on the Left can quite ignore why Baroness Williams chose to ignore the medical Royal Colleges, the RCN, the BMA or the legal advice/38 degrees so adamantly, although it does not take Brains of Britain to work out why certain other Peers voted as they did over the section 75 regulations as amended. But the reason that Labour is unable to lead convincingly on these issues, despite rehearsing well-exhausted mantra such as ‘we are the party of the NHS’, is that the general public received a lot of the same medicine from them as they did from the Conservatives or the Liberal Democrats. Elements of the public feel there is not much to go further; the Labour Party will still be the party of the NHS for some (despite having implemented PFI and NHS Foundation Trusts), and the Conservatives will still be party of fiscal responsibility for some (despite having sent the economy into orbit due to incompetent measures culminating in avoidance of a triple-dip).
It doesn’t seem that Labour is particularly up for discussion about much. It gets easily rumbled on what should be straightforward arms of policy. For example, Martha Kearney should have been doing a fairly uncontroversial set-piece interview with Ed Miliband in the local elections, except Miliband came across as a startled, overcaffeinated rabbit in headlights, and refused doggedly to explain why his policy would not involve more borrowing (even when Ed Balls had said clearly it would.) Miliband is chained to his guilty pleasures of being perceived as the figurehead of a ‘tax and spend’ party, which is why you will never hear of him talking for a rise in corporation tax or taxing excessively millionaires (though he does wish to introduce the 50p rate, which Labour had not done for the majority of its actual period in government). It uses terms such as “predistribution” as a figleaf for not doing what many Labour voters would actually like him to do. Labour is going through the motions of receiving feedback on NHS policy, but the actual grassroots experience is that it is actually incredibly difficult for the Labour Party machine even to acknowledge actually well-meant contributions from specialists. The Labour Party, most worryingly, does not seem to understand its real problem for not standing up for the rights of workers. This should be at the heart of ‘collective responsibility’, and a way of making Unions relevant to both the public and private sector. Whilst it continues to ignore the rights of workers, in an employment court of law over unfair dismissal or otherwise, Labour will have no ‘unique selling proposition’ compared to any of the other parties.
Likewise, Labour, like the Liberal Democrats, seems to be utterly disingenious about what it chooses to support. While it seems to oppose Workfare, it seems perfectly happy to vote with the Government for minimal concessions. It opposes the Bedroom Tax, and says it wants to repeal the Health and Social Care Act (2012), but whether it does actually does so is far from certain; for example, Labour did not reverse marketisation in the NHS post-1997, and conversely accelerated it (admittedly not as fast as post-2012). No-one would be surprised if Ed Miliband goes into ‘copycat’ mode over immigration, and ends up supporting a referendum. This could be that Ed Miliband does not care about setting the agenda for what he wants to do, or simply has no control of it through a highly biased media against Labour.
Essentially part of the reason that the Conservatives have ‘run out of steam’ is that they’ve run out of sectors of the population to alienate (whether that includes legal aid lawyers or GPs), or run out of things to flog off to the private sector (such as Circle, Serco, or Virgin). All this puts Labour in a highly precarious position of having to decide whether it wishes to stop yet more drifting into the private sector, or having to face an unpalatable truth (perhaps) that it is financially impossible to buy back these industries into the public sector (and to make them operate at a profit). However, the status quo is a mess. The railway industry is a fragmented disaster, with inflated prices, stakeholders managing to cherrypick the products they wish to sell to maximise their profit, with no underlying national direction. That is exactly the same mess as we have for privatised electricity, or privatised telecoms. That is exactly same mess as we will have for Royal Mail and the NHS. The whole thing is a catastrophic fiasco, and no mainstream party has the bottle to say so. The Liberal Democrats were the future once, with Nick Clegg promising to undo the culture of ‘broken promises’ before he reneged on his tuition fees pledge. UKIP are the future now, as they wish to get enough votes to have a say; despite the fact they currently do not have any MPs, if they continue to get substantial airtime from all media outlets (in a way that the NHS Action Party can only dream of), the public in their wisdom might force the Conservatives or Labour to go into coalition with UKIP. There is clearly much more to politics than our membership of Europe, and, while the media fails to cover adequately the destruction of legal aid or the privatisation of the NHS, the quality of our debate about national issues will continue to be poor. Ed Miliband must now focus all of his resources into producing a sustainable plan to govern for a decade, the beginning of which will involve an element of ‘crisis management‘ for a stagnant economy at the beginning. The general public have incredibly short memories, and, although it has become very un-politically correct to say so, their short-termism and thirst for quick remedies has led to this mess. Ed Miliband seems to be capable of jumping onto bandwagons, such as over press regulation, but he needs to be cautious about the intricacies of policy, some of which does not require on a precise analysis of the nation’s finances at the time of 7th May 2015. With no end as yet in sight for Jon Cruddas’ in-depth policy review, and for nothing as yet effectively Labour to campaign on solidly, there is no danger of that.
The Bangladeshi fire explains why Tony Blair's view of the NHS market is wrong
I am doing a Dan Hodges. But this time it is against his ideological pin-up Tony Blair, who knew the price of everything but the value of nothing. He was the future once, but now is not the time for clichés.
Tony Blair once said, ‘I don’t care who is providing my NHS services, as long as they are the most efficient’. He would, had his views been alive and relevant today, might equally have been applied to competitive tendering in the legal services sector. That sector too has also seen an ethos where profit rules; in a weird Darwinian ‘survival of the fitness’, human rights cases of massive social importance such as in housing or asylum are considered the lowest caste, compared to share acquisition of a multinational corporate. This is the attitude of anyone who would rather sell their own grandmother, than to look to a sustainable future.
“I don’t care who makes my T shirt as long as it’s the cheapest.” I would be very surprised if Primark and Matalan suffer a massive loss of trade as a result of public reaction to the collapsing sweatshop in Bangladesh. The similarity with the Texas fertiliser explosion is that there is no such thing as protection for workers by the Unions. Any country which has been trying to water down or to make workers’ rights non-existent, in the name of ‘industrial relations’, should think twice about whether they deserve to be called ‘a civilised country’. In this era of a maximum number of underemployed people with non-existent employment rights, and corporates making a killing weathering the recession, the public have to think: whose side is the government actually on?
ATOS are still achieving millions of profits, even though it is widely reported that administration of welfare benefits has caused immense mental distress as they have been do badly done; hence talk of why people cannot record their own assessment interviews as legal evidence, and the proportion of decisions made by ATOS which are overturned by the law courts on appeal. Add to that the staggering reports of people committing suicide because of their welfare benefits decisions (where it is incredibly difficult to prove causality); nonetheless, there is now a growing case of a link between mental illness and government policies of austerity in many jurisdictions.
Does it matter that the world has no morals but makes money? It does depend on your point-of-view, but will impact upon whether you feel that a leading sugary soft drinks multinational should be advising the current Obama administration on obesity. The building collapsing in Dhaka, and the subsequent fire, has brought out much disgust, which occasionally hits the mainstream media. But it all subsides again – attempts have been made to revisit history, so you will never find a clear account of the Bhopal explosion of the Union Carbide plant.
This issue of ‘corporate social responsibility’ has been advanced most prominently by Prof Michael Porter at Harvard, and emphasises that corporates living as responsible members of society is not simply a matter of marketing and PR but extremely important for society. Broadly speaking, proponents of corporate social responsibility have used four arguments to make their case: moral obligation, sustainability, license to operate, and reputation. “Reputation” is odd when applied to the current NHS, because, despite efforts by the King’s Fund and the current Tory-led government, attempts at making the NHS ‘consumerist’ have largely been overwhelmingly unsuccessful. Porter, in Harvard Business Review in October 2006, wrote: “In stigmatized (sic) industries, such as chemicals and energy, a company may instead pursue social responsibility initiatives as a form of insurance, in the hope that its reputation for social consciousness will temper public criticism in the event of a crisis. This rationale once again risks confusing public relations with social and business results.”
Legally, private limited companies have a duty for their directors to promote the ‘success’ of the company, i.e. profitability in the narrowest sense, under the Companies Act (1996). The idea of improved competition driving quality is strangled at birth by the fact that imperfect markets do nothing but encourage collusive behaviour in pricing, little choice in product, and massive profits for the shareholders. The concomitant ‘improvement’ in quality is barely noticeable. This has been the consistent outcome of all the privatisations in England, such as gas, water, electricity, and telecoms, where the consumer has suffered in an overpriced, fragmented service; Royal Mail will be next.
The Bangladeshi Fire is a human tragedy of unfathomable proportions, and is entirely driven by a consumerist culture where people appear do not care how the product arrives on the table, so long as it is there most ‘efficiently’. Of course, employment laws are there to protect the welfare of T-shirt makers, but this is what the Conservative government call ‘unnecessary red tape’ when applied in this country. The fire also poses serious questions about how we do business while Cameron pursues his ‘global race’. If Britain is not careful, it can easily outsource functions to abroad, and make as much of them as cheaply as possible. Diagnosis of dementia could be through an automated innovated server in Thailand, delivered by a multinational, with its head office in one of the Channel Islands to avoid tax maximally, to deliver healthy private equity profits. While it may not be the Unions that hold the country ‘to ransom’ any more, the power behind closed doors of private equity and bankers is not to be underestimated in the pursuit of profit.
Before going down the commodification of healthcare and the “Tony Blair dictum”, spend one moment thinking about exploding fertiliser plants in Texas or buildings collapsing in Bangladesh, as the lessons for business there could be salient for our increasingly privatised National Health Service (achieved entirely undemocratically.)
How Dr Eoin Clarke has done a huge amount of good in a short space of time
I have never written this post for a reason. That reason is that Twitter and Facebook are full of people, in my own party and beyond, who try desperately hard to belittle the hard work and sincere dedication of members of the Labour Party. At the age of 39 in two months time, I have no idea why people behave like this. Often people harbour very naked ambitions for themselves, or vicariously wish to promote certain people. But enough’s enough. I have had experience of being bullied a long time ago, and sometimes you’re expected to say nothing. This is not that time.
I first met Dr Éoin Clarke on Twitter some time ago, at roughly the same he was establishing ‘The Green Benches’, before I attended a meeting at his invitation at Portcullis House. I enjoyed this meeting enormously. I was immediately struck with the precise way in which he constructed arguments, which at the time was a very rare quality. There were only a handful of people in the blogosphere who merited recommendation on that basis, including Sunny Hundal who continues to be extremely influential in the blogosphere. I have witnessed Dr Éoin Clarke as he has simply grown from strength-to-strength, and his commitment to discussing issues has been rarely been in any doubt. He has embraced difficult issues such as the Bedroom Tax or NHS reforms, and not been frightened to raise awareness of such matters in a way that inspires people at large.
There is absolutely no doubt that the Liberal Democrats are pathetic beyond belief, advocating a ‘strong economy’ and ‘fairer society’, when they have been utterly useless at both. Even so-called ‘Liberals’ find their stance on secret courts weird, and Keynes would certainly be turning in his grave by how the Liberal Democrats have brought the UK economy to its knees in the space of three years. People like Nick Clegg and Simon Hughes continue to ignore, remorselessly, the case of how bank recapitalisation was necessary as an emergency measure but led to a worsening deficit, but they are professional politicians. Totally principleness, and thirsty for power.
The Conservatives’ economic plan has been a disgrace, with everyone hoping that the economy will not further deteriorate. They only have managed a record number of people in employment, by giving workers the worst employment rights they have ever experienced. They have shut down libraries, withdrawn infrastructure spending, brought in a whole raft of policies to help their corporate cronies, totally shafted disabled citizens in the UK, and are behaving as if they won a massive majority in 2010. They didn’t, all the more pathetic as they had all the media virtually on their side. The Conservatives not only lack strategy and direction, but their operations management and tactical performance remain abysmal.
What goes around comes around. I look forward to Labour Left going from strength-to-strength, including the hard work of Dr Éoin Clarke, Mags Newsome, Grahame Morris, Brian Moylan, Bev Clack, Steve Walker, Richard Murphy, Michèle Paul, James Leppard, Andy Hicks, Rhiannon Lockley, Seema Chandwani, Val Hudson, all the MPs who’ve supported Labour Left from the beginning, and many more.
I know they are extremely dedicated to this important cause, and I wish Labour well in the local elections.
What will a Miliband-Thatcher brand achieve?
Characterising the leadership of Margaret Thatcher is difficult. The problem is that, despite the perceived ‘successes’ of her tenure of government, her administration is generally accepted to have been very socially divisive. For many, she is the complete opposite of ‘inspirational’, and yet listening to current Conservative MPs talk there is a genuine nostalgia and affection for her period of government.
What can Ed Miliband possibly hope to emulate from the leadership style of Margaret Thatcher? Thatcher’s early leadership can definitely be characterised as a ‘crisis’ one, in that full bin liners were not being collected from the streets, there were power blackouts, Britain was going to the IMF to seek a loan, for example. However, the crisis now is one which does not have such visible effects. Miliband can hope to point to falling living standards, or increasing prices due to privatised industries making a profit through collusive pricing, but this is an altogether more subtle argument. A key difference is that people can only blame the business models of the privatised industries, not government directly. Whether this will also be the case as an increasing proportion of NHS gets done by private providers is yet to be seen.
It is perhaps more likely that Thatcher’s leadership, in the early stages at least, migth be described as “charismatic”, involving both charisma and vision. Conger and Karungo famously described five behavioural attributes of charismatic leadership. They are: vision and articulation, sensitivity to the environment, sensitivity to member needs, personal risk taking, and performing unconventional behaviour. In a weird way, Thatcher in her period of government can claim to have provided examples of many of these, but it is the period of social destruction at the time of closure of coal mines which will cause doubt on sensitivity to the environment. While ‘Basildon man’ and ‘Ford mondeo’ man might have been looked after, apparently, ‘Easington man’ was clearly not. A ‘One Nation’ philosophy promoting one economy and one society might not be a trite construct for this, after all. The problem is that ‘Basildon man’ has himself moved on; the ‘right to buy’ is the flagship Tory policy epitomising independence, aspiration and choice for the modern Tory, as resumed by Robert Halfon, but there is ultimately a problem if Basildon man is not able to maintain mortgage payments, or there is a general dearth of social housing.
In a way, looking at the failures of Thatcher’s leadership style is a bit academic now, but still highly relevant in reminding Miliband that his ‘political class’ cannot be aloof from the voters. It is a testament to the huge ‘brand loyalty’ of the Thatcher brand that there are so many eulogies, and one enduring hagimony from the BBC, to Thatcher. Jay Conger provides a way of understanding how charismatic leadership is to be maintained, and the “Poll Tax” is symptomatic of Thatcher’s failure of these aspects. Conger identifies continual assessment of the environment, and an ability to build trust and commitment not through coercion. Miliband likewise needs to be mindful of his immediate environment too: his stance on Workfare disappointed many members of Labour, causing even 41 of his own MPs to rebel against the recent vote, and upset many disabled citizens who are members of Labour. What happens when charismatic leadership goes wrong can be identified clearly in the latter years of the Thatcher administration. These include relatively unchallenged leadership, a tendency to gather “yes men”, and a tendency to narcissism and losing touch with reality. I still remember now (and I am nearly 39), the classic, “We have become a grandmother” and that awful Mansion House spectacle when Mrs Thatcher proclaimed that ‘the batting had been tough of late’ whilst maintaining a quasi-regal ambience.
I personally disagree with the notion that elections are won from the ‘centre ground’, particularly because I conceptually do not find the classification of ‘left’ and ‘right’ helpful (especially if you, like me, wish to embrace “One Nation Labour” with genuine goodwill). To use the market analogy, I think it’s like making an offering which looks and functions like an iPod, but which has some of the features missing; you might as well buy the real thing. A more sensible strategy for a competitor to the incumbent is to offer something really disruptive; in other words, something which offers some of the good qualities of the current market leaders, but which adds useful value. Ironically, enough time has passed since the airbrushing of socialism from the mainstream UK political system occurred with the advent of New Labour for Ed Miliband to give this another go. You can argue until the cows come home, and many mere mortals who are management theorists have given it a go, about whether charismatic leadership needs both charisma and vision. Despite Denis Healey’s famous doubts about whether Ed Miliband has charisma, it seems that Fraser Nelson has latterly judged Ed Miliband to be quite personable. Certainly, Ed Miliband to come close to becoming a charismatic leader himself needs to have an extremely clear vision. He may have to “think the unthinkable”, and make an unrealistic promises such as a NHS which is ‘comprehensive, and free-at-the-point-of-use’ (still miraculously, though, in the current NHS constitution). However, to borrow George Osborne’s phrase, “there is a debate to be had”, about whether the deregulation of markets under the Conservatives and New Labour did lead to a climate which encouraged the global financial crash to spread to the London markets. There is also a debate to be had about the ‘market failures’ of privatised industries. Sure, nobody is wishing ‘Thomas Cook’ to become a state-owned travel agent, or you to wait a month to have a phone line fitted by the State. But this is to present outdated, prejudiced, ‘Aunt Sally’ arguments. There is a debate to be had instead about whether we wish certain national services, like utilities or railways, to be fragmented, at relatively high prices, and where there is clearly a substantial benefit to shareholders and corporate directors but little benefit to consumers. Nobody wants to see the Unions ‘holding the country to ransom’, but it is a triumphant failure of Tony Blair and New Labour that this demonising malicious memes have been allowed to remain alive almost forty years on. Nearly all people, instead, firmly believe in the idea of democratic representation, and this has now become vital in abuse of the workforce by certain employers. We hear stories all-the-time of powerful corporates using ‘zero hour contracts’, and it is this Government which has seen the dilution of employment rights of workers and employees (reduced eligibility for unfair dismissal claims, and a lower quantum of award.) And, finally, there is a debate to be had about what exactly underlies the ‘maximum number of people in employment’ claim; is it for example an increased number of part-time, flexible workers who are under-employed, or is it an artefact of migrant workers from Eastern Europe who are doing temporary jobs in the UK?
Ed Miliband has often many times remarked about his thoughts have been ‘shaped’ by Margaret Thatcher, despite the fact he is very clear he disagreed with many of the views of Thatcher. We need, however, a frank discussion of where Britain goes from here. Frankly, a pig with a rosette could have won certain Labour seats in Scotland, but those days are over. Labour’s membership started to go into decline from around 2002/3, long predating the fall in membership after the Iraqi war. The ‘paying of respects’ to the late Baroness Thatcher has allowed some Tory ideology to go unchallenged, such as the importance of the Unions in society, or the failure of privatised industries. However, what Ed Miliband can hope to emulate is a precise articulation of a vision. Miliband has to prove that he is the right person for the right times (2014/5), like Blair, Thatcher and Cameron/Clegg might have been. If Labour is to be given the honour of a mandate in 2015, it needs to have an extremely clear idea of what it hopes to achieve, and for whom.
I'm a Labour member who despairs over our leadership on welfare; and I'm not the only one
So what’s new? This is yet another article about Labour and welfare. George Osborne wanted a debate about welfare, but he wants people to be united against ‘shirkers’ staying in bed while good citizens go out-to-work.
I don’t want even to go into that tired debate about working tax credits, and how the people Osborne appears to be targeting are low earners in society. I don’t wish to go into the billions of other arguments concerning this huge part of the budget, for example whether the “millionaire’s tax” would have ‘covered the costs’ of the “bedroom tax”. But increasingly I sense an overwhelming impression from Labour members like me an engulfing sense of despair. This is not about the top 15 things that Labour has promised to repeal or enact on gaining ‘power’, although virtually all of that list has to be cautioned against the state of the economy that any government will inherit in 2015. There are certainly too many variables and unpredictable externalities on the horizon, which makelife difficult. Labour is undergoing a complex review, and indeed people can contribute to the policy discussion through their website. However, there is simply a sense that the Labour Party has lost its identity, and that many people would simply like to quit and “up sticks”. Much of this is that Labour sets out to be a social democratic party, not a socialist party, so therefore has a real ideological problem with saving failing hospitals in the NHS; it paradoxically does not appear to have a problem in saving banks, increasing the deficit, creating billions of bonuses for some bankers in the cities. It engaged in ‘buy now, pay later’ behaviour which meant NHS hospitals, in the name of public infrastructure investment, being put on commercially-confidential contracts lasting decades at interest rates which most agree are competitive.
Labour’s fundamental problem is that it has fallen into the ‘bear trap’ of following not leading. 62% of people think that spending is too high, and indeed Philip Gould, Alistair Campbell and Peter Mandelson are reputed to be fond of ‘focus groups’. However, 99% of Sun voters are reputed to ‘back the Death Penalty’, and no-one is seriously proposing that Ed Miliband should ‘back the penalty’ to get elected. There is a sense that Ed Miliband will jump on any fast bandwagon going, but to give him some credit he has in fact caught a national mood over certain issues such as press regulation. However, many Labour voters feel that Ed Miliband does not share this passion over certain key issues.
Ed Miliband exhibits ‘a stuck gramophone syndrome’ when speaking about “vested interests”, which appears to be Miliband’s contorted way of reassuring the public that the Unions are not round for ‘beer and sandwiches’ every other day. But Ed Miliband simply has to emphasise, as he has tried to do to some extent, that it is the members of the Unions who, uptil now, have backed him not “the Unions” as neolithic organisations per se. Miliband has failed to make clear the essential democratic nature of the Unions, and if he has any sense of history of the Labour Party (which he does), he will wish to emphasise this. If he wishes to make the party wholeheartedly social democratic, he will not care. Surely members of Unions, such as “hard-working” (to use that tired word) nurses and teachers, will wish to have an input into nursing and teaching policy as much as private equity companies who are literally lobbying behind close doors on education and teaching policy? Labour is caught in a trap of advancing neoliberal policies of setting off hospitals against hospitals and schools versus schools, so has totally lost sight of its socialist sense of solidarity. It is currently, on welfare, allowing the debate to be ensnared and enmeshed into a discussion over ‘lazy shirkers’, and one person with 17 children setting fire to his house, but do not wish to establish basic truths about welfare for disabled citizens: that is, the living and mobility components of the current ‘disability living allowance’ do not constitute an employment benefit, but are there to help to allow disabled citizens cope with the demands in life: to use wonk speak, “to allow them to lead productive lives”.
Ed Miliband is also following not leading on the economy. The semantics of whether we should analyse the nature of the boom-bust cycle as FA Hayek would have wished us to do rather than the drawbacks of Lord Keynes’ “paradox of thrift” do not concern the vast majority of voters. However, workers who are being paid pittance, and certainly those below the statutory minimum wage, do not hear Labour screaming out from the rooftops about this achievement, which even happens to be an achievement of a Blair government. Ed Miliband has somehow managed to screw up discussions of ‘a living wage’, not in terms of allowing living standards for workers and employees, but through a convoluted discussion of ‘pre-distribution’ and the academic career of Prof Joseph Hacker (called Mr Hacker by David Cameron in ‘Prime Minister’s Questions’). Workers and employees are concerned that they can be ‘hired and fired’ below the minimum length of service (which this Government is set on reducing anyway), and that any awards for unfair dismissal will be less in future. Voters want some sort of protection through the policies of a Labour government, to curb the excesses of multi-national corporates for example, not a protracted list they can retweet at length on Twitter of the top 15 things Labour would repeal in 2015. This is basic stuff, and it is galling of a Labour opposition not even to do their fundamental job of opposing. Virtually everyone agrees that a strong opposition is essential for English parliamentary democracy.
Labour simply exudes the impression of a political party that has lost its direction, will say or do anything to get into power (while spouting platitudes such as ‘we don’t want to overpromise and under-deliver’), and is totally cautious about what offerings it possibly can supply to the general public in future. Nobody is expecting them to have a detailed manifesto, but a sense of the ‘direction of travel’, in other words people saying that disability living allowance is not an employment benefit, or that Labour would seek to curb his ‘hire-and-fire culture’ and discuss with the Unions how to go about this, would help enormously. Another critical problem is presented by the sentiment conveyed in Adnan Al-Daini’s tweet this afternoon: “If the #Labour party is going to mimic the Tory party at every step what is the point of it? Same policies different rhetoric! #hypocrisy”. Labour, at an increasing number of junctures it seems, appears to be quite unable of opposing convincingly because of its past. I am the first person to promote rehabilitation, but this is genuinely a problem now. It is claimed that Labour introduced the equivalent of the “bedroom tax” for the private sector, so themselves should not be aghast that this has been proposed on an ‘equal playing field basis’. I happen to oppose strongly the “bedroom tax”, as it appears to discriminate against sections of the population, such as disabled citizens. The NHS is another fiasco. Labour ‘as the party of the NHS’ can offer to repeal the Health and Social Care Act (2012), but this is a symbolic (and rather vacuous) promise. The problem with Foundation Trusts still in a ‘failure regime’ will exist, the issue of hospitals paying off their PFI loans on an annual basis will still exist, and it was Labour themselves who legislated for an Act of parliament managing procurement (the Public Contracts Regulations Act); through a long series of complex cases, NHS hospitals have become enmeshed in EU competition law, but Labour had, whether it likes it or not, set in motion a direction of travel where hospitals would be caught in the ‘economic activity’ and competition law axis of the EU.
What Labour obviously did not legislate for was to allow up to 49% of income of hospitals to come from private sources, nor to make the legislative landscape most amenable for private providers to enter with the lowest barriers-to-entry; it was a policy decision of the Conservatives and the Liberal Democrats not to give the NHS any unfair ‘protection’, meaning that the NHS would of course be expected not to provide anywhere near a universal, comprehensive service. However, as the marketisation of the NHS and privatisation has been accelerated, but one in which Labour to a much lesser degree did participate, it is hard for Labour to provide convincingly a narrative on what it wants to do next. Labour seem very eager to produce apologies at the drop-of-a-hat, such as on immigration (which came to a head with the Gillian Duffy altercation after Gordon Brown forgot to remove his clip-on microphone and Sky happened to take a recording of it). It has tried to apologise for the emergency spending on the banks during the global financial crisis, but experts are far from convinced about why the banks were not allowed to fail; it is an inherent paradox in the Labour narrative that it seems content with allowing NHS hospitals to fail, but seems reluctant to allow banks to fail (meaning shareholders and directors of banks can be rewarded, and Labour gets blamed for the exploding deficit).
Against the backdrop of a false security of poll leads perhaps, Labour’s performance is floundering because it just appears to be opposing for the sake of it; it is now a rational accusation of the Coalition to say that Labour opposes virtually everything (except for Workfare and the “benefits cap” perhaps), but does not appear to have constructive policies of its own. Despite its rhetoric on “vested interests”, it seems perfectly happy to honour the contracts it started with ATOS over the disastrous outsourcing of welfare benefits (which has seen 40% of some benefits overturned on appeal, and some claimants reported to have suffered psychological distress through the benefits application process), yet, apart from a handful of excellent MPs such as Michael Meacher, seems rather limp at criticising this particular ‘vested interest’. It is a problem when the public perception of Labour protecting multi-national vested interests overrides its ‘loyalty’ to the Unions. It is also a problem when two years into the leadership of Ed Miliband the media are unable to report the closure of law centres or the problems of the NHS privatisation process but can only report how to self-litigate and what to expect from your GP in this new NHS landscape. Ed Miliband’s fundamental problem is that he gives the impression of being a follower not a leader. Miliband appears like a TV newsreader, nicely a product of “make up”, but whose autocue is suffering a technical fault. Labour does not currently inspire confidence. If it is the case where the best Labour voters can hope for is a ‘hung parliament’, despite glaring incidents of an #omnishambles government, something is very wrong indeed.
Why I still fully support Ed Miliband
We are a long way from a general election here in the UK, and it sort-of feels like we’re treading water. Whilst I originally was impatient that we were taking so much time choosing our leader, I’m glad we took some time on this. Do I feel we’ve made the right choice? Definitely. I asked Michael Meacher MP, when I saw him at the Labour Party Conference, whether he was happy that Ed Miliband had just been elected as our party leader: his face looked terribly depressed, but then his eyes beamed, and said, “No, frankly, I’m ecstatic!” On the other hand, David Miliband, whom my late father liked as a person in fact as he used to bump into him in our local post office at Primrose Hill, never struck me as a wonderful Foreign Secretary; I know that Hillary Clinton had a high regard for him, but I personally don’t feel that David’s record on Guantanomo Bay was incredibly impressive at all.
It won’t be enough that this Government is shambolic. It just happens that it is. You cannot make comments on the welfare state reform on the back of Mick Philpott, in the same way that you can judge German villages on the basis of the acts of Josef Fritzl, or inheritance tax on the back of the Stephen Seddon case. Everyone at some point will need the welfare system, whether that is pensions, or disability benefit (it is not impossible that somebody can become disabled in later adult life, as indeed I did.) Notwithstanding that, whether or not we avoid a ‘triple dip recession’, the facts are that we have had a ‘double dip’ already AFTER the economy was in a fragile recovery in May 2010. The fact that the economy is currently deteriorating by the second means that Labour is in no position to make any definite plans about anything, tragic though that is (for example reversing the massive cuts in legal aid on the high street for genuine housing or employment cases, or the such like.) It’s my belief that Labour is still the ‘Party of the NHS’, even though Labour through its New Labour years went on a trajectory of NHS Foundation Hospitals and PFI, policy decisions which I profoundly disagree with for the way they turned out. However, I trust them to stop the momentum for ‘competition’ which has built up AFTER they relinquished power (Labour themselves progressed synchrony of procurement law with our EU partners), and to try to stem the power of Foundation Trusts and virtually compulsory competitive procurement next time they are in power.
The Labour Party is the only hope disabled citizens have. Whilst ATOS were originally awarded the benefits contract by Labour, it is widely accepted that the implementation of the benefits awards has been shambolic with such a high rate of decisions being overturned on judicial appeal. Workfare has become a ding-dong which the Labour Party has made a mess of, but it is the case that around MPs did rebel on this issue, which is certainly more than the number of rebellious LibDem MPs. Furthermore, whilst many bloggers and journalists did not understand Ed Miliband’s ‘responsible capitalism’ speech for no reason other than sheer stupidity, and were very quick to condemn it, the speech has turned out to be totally correct on all fronts, whether this includes horsemeat burgers being sold by Tesco everyday value, phone hacking allegations in various newspapers, or financial mismanagement in HBOS. The evidence in support of Ed Miliband is incredibly robust, and all reasonable minds would freely admit so.
It is hard to avoid the conclusion, however, that the political parties are much-the-muchness, in the same way that they all seem to pander to multi-national companies, whether in health or education, for example. However, Labour is definitely stronger on the rights of workers, hence its affiliation with the Unions. It is inadequate for the Conservatives to say that there is a record number of people in employment, when these are in fact a record number of people with minimal employment rights. We also do not know the full impact of the numbers of people who are topped up on working credits, because they are under-employed, or the full use of “zero-hour contracts” or workfare by certain multi-national companies, nor how an immigrant population from Europe might be impacting generally on our employment figures. Ed Miliband should perhaps consider how he can distinguish himself from the more frantic shrill of the Conservatives and UKIP, whilst ensure he doesn’t repeat the #Bigotgate experience of the last election.
In summary, I’m happy at this point to be supporting Ed Miliband. The policy details will help very much, but it’s crucial to get the details of this right. Labour were virtually guaranteed election in 1997, and in my personal view they frittered away much opportunity in making substantial policy advantages. This is not to deny substantial achievements such as the “minimum wage” of the Tony Blair government. However, I for one cannot understand why the Labour Party does not support fully the Union movement; always at the back of your mind is the concern that Labour, under Ed Miliband, does not wish to be a socialist party but wishes to be a social democrat party. If that is the case, the time will come when Union members will be forced to consider which mainstream political party best represents their needs. Meanwhile, at a time when the minimum wage may be threatened, although it is for the Low Pay Commission to make recommendations to Government, Ed Miliband has an opportunity to consider legislating for a “living wage” which might see the much needed boost in consumer demand which the economy needs, or a rise in living standards currently threatened by the current handling of the economy. These are tough times, but supporters of Labour I feel ought to hold their nerve.
A "decade of decline" is a problem, but so is Labour's "buy now, pay later" approach
A massive problem is that none of the political parties in the UK are trusted on the economy. Many ‘real’ Labour voters are tired and disgusted at Lord Mandelson’s desire to put the economy above social justice. I’ve spent a lot of time thinking about this. I think this is actually very offensive and Lord Mandelson is talking unmitigated shit. When you consider that in real life, a far cry from a millionaire’s pad in a posh part of London, many people are deprived of basic legal advice on housing, employment or welfare benefits because their law centre has shut down, you’ll get a feel for how incredibly insensitive this comment is. The reality is many disabled people have had their benefits withdrawn, and many of these decisions are being overturned on appeal. Some people have even committed suicide. This is part of Labour’s problem.
Another big problem is that, whatever you feel about the ultimate benefits or outcome of the Iraq War, many feel that the evidence is consistent with the reason for us going to war sold by Tony Blair was a lie. This is a ‘trust’ issue which Labour is paying the penalty for. But, whatever Ed Balls’ justified record in ‘being right on the economy’, he is not considered by the public as particularly trustworthy on the economy. Like all of the Conservatives’ criticisms, there is more than an element of truth despite a lot of misleading bluster. If you strip away the attack that Gordon Brown “raided our pensions”, there are genuine questions about pension funds. Gordon Brown also “did sell cheap”, although it turned out Osborne also sold cheap. However, it’s Labour’s “buy now, pay later” approach to the economy which is a huge problem. The argument that the deficit exploded due to Labour putting an emergency capital injection in investment banks is correct, but so is the accusation, first voiced by Vince Cable, that Labour encouraged a debt-fuelled boom in the housing sector. It is also true that Labour contributed to a poorly regulated situation in securitised mortgage products. Whoever is responsible for ‘crashing the car’, it happened under Labour’s watch; hence the potential efficacy of the Conservatives’ campaigning message, “Do you really want to hand the keys back to the people who crashed the car?” Labour is also unable to take a moral stand on PFI, the “private finance initiative”. This was sold to the public as a good way of investing in the infrastructure, and it was sold to bankers as a good way of making money through loans at market-uncompetitive rates. The end result is that hospitals have been cripped by the debts, meaning that some are not financial viable. This happened on Labour’s watch, despite John Major’s government having introduced a PFI ‘thinktank’ in 1995, and George Osborne having carried on with the PFI programme only last year. We as a society are still paying the penalty for it.
Labour was also good at helping multinational companies. It gave ATOS the contract for the outsourcing of benefits, so ATOS can in actual fact be shot as the messenger. There is a good economic rationale why Labour might claim we are about to enter a “lost decade”, as the economic ingredients in the mix are exactly the ones Japan faced (and which contributed to Japan’s decline). Fundamentally, the picture is of a highly taxed nation resorting to the levers of quantitative easing to keep going. An immediate solution which would helped to boost consumer demand tomorrow is perhaps a slash in the VAT rate; it is well known that a 1% cut in corporation tax is neither here nor there. But Labour is still more than happy to keep its corporate friends happy, ahead of workers. Take for example Liam Byrne’s public decision to help the Government implement the rushed legislation on workfare, which Ian Mearns had to resign over. There is admittedly a problem in here that it is alleged that other people, including Ed Miliband, might have intervened to maintain party discipline, but it goes to show what core voters in Labour are up against. Also a problem is moves afoot to make it easier to sack people, and to make the award for unfair dismissal less in amount. Labour, if it doesn’t address who it represents, will find it in fact represents no-one.
The theme of “starvation in the midst of plenty” is also seen in the privatisation of the NHS. The legal instruments which put the NHS out for competitive tendering will come into effect on 1 April 2013. The public appear to be sleepwalking into this situation, but some members of the public may be genuinely apathetic. Most health policy experts have warned that a privatised NHS could lead to a badly fragmented system, making it less likely to deliver “comprehensive care”, but it is likely that an oligopoly of private healthcare companies will be able to secure a healthy profit notwithstanding. A similar phenomenon is also seen in access-to-justice, introduced earlier. While it is true that the high street law centres are facing severe cutbacks, the City law firms are generally doing very well, delivering very healthy profits and revenues. So, in fact, it is not entirely true that this will be a “decade of decline”, despite this being Labour’s latest populist campaigning message, while some people are doing “very nicely, thank you.” Labour may make progress in highlighting the genuine falls in living standards, but it forgets its core voters it is in deep trouble.