Nhs

Monday

James Forsyth

Clegg shifts into NHS attack mode

The letter from Nick Clegg and Shirley Williams to Lib Dem MPs and peers raises several interesting questions. The first of which is why did Clegg champion these health reforms back in the day? Four days after the first reading of the bill, the deputy Prime Minister had this exchange with Andrew Marr: Andrew Marr: ‘Huge change to the NHS just coming down the line. Was that in the Liberal Democrat manifesto?’ Nick Clegg: ‘Actually funnily enough it was. Indeed it was.’ Second, how does the Clegg-Williams claim that ‘This is not the Bill that we debated as a party last March’ fit with the Tory line that the amendments to

Friday

Jonathan Jones

Tim Farron wants competition dropped from the Health Bill

Will there be further changes to the Health and Social Care Bill? Liberal Democrat President Tim Farron certainly wants some, as he told ITV’s Party People last night: ‘If the new competition introduced through this Bill is removed, then I think it’s better on the books than it is off it… What I want is for the Lords to propose changes that will remove the new competition elements from the Bill and I would like the Government to give way on those things. It’s all to play for.’ Farron’s echoing the call made by fellow Lib Dem Shirley Williams last week and by a group of activists who have submitted

Thursday

James Forsyth

The tension’s rising inside the coalition

Talking to a Downing Street adviser earlier this week, I was struck when they observed that a ‘2014 election wouldn’t be too bad really. David would have done his best, Nick would have done his best. But they just couldn’t make it work anymore.’   The Tories have spent some time recently contemplating the possibility that the coalition might not run for the full length of the parliament. At a recent Chequers away day, the prospect of the Liberal Democrats walking out in 2014 was openly discussed.   That this possibility is even being talked about is revealing of the mood inside the coalition, which is the subject of my

Wednesday

Lloyd Evans

Miliband snipes, Cameron deflects, Bercow bobs

Let’s be honest. I shouldn’t say this but I can’t help it. I’m fed up. The NHS reform process has been dragging on for months, and still there’s no end in sight. Ed Miliband brought it up at PMQs for the third week running. The position remains the same. Miliband loves it. Cameron lives with it. The PM claimed that 8,200 GP practices are now practising his reforms and the Labour leader replied with a list of professional bodies — nurses, doctors, midwives, radiologists — who oppose them. And that’s exactly the trouble, for me, at least. If the issue were a race-horse some crazy campaigner would plunge beneath its

James Forsyth James Forsyth

Miliband revels in his NHS attack

Today’s PMQs was a reminder that whenever Ed Miliband goes on the NHS he is guaranteed a result. Indeed, I don’t think I’ve ever seen Miliband enjoying himself as much in the chamber as he was today. When Andrew Lansley leaned over to try and tell Cameron the answer to a question, Miliband mockingly remarked ‘Let me say to the Health Secretary, I don’t think the PM wants advice from you’. As Cameron’s assaults became more direct, Miliband did not — as he often does — go into his shell. As he sat down at the end of it all, the Labour leader had to push down on his knee to

Tuesday

Peter Hoskin

Nick Clegg’s NHS squeeze continues

As I said last week, Nick Clegg is in a tricky position when it comes to this Health Bill. Thanks to the concessions that he secured and welcomed last year, he can’t now just slander it outright. But thanks to the concerns of his own party, he will also be reluctant to endorse it in full. The result is the sort of ambiguous performance that the Deputy Prime Minister put in on ITV’s Daybreak show this morning. He did get stuck into Labour for their ‘outrageous’ misrepresentation of the reforms. But when it came to actually supporting the Bill, it seemed to me that he used generalisations — such as,

Monday

Peter Hoskin

Miliband guarantees a return to Brown’s Big Idea for the NHS

It would be so much easier for Ed Miliband to attract headlines if he could shout in Andrew Lansley’s face. As it is, the Labour leader has had to make do with giving a speech today attacking the NHS reforms. Within the parameters of what he might say, it’s an okay effort. The predictable lines about ‘creeping privatisation’ are leavened by the admission that ‘the question is not reform or no reform. It is what type of reform.’ And he adds, by way of a cross-party sweetener, that he would ‘get round the table’ with David Cameron to discuss ‘the future of the NHS’. But the substance of the speech,

Peter Hoskin

A question of trust for Andrew Lansley

It’s not too surprising that people trust ‘organisations representing doctors nurses and other health professionals,’ well above David Cameron and Andrew Lansley, when it comes to the NHS reforms. People are sceptical of politicians in a way that they aren’t of the health service, its unions and its workers. 64 years of ‘national religion’ status for the NHS, and many more years of gross political let-down, have made sure of that. But today’s YouGov findings still shine a fresh light on Cameron and Lansley’s changing approach to the reforms. A year ago, they clearly looked at charts such as that above and thought, ‘Woah, we’d better get those organisations on

Sunday

James Forsyth

Tory Ministers need to back the Health Bill

Tomorrow’s Downing Street meeting on the implementation of the health reforms is meant to send the message that the bill is definitely going ahead. Number 10 is keen to shore up the bill ahead of Liberal Democrat Spring Conference following the uncertainty caused by Rachel Sylvester’s column and Conservative Home’s call for the bill to be dropped. Indeed, I understand that at the Quad dinner on Monday night, Nick Clegg and Danny Alexander made the basic political point that the Liberal Democrats would feel absolved of the need to support the bill if any Tory minister came out publicly against it. But Tory ministers still need to muster more public

Friday

Peter Hoskin

Miliband’s NHS pledge

Ah, there he is! With the coalition — and David Cameron — dominating the political news on every day of this half-term week, Ed Miliband has finally caused a ripple in the national consciousness. He’s appearing before nurses in Bolton today to make a pledge: ‘Before he became Prime Minister, David Cameron concealed his plans for creeping privatisation of our National Health Service. So people didn’t get a vote on these plans at the last election. But I give you my word that if he goes ahead, they will be a defining issue at the next.’ Put aside the rhetoric about ‘creeping privatisation’ (which would surely make Tony Blair shudder),

Monday

Peter Hoskin

Nick Clegg’s NHS squeeze

Andrew Lansley’s career prospects were boosted yesterday — when Simon Hughes said that he should ‘move on’ after the NHS reforms have been implemented. Since then, Downing Street has redoubled its defence of the Health Secretary; with a spokesman explaining tersely this morning that, ‘Simon Hughes speaks for himself ’. And Nick Clegg himself has added that, ‘Andrew Lansley is the architect of the NHS bill. He cares passionately about the NHS. He’s the right man for the job and he must see it through.’ Clegg’s general support for the Bill — and Danny Alexander’s — is worth noting because it’s one of the factors helping David Cameron hang on

Sunday

Peter Hoskin

Lansley’s holding on — for now

After originally deploying Sayeeda Warsi against ConservativeHome’s anti-Health Bill sentiment, David Cameron is now doing his fighting for himself. He has an article in today’s Sunday Times (£) that says, with no equivocation, ‘I am at one with Andrew Lansley, the reform programme and the legislation going through parliament’. And, aside from that, it’s also an unusually spirited explanation of just what the government plans to achieve by these reforms. Much better than Cameron’s wavering performance in PMQs on Wednesday. For all its spirit, though, this article doesn’t come across as angry. There is a mention for ‘today’s opponents of reform,’ but nothing that could really be interpreted as a

Friday

Fraser Nelson

Lansley’s battle should’ve never been fought

A small war has broken out over Lansley’s NHS Bill — ConservativeHome has three Cabinet members attacking it. I find that shocking. At least a dozen want the Bill killed, and why ConHome found just three is beyond me. Politically, it’s probably impossible for Cameron to drop it. But if it was torn up, I for one would shed no tears. For what it’s worth, here’s my take. It’s depressing to think that Alan Milburn’s NHS Plan of 2000 was both more radical and more sensible than what Andrew Lansley is serving up now. The whole debacle has shown politics at its most petty, partisan and pointless — a complete

Peter Hoskin

Lansley’s health problems are starting to look terminal

The discontent with Andrew Lansley’s health reforms has been rising since the New Year. But, one or two threatening quotations aside, most of this has come from the government’s natural opponents: Labour and the unions. That changes today. Over at ConservativeHome, Tim Montgomerie has written a post calling for the Health Bill to be dropped. It is, Tim says, ‘not just a distraction… but potentially fatal to the Conservative Party’s electoral prospects.’ And he finishes: ‘It must be stopped before it’s too late.’ This would be striking enough by itself, but its impact is doubled by a single sentence: ‘Speaking to ConservativeHome, three Tory Cabinet ministers have now also rung

Wednesday

Lloyd Evans

In PMQs, Cameron plays for a draw on the NHS

How much does it cost to change a light bulb? Three hundred quid, said David Cameron at PMQs today. Ed Miliband came to the House eager to pile more pressure on the PM and his unloved NHS restructuring plan. Cameron fought back by citing the health bungles Labour presided over while in office. Billions wasted on kaput computers. Hundreds of millions blown on phantom operations. And dead light bulbs that cost more to replace than a week’s holiday in Spain. Cameron’s tactics were better than in previous weeks. Rather than citing some lone wolf medic who supports his reforms he gave us a surprise announcement, albeit unsourced. ‘Ninety-five per cent

James Forsyth James Forsyth

Miliband gets the better of Cameron on the NHS

As expected, Ed Miliband went on the NHS and it helped deliver him a points victory. Whenever Miliband raises the issue at PMQs, David Cameron’s rather overly macho body language gives away that he knows he is playing on a sticky wicket. The exchanges today were not particularly enlightening but Miliband had the better of them. There was, though, one effective counter-attack from Cameron where he compared what is happening to the NHS in England to what is happening in Wales where the devolved administration is sticking with the status quo. There’s mileage in this argument if the coalition has the patience to develop it. But part of the problem

James Forsyth James Forsyth

Miliband to keep pressing on with his NHS attacks

The last PMQs before recess gives Ed Miliband a chance to have another go at the coalition’s NHS reforms. I suspect that the ‘Andrew Lansley should be taken out and shot’ quote that appeared in Rachel Sylvester’s column (£) will make an appearance at some point.   Miliband will keep going on the NHS because he knows it is one of the Tories’ biggest vulnerabilities and one of the few subjects on which Cameron isn’t confident attacking. Based on past performance, any PMQs where the focus is on NHS reform will produce at least a score draw for the Labour leader.   But I still don’t expect Cameron to move

Tuesday

Richard Marsh

No-one emerges from the health reform smash-up with any credit

Andrew Lansley should be grateful for small mercies. Rachel Sylvester’s column (£) today may quote a Downing Street source to the effect that ‘Lansley should be taken out and shot’, but there is yet no sign that a hundred Conservative MPs will write to the Prime Minister to say that the Health Secretary’s reforms have to stop. We’ve had such a letter for wind farms and for Europe, but on the NHS it’s not very likely. Most Tory MPs find the NHS a difficult rallying point at the best of times. And these are the worst: they are acutely embarrassed by the car-crash that has been the Health and Social

Friday

Sebastian Payne

Higher weekend mortality is not down to Saturday night drunks

You’re more likely to die if admitted to hospital during the weekend. It’s a shocking truth, and one that’s explored further in the Journal of the Royal Society of Medicine today. Last year, as Pete blogged at the time, the 2011 Dr Foster Hospital Guide discovered that emergency patients are 10 per cent more likely to die if admitted at the weekend. Today’s report goes further than that, and finds that patients are 16 per cent more likely to die if admitted on a Sunday as opposed to a weekday — for all admissions, not just emergency. It’s a finding that undermines the idea that the increased mortality rate can be put down