Easy access to the best available health care is important to we old codgers of the allotments. But our concerns at what Andrew Lansley is proposing to do to the NHS extends far beyond the needs of an ageing group, we all fear that, whatever he says, the underlying intention of his ‘reforms’ is a two tier service in which the rich fair well and everyone else suffers. For some time now most of us have been regular visitors to the ’38 Degrees’ website where the protest organisation has attracted almost one million signatures in support of its petition demanding changes to the proposals. In this ’38 Degrees’ has had backing from the British Medical Association.
A few weeks ago an appeal for funding for a legal study of the plans raised sufficient cash for ’38 Degrees’ to engage two top legal experts to examine the small print of the bill which goes befiore parliament shortly. Yesterday their findings were published and one can only conclude that it is as well we didn’t rely on the apparent safeguards provided by Nick Clegg who, under pressure from the Lib Dem conference, had promised to stop any potentially damaging aspects of Lansley’s bill. It seems that the promise was as reliable as the one Clegg gave on tuition fees!
The two barristers, Stephen Cragg QC and Rebecca Haynes QC, make clear that the bill could pave the way for a shift towards a USA-style health care system where private companies profit at the expense of patient care. They particularly stress the implications of Lansley’s plan to remove his duty to provide our healthcare. A new ‘hands-off clause’ removes the government’s power to oversee local commissioning consortia and to guarantee the same level of service wherever we live. The outcome, warn the Barristers, will be huge increases in ‘postcode lotteries’ and less ways for citizens to hold the government to account.
Even more worrying is their verdict on the clauses concerning competition. The NHS will be subject to UK and EU competition law, and the reach of procurement will extend across all NHS Commissioners. Private health care providers will be entitled to take NHS commissiong groups to court if they don’t win contracts. Scarce public money will be tied up in legal wrangles instead of hospital beds. The door will be open for the private (largely American) healthcare companies to challenge for every NHS service. They will only need to win the volume treatments to render every hospital insolvent.
The third point made by the Barristers is that every UK hospital will be free to increase the number of private beds to whatever level they wish. They will be encouraged to liaise with the private sector with a view to maximising profit. And the more private beds, the fewer public ones and the longer the waiting times to occupy them.
Like the rest of us MPs tend to skip the small print. Like us they have probably been reassured by Cameron and Clegg’s double act of deception. But it is now clear that if they pass this bill the NHS as we know it is finished. Lansley is obsessed with the American model. Yes, he is right to cliam that the private companies there provide excellent and comprehensive treatment, what he doesn’t mention is that for the majority of the population, who cannot afford private insurance or fees, the level of care is appalling.
The NHS has improved immeasurably in recent years. But that is beside the point which is that everyone is entitled to the same level of service and money allocated is not drained off to pay shareholders.
The final death sentence for the NHS now rests in the hands of MPs and hundreds of thousands of emails are winging their way thanks to the facility provided by ’38 Degrees’. If, despite the new legal warnings, they decide to back Cameron, Clegg and Lansley a new dark age will dawn in which your chance of recovery from illness rests entirely on the depth of your pocket or purse!
TEST YOUR GENERAL KNOWLEDGE WITH TODAY’S MIDWEEK QUIZ!
1. Mica Paris and who replaced Trinny & Susannah on “What Not to Wear”? 2. Which famous survey started in 1086? 3. From which musical does the song ”One” come? 4. Ronald Reagan was in which political party? 5. Which Stephen directed the movie “Billy Elliot”? 6. In the Bible, what was the prophet Elijah carried up to heaven in? 7. What nationality was Casanova? 8. What was Al Jolson’s most famous line? 9. If a substance is oleaginous what does it mainly contain? 10. Which General led the junta in the 1982 seizure of the Falklands?