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Should Doctors and Nurses act as surrogate immigration officials?



Anything to declare

Anyone can get very ill at any time.

This issue is also about recognising mutual obligations and responsibilities, and looking after all our futures.

Would you like to be a British citizen abroad in France and being refused treatment?

Nonetheless, the British media has been relentless in presenting the ‘dogwhistle’ politics of immigration, rather than having an open, honest or complete debate about the NHS privatisation enacted by this Government.

Jeremy Hunt MP says today:

Having a universal health service free at the point of use rightly makes us the envy of the world, but we must make sure the system is fair to the hardworking British taxpayers who fund it.

This current Government, it has been argued, has been extremely divisive, setting off able-bodied people against disabled citizens, employed people against unemployed, and so it goes on.

The ludicrous farce of this latest announcement, of cracking down on “health tourism”, is that similar announcements have been made before. In the meantime, Hunt has been forced to apologise for a tweet when faced with legal action, and there has been talk of an impending crisis in acute medicine.

Today’s announcement will again see Ministers facing renewed claims that GP surgeries are being turned into “border posts”.

In its three years in power the government has a poor record on announcing policies that sound good but prove to be completely unworkable
(shadow health minister Liz Kendall, previously)

The Chair of the Royal College of General Practitioners, Prof Clare Gerada, has previously warned that:

“GPs must not be a new ‘border agency’ in policing access to the NHS. While the health system must not be abused and we must bring an end to health tourism, it is important that we do not overestimate the problem and that GPs are not placed in the invidious position of being the new border agency.”

Today, the Department of Health is publishing the first comprehensive study of how widely migrants use the NHS. These independent findings show the major financial costs and disruption for staff which result from a system which will be substantially reformed in the interests of British taxpayers. Just because they are ‘independent’ findings does not necessarily mean they are very accurate, as any observer of the “output” of the OBR will tell you.

Previous estimates of the cost to the NHS have varied, but this latest attempt research reveals the cost may be significantly higher than all earlier figures.

To tackle this issue and deter abuse of the system, the #omnishambles Government is proposing the following now:-

  • introducing a simpler registration process to help identify earlier those patients who should be charged.
  • looking at new incentives so that hospitals report that they have treated someone from the EEA to enable the Government to recover the costs of care from their home country.
  • introducing a new health surcharge in the Immigration Bill to generate income for the Government (but it is unlikely this money will go into frontline patient care, as indeed the £2.4bn “efficiency savings” have not been returned either);
  • appointing Sir Keith Pearson as an independent adviser on visitor and migrant cost recovery;
  • identifying a more efficient system of claiming back costs by establishing “a cost recovery unit”, headed by a Director of Cost Recovery;

Andy Burnham MP, Labour’s Shadow Health Secretary, responding to Jeremy Hunt’s announcement on overseas visitors’ and migrants’ use of the NHS, said:

We are in favour of improving the recovery of costs from people with no entitlement to NHS treatment. But it’s hard not to conclude that this announcement is more about spin than substance. The Government’s own report undermines their headline-grabbing figures, admitting they are based on old and incomplete data. Instead of grand-standing, the Government need to focus on delivering practical changes. Labour would not support changes that make doctors and nurses surrogate immigration officials.

For a video of Andy Burnham MP responding to this latest report, please go here.

Furthermore, it appears that what Hunt won’t say about migrants is that British expatriates might make much heavier use of the NHS than any other visitors (and accordingly they should pay.)

A recent report by the European Commission concluded that so-called benefits tourism was “neither widespread nor systematic”.

As for most countries, residency not nationality primarily determines eligibility for healthcare treatment.

With the Conservative Party finding themselves ‘squeezed’ by UKIP in the run-up to the European elections, this could provide an useful smokescreen for the disaster in acute care which the Conservatives have somehow single-handedly generated.

However, the “benefits tourism” narrative of the Conservatives and UKIP was dealt a heavy blow by the emergence of this information, which the BBC’s Norman Smith tweeted earlier last week:

Norman Smith Tweet

Last week’s announcement by Jeremy Hunt on loneliness was panned in a widespread manner by many professionals.

Maybe for the Conservatives there is ‘no such thing as Society’ after all?

Overseas visitors and migrant use of the NHS: extent and costs

 

Many posts like this have originally appeared on the blog of the ‘Socialist Health Association’. For a biography of the author (Shibley), please go here.

Shibley’s CV is here.

 

 

 

 

Should Doctors and Nurses act as surrogate immigration officials?



Anything to declareAnyone can get very ill at any time.

This issue is also about recognising mutual obligations and responsibilities, and looking after all our futures.

Would you like to be a British citizen abroad in France and being refused treatment?

Nonetheless, the British media has been relentless in presenting the ‘dogwhistle’ politics of immigration, rather than having an open, honest or complete debate about the NHS privatisation enacted by this Government.

Jeremy Hunt MP says today:

Having a universal health service free at the point of use rightly makes us the envy of the world, but we must make sure the system is fair to the hardworking British taxpayers who fund it.

This current Government, it has been argued, has been extremely divisive, setting off able-bodied people against disabled citizens, employed people against unemployed, and so it goes on.

The ludicrous farce of this latest announcement, of cracking down on “health tourism”, is that similar announcements have been made before. In the meantime, Hunt has been forced to apologise for a tweet when faced with legal action, and there has been talk of an impending crisis in acute medicine.

Today’s announcement will again see Ministers facing renewed claims that GP surgeries are being turned into “border posts”.

In its three years in power the government has a poor record on announcing policies that sound good but prove to be completely unworkable
(shadow health minister Liz Kendall, previously)

The Chair of the Royal College of General Practitioners, Prof Clare Gerada, has previously warned that:

“GPs must not be a new ‘border agency’ in policing access to the NHS. While the health system must not be abused and we must bring an end to health tourism, it is important that we do not overestimate the problem and that GPs are not placed in the invidious position of being the new border agency.”

Today, the Department of Health is publishing the first comprehensive study of how widely migrants use the NHS. These independent findings show the major financial costs and disruption for staff which result from a system which will be substantially reformed in the interests of British taxpayers. Just because they are ‘independent’ findings does not necessarily mean they are very accurate, as any observer of the “output” of the OBR will tell you.

Previous estimates of the cost to the NHS have varied, but this latest attempt research reveals the cost may be significantly higher than all earlier figures.

To tackle this issue and deter abuse of the system, the #omnishambles Government is proposing the following now:-

  • introducing a simpler registration process to help identify earlier those patients who should be charged.
  • looking at new incentives so that hospitals report that they have treated someone from the EEA to enable the Government to recover the costs of care from their home country.
  • introducing a new health surcharge in the Immigration Bill to generate income for the Government (but it is unlikely this money will go into frontline patient care, as indeed the £2.4bn “efficiency savings” have not been returned either);
  • appointing Sir Keith Pearson as an independent adviser on visitor and migrant cost recovery;
  • identifying a more efficient system of claiming back costs by establishing “a cost recovery unit”, headed by a Director of Cost Recovery;

Andy Burnham MP, Labour’s Shadow Health Secretary, responding to Jeremy Hunt’s announcement on overseas visitors’ and migrants’ use of the NHS, said:

We are in favour of improving the recovery of costs from people with no entitlement to NHS treatment. But it’s hard not to conclude that this announcement is more about spin than substance. The Government’s own report undermines their headline-grabbing figures, admitting they are based on old and incomplete data. Instead of grand-standing, the Government need to focus on delivering practical changes. Labour would not support changes that make doctors and nurses surrogate immigration officials.

For a video of Andy Burnham MP responding to this latest report, please go here.

Furthermore, it appears that what Hunt won’t say about migrants is that British expatriates might make much heavier use of the NHS than any other visitors (and accordingly they should pay.)

A recent report by the European Commission concluded that so-called benefits tourism was “neither widespread nor systematic”.

As for most countries, residency not nationality primarily determines eligibility for healthcare treatment.

With the Conservative Party finding themselves ‘squeezed’ by UKIP in the run-up to the European elections, this could provide an useful smokescreen for the disaster in acute care which the Conservatives have somehow single-handedly generated.

However, the “benefits tourism” narrative of the Conservatives and UKIP was dealt a heavy blow by the emergence of this information, which the BBC’s Norman Smith tweeted earlier last week:

Norman Smith TweetLast week’s announcement by Jeremy Hunt on loneliness was panned in a widespread manner by many professionals.

Maybe for the Conservatives there is ‘no such thing as Society’ after all?

Overseas visitors and migrant use of the NHS: extent and costs

The 'One nation' of Ed Miliband is essentially about rebuilding the economy, rebuilding society and rebuilding politics



There are a number of overly-complicated accounts of what ‘One nation’, in its latest reincarnation, is about. One interpretation of ‘One nation’ is that it is literally that; scottish citizens can feel proud that ‘Team GB’ has won another Olympic medal, an example which Ed Miliband actually gave in his conference speech. The general consensus  is that the speech was very well delivered, but lacking in firm policy. This is clearly unfair as a number of examples were given in that speech given last Tuesday, and Labour is currently undergoing a detailed, complicated, policy review, being led by Jon Cruddas.  Describing the next steps in Labour’s policy review, Ed Miliband has said it would focus on three themes: rebuilding the economy, rebuilding society and rebuilding politics. Jon Cruddas has indeed previously provided that, “For me, politics is more about emotion than programme; more groups, community and  association- imagined as well as real- rather than theoretical or scientific.” The significance of this is not to be underestimated, as the three planks of policy review, namely economics, society and political process, if executed correctly, would be more than sufficient to rebuild ‘One Nation Labour’. What is clear is that ‘One Nation Labour’ is not a slick re-branding exercise; it could provide a natural break from the neoclassical or neoliberal approach taken by New Labour, and it is clear that Ed Miliband wishes to make it a sustainable political ideology for the party which he leads.

The economy

Peter Kellner argues that Labour needs a new doctrine of equality.

Kellner argues that,

“If Britain is to remain a part of the global economy, in which trade and investment ignore national boundaries, it will struggle to fight the forces that are driving low incomes further down, and high incomes further up. Symbolically, we can and should clamp down on the worst excesses, such as bankers’ undeserved bonuses; and more could be done to banish poverty by, for example, raising the minimum wage and enforcing it properly. But these policies will make only a slight difference to the normal measure of income inequality, the Gini coefficient.”

There have been countless descriptions of why the deficit exploded in the global financial crisis of 2008/9. For example Nick Thornsby describes that,

“Whatever Ed Miliband’s claims, the Labour party clearly have to take a significant share of the responsibility. Firstly because the government was spending more that it was taking in before the recession, clearly putting the UK in an unusually bad position (by international standards) when the recession began. And secondly – and more significantly – because they assumed they had done away with the business cycle – they believed they had “abolished boom and bust” – when actually the truth was that Britain was living through an enormous boom, and consequently underwent an enormous bust in 2007.”

Peter Kellner has further argued that,

“Labour has less to worry about on that front (though other YouGov data suggest that the party is vulnerable to the charge that it is too soft on illegal immigrants and welfare claimants). On the other hand, it can’t shake off the charge that it messed up the economy when in office; but there’s not much it can do about that now. What Ed Miliband does need to do is persuade voters that he heads a competent team that is in touch with their own supporters, that Labour has learned from its failures in office, and that he, personally, has the backbone as well as strength of purpose to take the tough decisions that will enable it to govern Britain effectively.”

Ed Miliband has some economic priorities for this.

The Guardian noticeably gave its support for Ed Miliband in his approach to banking regulation. Ed Miliband does not feel that the Coalition has gone far enough in implementing the recommendations by Sir John Vickers, and interestingly the Guardian editorial uses an experience from across the Atlantic to support its argument:

“… , Congress has failed to put in place a coherent set of rules to offset the eye-watering amount of money the Obama administration pumped into the banks, leaving the US with much the same arrangements as before the Lehman Brothers crash. Banks, awash with cheap funds, lend to the same people under the same rules and pay the same bonuses to their executives. Senators Dodd and Frank, who put their name to the new banking regulations, have sadly found their legislation lobbied to death, increasing the danger of another crash in a few years. Miliband is right to say the same is happening in the UK.”

Sustainability is critically another key factor. In law, there is a duty of directors to promote short-term profitability, as judged by the shareholder dividend, and sometimes corporates can prioritise this above business ethics. For example, it is said that it was many years before RH Tawney defined socialism in terms of its objective of resistance to the market and its constraints to private profit. He had identified two approaches: ethical and economic. The ‘responsible capitalism’ narrative, firmly footed in the ‘strategy and society’ work of Prof Michael Porter from Harvard concerning how corporates can be good citizens like everyone else, was of course famously introduced by Miliband in his 2011 conference speech in Liverpool. There has always been disquiet about why corporate citizens should voluntarily wish to embrace good citizenship, but the recent LIBOR scandal has demonstrated how potentially the City could lose its competitive advantage by not being a safe place to do business.

I spoke to an expert in wealth management at a Fabian Society event last week and he echoed what a fellow panel member from Which? suggested – that corporates, including banks, could publish transparently hard data on its business activities, such that customers could make an informed choice as to whether to transact with them (this is otherwise known as the “differentiation” strategy). Miliband interestingly highlights that it could be possible to legislate for this: “You see businesses tell me that the pressure for the fast buck from City investors means they just can’t take the long view. They want to plan one year, two years, ten years ahead but they have to publish their accounts in Britain every 3 months. In line with the wishes of the best of British business, we will end that rule so companies in Britain can take the long term productive view for our country.” Also notably, Ed Miliband has also started a debate about immigration within Europe, and the effect particularly that the behaviour of some some multinational companies and recruitment firms in employing workers with poor standards, for example: “So the next Labour government will crack down on employers who don’t pay the minimum wage. We will stop recruitment agencies just saying they are only going to hire people from overseas. And we will end the shady practices, in the construction industry and elsewhere, of gang-masters. So we need a system of immigration that works for the whole country and not just for some.”

The society

Welfare for many in Labour will be of concern; disabled citizens are irritated that their living allowances have been mixed up with the “lazy benefit scrounger” rhetoric, particularly as disability living allowance is not an employment allowance. Many have felt indeed that welfare might be the next “big” issue, closely after the NHS and the economy, particularly after the handling of work capability assessments by ATOS.

The NHS is often cited as a “national treasure”, but certainly an institution which is well cherished amongst the vast majority of members of the British Public. In relation to this, it is indeed interesting that Jon Cruddas, when talking about institutions in general, says, “… socialism is about the creation of institutions that allow us to self realise, to flourish. Vaclav Havel once said that we ‘ are capable of love, friendship, solidarity, sympathy and tolerance…:we must set these fundamental dimensions of our humanity free from their ‘private’ exile and accept them as the only genuine point of meaningful human community’.” It is indeed particularly noteworthy that Ed Miliband wishes to repeal the Health and Social Care Act (2012), and to eliminate competition from the NHS. While it appears that Ed Miliband will keep NHS Foundation Trusts and commissioning in some form (possibly through retention of the clinical commissioning groups and the NHS Commissioning Board), Miliband appears to signalling that activities in the NHS will not be caught by the competitive legal definition of the word “undertaking” in domestic and European law, and Labour will return to a NHS built on traditional values as provided in the speech: “Not values of markets, money and exchange but values of compassion, care and co-operation.” This is fundamental, as it appears that Miliband and Burnham would be prepared to legislate for the NHS, asking existing structures to do different things, to avoid another costly reorganisation of the NHS which could potentially cost billions, at a time when England is struggling to meet the efficiency demands of the Nicholson challenge anyway.

Ed Miliband admits that the focus on universities was incorrect, in that 50% of individuals were failed by an academic drive which put little value in vocational qualifications. Andrew Adonis in “Education, Education, Education” has certainly started the ball rolling, and the growth of a skills-based economy (and indeed the Technical E-Bacc which Adonis himself is an architect of), and the idea that the private sector would have a psychological and social contract with the state is indeed a concrete policy proposal. Labour latterly has tried not to use the term “industrial policy” of late, but the issue that Ed Miliband does not see a distinction between private and public sector is a useful one in framing the future policy. No vested interest will be overly powerful in Miliband’s one nation; whilst Ed Miliband explicitly refers to bankers (and he has said that he will work closely with anyone wishing to introduce a ‘mansion tax’), Miliband is mindful that members of the Unions only constitute 40% of Labour’s funding, and that Conference last year agreed to implement a different means of electing its Leader. Miliband will be fully aware, however, that many members of the public do not feel that the pay of the “super-rich” is fair, and indeed this is a concern shared by the Chartered Institute of Management Consultants for both private and public sector. A criticism of the ‘One Nation’ speech is that it is something which potentially could be attractive to workers, if there were an emphasis on building affiliations of working class individuals in communities consistent with Maurice Glasman’s goal for Blue Labour, but New Labour and Progress (amongst others) will be keen to ensure that ‘One Nation Labour’ is also attractive to floating voters who might otherwise not vote for Labour. A number of Union leaders broadly welcomed the speech, ranging from full-on acceptance to caution saying that it was lacking in policy. While Vernon Bogdanor in the New Statesman in an article entitled “Half echoes of the past” this week has warned that Labour should perhaps be keen to keep a safe distance from Blue Labour, it is likely that Jon Cruddas will not wish to see any watering down of socialism and working class values in the policy review, whatever the recent history of the Labour Party.

The political process.

There is of course a concern that ‘for one nation’ to succeed, it has to do so on a number of levels. Harriet Harman in Progress Online described it as, ” With the Tories’ collapse in Scotland, Wales and much of the north, and Labour making progress again in the south, we are now the only ‘one-nation party’.” This is reflected in Ed Miliband’s observation that, “So we must be a One Nation party to become a One Nation government, to build a One Nation Britain. “Currently, in the three southern regions, where Labour have 24 target seats, Labour have only 10 Labour MPs and far fewer councillors. Here, the Fabian policy document, “Southern discomfort again” might provide some useful clues in particular about how Labour might form new connections with potential voters:

“Any party seeking to recover from electoral defeat has to develop a coherent analysis of why it lost, and what ought to be done to put it right. For a decade after New Labour’s 1997 election triumph, the Conservative Party refused to listen to voters and, as a consequence, suffered its worst sequence of election defeats since 1832. In the 1950s and the 1980s Labour made a similar mistake which condemned it to long periods out of power. If the party is to escape the impotence of opposition, it will need to shape a political strategy that will enable it to win next time.”

The critical aspect about all of this, thankfully, is that Labour has got time on its side. There is no point in Labour publishing its policies way in advance of 2015, particularly since the economic performance of the UK is declining by the second (as illustrated in the latest Labour initiative, “the borrowing counter”). Labour has said it regrettably that it would not be able to reverse many of the cuts, such as the closure of the law centres, or certain NHS institutions being abolished (e.g. PCTs or SHAs), but the approach taken by Ed Miliband indeed is a practical one for the time-being. Ed Miliband’s leadership is now a curious mixture of ‘charismatic leadership’ and ‘crisis leadership'; ‘charismatic’ in that Ed Miliband pulled off a performance which meant that people have not written him off, and seem prepared to give him and Labour a chance, despite Labour’s potential mistakes, because the Coalition’s performance has been so poor. If a week is a long time in politics, two to three years constitute an ever longer period.

The 'One nation' of Ed Miliband is essentially about rebuilding the economy, rebuilding society and rebuilding politics



There are a number of overly-complicated accounts of what ‘One nation’, in its latest reincarnation, is about. One interpretation of ‘One nation’ is that it is literally that; scottish citizens can feel proud that ‘Team GB’ has won another Olympic medal, an example which Ed Miliband actually gave in his conference speech. The general consensus  is that the speech was very well delivered, but lacking in firm policy. This is clearly unfair as a number of examples were given in that speech given last Tuesday, and Labour is currently undergoing a detailed, complicated, policy review, being led by Jon Cruddas.  Describing the next steps in Labour’s policy review, Ed Miliband has said it would focus on three themes: rebuilding the economy, rebuilding society and rebuilding politics. Jon Cruddas has indeed previously provided that, “For me, politics is more about emotion than programme; more groups, community and  association- imagined as well as real- rather than theoretical or scientific.” The significance of this is not to be underestimated, as the three planks of policy review, namely economics, society and political process, if executed correctly, would be more than sufficient to rebuild ‘One Nation Labour’. What is clear is that ‘One Nation Labour’ is not a slick re-branding exercise; it could provide a natural break from the neoclassical or neoliberal approach taken by New Labour, and it is clear that Ed Miliband wishes to make it a sustainable political ideology for the party which he leads.

The economy

Peter Kellner argues that Labour needs a new doctrine of equality.

Kellner argues that,

“If Britain is to remain a part of the global economy, in which trade and investment ignore national boundaries, it will struggle to fight the forces that are driving low incomes further down, and high incomes further up. Symbolically, we can and should clamp down on the worst excesses, such as bankers’ undeserved bonuses; and more could be done to banish poverty by, for example, raising the minimum wage and enforcing it properly. But these policies will make only a slight difference to the normal measure of income inequality, the Gini coefficient.”

There have been countless descriptions of why the deficit exploded in the global financial crisis of 2008/9. For example Nick Thornsby describes that,

“Whatever Ed Miliband’s claims, the Labour party clearly have to take a significant share of the responsibility. Firstly because the government was spending more that it was taking in before the recession, clearly putting the UK in an unusually bad position (by international standards) when the recession began. And secondly – and more significantly – because they assumed they had done away with the business cycle – they believed they had “abolished boom and bust” – when actually the truth was that Britain was living through an enormous boom, and consequently underwent an enormous bust in 2007.”

Peter Kellner has further argued that,

“Labour has less to worry about on that front (though other YouGov data suggest that the party is vulnerable to the charge that it is too soft on illegal immigrants and welfare claimants). On the other hand, it can’t shake off the charge that it messed up the economy when in office; but there’s not much it can do about that now. What Ed Miliband does need to do is persuade voters that he heads a competent team that is in touch with their own supporters, that Labour has learned from its failures in office, and that he, personally, has the backbone as well as strength of purpose to take the tough decisions that will enable it to govern Britain effectively.”

Ed Miliband has some economic priorities for this.

The Guardian noticeably gave its support for Ed Miliband in his approach to banking regulation. Ed Miliband does not feel that the Coalition has gone far enough in implementing the recommendations by Sir John Vickers, and interestingly the Guardian editorial uses an experience from across the Atlantic to support its argument:

“… , Congress has failed to put in place a coherent set of rules to offset the eye-watering amount of money the Obama administration pumped into the banks, leaving the US with much the same arrangements as before the Lehman Brothers crash. Banks, awash with cheap funds, lend to the same people under the same rules and pay the same bonuses to their executives. Senators Dodd and Frank, who put their name to the new banking regulations, have sadly found their legislation lobbied to death, increasing the danger of another crash in a few years. Miliband is right to say the same is happening in the UK.”

Sustainability is critically another key factor. In law, there is a duty of directors to promote short-term profitability, as judged by the shareholder dividend, and sometimes corporates can prioritise this above business ethics. For example, it is said that it was many years before RH Tawney defined socialism in terms of its objective of resistance to the market and its constraints to private profit. He had identified two approaches: ethical and economic. The ‘responsible capitalism’ narrative, firmly footed in the ‘strategy and society’ work of Prof Michael Porter from Harvard concerning how corporates can be good citizens like everyone else, was of course famously introduced by Miliband in his 2011 conference speech in Liverpool. There has always been disquiet about why corporate citizens should voluntarily wish to embrace good citizenship, but the recent LIBOR scandal has demonstrated how potentially the City could lose its competitive advantage by not being a safe place to do business.

I spoke to an expert in wealth management at a Fabian Society event last week and he echoed what a fellow panel member from Which? suggested – that corporates, including banks, could publish transparently hard data on its business activities, such that customers could make an informed choice as to whether to transact with them (this is otherwise known as the “differentiation” strategy). Miliband interestingly highlights that it could be possible to legislate for this: “You see businesses tell me that the pressure for the fast buck from City investors means they just can’t take the long view. They want to plan one year, two years, ten years ahead but they have to publish their accounts in Britain every 3 months. In line with the wishes of the best of British business, we will end that rule so companies in Britain can take the long term productive view for our country.” Also notably, Ed Miliband has also started a debate about immigration within Europe, and the effect particularly that the behaviour of some some multinational companies and recruitment firms in employing workers with poor standards, for example: “So the next Labour government will crack down on employers who don’t pay the minimum wage. We will stop recruitment agencies just saying they are only going to hire people from overseas. And we will end the shady practices, in the construction industry and elsewhere, of gang-masters. So we need a system of immigration that works for the whole country and not just for some.”

The society

Welfare for many in Labour will be of concern; disabled citizens are irritated that their living allowances have been mixed up with the “lazy benefit scrounger” rhetoric, particularly as disability living allowance is not an employment allowance. Many have felt indeed that welfare might be the next “big” issue, closely after the NHS and the economy, particularly after the handling of work capability assessments by ATOS.

The NHS is often cited as a “national treasure”, but certainly an institution which is well cherished amongst the vast majority of members of the British Public. In relation to this, it is indeed interesting that Jon Cruddas, when talking about institutions in general, says, “… socialism is about the creation of institutions that allow us to self realise, to flourish. Vaclav Havel once said that we ‘ are capable of love, friendship, solidarity, sympathy and tolerance…:we must set these fundamental dimensions of our humanity free from their ‘private’ exile and accept them as the only genuine point of meaningful human community’.” It is indeed particularly noteworthy that Ed Miliband wishes to repeal the Health and Social Care Act (2012), and to eliminate competition from the NHS. While it appears that Ed Miliband will keep NHS Foundation Trusts and commissioning in some form (possibly through retention of the clinical commissioning groups and the NHS Commissioning Board), Miliband appears to signalling that activities in the NHS will not be caught by the competitive legal definition of the word “undertaking” in domestic and European law, and Labour will return to a NHS built on traditional values as provided in the speech: “Not values of markets, money and exchange but values of compassion, care and co-operation.” This is fundamental, as it appears that Miliband and Burnham would be prepared to legislate for the NHS, asking existing structures to do different things, to avoid another costly reorganisation of the NHS which could potentially cost billions, at a time when England is struggling to meet the efficiency demands of the Nicholson challenge anyway.

Ed Miliband admits that the focus on universities was incorrect, in that 50% of individuals were failed by an academic drive which put little value in vocational qualifications. Andrew Adonis in “Education, Education, Education” has certainly started the ball rolling, and the growth of a skills-based economy (and indeed the Technical E-Bacc which Adonis himself is an architect of), and the idea that the private sector would have a psychological and social contract with the state is indeed a concrete policy proposal. Labour latterly has tried not to use the term “industrial policy” of late, but the issue that Ed Miliband does not see a distinction between private and public sector is a useful one in framing the future policy. No vested interest will be overly powerful in Miliband’s one nation; whilst Ed Miliband explicitly refers to bankers (and he has said that he will work closely with anyone wishing to introduce a ‘mansion tax’), Miliband is mindful that members of the Unions only constitute 40% of Labour’s funding, and that Conference last year agreed to implement a different means of electing its Leader. Miliband will be fully aware, however, that many members of the public do not feel that the pay of the “super-rich” is fair, and indeed this is a concern shared by the Chartered Institute of Management Consultants for both private and public sector. A criticism of the ‘One Nation’ speech is that it is something which potentially could be attractive to workers, if there were an emphasis on building affiliations of working class individuals in communities consistent with Maurice Glasman’s goal for Blue Labour, but New Labour and Progress (amongst others) will be keen to ensure that ‘One Nation Labour’ is also attractive to floating voters who might otherwise not vote for Labour. A number of Union leaders broadly welcomed the speech, ranging from full-on acceptance to caution saying that it was lacking in policy. While Vernon Bogdanor in the New Statesman in an article entitled “Half echoes of the past” this week has warned that Labour should perhaps be keen to keep a safe distance from Blue Labour, it is likely that Jon Cruddas will not wish to see any watering down of socialism and working class values in the policy review, whatever the recent history of the Labour Party.

The political process.

There is of course a concern that ‘for one nation’ to succeed, it has to do so on a number of levels. Harriet Harman in Progress Online described it as, ” With the Tories’ collapse in Scotland, Wales and much of the north, and Labour making progress again in the south, we are now the only ‘one-nation party’.” This is reflected in Ed Miliband’s observation that, “So we must be a One Nation party to become a One Nation government, to build a One Nation Britain. “Currently, in the three southern regions, where Labour have 24 target seats, Labour have only 10 Labour MPs and far fewer councillors. Here, the Fabian policy document, “Southern discomfort again” might provide some useful clues in particular about how Labour might form new connections with potential voters:

“Any party seeking to recover from electoral defeat has to develop a coherent analysis of why it lost, and what ought to be done to put it right. For a decade after New Labour’s 1997 election triumph, the Conservative Party refused to listen to voters and, as a consequence, suffered its worst sequence of election defeats since 1832. In the 1950s and the 1980s Labour made a similar mistake which condemned it to long periods out of power. If the party is to escape the impotence of opposition, it will need to shape a political strategy that will enable it to win next time.”

The critical aspect about all of this, thankfully, is that Labour has got time on its side. There is no point in Labour publishing its policies way in advance of 2015, particularly since the economic performance of the UK is declining by the second (as illustrated in the latest Labour initiative, “the borrowing counter”). Labour has said it regrettably that it would not be able to reverse many of the cuts, such as the closure of the law centres, or certain NHS institutions being abolished (e.g. PCTs or SHAs), but the approach taken by Ed Miliband indeed is a practical one for the time-being. Ed Miliband’s leadership is now a curious mixture of ‘charismatic leadership’ and ‘crisis leadership'; ‘charismatic’ in that Ed Miliband pulled off a performance which meant that people have not written him off, and seem prepared to give him and Labour a chance, despite Labour’s potential mistakes, because the Coalition’s performance has been so poor. If a week is a long time in politics, two to three years constitute an ever longer period.

Miliband's strategy on immigration surprisingly makes sense



 

 

As a political issue, it’s a bit unpredictable when immigration becomes ‘newsworthy’. It festers away for ages, until something happens, like there is a fiasco by the Borders Agency, or Gillian Duffy interrogates a hapless Gordon Brown on a walkabout. Bloggers and expert commentators are prone to think ‘what’s new?’ with every policy announcement from a think-tank about immigration, but most largely agree it’s an issue that Labour should at least have a view on it.

 

It’s very easy to formulate the issues in terms of the macroeconomics of multi-national companies, and the economic contribution of specialised and non-specialised workers and employees within the economy. It’s also intellectually possible to enmesh with this a large warning about globalisation and insecurity, as the academic powerhouse ‘Blue Labour’ have tried to do. It’s less easy to explain why immigrants can sometimes be perceived to ‘leapfrog’ ‘home-grown’ citizens on a housing ballot because of their points amassed by having children or living in hostels. It’s far less easy to put somebody else from voting BNP in a run-down council estate where there is a genuine problem with poverty or prostitution and to explain coherently why their Tory, LibDem or Labour councillor has never bothered to visit.

 

The immigration debate is unnecessarily complicated by a legalistic need to observe free movement of workers under European law, but law is perhaps helpful in stopping multi-national corporations from employing cheap immigrant labour under the minimum-wage. It is difficult for Ed Miliband to explain his view of immigration without somehow being accused of being hypocritical or racist by his enemies. It is undesirable for Ed Miliband to wish to be seen to ‘profit’ from the issue, but it is a ‘doorstep’ issue in the same way it apparently is brought up daily with Labour councillors in surgeries, like the economy or the NHS.

 

The way Ed Miliband has approached this is entirely in keeping that change politically in the UK tends to be slow to be effective. I feel clues can be found in fact from Ralph Miliband and the ‘New Left’ movement, but Ed Miliband’s mission is not apparently an intellectual one but a pragmatic one. Miliband has spoken not only about the possible economic contribution of immigrants, in the sense of the Polish shopkeeper running successfully a small business employing people, but has deliberately tried to avoid the notion that all immigrants are from Eastern Europe and/or are ‘benefit scroungers’. The tightrope of standing up for immigrants and being overtly racist is an awkward one.

 

I feel that Miliband’s emphasis on building communities is central here. Sure, Miliband wants to be able to look a voter in the eye and say if necessary his or her own job is not being stolen by cheaper immigrant, but it is most intriguing how Miliband has in fact emphasise social capital, the value to be attained from being cohesive communities in the UK. This is possibly because Miliband is fully aware of the power of unions as a social capital, consistent with his notion of ‘responsible capitalism’. However, I feel strongly it is no accident at all that Miliband has tackled head-on one of the main reasons why his father rejected Labour in the 50’s that of rejection of the supremacy of the capital markets. This could explain also Miliband’s ideological rejection of ‘crony capitalism’ that lies at the feet of News International and Barclays. Miliband in final hustings at Haverstock Hill Comprehensive School, prior to being elected as leader, said that he desired the Unions to be no longer viewed as the ‘evil uncle’ of Labour, and it is clear that we wishes to put the Unions at the heart of building the UK in time. He clearly cannot do so at the moment because of the media’s obsession with the unions being disruptive and striking.

 

Make no mistake, Miliband’s strategy is fundamentally a subtle one, but a very clever one which embraces a lot of strands of coherent pragmatic ‘New Left’ policy. I’m pretty confident that as a programme it will ‘grow on people’. People voted for Nick Clegg as an abreaction to Gordon Brown, to a large degree, but Ed Miliband presents a programme which is far from a ‘quick-fix’. For this, many people wish him to succeed on the progressive left, and time will tell. It is a much more convincing approach than the knockabout of George Osborne, with accusations in the Spectator which he cannot substantiate in public. Whilst the public tire of the hate campaign of Osborne towards Balls, Miliband is free to develop a healthy ideological agenda for Labour as a party to govern the UK. And, yes, you’re correct, this New Left movement is ideologically the opposite of New Labour.

 

 

 

 

Ed Miliband’s speech: “Ed Miliband: Labour got it wrong on immigration” June 2012

@thefabians summer #fringe #DragonsDen #Lab11 #conf



Four pitches were presented to the three #Dragons from @thefabians at lunchtime today. The Dragons were Luke Akehurst, Hazel Blears, and Anthony Painter, with Emily Thornberry MP, as Chairman.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

David Goodhart, ‘Editor-at-Large’ of Prospect, urged more skepticism about mass immigration. He argued in his short pitch that Labour should remain a “pro-immigration” party, but should have a ‘pause’ (and consider net flows); the inward immigration flux hds put pressures on less paid people. David cited that very important skilled work for the Olympics is being done by non-citizens; this leads to the impression that we are not protecting national citizens.

David felt that there must be more emphasis on citizenship – there should be “a five-year wait” of citizenship depending on successful National Inurance contributions. Anthony Painter –  co-author of Searchlight’s Fear and Hope report – reported that he had indeed identified this as cultural problem, as well as insecurity regarding macroeconomic factors. Anthony argued that it was now necessary to unpick the problems. Hazel Blears MP liked the idea a lot, feeling that David’s pitch resonated with her immediate experiences on the ‘doorstep’ at Salford, and mentioned briefly that it was perhaps a very good idea that Turkey should become more involved in Europe for both economic and socio-cultural progresion.

Daniel Elton, Managing Director of Left Foot Forward, presented a superb solution to an emergent issue energy management. The ‘energy crisis’ has witnessed bills going up, with reater fuel poverty, according to Daniel. Daniel felt that the energy market is “somewaht broken.” Daniel urged for a need ofor a practical solution in breaking up the power of the suppliers, encouraging competitive rivalry and a more balanced power relationship between the customer and supplier. Daniel advanced his thesis that the current market ha the actual effect of stopping new entrants to the market. NHS should utilize economies of scale and buy a huge amount of energy.

The pitch was extremely well received by all four Dragons. Anthony Painter loved this argument, because he felt that this would indeed be a great way to introduce new entrants into the economy. Anthony also provided that there is a strong nvironmental rationale for Daniel’s proposal. Hazel said rather pointedly that public utilities are perceived as being “mono-lithic” or “anti-competitive”, and that this provided a reason why they were broken up according to Blears. Furthermore, Hazel provided evidence that energy bills had recently gone up by 18%. Luke Akehurst, himelf a member of the NEC, believed that “there is a kernel of an extremely good idea“, as “fuel prices impact upon absolutely everyone in society“.

Two further political entrepreneurs attracted the attention of the four @thefabians Dragons in a good way. Sally Gimson, who recently won the Highgate by-election, urged the need to set up “victims commissioners” who could represent victims. Sally felt that such victim commissioners should be affordable in this “age of austerity”. In many places, this would allow a greater representation in #accesstojustice, through a personal statement. Finally, Will Cook, a very active Labour activist,  pitched the right of every worker to start to business after five years’ worth of National Insurance. Will felt that the majority of people should start their own business.

Daniel Elton won the informal competition overwhelmingly with 27 votes.

 

Things mustn't get any worse: the new Labour dream?



“I’m Labour, or I was Labour, and I sympathise, but there’s no fairness, no fairness, it’s absolutely ridiculous. Millions of immigrants have come in and it’s making everything harder”, though there was also a firm and contradictory response: “I don’t think so, that’s all a bit of hot air. A lot of foreign workers do jobs British workers don’t want”.

These were the now immortal words uttered by Gillian Duffy in Rochdale.

2010 was indeed a far cry from this.

The 2015 election makes very grim reading for us. The Fabians’ “Southern Discomfort Again” pamphlet published today provides that,

“At the 2010 Election, there was almost a wipe-out of Labour seats in Southern England, where almost half of British constituencies are located. 13 seats were lost in the South East, 8 in the South West, 11 in the East, 14 in the West Midlands and 11 seats in the East Midlands, a total of 57 seats or nearly two thirds of Labour’s overall loss of 91 seats. Indeed, the Labour party now has no MPs whatsoever in Cornwall, Somerset, Wiltshire, Dorset, West Sussex, East Sussex, Kent, Essex, Suffolk, Norfolk, Cambridgeshire, Northamptonshire, Rutland, Warwickshire, Buckinghamshire, Hertfordshire, Gloucestershire, Worcestershire and Herefordshire.”

The Fabian Society published its long-awaited “Southern Discomfort Again” report today. The survey results and discussion are available here. Lord Giles Radice and Dr Patrick Diamond from Oxford were the co-authors. Lord Radice is pictured here in our meeting at 1 George Street, Westminster. SW1.

Our next election will be in 2015, 18 years away from Tony Blair’s dream of 1997. Tony Blair and Alastair Campbell were possibly at the right place at the right time, with a country absolutely sick to the back teeth of the Conservatives. Note that this is different to the current situation, where the Coalition, according to all the polling evidence, appears to be popular, as it has a credible policy for reducing the deficit, and, overall, the general public support the idea of people working together in the national interest, as evidenced by David Cameron’s populist speeches at Conference. Tony Blair tapped into a mood of optimism, and, more importantly, aspiration; and the county ran with it. The mood in 2011 is very different, and Labour has to recognize this. The buzzword now is ‘insecurity’, both in social and cultural terms. Gillian Duffy’s comments touch on one plank of this; immigration in itself, with its repercussions on employment. Actually, it touches on another plank, housing. Interestingly, Labour has become known as the party of the benefit scroungers, immigrants and the Unions. Clearly, Labour has failed to make the “globalism is good” argument, and the benefits of free movement of Labour was not even attempted by Phil Woolas MP in the last parliament.

Labour would therefore be advised to be sensitive to the feeling of insecurity by their voters. And who are their voters? For the first time, last Election, according to YouGov, the middle classes overtook the working classes in voting for Labour. It would be sensible to highlight the social implication of cuts, because there is the outside risk for Labour (and of enormous benefit to the country at large) that drastic benefit reduction might indeed ‘work’ without seeing adverse effects in unemployment. If the economy goes belly-up (we are assured by Cameron and Osborne, reflecting on Ireland inter alia, that it won’t), Labour will be home-and-dry. If not, it’s going to be ‘quids in’ for all involved in the Coalition; in particular, Nick Clegg MP. They will be able to play ‘well, it was unpleasant, but the country is much more better off now, and we can pay for more nurses and teachers now?’ card.

Labour should be ready for a long period of opposition, until proven otherwise. I feel that this will give Ed Miliband sufficient time to sort his team out. There are issues to be debated, such as the degree to which ‘creeping marketisation’, much despised by Ed Balls MP, will be avoided by Ed Miliband. As for the psychodrama, one can speculate ad nauseam on whether Ed Balls will support Ed Miliband, but the future direction taken by John Healey and Alan Johnson, for example in opposing NHS ‘privatisation’, will be necessary. There are some of course, perhaps Tony Blair included, who feel that some sort of corporate restructuring and business ethic in the NHS is needed. It may be there is a long haul ahead, which will give time for Ed Miliband to work Angela Eagle MP up from Shadow Chief Secretary to the Treasury to Shadow Chancellor, in time. As Alan Johnson MP readily admits, he is currently reading a primer on economics, but is possibly the best person to oppose the Comprehensive Spending Review as a politician at this particular moment in time.

We need to consider carefully why we lost an election. Whilst I am an ardent fan, I recognize that 13 years was quite long enough for people who felt that Labour had run out of steam following 2005-2007, and that Gordon Brown, whilst good at leading economics seminars (although he probably lost on the £6bn point, in fact) was not an inspirational leader. I feel that the lower middle classes feel disenfranchised, still have aspiration, but are faced with massive insecurities now, which the left need to address. Furthermore, Labour can’t duck away from the fact that, despite having successfully made in-roads into restoring its reputation, has become perceived as ‘economically incompetent’ again. Ironically, the report on waste in government, which Labour actually commissioned, was published today.

Liam Byrne and Ed Miliband will be trying to make sense of all of this.

Dr Shibley Rahman

Queen’s Scholar, BA (1st.), MA, MB, BChir, PhD, MRCP(UK), LLB(Hons.), FRSA
Director of Law and Medicine Limited
Member of the Fabian Society and Associate of the Institute of Directors

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This is no time for a psychodrama



One thing that I am sure that the Sky party at my conference was high on was gossip. Reporters such as Nick Robinson, Laura Kuenssberg and Adam Boulton would have been interested in the psychodynamics of the relationship between David Miliband and Ed Miliband. There’s no hiding the fact that the Ed supporters were jubilant. At best, Ed Miliband is ‘Red Ed’, despite the fact that most experienced political journalists converge on the notion that Ed is more right-wing than people first imagine, and likewise David is more left-wing than you would expect. Whatever purported media-zappy ‘rifts’, this is nothing compared to Brown and Blair, and while the idea of a Mandy media seems cute, no pseudo-Machiavellian candidates have emerged from the wings.

I met Audrey outside the conference centre aka Starbucks yesterday. A very nice lady from Kent who’s Labour (and socialist) through-and-through. She had received a setback originally that John O’Donnell was not able to stand, but quickly Her badges on her lapelle though gave away her loyalties, quite possibly.

The sore message for the reporters that we have a strong history in the Unions, that we are proud of. Ed Miliband was backed by his unions, but so were the other candidates. Welcome to the Labour Party sunshine! The thing is Ed and David are likely to wish to destigmatise membership of the Unions, and emphasise how the Unions serve as the important interface between workers and their management. This is a critical issue in modern corporate governance, and anyone who knows the history of this save for the psychodrama headline grabbing antics of Lord Myners, will know that modern English corporate governance introduced non-executive directors for that reason.

Sure, there are members of my party who are jubilant, and really pleased that Ed won. I have previously set out my reasons for doing so. If David Miliband wishes to leave the Shadow Cabinet, that is his decision, and there is no doubt he could get a lucrative job elsewhere, such as in Europe. Others have tweeted to me this is a personal decision that is essentially a personal decision as well as one for our party; it’s up-to-him to decide. Ed Miliband has made his views known, and you can’t say fairer than that.

Meanwhile, Ed Miliband will be seeking to govern the country as well as the Party (and the Unions). As Tim Horton, Research Director for the Fabian Society, has advised, major policy issues await for the rejuvenated Labour Party, in an article “How to win on values”. These issues include immigration, benefit fraud, localism and diversity in public services. However, there is no doubt that Ed will wish to seek out some clues as to his response to the banking crisis, the future of banking regulation, poverty, inequality, and the unions, if his campaign is anything to do by.

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