Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s

Despite trying to pin the health reforms on Andrew Lansley, David Cameron says he helped design them, he has backed them in public and is ultimately responsible.

 

Ahead of the return of the health and social care bill to the House of Lords today, the papers are full of stories David Cameron is seeking to distance himself from the coalition’s heavily-criticised reforms and hang them round the neck of Andrew Lansley.

The truth, of course, is vastly different to the lines briefed out by Downing Street – the bill is as much the prime minister’s as it is his embattled health secretary’s. As the excerpts below show, he says he helped design it, he has repeatedly backed it in public and he is responsible for it – this is David Cameron’s disastrous NHS reorganisation.

• In July 2010, David Cameron, alongside Nick Clegg and Andrew Lansley, personally signed the foreword to the white paper – “Equity and Excellence: Liberating the NHS” (pdf) – which set out the government’s NHS reorganisation plans:

“The NHS is a great national institution. The principles it was founded on are as important now as they were then: free at the point of use and available to everyone based on need, not ability to pay. But we believe that it can be so much better – for both patients and professionals.

“That’s why we’ve set out a bold vision for the future of the NHS – rooted in the coalition’s core beliefs of freedom, fairness and responsibility.

“We will make the NHS more accountable to patients. We will free staff from excessive bureaucracy and top-down control. We will increase real terms spending on the health service in every year of this Parliament.

“Our ambition is to once again make the NHS the envy of the world. Liberating the NHS – a blend of Conservative and Liberal Democrat ideas – sets out our plans to do this.”

• In April 2011, Mr Cameron told Sky News’s Dermot Murnaghan he had “been involved in designing these changes way back into opposition” with Mr Lansley, and takes “absolute responsibility with him for all the changes we are making”:

DM: “Well you were ploughing on until you ran into so much political trouble. Mr Lansley for a long time seemed to be in charge of the process himself, it was only when Number Ten took on board the enormity of the proposed changes, isn’t it?”

DC: “No, not at all. I mean I have been involved in designing these changes way back into opposition with Andrew Lansley, I take absolute responsibility with him for all of the changes we are making but I do think it is right when you have an asset as precious as the National Health Service, if you have the time to just stop and make sure you are getting everything right and at the same time what I’m finding is when you go particularly to hospitals, a lot of this is about reassuring clinicians in hospitals, hospital doctors, that they will have a really big part in this future NHS.”

• The prime minister has regularly defended the reorganisation inside and outside Parliament:

“First of all, let us be clear about the fact that the reforms are about cutting bureaucracy and improving patient care. They were drawn up by us as a coalition to improve the NHS.” – PMQs, March 2011

“It’s because I love the NHS so much that I want to change it… Because the fact is the NHS needs to change. It needs to change to make it work better today and it needs to change to avoid a crisis tomorrow.” – Speech at Ealing Hospital, May 2011

“Three weeks ago, I made the case for change in our NHS. I said we would be kidding ourselves if we thought we could simply stick with the status quo. We need to change the NHS to make it work better today.” – Follow-up speech on the NHS, June 2011

“Of course there are doctors in the health service who don’t like the idea of greater choice and competition and other organisations being able to provide free healthcare services to patients. But I believe patients want that sort of choice and rapid, quality treatment and that’s why it’s right to make these reforms.” – Interview with the BBC, October 2011, in response to a Telegraph letter from doctors and academics warning “the proposed reforms will disrupt, fragment and weaken the country’s public health capabilities”

• Cameron’s former No. 10 adviser James O’Shaughnessy recently revealed that during the “pause” last year “it did take the energy of Steve [Hilton] and the prime minister and Oliver Letwin and others to keep pushing it through”:

“We came in with what we thought were fairly well thought through proposals that then did seem to be running into opposition at a variety of levels, whether it’s the House of Lords or staff or other groups.

“I think there was a lesson in there for all of us which is actually, if you look where we’ve got to with the health bill, the fundaments of what we were trying to do are still there but it did take the energy of Steve and the prime minister and Oliver Letwin and others to keep pushing it through, to weigh in behind that and adopt different tactics in order to get the same principles across.” – David Cameron’s Big Idea” (listen), BBC Radio 4, January 2012

And just last week, at PMQs, David Cameron made it clear he would not back down – even citing Tony Blair in his support:

“Let me tell the Right Honourable Gentleman something that Tony Blair once wrote about the process of reform. Now there is a man who knows a thing about bonuses and pay.

“He said this – listen, listen:

‘It is an object lesson in the progress of reform: the change is proposed; it is denounced as a disaster; it proceeds with vast… opposition; it is unpopular; it comes about; within a short space of time, it is as if it has always been so. The lesson is instructive: if you think a change is right, go with it. The opposition is inevitable, but rarely is it unbeatable.’

“That was someone who knew a thing or two about reform.”

Mr Cameron may run, but he can’t hide from the reality that these are his reforms, that he has resolutely stuck by them, and that he is ignoring pretty much everyone who cares about the NHS and is refusing to kill the bill.

See also:

Miliband goes on attack as fight to save the NHS stepped upShamik Das, February 6th 2012

Sign my petition to drop Lansley’s monsterDr Kailash Chand OBE, November 24th 2011

Cameron’s fantasy list of NHS reform backersShamik Das, September 7th 2011

Doctors still fear coalition health reformsDaniel Elton, June 27th 2011

So who backs Lansley’s health reforms then?Dominic Browne, June 1st 2011

Doctors tell Lansley: “Stop this bill”Dominic Browne, March 15th 2011

So, Mr Cameron, who backs your NHS reforms? Erm…Shamik Das, February 2nd 2011

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44 Responses to “Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s”

  1. Cookie Monster

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  2. Yrotitna

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  3. Mehdi Hasan

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  4. steve

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  5. Dilip Halai

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  6. Simon Baker

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  7. leftlinks

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  8. A bloke from Norwich

    Don’t believe the spin – the health reforms are Cameron’s just as much, writes @ShamikDas: http://t.co/vPbtmRQU #NHS

  9. Political Planet

    Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s: Despite trying to pin the h… http://t.co/1cqpIksW

  10. Patron Press - #P2

    #UK : Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s http://t.co/jCgdyP5S

  11. Matthew Gibson

    Don’t believe the spin – the health reforms are Cameron’s just as much, writes @ShamikDas: http://t.co/vPbtmRQU #NHS

  12. Mary-Laura O'Brien

    Don’t believe the spin – the health reforms are Cameron’s just as much, writes @ShamikDas: http://t.co/vPbtmRQU #NHS

  13. Izzy Green

    Don’t believe the spin – the health reforms are Cameron’s just as much, writes @ShamikDas: http://t.co/vPbtmRQU #NHS

  14. Andy Birss

    Lansley/Cameron and Clegg all responsible for the disasterous health reforms http://t.co/3rpnzVuB

  15. BevR

    Don’t believe the spin – the health reforms are Cameron’s just as much, writes @ShamikDas: http://t.co/vPbtmRQU #NHS

  16. Labour Press Team

    This is David Cameron's disastrous NHS reorganisation: http://t.co/iaIqnNgO via @shamikdas #dropthebill

  17. Jamie

    Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s http://t.co/mNE41Aor

  18. neilrfoster

    This is David Cameron's disastrous NHS reorganisation: http://t.co/iaIqnNgO via @shamikdas #dropthebill

  19. Claire Pullar

    This is David Cameron's disastrous NHS reorganisation: http://t.co/iaIqnNgO via @shamikdas #dropthebill

  20. David Heathcote

    This is David Cameron's disastrous NHS reorganisation: http://t.co/iaIqnNgO via @shamikdas #dropthebill

  21. Guy Collis

    Important: RT @leftfootfwd: Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s http://t.co/983pzSND

  22. Izzy Green

    This is David Cameron's disastrous NHS reorganisation: http://t.co/iaIqnNgO via @shamikdas #dropthebill

  23. UNISON Health

    Don't forget: Health Bill is Cameron's as much as Lansley's #DropTheBill http://t.co/OjNp2KwB

  24. Gemma Tumelty

    RT @leftfootfwd: Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s http://t.co/36bAQ274

  25. That Man Wood

    RT @leftfootfwd: Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s http://t.co/36bAQ274

  26. Mark Armstrong

    RT @leftfootfwd: Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s http://t.co/36bAQ274

  27. Andrew Gwynne

    “@labourpress: This is David Cameron's disastrous NHS reorganisation: http://t.co/cto5yawG via @shamikdas #dropthebill”

  28. Nimat Ahmed

    RT @leftfootfwd: Don’t believe the spin – http://t.co/KXzUcmjI

  29. Paul McGlynn

    Cameron once again passing the buck, and running away from responsibility. http://t.co/b1s6wRLG

  30. Brian Moylan

    RT @TheRightArticle: Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s I Shamik Das – http://t.co/XHStH3Sp

  31. Janet Edwards

    RT @TheRightArticle: Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s I Shamik Das – http://t.co/XHStH3Sp

  32. dji45

    RT @TheRightArticle: Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s I Shamik Das – http://t.co/XHStH3Sp

  33. Izzy Green

    Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s I Shamik Das – http://t.co/6xjE3OOH

  34. Suella Ember

    RT @TheRightArticle: Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s I Shamik Das – http://t.co/XHStH3Sp

  35. dean raybourne

    RT @TheRightArticle: Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s I Shamik Das – http://t.co/XHStH3Sp

  36. TheCreativeCrip

    Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s I Shamik Das – http://t.co/6xjE3OOH

  37. Catherine Brunton

    Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s I Shamik Das – http://t.co/6xjE3OOH

  38. Linda Burnip

    Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s I Shamik Das – http://t.co/6xjE3OOH

  39. Andrew Hair

    RT @leftfootfwd: Don’t believe the spin – http://t.co/n4n1wLws

  40. Mr. Sensible

    Whoever is to blaim, they’re in a serious mess and should just give up.

  41. James Graham

    Can you see the oxymoron hidden away in this headline on the so-called "evidence based blog"? http://t.co/uzh4KgS4

  42. H. O.

    RT @leftfootfwd: Don’t believe the spin – the health reforms are Cameron’s just as much as Lansley’s http://t.co/vDVRY13l

  43. Look Left - Beginning of the end on the NHS bill | Left Foot Forward

    […] as Shamik Das wrote, this scapegoating of Andrew Lansley is just an attempt by the prime minister to abdicate […]

  44. Jay Thompson

    Don’t believe the spin – the health reforms are Cameron’s just as much, writes @ShamikDas: http://t.co/vPbtmRQU #NHS

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