How can Nick Clegg recover from defeat in the AV referendum? Andrew Grice considers the
question in his column and reveals that
Clegg is not too bothered about AV: his sight is trained on a bigger prize.
‘A U-turn in the controversial NHS reforms to hand 80 per cent of the budget to GPs and scrap primary care trusts (PCTs). Mr Clegg is convinced that there must be big symbolic changes to
the NHS and Social Care Bill. That would not be good news for Andrew Lansley…He knows that Mr Cameron will demand some changes and is prepared to see a few technical
amendments to the Bill during its passage through Parliament…Mr Clegg’s worry is that the public would not notice fine-tuning. He fears that such a big shake-up, at a time when the NHS will
be under intense pressure to make efficiency savings, would result in the Government being blamed for all the ills caused by the cash squeeze.’
There is a growing sense that Lansley’s reforms are politically unworkable. There is loud talk in Westminster of substantial amendments and intense scrutiny, to which the government is expected to
concede.
This is dangerous territory for Cameron, who has staked a packet of political capital on NHS reform as part of his ‘detoxification process’. If Clegg can take credit for blocking the
‘privitisation of the NHS’, it implies that the Conservatives are not to be trusted, which is unconscionable. One Cameron ally tells Grice that the “we can’t let the Lib
Dems be the coalition’s conscience”. Certainly, the ‘purple coalition’ proposed by Cameroon outriders is a distant memory. Cameron’s closest allies hope to continue
detoxifying the brand without the express help of the Lib Dems; Nick Boles, for example, is writing a new book on the subject this summer. Whether this new blue future contains Lansley and the full
scope of his reforms remains to be seen.
Comments