Jos Bell reports on the latest criticism of health secretary Lansley's "fatally flawed" healthcare bill, from Lord Owen of.
Jos Bell is a co-ordinator for Lewisham S.O.S. NHS
“No society can legitimately call itself civilised if a sick person is denied medical aid because of lack of means” – Aneurin Bevan, In Place of Fear, 1952
The Health and Social Care Bill presents the coalition government with its biggest policy headache to date. Attacked by the British Medical Association and rattled by Liberal Democrat concerns, the coalition have been forced into delaying the bill and launching a “listening” process. They are left in a position described by Ed Miliband today as “utter confusion” on a bill he called a betrayal.
Lord Owen also joined the attacks today, confirming that he has written to the cabinet secretary to complain about the reforms. This follows on from his paper; ‘Yes to the NHS internal market – No to the External Market’, in which Owen criticised almost every aspect of Lansley’s bill. He has even called for the health secretary to be replaced.
Lord Owen is appalled at the destruction of PCTs, challenges Cameron and the coalition on betraying their election promises to preserve the NHS andstates that the bill will mean that the task of achieving integrated care will be even more difficult.
Speaking on Boulton and Co. today, Lord Owen said he was “a great advocate of the internal market” but:
“I believe that to go to an external market will do great damage…. It is basically treating health as another commodity… They (the coalition government) don’t even know if their new form of wording, “any qualified provider”, will invoke EU competition law.”
For a Tory party long concerned with any supposed EU interference this must create difficulties. Lord Owen also went on to question the legitimacy of aspects of the bill.
“They haven’t any legislative authority for this… They have no authority.
“You shouldn’t legislate in this chaotic fashion… I think there are far deeper issues in this legislation than we have realised… a lot of the democratic controls are going out the window.”
In his paper Dr Owen is unequivocal on the failings of the bill. He states that “for all its length the bill offers few insights into the purpose of the future NHS”.
Owen’s paper clearly differentiates between the manageable internal market and the predatory external market.
“The formation of an NHS European Office to deal, in part, with European Competition Law issues affecting NHS organisation should have been a warning sign.”
Lord Owen, a former health minister himself, goes to the nub of the conflict of interest, demonstrating that patient need will no longer be at the core of consultation, stating:
“The NHS in England as we know it will, under this bill, no longer maintain or even expect to provide a uniform national service.”
So much for the continuity of integrated pathways of care. Previous governments having always kept NHS tariffs at the core of purchasing policy. As Lord Owen points out:
“Providers would be able to undercut applicable NHS tariff prices – thus bringing competition into the core of our health system.”
As for the role of Monitor, Dr Owen decries the “abdication of the secretary of state’s responsibility for monies”.
Nor is Lord Owen alone in the line up of grandees who oppose the bill – we already know that Baroness Williams has delivered a barnstorming critique, also cross-bencher Baroness Mary Warnock and the surprise addition of Tory old boy Lord Norman Tebbit.
Tebbit has sharply criticised his own party’s front bench for arrogance and contempt, speaking up forcibly in support of the NHS, he alerts his party to the risks of patient cherry-picking, along with the sheer incapacity of the private sector to deal with complex cases. He summarises by saying that the only member of his family to receive private care is the dog.
In the final part of Lord Owen’s paper, he affirms that the bill will at the least have to be clearly amended across a range of areas – most particularly in matters of competition, conflict and medical ethics. He states “there must be no equivocation in this matter”. He also demands a slowing of the pace of the reforms, a second opinion from a Lords Bill Committee – and ends with:
‘The prime minister will hopefully act long before this happens in the summer and replace the existing health minister in the House of Commons and allow for fresh thinking and much less dogmatism.”
We can only hope that the emergency has been averted, enabling the Lords to take a six month review of the bill – the cross-benchers having clearly said that this is the only condition upon which they will admit it for a second reading. Meanwhile, for all of us involved in lobbying for the NHS, there must be no let up. Much of the bill has already been set in motion at arrogant variance with parliamentary protocol, and ongoing specialist advice.
The NHS needs our help if it is to survive in a form which will continue to support the health of all of our generations – present and future.
38 Responses to “Lord Owen: Government acting with “no authority” over NHS reforms”
Major
This is not about “will eventually fail those who paid the most into it” and I don’t see what that ‘failure’ might entail, are you trying to suggest people won’t receive the care they need? Presumably everyone under a private system receives everything and more?
The NHS is not about self,self,self, the modern mantra. It’s about safeguarding the health of the populace in general and protecting the right of said populace to medical aid without question or judgement. Paying into the system gives each of us our own slice of that guarantee.
The Ponzi analogy is not valid, you have just twisted it to suit your argument. We pay into the system to ensure that ALL are covered today, not ME tomorrow. It is not an investment in individuals’ futures, it is society’s investment in itself. If you want to view it from an individual perspective you pay in today in case you fall ill today, you pay in tomorrow in case you fall ill tomorrow. As a society we decide that those of us who are more able to pay will extend our help to those who are less able, that means, among others, the elderly, we need to continue to encourage this attitude not discourage newer generations from it.
It furthermore gives a greater national assurance to public health as government has a vested interest in it. Do we really want a system where our slippery politicos (of all varieties) have carte blanche to defer to a healthcare system with a vested interest in ensuring ‘throughput’?
Healthcare is not a commodity, it is a basic human right. I’m sure many of the exponents of private insurance would think twice once faced with a situation in which they are seriously ill and find they are not covered or renewal of insurance is unaffordable.
Beverley R
I lived in America for 34 years, health insurance cost more than a mortgage payment and not many can afford it. Any pre-existing conditions and your lucky if you can get insurance period. People loose there homes and savings for treatment they hope will help them. Oh yes, they have fancy machines and up to date equipment and you can go into the emergency room with a cut on your knee that needs a couple of stitches and come out of there having had so many tests you can’t keep count and a bill for a few thousand dollars That’s what it’s like in America!
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