The National Policy Forum’s consultation on Health and Social care is set in the firm context of an underfunded health and social care service. This is correct. However, the document is insufficiently clear about the need to reverse the general direction of travel and fails to give enough indication about Labour’s alternatives. In the rest of this article I have tried to combine two articles in one both commenting on and proposing changes to the draft. Most of what follows consists of suggested amendments/additions to the draft. The passages in italics are my comments on the draft.
Every organisation has scope for some savings, reform and doing things better including the NHS. But this should not obscure the fundamental truth that the funding crisis in UK health and social care is also part of an ideological drive to reduce the role of the state as all our key public services. Linked to this is the equally ideologically driven policy of diversifying public service provision to include the corporate and for-profit sector in care delivery. And as our public services come under more and more pressure, those who can afford it will resort to “better” private care provision and so create further momentum to undermine the social solidarity that is at the heart of our welfare state and public sector. Continue reading




