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  • Stephen Byers – 2001 Speech to Institute for Public Policy Research

    stephenbyers

    Below is the text of the speech made by the then Secretary of State for the Department of Transport, Local Government and the Regions, Stephen Byers. The speech was made at the Institute for Public Policy Research (IPPR) on 26th July 2001.

    Introduction

    Planning is fundamental to the way our cities, towns and villages look, the way they work and the way they interconnect.

    Getting planning right means that our goals for society are easier to achieve. Good planning can have a huge beneficial effect on the way we live our lives.

    I want to use today’s event to launch a debate about the planning system – a debate that will lead later in the year to a Green Paper on reform of the planning system.

    But this will not just be about the mechanics of the system. Our present planning system is now over 50 years old. It needs a radical overhaul.

    The Green Paper will need to look at what we expect of our planning system.

    As we consider the fundamental purpose of planning, we need to ask questions about what planning has done well in the past, what it has done less well and to see what lessons we can learn for the future.

    For example:

    – what is the role of planning in promoting economic growth and improving regional prosperity

    – how can we satisfy both economic and environmental goals

    – and especially how can we engage communities and make people feel connected with the process of government.

    We need to learn lessons from the past about engagement with people. About getting in touch with what communities really want.

    For many people globalisation leads to a feeling of uncertainty and a lack of influence over the course of events. An effective and sensitive planning process can ensure that individuals and communities can engage in the process on equal terms and be able to voice their concerns.

    At present too many planning public inquiries are complex and technical. With debate dominated by highly paid lawyers – this is intimidating for many individuals.

    They are a banquet for barristers- but starve local people of the opportunity of expressing their views. This often leads to a feeling of anger, frustration and disengagement from the whole process.

    Our aim must be a planning system which is efficient and open. And which has the renewal and protection of communities as one of its key objectives.

    Planning of land use is one of the key levers we have to help create a decent society. Planning is fundamental to the way cities, towns and villages look, work and relate to each other.

    Quality of life

    Perhaps nowhere do people connect more than with their local communities.

    That becomes clear when one asks what is important to people. What are their priorities? What do they value most?

    The answer is nearly always the same:

    – good schools

    – good hospitals

    – low crime

    – good transport.

    And of course, homes and jobs.

    Delve a bit further and people start talking about:

    – the quality of their local environment

    – what they think of a new development in their local area or the design of a local building

    – whether their local community is becoming a better or worse place to live.

    Of course, people don’t always say consistent things.

    They may want unlimited use of their cars- and at the same time less traffic and cleaner air. They may want a full range of services- but want to retain the characteristics of a village.

    They almost certainly will want a choice of housing for themselves and their families at a price they can afford – but no new housing development in their area.

    The challenge for us, as a Government, is to deliver a package of measures, in an integrated way on the ground, that deliver better outcomes for people. Better places to live and a better quality of life.

    This is at the heart of our agenda for regenerating local communities.

    Planning objectives

    Planning plays a major part in all of this because it shapes communities. The planning system – if it works properly – is a critical tool for translating a vision of liveable and sustainable communities into practical reality on the ground.

    It can improve, in a very tangible way, the places where people live.

    People care very much about where they live and about the changing quality of life in their neighbourhood, town or village.

    It can be very powerful tool, too.

    For instance, a short while ago we strengthened the rules on out-of-town shopping.

    While it always takes time to work through all the old planning consents in the pipeline, we are winning the battle. For the first time in 20 years, new shopping space in major town centres exceeded new floorspace in out-of-town shopping centres and retail parks.

    Although this does not mean that there are not still retailers seeking out-of-town supermarkets, the trend is changing.

    There is a similar story with major cinema developments. Five years ago, up to three quarters were being built out of town. Last year, two thirds were within existing centres.

    Planning has made mistakes in the past. Think, for example, of the experiment in high rise living. We can’t lay the blame for that entirely at the door of planners because, at the time, the priority was better housing.

    But they didn’t think about the communities they were destroying.

    Nor did they see the damage that inner ring roads did to many of our towns. The cars may have moved faster but the new roads cut communities in half.

    Grey concrete re-developments knocked the heart out of some town centres. Now we understand that bleak architecture feeds vandalism and other forms of anti-social behaviour.

    We need stronger town centres not only because it helps preserve the character of places. But because they have important consequences for quality of life, travel patterns and social inclusion.

    We need to create a stronger framework for investment in town centres and make them more exciting places to visit.

    We have green belts that have preserved our countryside from urban sprawl, that is now a huge problem internationally.

    And recently, we strengthened our policies on preserving greenfields from unnecessary housing development.

    I support that policy. And I am happy to restate our commitment to achieving a 60% target for recycling brownfield land.

    The economic balance

    But I think we have to ask about the other side of the balance sheet. I have mentioned the pluses. What about the minuses?

    First, we need to ask whether planning is delivering the goods as far as economic development is concerned.

    Is the balance right between the free market economy and the role of Government in regulating it for the wider public good?

    This is at the heart of many of the conflicts in the planning system – be it a retailer who wants to build an out-of-town superstore, or a developer wanting a business estate in the green belt.

    It is clear, and as I am well aware from my time at the DTI, that the planning system plays a big part in determining business opportunities.

    I also believe that there is a link, at least in some sectors, between productivity and the planning regime.

    That doesn’t mean is that we just throw off our planning system in some vain attempt to ape the USA with its seeming acres of spare land.

    What it means is that we recognise the need for economic investment and for a modern transport infrastructure and plan for it positively, in a way which reduces the conflict with the environment.

    For example. Protecting the countryside from development delivers a positive economic asset for our tourism industry and our soils for agriculture- rather than something that is simply ‘nice to do’.

    Maintaining the character of our historic towns and cities means that they become attractive destinations for internationally mobile leading edge companies – and that gives Britain a huge competitive advantage.

    I think we have to do much more to articulate the positives of planning and its role in implementing policy. We have to get away from the regulatory culture and recognise that planning can be a very powerful way of reconciling both environmental and economic benefits.

    Major infrastructure projects

    As many of you will know, I announced last week a response to a consultation exercise on better planning for major infrastructural investment.

    You will all be aware of the delays that have bedevilled some major projects.

    There can be no question of allowing commercial interests to run roughshod over legitimate environmental concerns.

    And, as I have already emphasised, I have no doubts about the right of the community to express their views about decisions which affect them.

    But what is not right is that important economic decisions should be delayed simply because of inefficiencies in the planning system.

    It does no service to the environment nor to the business community if difficult and important decisions are put on hold in the hope that they will go away. They won’t.

    That is why I set out an agenda for clearer national policy statements about our investment strategies, backed by new Parliamentary procedures and better inquiry procedures to allow people to have their voices heard.

    Complexity

    Another set of questions which the Green Paper will need to consider is whether we are asking planning to deliver too much. Are we overloading it at the national level?

    As many of you will know, the drafting of planning policy guidance notes could be better focused.

    There will always need for national guidelines. But my suspicion is that we may have gone too far with the detail. I know that every time an attempt is made to take out some of it out of our PPGs, there is a clamour to put it back in.

    But does it make sense to prescribe everything at the national level? Is there a case for asking the region to play a bigger part? For getting planning down to the level at which the consequences will be most felt?

    There is also a wider issue here about whether the whole system is too complicated and overburdened.

    Planning process and plans

    For example, we have a multi-layered system of plans in England.

    We have three tiers in many areas with the regions at the top, county plans and local development plans.

    What chance then that the plans fit together as a coherent whole?

    The questions I ask are

    – do we still need this degree of complexity?

    – is the multi-tier structure producing any added value?

    – or is it simply siphoning off resources which could be used better elsewhere?

    Not only that, but we have to look at the way in which we make local plans. Ten years after the local plan system was set up in 1991, 16 per cent of the 362 local planning authorities have still to put a plan in place. 214 of current plans will expire over the new two years and almost two thirds of these authorities have not put forward any proposals for updating their plan.

    Is it any longer practical to contemplate a complete and rapid revision of local plans? I am told that a major city or district council updating its plan can now expect to engage in a process stretching into years which ties up experienced planning staff and costs upwards of £500,000 in public inquiries.

    If the system is broke – and quite a few people seem to think it is – then we have got to fix it.

    Any new approach to local planning must, in my view, be able to:

    Provide an overall vision of where the physical development of a community is going.

    Articulate a process of change on the ground in particular areas.

    Be deliverable and flexible.

    Engage with the community. Those people whose quality of life will be affected by the plan.

    And I would also add any development plan cannot be independent of other plans and strategies prepared by local authorities.

    For example we now have local community strategies – which will integrate other plans prepared at local level and will set out a vision for the well-being of local communities.

    In my speech to the Local Government Association earlier this month, I said that we must do something about the multiplicity of strategies and plans.

    Leaving aside the inefficiencies and resource costs involved, we have got to produce integrated policies to deliver solutions for people on the ground. All our efforts are wasted unless they produce a better quality of living for the people whose communities are involved.

    Local planning decisions

    Finally I want to say a few words about the quality of the planning system.

    Local planning departments have over half a million direct customers a year applying for planning permissions. But the performance of individual authorities is highly variable.

    It simply cannot be right for similar planning applications to take days to decide in one authority and weeks in another.

    Nor can it be right for time-critical business decisions to be given the same priority as an application for a garage extension.

    Business tells me that what they need most of the planning system is speed, certainty, transparency and quality of decisions.

    None of these requirements seem remotely unreasonable. They are what we all want of planning. And they are no more than we would expect of any other public service.

    As we prepare our Green Paper, I want to pose questions about the internal procedures being used by many local authorities.

    Some use officer delegations to good effect. Others don’t.

    Many provide a single case manager for larger applications who provides customer feedback. Others don’t.

    Some local authorities try to provide a one-stop shop to help customers through the red tape of statutory and non-statutory consultees and other regulatory regimes. Others create an obstacle course for their clients.

    A huge amount can be done to improve practice.

    But it requires a cultural shift at the local level to recognise the importance of the planning system and to turn it round to face the customer.

    The Government can, and will, legislate to overhaul the planning system subject, of course, to Parliamentary time being available. But it is much more difficult to change attitudes and to ensure that all authorities perform to the standard of the best.

    I want to know whether local government is itself prepared to raise the priority given to planning so that it is better financed.

    I also want to know what the planning profession is going to do to raise the sights of planners and make sure that they have the skills and customer focus required of their role. There is a major issue here for the professions.

    A more radical option that I am considering for the Green Paper is whether to introduce a planning audit function to help local authorities deliver better performance. Views would be welcome.

    Conclusion

    The Green Paper issued in the Autumn will set out a reform agenda. But I am not seeking change for change’s sake. I am seeking a new approach that frees up the planning service to do what it should be doing -shaping our communities for the better.

    This event marks the beginning of that consultation process. Charles Falconer, Sally Keeble and I intend to listen as much as possible to the views of the widest range of people over coming months. So that when we come to set out our proposals, we will have a clear understanding of the problems and, hopefully, the solutions.

    I hope my words today underline my firm commitment to a more positive planning service that has a stronger sense of vision and a stronger will to deliver.

    I want an efficient, open and transparent planning service that can deliver a sustainable future for our countryside, our towns and our cities. That protects and renews communities.

    It is a bold and ambitious vision but one I can believe we can achieve.

  • Stephen Byers – 2001 Speech to CBI Conference

    stephenbyers

    Below is the text of the speech made by Stephen Byers to the 2001 CBI Conference on 6th November 2001.

    Last year, the CBI hailed the publication of our 10 year Transport Plan as “a monumental victory”. You were right.

    Everybody, everyday, needs an efficient, functioning, transport system.

    Such a system is crucial for business too.

    A modern and effective transport system is vital to the prosperity of this country, to the profitability of UK businesses, to our international competitiveness.

    That’s why the 10-year Plan was such a breakthrough. I am grateful for the CBI’s support during its preparation, and since.

    In the Plan we set out clearly, for the first time, a long term programme of investment. Over a period that actually relates to the time it takes to plan and execute transport investments. And we committed an unprecedented level of resources – £180 billion. £59 billion is for local transport, including major road schemes. £21 billion is for the strategic road network. £64 billion is for rail. £25 billion is for London. £121 billion of this is for capital investment – a real increase of almost 75% compared with the previous 10 years.

    We have set out clearly and publicly, for the first time, targets for the end of the decade:

    – to reduce congestion on our trunk road network and in our major cities

    – to end the backlog of maintenance on local roads, and

    – to improve public transport.

    But now we want to move from debate to action. The 10 year plan began in April. Now, we must get things done. Now, we must focus on delivery. We have waited too long. Tough and difficult decisions will need to be taken if, over the next few years, we are to begin to see real improvements.

    Railways are a key part of the 10 year plan.

    A year ago, the rail industry was just recovering from the aftermath of the terrible events at Ladbroke Grove when the accident at Hatfield threw the industry, and particularly Railtrack, into further turmoil.

    Partly as a result of Hatfield, Railtrack came to the Government for more money. In April of this year we agreed a deal with them based on their business plan at the time.

    We agreed to bring forward £1.5 billion of investment. The first instalment of which was paid on 1 October – £337 million paid in full.

    But at the time of the April agreement the Government believed that it should make it clear that our role was to support the railway network but not individual companies or shareholders.

    We therefore issued through the Stock Exchange news service the following statement, “the Government stands behind the rail system but not individual rail companies and their shareholders who need to be fully aware of the projected liabilities of the companies in which they invest, and the performance risks they face.”

    The Government does believe that shareholders should get the value in Railtrack to which they are entitled.

    But we do not believe – especially in the light of our statement of 2 April – that we should now be putting in more taxpayers money in order to compensate shareholders of Railtrack.

    Railtrack went into administration because it was insolvent. My petition to the High Court was unopposed.

    Our evidence showed a deficit for Railtrack of £700 million by 8 December rising to £1.7 billion by March of next year. Little wonder that faced with the facts Mr Justice Lightman said, “this is clearly a case where the making of an order is not only appropriate but absolutely essential, I shall therefore make the order immediately.”

    My decision on 5 October to refuse further funding to Railtrack was not an easy one. But I firmly believe that Railtrack was not part of the solution for our railways but was a major problem. Just look at Railtrack’s stewardship.

    There is still no asset condition register in place for the rail network;

    Railtrack consistently opted not to invest in maintaining the network to a high enough standard;

    There were still over 1,000 Temporary Speed Restrictions in place 6 months after Hatfield.

    Costs on the crucial West Coast Main Line project leapt from around £2.1bn to (at least) £6.3bn under Railtrack’s stewardship. That’s an increase of over four billion pounds.

    We had to say: Enough is enough, let’s get to the root cause of this. Let’s look at the structure and put it right so that for the extra money we intend to put into the railways secures real value for money and an improved service.

    There are some excellent people working at Railtrack and throughout the railway industry.

    But Railtrack was not delivering and these excellent people deserve to work in a structure that does.

    You all know that we are proposing a Company Limited by Guarantee (or CLG) to take over Railtrack’s stewardship of the network. It would include membership representing the industry and those with an interest in it. That is only right. But they would not be running the railway or taking any day-to-day decisions.

    The railway would be run by a professional board. Those people would be charged with one aim and one aim only – to deliver. To deliver a safe and efficient railway fit for the 21st Century. Because that is what I, you, and everyone, want.

    But the Company Limited by Guarantee is only one possible model. We welcome the interest that has been shown by other third parties in Railtrack. The guidelines I published last week are aimed at assisting potential bidders in this process.

    We will look at any serious proposal put to us very, very carefully. We will only proceed when we are happy that the successor to Railtrack can really deliver for industry and for the travelling public.

    Our decision in relation to Railtrack must be seen as part of the wider debate about the role of the private sector in the provision of public services.

    Personally I have been a strong advocate of the involvement of the private sector in the provision of public services. Private sector skills have the potential to make a real contribution towards our priority of improving the quality of services to the public.

    So we should examine carefully, on a case by case basis, what the private sector can bring to public services in terms of its expertise in innovation, effective risk management and increased efficiency.

    To be blunt the involvement of the private sector is a means to an end – helping Government to deliver better public services more effectively.

    It therefore follows that when the private sector fails – as Railtrack clearly did then the Government has to act decisively in order to put the public interest first.

    There is an important message here for the private sector. We you want to work with us to deliver improved public services. But there will be no tolerance of failure. And you wouldn’t expect it to be any other way.

    We are charged with the responsibility of delivering in the public interest and that’s what we shall do.

    Railtrack’s slide into financial crisis and administration may have been a shock.

    But it is also a golden opportunity to turn a corner in the history of Britain’s railways and really start to improve services. The role of the SRA and its strategic plan will become even more important in this new context for the industry and the SRA needs to respond accordingly.

    This is why the, genuinely widely welcomed, appointment of Richard Bowker as Chairman of the SRA is so important. He will bring renewed energy, allied with vision, to the industry and will produce a strategic plan before Christmas that will map out a new direction for our railways.

    And we will do our part. We are going to need to look again at regulation. We need to see a clearer line of sight from the Government’s policy to the efficient running of the nation’s railways.

    We intend therefore to streamline the regulatory system – while recognising that there will, as the industry expects, be a continued need for some form of independent economic regulation.

    In addition, we shall take action to remove perverse incentives inhibiting the effective operation of the industry and we shall implement changes to improve the franchising process. But this is not change for changes sake. It will lead to better services. And it will help us to hit our ten year plan targets.

    Some have said that the developments concerning Railtrack jeopardises the Government’s whole programme of encouraging private investment in public services.

    As Tim Stone said in the Financial Times the other week, it is astonishing if leading investors cannot distinguish between old-style privatisation and the wholly distinct private finance/public private partnership deals. And, as chairman of the Financing Group at KPMG Corporate Finance, he should know.

    Indeed, in a recent report the credit rating agency Standard and Poors said: ‘the Railtrack situation has no direct credit implications for rated PFI projects’

    I was glad to read on Friday that the CBI shares this view.

    We are confident that we will achieve the private sector investment in transport needed to deliver the 10 Year Plan.

    Our Tube Modernisation Plan for London Underground. will bring private investment over the next five years. Investment needed to improve services and give London, and Londoners, the transport system they need and deserve.

    Getting the railways and Tube right is crucial to the success of our Transport Plan. And we will get them right. But of course it goes wider than that. We are also delivering on the rest of our Plan for Transport.

    Last December we allocated £8.4 billion to local authorities to spend on transport investment. Up to £1 billion for major road schemes. £3 billion for maintaining roads. And £4 billion for public transport and smaller schemes, including new light rail lines, better buses, traffic management measures and small scale road improvements.

    Since the Plan was published we have given the green light to 39 new major local road schemes and 6 new light rail schemes.

    All these are schemes that make a real difference at local level. Reduce congestion. Help to regenerate our town centres. Bypass local communities. Improve the local traffic networks that businesses use everyday. Opening up land for development.

    And this coming December, we will be confirming the £1.5 billion allocation to local authorities for 2002/3, approving new major road and public transport schemes and providing top-up allocations to authorities where needed. This is all part of getting the Plan’s £180 billion spent on the ground.

    And we are pushing ahead with the programme of improvements to the trunk road network. Since the Plan was published, 10 major national road schemes have been added to the programme. And we will soon be taking decisions on the reports from the next wave of multi-modal studies.

    I do not share the view, expressed by some that we have too many studies and that they stand in the way of progress. We know from battles in recent years that we have to look thoroughly at all the options for solving transport problems if our decisions are to win acceptance and to be deliverable. We have to balance the economic and regeneration arguments with the environment arguments. Our decisions have to be environmentally principled.

    But I assure you that we will not delay over taking these decisions. And once we have decided on a major road scheme, the Highways Agency will move fast to get it underway. Our commitment is to reduce the time it takes to deliver new road schemes by 30-50 per cent. This is how we will achieve our target for reducing congestion on the inter-urban road network.

    Removing road blocks to delivery is very much part of our programme. We will soon be publishing a major review of the planning system to speed up planning processes.

    I hope all I have said today shows you how we are moving on all fronts – on rail, London Underground, local public transport, roads, planning processes -. to deliver all the targets in the 10 Year Plan.

    We will keep up the pressure.

    When we published the Plan, we made clear that it had to be a live document. No Plan can last 10 years without review and updating. It must be monitored and revised in the light of developments. The 10 Year Plan is no different.

    This is why we have asked the Commission for Integrated Transport, with the participation of the CBI, to monitor delivery and to advise us on what further steps might be needed to secure delivery of our targets.

    This Government is committed to delivering a modern efficient transport system, fit for Britain in the 21st century. We will deliver you a modern efficient transport system, fit for business in the 21st century.

    I intend to do it with you. There is a common agenda here shared by the CBI and the Government.

    We shall work with you to deliver the long investment needed to rebuild the transport infrastructure; to cut congestion; to improve public transport; to give people greater choice; to get goods to market and people to work.

    Our proposals will get Britain moving and give our people a transport system they can rely on.

    The British people have waited generations for such a long term approach. In the interests of business, our people and our country the ten year plan for Transport will be delivered and we shall all benefit as a result.

  • Stephen Byers – 1999 Speech to TUC Conference

    stephenbyers

    Below is the text of the speech made by Stephen Byers to the 1999 TUC Conference.

    Hector, can I say that I am personally delighted, as Secretary of State for Trade and Industry to be addressing Congress this afternoon. I am acutely aware that I am the third Secretary of State in as many years to address Congress. It is what the Prime Minister means by labour market flexibility, I think. But I have given your General Secretary an assurance that as this may be my first and last address to Congress, I will be on my best behaviour. John has put me on a very strict vegetarian diet so the bad news for all those journalists is I have got to decline your invitations to a fish supper this evening.

    I know that Charles Kennedy has been attending Congress today. I understand that it is the first time he has ever had a non-speaking role in anything that he has done, but I am sure that he will have learnt a lot from conversations and discussions with delegates.

    As Secretary of State for Trade and Industry, having held the position now for nine months or so, I have personally welcomed very much the advice, the recommendations and the views that have been put forward by the TUC. That does not mean that I have always been able to agree with the points that have been expressed. There will be times when I have to say “No”; there will be times when I can say “Yes”. But in democracy I believe that is a healthy relationship, not an overly close one that many felt existed under previous Labour Governments.

    Now I appreciate that at times decisions that we take in Government will cause tension between us. There will be disagreement and occasionally a feeling of anger and frustration as far as you are concerned. When this happens we need to ensure that we maintain a dialogue between each other. Our actions in Government will always be to put the national interest first. That means that in all we do we will operate on the basis of fairness and not favours.

    I hope that I do not put John Monks in a difficult position when I reveal there has been one occasion in my time as Secretary of State when he has written to me with unreserved support for a decision that I have taken and a policy that we have implemented. He did not write that letter though as General Secretary; he wrote it as a long-standing supporter of Manchester United and it was supporting my decision to reject BSkyB’s takeover of Manchester United. (Applause) But at least I have one letter from John Monks of unreserved support for my actions.

    This Government was elected on a policy and an agenda of modernisation and reform, not to be rooted in the past or overwhelmed by the present, but a Government with a clear vision of the future direction of British society and the British economy. That vision and sense of direction is vital as we are witnessing a fundamental shift in our economy and our society. It is driven by globalisation, by knowledge, innovation and technology. It is changing the nature of work and the very workforce itself. The successful economies of the future will excel at generating ideas and exploiting them commercially.

    The first industrial revolution, in which we led the world, was based on investment in plant and machinery. We are now living through a new revolution, a new industrial revolution which is knowledge based which means investing in learning, skills and training. In all this, education will be the key.

    In response to this rapidly-changing world in which we live, we, as a Government, are doing things differently, and I appreciate that for some this is not easy. But week in and week out we are delivering policies and doing so in a way which will retain and consolidate the support of that historic coalition that gave us a landslide victory in the May 1997 general election.

    Let us quickly look at some of our achievements over the last 2 2 years. We restored trade union rights at GCHQ and we have cut corporation tax. We have signed the Social Chapter and we have led the case for reform in Europe. We have begun to invest , 40 billion in our schools and hospitals and we have cut the rate of income tax. We have introduced a national minimum wage and cut the rate of tax for small business to its lowest ever level. Within the month we shall see the introduction of the Working Families Tax Credit and we have also introduced tough measures to tackle fraud in our benefits system. We have established the New Deal for the young and long-term unemployed. We have also introduced a research and development tax credit for business. We have achieved all of those.

    What has been the response of the official Opposition? The Tories still oppose the national minimum wage. They have got a new Trade and Industry Shadow Minister, Alan Duncan. He has described the minimum wage as a cretinous idea. I had a quick look in the dictionary yesterday just to reaffirm in my own mind what a ‘cretin’ was. A cretin is a fool or a stupid person. I think that is a far more accurate description of Alan Duncan than the minimum wage which has directly benefited 2 million working people.

    The Tories would scrap the New Deal. They say it has been a failure, but let us look at the facts and not rely on prejudice: 300,000 young people already helped; youth unemployment cut by a half. The Tories regard that as a failure! It should come, of course, as no surprise. When they were in Government they were prepared to see a whole generation of young people the innocent victims of their economic and social policies. This Government will discharge our responsibilities to the young people and the future of our country. The New Deal does that and gives them hope for the future.

    The Tories say they do not support the introduction of the Working Families Tax Credit and would abolish it if they could. This, perhaps, is the latest sign that they have learnt nothing from their election defeat. Support for hard-working families is now a key dividing line between the two major parties in our country. The working families tax credit will make work pay and give parents a real incentive. It will leave 1 2 million families, on average, 24 a week better off.

    At the end of July we finally saw the Fairness at Work legislation reach the statute book, on the very last day of that parliamentary session – a new settlement for the workplace, a settlement based on partnership and minimum standards, for the first time, part-timers with the same employment rights as full-time workers, part-time workers at long last no longer treated in law as second-class citizens, trade union recognition if that is what the workforce wants, unfair dismissal regulations applying after 12 months and not two years, an end to blacklisting for trade union activity. We are going to make it unlawful to discriminate against an individual because they choose to belong to a trade union.

    Whistleblowers, those courageous employees who expose wrongdoing in the workplace, often in a very vulnerable position: they will be entitled to unlimited compensation if they are unfairly dismissed – a clear indication of the importance of someone in that situation as events in Clapham with the rail crash and at the Bristol Royal Infirmary have all too clearly revealed.

    I am also very conscious of the crucial work carried out by health and safety representatives. They are often in a very vulnerable position in the workplace when they try and secure a safe working environment. We need to find a way in Government to signal the important role that they play, and I was particularly pleased that we were able to introduce a late amendment to the legislation which ensures that if a health and safety representative is unfairly dismissed, there will be unlimited compensation to be paid to that individual.

    Of course, in the Fairness at Work legislation, the union Movement has not secured everything it wanted; neither has the business community. A balance had to be struck and this was ‘fairness not favours’ in action.

    In this changing world more parents are in work. One of the great challenges facing parents is how to juggle the responsibility of bringing up a family with holding down a job. We need to introduce family friendly policies into the workplace and we are beginning the process of doing that. We have extended maternity leave by four weeks. Additional maternity leave will be available after 12 months of employment, not the two years as at present. We have introduced 13 weeks parental leave for both mothers and fathers. We have introduced a right to time off work to deal with a family emergency, a right that will start from day one of employment. So no longer will a working parent have to worry about losing their job if they are called away to care for a sick son or daughter or to look after an ailing parent.

    I recognise that the long hours culture that exists in our country is not supportive of family life and I know that many of you have concerns about changes we have proposed to the working time regulations. What is clear to me, both in relation to the working time regulations and our proposals for family friendly policies, is that we need to win over hearts and minds.

    The adoption of these policies represents a major change in labour market policy, a change that can benefit both employers and employees, but they will only be of benefit if they are introduced in a sensitive and sympathetic way. I believe that these fundamental changes can be introduced in a way which secures our objectives without placing an undue bureaucratic burden on business.

    It is not our intention to exclude white-collar workers from the protection offered by the Working Time Directive. I do not believe that our amendments to the regulations do that, but we need to make it crystal clear and I believe the best way of doing so will be to issue guidance on the regulations which will achieve that objective and which we will develop with the Health and Safety Executive. As is our usual practice, we will discuss the guidance with the TUC and with employers’ representatives.

    As we implement detailed measures in the whole area of employment policy I want, wherever possible, to avoid the blunt instrument of regulation. Instead, we want to develop more flexible approaches to solving these common and shared problems. Alternative mechanisms, such as codes of conduct, need to be considered. Ensuring we achieve our goals will require more imagination and even greater constructive engagement from the unions particularly working in partnership with business.

    That is why today I am pleased to announce that I am inviting applications to a Partnership Fund. The Partnership Fund will have , 5 million to help foster new attitudes and approaches to partnership in the workplace. Partnership must be seen as more than just a warm word. It should involve real changes in the workplace, new ways of working together, new approaches to training and development, new systems of performance and appraisal. There are many good examples of partnership in practice and we want the Partnership Fund to act as a catalyst, and we especially want ideas based on family friendly policies and on how the partnership approach can help small businesses.

    Here in Britain we are putting in place the policies which will lay the foundation of economic success in the future, but any consideration of our future prosperity cannot ignore the question of Europe.

    Now is the right time to make the case for Britain in Europe. We must do so from the standpoint of the British national interest. Nearly 60% of our trade, that is , 100 billion a year, is now within the European Union. The share of our exports going to EU countries has risen rapidly since we joined. Many markets which were closed in Europe have now been opened up and the UK has been at the forefront of that liberalisation agenda.

    British jobs and investments increasingly depend on Europe. It is our key market. Our exports to France and Italy alone exceed those to the whole of North America, including the United States. Exports to Belgium and Luxembourg are double those exports from the UK to Japan. The figures speak for themselves.

    Financial services, in which the City of London plays a vital role, now provide a million jobs in our country with overseas earnings in excess of , 25 billion a year. Europe is a great and growing market for these particular services.

    In total, the jobs of probably millions of your members depend on Europe. As any inward investor will say, increased investment depends on two things above everything else – Britain’s modern flexible and stable economy, and its membership of the world’s largest market. There are 380 million consumers in the European Union. In the next ten years, with enlargement, there will be another 100 million more. This is the big prize that attracts the major players in our global economy.

    It is against that backdrop that talk of renegotiation is so dangerous. Yet that is exactly what the Tory Party is doing. The effect of this marked shift in Tory thinking in Europe is to ensure that the issue of Britain in Europe is now at the heart of the party political debate. It means that yet again in this generation we will need to make the case for British involvement and participation in Europe, for the benefits of EU membership will once again need to be proclaimed.

    This is now a battle that we must win, that we cannot afford to lose. Over the years it is a question that we have faced on a number of occasions – in or out of Europe? In the end, often after long and agonized debates, we have always chosen to be in. That conclusion has not been as a result of a triumph of political dogma over reason or by submitting to some powerful vested interest, but it has been due to sound common sense and always putting the national interest first.

    Europe matters politically and economically. Influence and partnership in Europe is essential to the British national interest. The Conservatives have confused the powerful case for reform in Europe – and there is a powerful case for changing Europe – with the case for disengagement and a retreat to the margins. Those of us who believe in the importance of Europe must be the first to recognise and to argue that the Europe we have today, its institutions, its working practices and its policy priorities, are not designed for the challenges we now face. Reform in Europe is vital because it needs direction for the future. It needs to reflect the challenge of the global economy in the 21st century.

    Europe must make a reality of the Single Market in all sectors. It must recognise that regulation can be a barrier to growth and job creation. To achieve this reform programme Europe needs to be more forward-looking, working to an agenda of education, enterprise and innovation so that the knowledge-based economy of the future is seen as a bringer of opportunity and not as a threat. We need to engage at all times to be building political alliances and to be shaping Europe’s development, not having it shaped by others, which has been the case far too often in the past.

    As soon as we came to office we pressed the case for economic reform to make the product, labour and capital markets of Europe more flexible. Without banging the table, we have successfully promoted Britain’s interests by arguing our case and, as a result, we have been able to cap the growth in European Union spending, to win a higher share of funding from regional and structural funds for the next six years, to safeguard our nation’s border controls, to end the beef ban by agreement on the basis of solid, scientific evidence, and we have protected our rebate.

    So we can see the benefits of Britain in Europe and the success that we can achieve as a result of constructive engagement. In all our dealings with Europe we must always act in the national interest. The British people would rightly expect nothing less.

    That must also be our response to the single currency. There is endless speculation about the Government changing our position on the euro, that we have gone cool on the idea or that we have become more enthusiastic, that the brakes have been applied or that our foot has now been pushed down hard on the accelerator. All this press speculation has meant that a Norwegian forest has been felled for no good purpose.

    Our policy remains the same. It was stated by the Chancellor in October 1997 and repeated by the Prime Minister on 23rd February this year. The Government’s view is that membership of a successful single currency would bring benefits to Britain in terms of jobs, investment and trade. The Chancellor has laid down five tests that will need to be satisfied in our national economic interest and, of course, the final decision will rest with the British people in a referendum.

    Now some people argue that we should rule out joining for a period, whatever the economic conditions. Some say that we should set a date for joining, whatever the economic conditions, and I understand that we may well be hearing these arguments put forward during the course of Congress this week. Without wishing to cause offence, I want to make it clear that the Government rejects both approaches. No one will push the Government into adopting either of these two positions because we believe they are not right for Britain, they are not in our national interest. Meeting the economic conditions will be the test. It is principled, pragmatic and practical. It is our settled conviction and will remain our policy.

    Congress, as we survey the world in the dying months of the 20th century, one thing is clear: we are living in a world of change. The nature of work also is changing. More of our people work part-time, and in many cases choose to do so. Many people work on a temporary basis or have fixed-term contracts. Fewer work on the shop floor and there has been an explosion of serviced-based jobs. More people work in small businesses. The composition of the workforce is also changing. More women are working. Some 52% of married women with children under 5 are now in work, more than double the situation a generation ago. More families depend on two earners.

    The businesses and organisations that people work for face new challenges, more competition, a greater pressure to innovate to stay ahead and a greater pace of change. Businesses are having to become more flexible, more and more people are being asked to take on real responsibility in the workplace.

    Change is the order of the day. We all need to recognise that and the union Movement is no exception. The advantage of the Government having laid down the conditions for economic stability is that it gives us all the space we need to react to these longer-term trends. We must see change as an opportunity and not as a threat.

    We all have a role to play here but only if we are prepared to embrace change, because these new working patterns put new responsibilities on all of us, whether in Government, in business or in trade unions – a responsibility on Government to ensure minimum standards of fairness, to promote the benefits of electronic commerce and the Internet for business, and to create a climate for economic prosperity; a responsibility on business to work in partnership and to ensure that the task of making a reality of a flexible labour market does not fall solely on working people; a responsibility on trade unions, on yourselves, to seek consensus and not conflict, to support dialogue and avoid damaging disputes.

    Flexibility does not have to, and must not, mean insecurity and poor treatment for people in the workplace. This only leads to additional stress for the many whose lives are already too stressful, leads to low morale and poor productivity. We must help people to adapt to the new world of fast changing markets and shifting patterns of work without sacrificing their quality of life. On many occasions the trade unions have been at the forefront of change over the years. You have been swift to adapt to the vast changes in collective bargaining that we have witnessed over the last 20 years.

    Unions now negotiate a far wider range of packages for their members, embracing new forms of pay and new forms of working. Unions were among the first to recognise the importance of training, with support for modern apprenticeships and the need to train workers in broad based skills throughout their working lives. Unions have embraced the Investors in People approach. One reason why the UK’s health and safety record is one of the world’s best is the important role which trade unions have played on safety issues.

    Union structures and services have adapted greatly to changed labour markets. The challenge for unions, as for our country, is exactly the same: it is to modernise and reform, to find new ways to work with members and their employers, to raise skills, improve productivity and play a role in making Britain a more prosperous and competitive nation.

    Working in partnership with business, working with your members to strengthen their skills and to deal with a more challenging labour market is the new agenda for the trade union Movement, and it is one which we in Government support. In a world of change, to look back is to condemn yourself to opposition; this is a lesson William Hague needs to learn. We cannot a build a future for our people based on a return to all our yesterdays. Those who resist change are not learning the lessons of history but are living history.

    Halfway through a Parliament is often the most challenging time for a government in office because voices call for consolidation, a reconsideration of our objectives and our priorities. But this is not the time to stand still. Now is the moment for Government to push forward on our agenda of modernisation and reform. If the world changes but we as a political party do not, then we become redundant and our principles become dogma. That is why as a party we have changed. In government we have demonstrated the nature of that change, not to betray our principles but to carry them out; not to lose our identity, but to keep our relevance.

    It is because of that change that we are able to be a progressive force for fairness and justice and not an historical footnote. There can be no distractions or diversions from the task before us. Our objective must be a dynamic, knowledge‑based economy founded on individual empowerment and opportunity, where government enables but does not dictate and the power of the market is harnessed to serve the public interest.

    The challenge for government is how to prepare Britain for a world in which change is continuous and knowledge is the new currency. Successful economies and societies will be those that can adapt to the demands of such rapid change, that are flexible and creative and manage change rather than become overwhelmed by it, finding new ways to include all the people. Our approach is built around a new coalition but with clear objectives to create a better standard of life for all our people to ensure British business succeeds at home and abroad, to tackle exploitation in all its forms. This is an approach which recognises that the role of Government itself has fundamentally changed, but that it still has a critical part to play in improving the performance of the British economy and improving the quality of life for all our people.

    First and foremost, we must create a stable economic environment, ending the wealth‑destroying cycle of boom and bust that has dogged British business and the British economy since the war. We must never forget, and never return to, those days in the early 1990s where we saw inflation at 10%, interest rates at 15% and over a million manufacturing jobs lost.

    Stability matters in our new economy because, more than ever, we need businesses to invest in knowledge and to take risks to stay ahead in fast‑moving markets. We can ill‑afford this vital investment to be put off through fears about economic stability and the long‑term future.

    With stability achieved and uncertainty removed, there are great opportunities ahead. Those opportunities will only be achieved if we embrace the new and leave behind the old ways of doing things. On the eve of the new century, the challenge facing us all is how we can ensure that people become partners in change and not the victims of change. I am confident that, by working together ‑‑ trade unions, business and the Government ‑‑ we will be able to meet that challenge and, in so doing, that we will be able to discharge our joint responsibilities to your members, our people and our country.

  • Liam Byrne – 2013 Speech to Labour Party Conference

    liambyrne

    Below is the text of the speech made by Liam Byrne, the Shadow Secretary of State for Work and Pensions, to the 2013 Labour Party conference in Brighton.

    Conference – It’s a privilege to open this debate, a debate we approach with a passion and care.

    That’s not a sign of weakness, that’s a sign of our strength.

    We are so much stronger and our policy is so much better for the work of Unison’s Liz Snape, the TUC’s Kay Carberry, for the leaders of our ten biggest councils, to those from business and the third sector who’ve worked so hard on our youth jobs taskforce.

    It’s stronger for the Labour councillors all over Britain who have helped us think radically about how we revolutionise the Tories’ failing back to work system.

    It’s stronger for Sir Bert Massie, a pioneer of disability rights, for his taskforce, and for the hundreds of disability activists who have helped us think radically about how we make rights a reality for disabled people.

    And it’s stronger for all our brilliant PPCs, fighting in key seats, who brought together residents to tell us how they want Labour to rebuild social security and a different kind of Britain.

    And what sort of party would we be if we were not passionate about the stories we hear.

    Like the woman I met with MS who told me how her carer, her teenage son, had lost all his support; it’s tough she said, for a boy to lose to that help when he knows his mum won’t get better.

    Or the Remploy workers on a GMB picket line, fighting for work, who said to me: this isn’t just my job; this is my life.

    Or the thousands of young people, I fight for in East Birmingham, hunting for work, who speak of the hundreds of CVs they send and never even get a reply – and still they keep going.

    You know, there’s a Tory minister – and I’ll let you guess where he went to school – who tells us: our young people lack grit.

    Well, let me tell you this: the young people fighting for work in East Birmingham have got a damn sight more grit than you need to get through Eton College.

    Good people all over Britain hear these stories too.

    And right now they’re asking themselves what kind of country are we becoming?

    Once upon a time the Tories told us they cared: all those speeches in Easterhouse.

    And people gave them the benefit of the doubt.

    We were promised a Tory party that cared about the poor.

    We were promised a welfare revolution.

    We were promised we’re all in this together.

    Three years on I tell you the jury is in.

    A cost of living crisis.

    A million young people out of work.

    Long term unemployment at record highs.

    Disabled people living in fear.

    Child poverty rising.

    Living standards hammered.

    A promise that started in Easterhouse has ended with the spectacle of a Tory Minister, Michael Gove, blaming the poor for the temerity to turn up at a food bank.

    He should be ashamed.

    Three years on, I tell you the verdict is simple:

    These Tories have let their prejudice destroy their policies.

    And just as bad as the prejudice is the incompetence.

    They say to err is human.

    But if you want someone to really screw it up you send for Iain Duncan Smith.

    And Conference that’s why we need to fire him.

    But let me level with you, we won’t win power with a plan to roll back the clock.

    To restore the status quo.

    To ignore the calls for change.

    The vast majority of people in this country believe the welfare state is one of our proudest creations.

    It’s a mark of a civilised society.

    But the vast majority don’t believe the system works for them or for modern times.

    So let’s not be the defenders of the status quo, we must be the reformers now.

    Today life is very different to the days of Beveridge.

    The job for life is gone.

    If you’re without a skill, you’ll most likely to be without a job.

    Two thirds of couples both work – yet struggle with child-care.

    Millions struggle on low wages while company profits rise.

    Hundreds of thousands save for decades just to buy a home.

    We’re aging, and yet fewer have a pension.

    Getting a job, setting up home, working as a parent, caring for another, saving for the future.

    These are the challenges of the real world you can’t solve by demonising others.

    These are the challenges for One Nation Social Security.

    And the truth is today the system doesn’t help.

    So we need to change the system.

    And build a new consensus rooted in our values, our party’s values, our country’s values.

    Where we listen not to our demons but to the better angels of our nature.

    Were we move from a language of division to a language of respect.

    Where we match the personal responsibility to work.

    With the collective responsibility to care.

    These are the founding principles of the system we built in 1945, and these are the principles we must restore.

    And today I want to tell you how.

    With the ideas we’ve hammered out in hundreds of conversations and debates all over Britain this last year.

    And the cardinal principal is this, full employment first.

    Full employment has always been the foundation for rebuilding Britain. It was for Atlee’s Labour, it was for New Labour, it will be for One Nation Labour.

    The Tory system doesn’t work.

    So we need a better way.

    So let’s start with a tax on bankers bonuses’ to fund a job for every young person out of work long term.

    But let’s go further.

    Let’s take the ideas – like Apprenticeship Agencies, pioneered in Labour Glasgow, Liverpool, Manchester, Sheffield, Newham and Wales.

    And use them to revolutionise the path from the classroom to the career.

    But, let’s go further.

    Let’s stop fighting unemployment with one hand tied behind our back.

    Let’s deliver a large devolution of power from the DWP to local councils.

    Let’s build a new partnership between our job centres and town halls.

    Let councils shape the programmes to get people back to work.

    And let’s go further; let’s set a limit on the time we’re prepared to let people languish out of work.

    Let’s invest in jobs for anyone out of work for two years, but say it’s got to be a deal.

    We’ll invest in new chances, but if you’re fit to work, we’ll insist you take it.

    Full employment first, that’s the Labour way.

    Conference, any job is better than no job. But a good job is better than a bad one.

    When the welfare state was started, its big idea was to ‘minimise disruption to earnings’.

    Now our task is different. It’s to ‘maximise potential of earnings’.

    That why we need Universal Credit to work.

    So if the government won’t act to save it, we will.

    The Tories’ system may prove dead on arrival. So we need a better way.

    So, today we announce our Universal Credit Rescue Committee.

    And I’m grateful to Kieran Quinn, leader of Tameside, the first pathfinder, for his offer to drive our work.

    But, we’ll need more.

    We’ll need a campaign for the living wage because it is wrong that we are spending the nation’s tax credits propping up low pay at firms with rising profits.

    The deal has got to be simple. If your workers help you do well, then you need to give them a pay rise.

    We the Labour party stand as the party of work – and the party of better off in work.

    But, listen, if we want a new consensus, we need to remember this: if working people are strong, then Britain is strong.

    So we should help working people.

    Yet, those born in the turbulent world of the 1960’s, pay so much in and get so little out.

    It’s wrong and we should change it.

    Those in their 50’s are the people who’ve worked most, cared most, served most. And what do they get?

    I’ll tell you, nothing.

    So let’s bring back an idea from Beveridge.

    Extra help for those who’ve paid their dues but are desperate for extra help to work again.

    After a lifetime’s working or caring, I think it’s the least we can do.

    Conference it’s a modest step – but it’s a big signal.

    But, there’s something more.

    Like most families in this country, I know that disability can affect anyone.

    Therefore it affects us all.

    Yet, today disabled people are threatened by hate crime, by Atos and by the Bedroom Tax.

    Today we deny disabled people peace of mind, a job, a home and care – and I tell you that is wrong.

    We need to change it.

    So we will change the law so hate crime against disabled people is treated like every other hate crime.

    And I say to David Cameron, Atos are a disgrace, you should sack them and sack them now.

    And yes Conference we say the Bedroom Tax should be axed and axed now and if David Cameron won’t drop this hated tax, then we will repeal it.

    We’ll protect disabled people in Scotland and across the UK.

    Conference, we need a system that delivers the right help to the right people.

    So assessments have to stay.

    But let’s take Andy Burnham’s idea of whole person care and ask why not bring together health, social care – and the back to work system into one comprehensive service.

    That’s what Labour did in Australia.

    Let’s see if we can learn from that here.

    I’m delighted to announce that Jenny Macklin, a fine Labour politician and the architect of the system down under, is going to help us figure out how.

    Conference, nearly 10 years ago many of you helped win a very tough by election.

    For nearly a decade I’ve served the poorest constituency in Britain.

    I know in power we will have difficult decisions to make.

    And I passionately believe we judge our success not by the money we spend but the difference we make.

    There is no moral credibility without financial viability.

    That’s why we’ll cap social security spending.

    But, full employment, fair pay, a return to Beveridge, rights a reality for disabled people, fair pensions not for some but for all.

    These are our principles for rebuilding social security for new times.

    More than 50 years ago, my hero Clement Attlee, a man with the best hair in Labour history, made his final broadcast to a war weary nation hungry to win the peace.

    We call you, he said, to another great adventure, the adventure of civilisation, where all may help to create and share in an increasing material prosperity, free from the fear of want.

    That’s the Labour way, that’s the Ed Miliband way, and that’s the way we’ll win.

    Thank you.

  • Liam Byrne – 2013 Speech on Full Employment

    liambyrne

    Below is the text of the speech made by Liam Byrne to the IPPR North conference on 17th May 2013.

    There are few better places than here, to speak about the task of rebuilding Britain as a country of full employment.

    Today we meet under 10 miles from Jarrow, where I spent this morning.

    The town from where families hungry for work set off on the road to Westminster.

    Walking in hunger they still inspire us down the ages.

    Today we meet in a city where once again it is the Labour movement, in trade unions, in constituency parties and in local government, that are once more leading the campaign for work.

    The story of our fight for jobs is the genesis of our credo.

    When Keir Hardie stood up in Parliament as the first Labour MP, he spoke to insist on the principle of work or maintenance.

    ‘Useful work for the unemployed’ was the call of our first manifesto.

    And it is our call today.

    Next year we mark a proud anniversary in our long struggle.

    We mark seventy years since the famous white paper on employment policy.

    The first white paper in which a national government accepted a national responsibility to build a country where everyone had a job.

    Its virtue was not simply the determination written through its pages to never return to the Devil’s Decade of the 1930s.

    Its achievement was greater than that.

    Its achievement was to show us how countries can be rebuilt and can be renewed if and only if we put everyone back to work.

    The story of this great declaration bears re-telling. It’s mother and father, so to speak, was the Beveridge Report.

    The bold plan for a system of ‘all in’ social insurance.

    It was swept off the shelves in 1942 to become the most popular White paper until the Profumo report published in the 1960s.

    Sex and social security were never going to be a fair competition.

    The Beveridge Report was published to a country that was hungry for a vision of just what it was we were fighting for: the victories in 1942 in North Africa, in Stalingrad, in Guadacanal had delivered us the ‘end of the beginning’.

    Beveridge gave us that vision of what we were fighting for.

    Atlee looked at the report, and said, for us, Beveridge means socialism.

    And that is why the PLP was acutely worried that Churchill would to put off the job of preparing to turn ideas into action.

    And so 70 years ago, the Parliamentary Labour Party decided to force the issue.

    In the biggest Parliamentary revolt of the war, 97 MPs broke the whip, voted against the government and demanded that planning for the peace begin immediately.

    In his speech, Jim Griffiths, later the first Minister for National Insurance, moved the rebel’s amendment and rested his case on the belief that we could never again return to the mass unemployment of the past.

    “Our people have memories of what happened at the end of the last war”, he said. “Years in which never less than one million and sometimes two million and at one time three million of our people were allowed to rust on the streets”.

    “That”, said Griffiths, “must never be allowed to happen again”.

    And so, Churchill relented.

    A Reconstruction Committee was formed dominated by Atlee and Bevin.

    And after just two years the Committee produced its finest fruits. The 1944 White Paper on employment policy, replete with its famous first paragraph that henceforth:

    “The Government accept as one of their primary aims and responsibilities the maintenance of a high and stable level of employment after the war”.

    It set out the big levers that government would pull:

    Trade policy – vital for an exporting nation; interest rates – to keep money at the right price; public investment and tax rates to make good any shortfalls in business investment or consumer demand, and crucially, special help for special areas, where old industries were in their sunset years but where new industries were yet to dawn.

    When Bevin launched the white paper in the Commons he was very clear that as technical as the strategy might sound, this was a moral crusade.

    Remembering some of the soldiers he had bid farewell as they sailed for the D-Day landings in Normandy, he told the Commons of one man of the 50th Division who had asked him this:

    “Ernie, when we have done this job for you, are we going back to the dole?”

    Both the Prime Minister and I answered, “No, you are not.”

    “Unemployment”, said Bevin, “was and is a social disease, which must be eradicated from our social life”.

    And so henceforth “Our monetary system, our commercial agreements, our industrial practices, indeed, the whole of our national economy, will have applied to them the acid test—do they produce employment or unemployment?”

    When Labour went to the country in 1945, we argued that if we could achieve full employment then we could afford to rebuild Britain – and we could afford to build the welfare state.

    In our manifesto ‘Let Us Face the Future’, we said a policy of ‘Jobs for all’ could pay for ‘Social Insurance against the rainy day’.

    “There is no reason”, we argued, “why Britain should not afford such programmes but she will need full employment and the highest possible industrial efficiency in order to do so”.

    The big insight of the Atlee government was this: in a fully employed society we could afford social security. We could afford to rebuild.

    It was the same insight as New Labour. We knew back in 1997 that if we got our country back to work, we could afford to renew our public services.

    Our insight is the same as Clem Atlee, Tony Blair, and Gordon Brown.

    If we restore our country to full employment, we can afford to rebuild; to address the biggest challenges of our times. Full employment has always been the foundation for rebuilding Britain.

    It was for Atlee’s Labour.

    It was for New Labour.

    It will be for One Nation Labour.

    Today the goal of full employment is important for a very simple reason. The faster we return to full employment, the faster we can pay down our debt, and the faster we can put the something for something back into social security.

    The Tories’ problem is that they lost belief in full employment many years ago, and they never rediscovered it. This failure is now costing us not less, but more. And more money spent on unemployment means less for working people and less for care.

    It wasn’t always like this.

    Two years into Government, the Tory Chancellor, Rab Butler told the 1953 party conference:

    “Those who talk about creating pools of unemployment should be thrown into them and made to swim”.

    You don’t find Tories like Butler any more.

    The old consensus about full employment is gone.

    Mrs Thatcher’s death has provoked some debate about whether we are all Thatcherites now.

    The Prime Minister himself does not seem sure. We can have less doubt about the Chancellor.

    It seems pretty clear to me that he is, in Denis Healey’s words, just as much a sado-monetarist as Geoffrey Howe.

    And in practice the Chancellor has shown by his action that he is a firm believer in those old nostrums of the 1930s, and 1980s and early 1990s, that unemployment is a price worth paying.

    The Conservatives beat their retreat from the ideals of full employment in stages.

    In Preston in 1974, Sir Keith Joseph declared he had been converted to ‘true Conservatism’ by the ideas set out six years before by Milton Friedman.

    Friedman had set out the monetarist case in 1968 arguing the long term effect of trying to buy less unemployment with more inflation simply increased both.

    Joseph did not argue that full employment per se created inflation but rather: “It is the means adopted by successive governments to achieve a high level of employment which are the cause of inflation. Instead of dealing with the real obstacles to fuller employment which are often very specific, governments try the panacea, the universal healer, excess demand”.

    Jim Callaghan acknowledged the point in 1976 that, as Gordon Brown put it:

    “Quite simply governments could not deliver growth and employment through a macro-policy designed to exploit a supposed short-term trade off between higher inflation and lower unemployment”.

    Now, Joseph freely admitted that his prescription would create unemployment – but he at least acknowledged:

    “There is no magic cure for these problems”, and that further, “In economics there is not and cannot be one cure. Economics is a matter of balance”. He argued too for “reform of employment services, re-training, mobility of labour, reform of housing policy”.

    But no such balance was to moderate the disastrous policies of Mrs Thatcher’s first term: massive spending cuts, large tax rises and a big hike in interest rates.

    In a year corporate profits fell 20 per cent, output fell six per cent, manufacturing fell 15 per cent and unemployment rose from 1.4 million to over two million.

    It was a disaster. And it got worse. In the following two years, interest rates were cut, but public spending cuts were deep.

    Unemployment grew for another five years. It did not peak until 1984.

    Nigel Lawson tried to argue there was a logic to this cruel ‘British experiment’.

    Macro-economic policy was targeting inflation, not growth and employment.

    Micro-economic policy would target growth and employment, not inflation. It was a switch in the traditional roles played by each policy field since the war.

    But it was an experiment badly conceived.

    Macro-economic policy – both fiscal and monetary – targeted a bewildering array of moving targets – £M3, M1, M0, shadowing the D-Mark, and then joining the EMS – each in their turn, targets wildly missed.

    Micro-economic policy meant simply laissez-faire.

    The investment – public and private – deemed so important in the 1944 White Paper simply failed to materialise.

    Investment backlogs grew, in industry, in infrastructure, in housing.

    Bottle-necks got worse. Productivity flagged.

    By the late 1980s, Britain was suffering once again from the old curse of rising unemployment and rising inflation.

    Unemployment reached 3 million mark, so high that any notion of full employment felt well beyond reach.

    Now, Mrs Thatcher liked to pretend this was all about economic efficiency.

    When a young Tony Blair challenged her in October 1984, she claimed not only to have read the White Paper but to have a copy in her hand-bag.

    In practice the Tories were not creating new economic dynamos but new economic deserts.

    The decline in industrial output between 1979 and 1981 was unprecedented.

    The balance of Rab Butler and the post-war Tory party was gone.

    The Tory cabinet minister Ian Gow later put it like this:

    “Belief in monetarism it emerged, was now a prerequisite not only for controlling inflation but for being a real Conservative….Those who resisted conversion and clung instead to traditional Tory principles were soon regarded as, at best, suspect infidels or, at worst, the enemy within”.

    Today the Conservative Party is in the grip of the same dogma, and it’s costing us a fortune.

    After the recessions of the 1980s, and then the 1990s, structural social security spending rose and rose after the end of each recession.

    In the 1980s, from under two per cent of GDP before the recession, to three per cent thereafter.

    In the 1990s, it rose from 3.5 per cent of GDP before the recession to 4.5 per cent thereafter.

    The reason is simple. A generation were written off on incapacity benefit and never worked again.

    Between 1979 and 1997, the number of people on incapacity benefits more than doubled.

    Inactivity rates for men aged between 25 and 55 rose from under 10 per cent in 1975-6 to around 35 per cent in the mid-1990s.

    Even today of the 10 per cent of most deprived districts in England, around 40 per cent are either ex-manufacturing or ex-mining areas.

    The same challenge now afflicts us once again. The cost of social security system rose £24 billion during the crash.

    But since then, it’s not come down. It’s carried on rising. It’s rising by 2 per cent a year.

    That is simply unsustainable.

    The Tories’ economic policy has failed so badly that the output gap is forecast to continue widening until 2014-15.

    The Tories are reacting by taking an axe to the security in social security – and people know it.

    They pay more in – and get less out.

    It’s what Brendan Barber calls the ‘nothing for something’ problem.

    I say we have to break out of this vicious circle.

    Seventy years ago, we set out a new path to full employment.

    And the lessons of 1944 are just as relevant today as they were for the post-war era.

    The White Paper teaches us to be radical reformers, to build exports, supporting public investment, fanning consumer demand – and taking determined action on jobs.

    When New Labour came to office in 1997, we set out a new approach.

    In place of the pure and purely failing monetarism, came a new approach that:

    Recognised that demand management was important but could not on its own deliver high and stable levels of employment; provided a new institutional framework for governing monetary policy including the independent Bank of England to replace the failed policy of target chasing; delivered active supply side policy – targeting productivity, competitiveness and active labour market policy – the new deal, tax credits, the national minimum wage – support for high levels of employment.

    Contrary to Lawson’s neat but contrived seperation of macro policy to combat inflation and micro-policy to aid competitiveness, new Labour argued for “macroeconomic and microeconomic policy are both essential – working together – to growth and employment”.

    And boy did we deliver.

    In the decade before the crash, productivity employment and wages all grew together for the first time since records began.

    Wages for workers in Britain rose for over a decade – an average of 3.4 per cent a year between 1997 and 2006.

    By 2007 UK average wages were some 59 per cent ahead of where they were in 1997. Only two other OECD countries could match this record – Ireland and Australia.

    The UK’s record was almost 20 points higher than the average for the Euro area.

    In 2015, we’re going to inherit a very different country – Tories always leave higher unemployment.

    So over the next few months, I want to say more about just how we raise the employment rate – raise it with five big steps.

    First, tackling the crisis of youth unemployment. Nearly 40 per cent of those out of work today are under the age of 25. As the MP who represents the constituency with the highest youth unemployment in Britain, that is simply not a situation I am prepared to tolerate.

    Second, tackling the crisis of long term unemployment, because we are simply not so rich that we can afford nearly one million people out of work for more than a year.

    Third, raising the employment rate for women. As a country we will never fire on all cylinders when our employment rate for mothers with toddlers is amongst the lowest in the OECD.

    Fourth, showing just how we can make the right to work a reality for disabled people once again.

    And fifth, and this is what I want to touch on today – how make sure that in the One Nation economy we want to build, we do not leave any part of our country behind.

    In his very first speech as Prime Minister, Tony Blair declared that concentrations of poverty and unemployment represent ‘the greatest challenge for any democratic government’.

    This is the same challenge that Iain Duncan Smith saw when he went to Easterhouse.

    Back in Easterhouse, Iain Duncan Smith set himself a test. He said:

    “A nation that leaves its vulnerable behind, diminishes its own future.”

    He found his echo in the Prime Minister, who said in 2007:

    “A modern aspiration agenda means helping the have-nots to have something, and if we do not succeed in that mission then I tell you frankly that we will all be poorer”.

    Iain Duncan Smith’s time in Easterhouse inspired his reform plans for the Work Programme and Universal Credit.

    The challenge is that, however well-meaning, both programmes are failing and failing badly.

    Three years into the Parliament, the Work Programme has proved literally worse than doing nothing.

    Universal Credit is now so mired in problems its virtues are enjoyed by just 300 people in Tameside.

    The challenge for welfare reformers is not whether you have nice ideas. It is whether you can make a difference.

    I believe the jury is now in for Iain Duncan Smith.

    He has failed the Easterhouse test.

    On three-quarters of the estates in Britain where unemployment is highest, there are now more people out of work not less. Long term unemployment has risen in two-thirds of these places.

    Iain Duncan Smith has failed the test he set out in Easterhouse because he has failed to understand the challenge that poor places now face in the 21st century.

    Let me explain.

    Back in the 1980s, old industries were destroyed – and almost nothing was done to offer workers a new future.

    The great destruction of British industry – especially manufacturing and mining had huge consequences for jobs in places like the North East.

    The aftershocks of that shock therapy are still felt today, two generations later.

    Of the ten per cent most deprived districts in England, around 40 per cent are either ex-mining or manufacturing areas.

    What happened during the 1980s was no great programme of re-skilling.

    Instead a generation was written off, put on incapacity benefit without a thought for those former workers or the damage it would do to the aspirations of their children.

    Yet this is what the 1944 White Paper taught us: that when the sun sets on old industries, you need big action to reskill, ‘to fit workers from declining industries for jobs in expanding industries’.

    But we were contending with a revolution in globalisation. Big time.

    Two years after unemployment peaked in 1984, I was sitting my exams.

    That year Deng Xiaoping was Time magazine’s ‘Man of the Year’ for the changes underway in China.

    When I got to university in 1989, the Berlin wall came down, and a path opened to a united Europe of 500 million people.

    A year later, Manmohan Singh was appointed Finance Minister of India and set about dismantling India’s ‘licence raj’, the vital precursor to its explosive growth a decade later.

    By the time I graduated in 1992, President Clinton was in the White House, arm-wrestling through Congress a plan for the North American Free Trade Agreement and eventually a green light for China’s accession to the World Trade Organisation.

    A century that began with revolution and world war ended with conscious decisions across ten years on four continents to create a global marketplace linking 6 billion of the world’s 7 billion people. It was a quite a fin de siècle.

    Since this century began the commanding heights of the global economy have changed out of all recognition.

    As Peter Nolan at Cambridge University has shown: since 2000, some 2,500 -billion mergers, worth in total some .4 trillion, have created a new global super-league.

    A handful of firms now monopolise the aircraft industry, the world’s auto business, the world’s mobile telecoms infrastructure, pharmaceuticals, beer, cigarettes, aero-engines, computer chips, industrial gases, soft drink cans.

    These giant firms often richer than nations now have the power to move jobs to wherever the skills are greatest or the wages lowest.

    That means unskilled workers here in Britain compete with wages far lower elsewhere.

    The ILO says low skilled wages in some of Britain’s competitors are 12 times lower here than in Britain.

    That means there is simply not a lot of low skill work to go around.

    The result? Over half of adults in Britain without skills are out of work. And that figure is going up not down.

    Crucially, that means Britain’s poor places are falling behind. Why?

    Because some of Britain’s poorest communities are home to five times more unskilled workers than Britain’s richest communities. This was the challenge Labour had to clear up.

    During our time in office, Britain’s employment rate hit record highs; from 71 per cent of the population in 1998 up to 73 per cent in 2008.

    This increase in the employment rate was coupled with a long-term shift in the number of British workers with skills.

    Back in 1994, 22 per cent of the workforce had no qualifications. By 2005 this had fallen to 13 per cent.

    Because we believed it was wrong to dismiss the future employment chances of disabled people, we introduced the Work Capability Assessment (WCA) and Employment and Support Allowance (ESA).

    We combined reform with investment in back to work programmes; the employment rate amongst those with disabilities rose by over ten per cent between 1997 and 2008.

    Now of course we didn’t finish the job: there remained a gap between the national employment rate (72.4 per cent) and employment in our ten biggest cities (68.4 per cent). But at least we closed the gap.

    This government is simply ignoring that lesson.

    Even when the jobs are there, we’re not training the unemployed to do them.

    In great regions like the North West or Yorkshire and Humber, business says they’ve skill shortages, yet we have unemployment way above the national average.

    Yet, we knew this was going to happen.

    The challenge of poor places and changing places isn’t new. It’s an old challenge.

    It was crystal clear to inter-war politicians.

    You know too the big challenges that poor places face.

    How in many communities, we still grapple with the legacy of the ‘Right to Buy’ legislation of the 1980s, that often led concentrations of the poorest housing stock, where councils were forced to house the most disadvantaged households – often adults without skills.

    In poor places, jam-packed like my own with aspirational people, problems multiply.

    A low skills base, poor transport connections to work, brownfield land left unoccupied and limited private investment.

    Yet, these places are packed with potential.

    Over the last ten years, thinking about how to regenerate inner-city areas – in the UK and the US (especially under the Clinton Administration) – has been re-animated by fresh thinking which has explored the idea that inner-cities might actually have some competitive advantages and are in fact a ‘missed market’.

    But to unlock that potential means we have put investment in people, and investment in places in the same place.

    Unlocking that potential means coordinating skills, education, crime, worklessness, transport, physcial regeneration, health, housing, environmental sustainability, social regeneration, spatial planning, and economic development.

    That’s complicated today.

    And in fact if you try to do it from Whitehall, it’s impossible to do. We know – we tried.

    In fact we had 36 different organisations, operating on four different levels: national, regional, sub-regional and local trying to coordinate this work.

    We made progress. But it was no surprise that it was slow.

    This is not a mistake that other countries make – they devolve far more to their regions.

    It is in fact, something that people on both sides of the debate now agree with.

    Lord Heseltine, the Rab Butler of his day, put it like this:

    “We need to mobilise the skills of provincial England. I want to shove power out of Whitehall, into the provinces.”

    Once upon time, Iain Duncan Smith agreed with him. Once upon a time he told his party conference:

    “In the past, Conservative governments have been guilty of taking power away from local government to Whitehall. That was a mistake. We will reverse this process and restore to local councils the discretion to act according to the interests of the communities they serve.”

    But it’s not happening.

    The problem is that neither Vince Cable or Iain Duncan Smith believe Lord Hesetline. They are the new road-blocks to reform.

    The result is our back to work system is hopelessly centralised. This is what the clear conclusion of Labour councils who are now leading the fight against youth unemployment.

    That’s why I’m publishing today analysis of the way other countries work.

    In Germany, a more localised approach has contributed to saving billions of Euros in welfare payments by driving up the employment rate. Jobcentres work closely with surrounding schools and have deep roots in the local labour market which allows them to engage with employers far beyond the traditional low skill, low pay sectors.

    In Canada, localised delivery of back to work programmes gives local government the flexibility to establish their own priorities and to develop programmes to achieve this. Provinces and territories control how the funding is allocated in order to meet the needs of their particular labour markets, which in turn gives them the opportunity to apply local expertise to skills development, allocating targeted wage subsidies, and creating Job Creation Partnerships, to help provide useful work experience that leads to sustained employment.

    Next year we celebrate the 70th anniversary of the white paper on full employment.

    I believe we should mark that anniversary not with empty words but with big plans.

    Plans to rebuild the path to full employment for new times. Plans which could help us modernise our social security system, to rebuild trust, and crucially put its finances back on an even keel for the future.

    Our economy not rebalancing

    Despite the huge depreciation of our currency since 2007, our export growth has been anaemic.

    Business investment is low.

    Corporate tax cuts have now totalled £5.7 billion over the course of this parliament. Yet this great act of corporate welfare has not been repaid.

    The cash is simply stacking up in corporate bank accounts. Our new Bank governor Mark Carney will recognise the phenomenon from Canada where he has attacked the curse of ‘dead money’.

    The result is persistent, high unemployment. The result is OBR now downgrading the country’s trend rate of growth.

    The result is that there is quite simply not enough work to go round.

    And the government’s strategy is causing engine damage that may last for years to come.

    That’s why we need a new plan. We need a new plan for growth. We need a new plan for jobs. And we need people to vote for it at the next election.

    To win that vote we need to show how a new plan for full employment will help us pay down debt faster and with less risk by putting our social security system back on an even keel after the crash.

    The people of Britain know we can’t go on like this.

    And profound change is needed because life has changed since we created the system back in 1945.

    People need different things from social security today.

    I want to put the something for something back into the system. I want to put the system back on an even keel after the expense of the crash.

    But I believe the lesson of our history is simple:

    We can afford to do big things to repair and renew our country, to pay down our debt faster, to bring fairness back to the system if, and only if, we get people back to work.

  • Liam Byrne – 2012 Speech to Labour Party Conference

    liambyrne

    Below is the text of the speech made by Liam Byrne, the Shadow Secretary of State for Work and Pensions, to Labour Party conference (delivered live via Skype from a Jobs Summit at Manchester College) on 1st October 2012.

    Conference, let me apologise for not being with you in the hall right now.

    But sometimes you have to strike a balance between argument and action – and when it comes to youth unemployment what we need right now is action.

    So I’m here with Tony Lloyd at the fantastic Manchester College.

    Where we’ve brought employers, colleges, business with apprenticeships, and hundreds of young people to see what we can do to get young people in this city into jobs.

    And what I’ve heard this morning is just wrong.

    It’s wrong that young women like Nazish have been out of work six months, desperate for a job or apprenticeship.

    It’s wrong that young men like Colm who’s 23 have been out of work since July.

    This is the economics of the madhouse.

    You know our welfare is rising by £29 billion.

    And yet people like Colm and Nazish and a million others just like them and hungry to work and are forced to stand idle.

    Now as some of you know, I represent the constituency in Britain where youth unemployment is highest.

    What I’ve realised is that the anger we feel about youth unemployment is the anger we feel when we see our values under attack.

    We believe in the pride and dignity of work. That’s why we’re called the Labour Party.

    We believe that we’re stronger when we pull together as a country. We don’t believe in the economics of you are on your own.

    We believe in an economy that works for working people.

    And we believe that when you see an injustice, you don’t just walk past it.

    You roll up your sleeves and you do something about it.

    Today every single one of those values is under attack and it’s our young people paying the price.

    So we have to take a stand.

    That’s why Labour are calling for a real jobs guarantee – paid for by sensible tax on bankers bonuses.

    And, we have to organise the fightback.

    We can’t and won’t stand on the sidelines and watch our young people take a kicking.

    So today I’m very proud to launch our Youth Jobs Taskforce.

    Just because we’re not in government doesn’t mean we can’t make a difference.

    We run Wales, and London’s big boroughs and Britain’s big cities.

    Right now it’s our councillors and local leaders who leading the charge for youth jobs: thinking, organising, making a difference to get young people work.

    Today, these local leaders are coming together in a new coalition to galvanise action.

    They are going to join forces with good people from our trade unions, from business, from enterprise, from civil society, and from our youth movement.

    We want to make sure that the best ideas anywhere, become the way we do things everywhere.

    We know how high the stakes have become.

    The young people we serve are good people.

    They don’t dress up in white tie and smash up restaurants.

    And they don’t swear at policemen.

    They are people who want to work hard and get on in life if only someone will let them.

    And today we send an emphatic message: that we are on their side.

    Let me just finish with a story.

    You know Iain Duncan Smith likes to boast that he was once inspired in his reforming zeal to smash up the welfare state by what he saw in Easterhouse in Glasgow’s East End.

    Well last week I too went to Easterhouse, together with the great Margaret Curran.

    To meet a group of young people to talk about the future.

    What they say inspires them, isn’t yet another Tory attack.

    It’s investment in skills. In jobs. In chances.

    Those young people are just like people we’re here with today.

    They’re people who want to rebuild Britain.

    And Labour is going to help them.

    Because we’re the party that knows how futures are really built.

    It’s built by people like those behind me here in Manchester today – and a million more like them all over the United Kingdom.

    They might have a do-nothing Government.

    But they’re going to have a do-what-it-takes Labour Party.

    So thanks for listening.

    I’ll let you know how we get on a bit later.

    If you’d like to get involved in the taskforce, drop me a line: we’d love to have your help.

    And I’ll catch up with you later this afternoon.

  • Liam Byrne – 2011 Speech to Labour Party Conference

    liambyrne

    Below is the text of the speech made by Liam Byrne to the Labour Party conference on 25th September 2011.

    Conference.

    As we’ve gone around the country what’s become clear is that people are now seriously worried about what this Government is doing to their families, their communities and our country.

    This week is our chance to point to a different way now – and different possibilities for the future.

    That is the single aim of the Policy Review Ed Miliband has asked me to chair.

    After last year’s defeat, the easiest thing in the world would have been for us to turn in on ourselves.

    Gaze fondly, lovingly perhaps, at our navels.

    Sit around in a comfort zone.

    Argue amongst ourselves.

    Let’s be honest. Some of us quite like that.

    But under Ed Miliband, we have to do it differently.

    We’ve picked ourselves up.

    Dusted ourselves down.

    And got straight back out there once more, talking to people, who we came into politics to serve…

    About what we got right.

    What we got wrong.

    And how we need to change.

    What we have decided to do is go for the prize that no-one has achieved in British politics for 35 years.

    One-term opposition.

    A party determined to bounce back from defeat and back into office where we know we can make a difference.

    So I suppose I should give you the bad news.

    I know what many will want this week is a detailed 5 year plan.

    A new budget.

    Sorted out down to the last pound and penny.

    I know the hardest question I get on doorsteps in Hodge Hill is where’s the alternative? Where’s your plan? What would you do different?

    Sorry.

    The easiest thing in the world would have been to sit in a committee room in Westminster and write a new manifesto.

    But I can tell you now, it wouldn’t have got us very far.

    It wouldn’t have delivered one-term opposition.

    Because we can’t revise our policy, or reorganise our party, until we reconnect with the public.

    And that is what this first year of the Policy Review has been all about.

    We’ve taken the simple view: that policy has to start with politics and politics starts with people.

    And that is why we got back out there.

    Back in touch with over a million men and women, party members and affiliates.

    150 events.

    6,000 local residents, coming along in person.

    20,000 submissions pouring in to our HQ.

    And it’s not always been easy has it?

    You never quite know what you’re going to get.

    I’ve been doing policy review door to door in Hodge Hill.

    I won’t forget the man in Shard End, who I disturbed in the middle of his dinner.

    He came to the door. Wiped clean his moustache.

    And, how shall I put this?

    He confined his remarks to two words; it began with F, it ended with F, and there were five letters in between.

    I said, shall I put you down as against?

    But whether the conversations have been hard or easy, we’ve had them.

    People have been incredibly generous and personal in the stories they have shared.

    They’ve told us about their daily struggles.

    Their worries about balancing the bills.

    Their hopes for their kids. At school. At college.

    Their memories; their observations.

    Loves. Hates.

    But above all their common sense.

    People haven’t pulled their punches.

    They’ve given it to us straight.

    They thought we grew out of touch.

    They thought we got it wrong, on issues close to their heart.

    On immigration. On welfare. On control of banks.

    And that is why they’ve told us to change.

    I know at times this has felt like an exercise in gratuitous masochism.

    It isn’t.

    We can leave that to George Osborne.

    People don’t expect us to get everything right.

    But they do expect us to learn from experience.

    Their experience.

    Because for most people in this country, things are different from 1997.

    Life hasn’t stood still.

    Times have moved on.

    Challenges have changed.

    What we have heard from people is that there is a new centre-ground in British politics.

    It’s not a place that the party gets to pick.

    The centre-ground is where voters say it is.

    Our challenge now is to change and move in and say once more the centre-ground is our home-ground, and this is where we fight.

    Everything I’ve seen of the Tories tells us that we should be bullish if we choose to change.

    I think we can be a one-term opposition because of the people in the centre-ground; they’re under attack from a Conservative party, that is not on people’s side

    You can’t pretend that you’re on people’s side if you cut jobs, and childcare and tax credits.

    And damage people’s chances to work and pay the bills – or treat the kids – or take a holiday.

    You’re not on people’s side when you curtail the chances for children.

    And you’re not on people’s side if your idea of responsibility means firing 12,000 police officers, putting charities out of business and singling out as the people who need a tax cut, the bankers who got us into this mess in the first place.

    So this week is our chance to show that we’re the ones who get it.

    – That we’ve heard what people said.

    – That we’re up for the challenge of change.

    – That we are back on the side of the majority.

    This week, we’ll set out what we’ve heard about how people want a different economy not run on the old rules but new rules with a welfare state that works once again for working people.

    And we’ll say how we think change should begin.

    We’ll say what we’ve heard about the next generation.

    Remember education, education, education?

    It was an expression of our aspiration for youngsters.

    This week, we’ll say more about how we bring that aspiration back alive for new times – in education, in jobs, in housing.

    We’ll say where we think change should begin.

    We’ll say what we’ve heard about how good people in this country want to rebuild a responsible country, with rules that bite at the top, the bottom and at every point in between.

    And we’ll say how we think change should begin.

    So this first year is just a beginning.

    We put first things first because we know that Oppositions that stay in opposition look inwards, and not out.

    And that is why I’ve always said that my hope is that this policy review will change the way we make policy.

    Not in committee rooms in Westminster.

    But through conversation with the public, our members and affiliates.

    I know we and I need to work harder to get these debates out of here.

    So if you want me to come along and listen, wherever you are, I’d be delighted. Give me a ring.

    Because over the next week and over the next year, we’ll begin to set out the new ideas we think are right for the future.

    New ideas for the new centre-ground.

    New ideas that reflect one simple philosophy.

    That for most people in this country, politics is about the personal.

    It’s about how you get on at work.

    It’s about the safety of your community.

    The education for your kids.

    The care for your parents, your husband, your wife.

    It’s having the chance to earn a better life, to get the good things in life, to live free of fear.

    In other words, politics is about the most important things in the world.

    In everything I read this year, no-one put it better, than a guy called Andrew, from Newcastle upon Tyne who wrote this:

    “People want straight answers from politicians not avoidance or waffle. Talk like people, on the street, in the pubs, in the factories and offices and give straight honest answers. Try to make Britain a fair society.”

    That’s our test.

    So I think if we get the politics right; if we’re passionate about how politics can make a difference, then and only then will the right policy follow.

    That’s the way we earn back the trust to serve.

    Get that right – and we’ll win.

  • Andy Burnham – 2014 Speech on the NHS

    andyburnham

    Below is the text of the speech made by Andy Burnham, the Shadow Secretary of State for Health, in Birmingham on 3rd February 2014.

    Thank you all for coming today.

    It’s a sign of how much we value the NHS that you have taken time to come along this morning.

    In February 2012, the battle over the Government’s proposed reorganisation was reaching its peak.

    There were claims and counter-claims about what it would all mean.

    Now, two years on, it’s time to assess what has happened in the two years since and the overall state of the NHS today as we head towards a General Election which will determine its future.

    My conclusion is this: the NHS has never been in a more dangerous position than it is right now, and the evidence for that is the relentless pressure in A&E.

    The last 12 months have been the worst year in at least a decade in A&E with almost a million people waiting more than four hours.

    A&E is the barometer of the whole health and care system and it is telling us that this is a system in distress with severe storms ahead.

    A reorganisation which knocked the NHS to the floor, depleted its reserves, has been followed by a brutal campaign of running it down.

    It looks to many that the NHS is being softened up for privatisation which, all along, was the real purpose of the reorganisation.

    Things can’t go on like this. It’s time to raise the alarm about what is happening to the NHS and build a campaign for change.

    The tragedy is that the Government can’t say they weren’t warned.

    Even at the eleventh hour, doctors, nurses, midwives and health workers from across the NHS were lining up in their thousands and pleading with the Prime Minister to call off his reorganisation.

    Why?

    Because they could see the danger of throwing everything up in the air in the midst of the biggest financial challenge in the history of the NHS.

    But David Cameron would not listen. He ploughed on regardless.

    It was a cavalier act of supreme arrogance.

    As the dust settles on this biggest-ever reorganisation, the damage it has done is becoming clear.

    The NHS in 2014 is demoralised, degraded and confused.

    The last two years have been two lost years of drift.

    Even now, people are unsure who is responsible for what.

    Two years of drift when the NHS needed clarity.

    And what was it all for?

    The Government hasn’t even achieved its supposed main goal of putting doctors in charge.

    CCGs are not the powerhouse we were promised.

    Instead, the NHS is even more ‘top-down’ than it was before, with an all-powerful NHS England calling the shots.

    Just look at Lewisham.

    When local GPs opposed plans to downgrade their hospital, the Secretary of State fought them all the way to the High Court.

    So much for letting GPs decide.

    Now the Secretary of State wants sweeping powers to close any hospital in the land without local support. Labour will oppose him all the way.

    And the specific warnings Labour made ahead of the reorganisation have come to pass.

    First, we said it would lead to a loss of focus on finance and a waste of NHS resources.

    An outrageous £3 billion and counting has been siphoned out of the front-line to pay for back-office restructuring – £1.4 billion of it on redundancies alone.

    Just as we warned, thousands of people have been sacked and rehired – 3,200 to be precise.

    One manager given a pay-off of £370,000 – and last week we learn he never actually left the health service.

    It is a scandalous waste of money and simply not justifiable when almost one in three NHS trusts in England are predicting an end-of-year deficit.

    Cameron promised he would not cut the NHS but that is precisely what is happening across the country as trusts now struggle to balance the books.

    2,300 six-figure pay outs for managers; P45s for thousands of nurses – that’s the NHS under Cameron.

    What clearer sign could there be of a Government with its NHS priorities all wrong?

    Second, Labour warned that the reorganisation would result in a postcode lottery.

    Last week, a poll of GPs found that seven out of 10 believe rationing of care has increased since the reorganisation.

    NICE has warned that patients are no longer receiving the drugs they are entitled to and has even taken the unusual step of urging them to speak up.

    New arbitrary, cost-based restrictions have been introduced on essential treatments such as knee, hip and cataract operations – leaving thousands of older people struggling to cope.

    Some are having to pay for treatments that are free elsewhere to people with the same need.

    Cameron’s reorganisation has corroded the N in NHS – again, just as we warned.

    Third, we warned that rhetoric about putting GPs in charge was a smokescreen and the Act was a Trojan horse for competition and privatisation.

    Can anyone now seriously dispute that?

    Last year, for the first time ever, the Competition Commission intervened in the NHS to block collaboration between two hospitals looking to improve services.

    How did it come to this, when competition lawyers, not GPs, are the real decision-makers?

    The NHS Chief Executive has complained that the NHS is now “bogged down in a morass of competition law”.

    Since April, CCGs have spent £5 million on external competition lawyers as services are forced out to tender.

    And it will come as no surprise that, since April, seven out of 10 NHS contracts have gone to the private sector.

    Who gave this Prime Minister permission to put our NHS up for sale, something which Margaret Thatcher never dared?

    The truth is that this competition regime is a barrier to the service changes that the NHS needs to make to meet the financial challenge.

    It is sheer madness to say to hospitals that they can’t collaborate or work with GPs and social care to improve care for older people because it’s “anti-competitive”.

    If we are to relieve the intense pressure on A&E, and rise to the financial challenge, it is precisely this kind of collaboration that the NHS needs.

    So the summary is this – the NHS has been laid low by the debilitating effects of reorganisation, has been distracted from front-line challenges and is now unable to make the changes it needs to make. It is a service on the wrong path, a fast-track to fragmentation and marketisation.

    It lost focus at a crucial moment – and is now struggling to catch up.

    The evidence of all this can been seen in the sustained pressure in A&E – the barometer of the NHS.

    The price we are all paying for the Prime Minister’s folly is a seemingly permanent A&E crisis.

    Hospital A&Es have now missed the Government’s own A&E target in 44 out of the last 52 weeks.

    This is unprecedented in living NHS memory – a winter and spring A&E crisis was followed by a summer and autumn crisis. The pressure has never abated.

    The reorganisation has contributed very directly to this A&E crisis.

    Three years ago, the College of Emergency Medicine were warning about a growing recruitment crisis in A&E but felt like “John the Baptist crying in the wilderness” as Ministers were obsessing on their structural reform.

    The very organisations that could have done something about it – strategic health authorities – were being disbanded. Just when forward planning was needed, we saw cuts to training posts.

    All this leaves us with an A&E crisis which gets worse and worse.

    Of the one million people who went to a hospital A&E this January, 75,000 waited longer than 4 hours to be seen.

    Of the 300,000 people admitted to hospital after going to A&E, 17,500 had to wait between 4 and 12 hours on a trolley before they were admitted.

    On one day in January, 20 patients were left on trolleys for over 12 hours.

    In the last year, ambulances have been stuck in queues outside A&E 16,000 times – leading to longer ambulance response times.

    On 92 occasions, A&E departments had to divert ambulances to neighbouring hospitals because they were so busy.

    And now the pressure from the A&E crisis is rippling through the system.

    In January, over 4,500 planned operations were cancelled – causing huge anxiety for the people affected.

    The waiting list for operations was the highest for a November in six years.

    The truth is that the Government have failed to get the A&E crisis under control and it is threatening to drag down the rest of the NHS.

    They have desperately tried to blame the last Government’s GP contract – it’s never their fault, of course – but the facts shows an exponential increase in A&E attendance since 2010.

    In the last three years of the Labour Government, attendances at A&E increased by 16,000.

    In the first three years of this Government, attendances increased by 633,000. No wonder we have an A&E crisis.

    The question we need to ask is: why, behind the destabilising effect of reorganisation, has there been such an increase?

    I see three reasons – all policy decisions taken by David Cameron.

    First, David Cameron has made it harder to see your GP.

    He scrapped Labour’s guarantee of an appointment within 48 hours.

    Now, the story I hear up and down the country is of people phoning the surgery at 9am only to be told there is nothing available for days.

    The Patients Association say that it will soon be the norm to wait a week or longer to see your GP.

    What will they do? Go to where the lights are on – A&E.

    We have called on the Government to reverse their scrapping of the 48-hr target this winter.

    The problem is made worse by the scrapping of Labour’s extended opening hours scheme.

    Now hundreds fewer GP surgeries stay open in the evening and at weekends – taking us backwards from the seven day NHS we need.

    To make matters worse, a quarter of Walk-In Centres have closed and NHS Direct has been dismantled.

    A terrible act of vandalism even by this Government’s standards – nurses replaced by call-handlers and computers that say ‘go to A&E’.

    The second reason for the sudden increase in people attending A&E is cuts to social care and mental health.

    Under this Government, almost £2 billion has been taken out of budgets for adult social care.

    Compared to a decade ago, half a million fewer older people are getting support to help them cope.

    We have an appalling race to the bottom on standards with 15-minute slots, minimum wage pay, zero hours contracts.

    Over-stretched care workers, often not paid for the travel time between 15 minute visits, having to decide between feeding people or helping them wash.

    Social care in England is on the verge of collapse – and yet last year Jeremy Hunt handed back a £2.2bn under-spend to the Treasury.

    That’s unforgiveable when care is being taken away from vulnerable people.

    If Labour were in Government now, we would be using the NHS underspend to tackle the care crisis this year.

    Instead, older people are being allowed to drift towards A&E in record numbers – often the worst possible place for them.

    A recent Care Quality Commission report found avoidable emergency admissions for pensioners topping half a million for the first time – and rising faster than the increase in the ageing population.

    Terrible for older people, putting huge pressure on A&Es and costing around a billion pounds a year.

    But other vulnerable people are suffering too.

    The Government is cutting mental health more deeply than the rest of the NHS.

    Some mental health trusts are now reporting bed occupancy levels of over 100%.

    That means more than one patient being allocated to the same bed.

    It’s no wonder we’ve heard growing evidence of highly vulnerable people being held in police cells or ending up in A&E because no crisis beds are available.

    Under this Government, A&E has become the last resort for vulnerable people

    And this brings me to the third reason for the pressure on A&E – the cost-of-living crisis.

    As Michael Marmot set out in his seminal public health report, our health isn’t just about our health services, but the kind of society in which we choose to live.

    No phenomenon more clearly symbolises the true impact of this Government than the rise of food banks, teachers having to feed hungry children at school or GPs having to ask their patients if they can afford to eat.

    And all this while millionaires get a tax cut.

    We have seen diseases of malnutrition like scurvy and rickets on the rise – diseases we once thought had gone for good.

    Today we are exposing another scandal that goes right to the heart of whose side this Government is on.

    People are struggling to keep warm in their homes.

    The average energy bill has risen by more than £300 since 2010 – while the support for people in fuel poverty has been cut considerably.

    The Government replaced 3 successful Labour schemes- warm front, community energy saving programme and carbon emissions reduction target with their ECO scheme.

    And the consequence is that just a fraction of households have received help in the past year, just when the support is most needed.

    I don’t see how it can be right that money from all of our energy bills should subsidise people who can afford to improve their properties, over those people in dire fuel poverty.

    We’ve seen record levels of hypothermia reported this year.

    Since the election there has been a dramatic increase in the number of older people admitted to hospital for cold-related illnesses.

    There have been 145,000 more occasions when over-75s had to be treated in hospital for respiratory or circulatory diseases than in 09/10.

    This is the human cost of this Government’s cost-of-living crisis and their failure to stand up to the energy companies.

    And why Labour’s energy bill freeze cannot come a moment too soon.

    In conclusion, this is the fragile state of the NHS and the country after almost four years of Tory-led Coalition.

    The country can’t go on like this – the NHS needs a different Government.

    Cameron’s Government has delivered it a brutal double whammy.

    First they knocked it down the NHS down with a reorganisation no-one wanted. Then they have spent the last year running it down at every opportunity.

    They are guilty of the gross mismanagement of the NHS.

    But it is not just incompetence. They are running it down for a purpose.

    Only yesterday, the head of the independent regulator attacked the NHS and called for more privatisation.

    This was an astonishing intervention at a time when politicisation of regulators is so high in the news.

    To have the independent regulator making such a political statement means there can no longer be any doubt – more privatisation is the explicit aim of this Government’s NHS policy.

    Labour believes this will break up the NHS and bring fragmentation when what the NHS desperately needs is permission to integrate and collaborate.

    That is why this Wednesday we will force a debate in the Commons on the A&E crisis and repealing the Government’s competition regime.

    This is the choice the country faces – a public, integrated NHS under Labour or a health market under David Cameron.

    That’s the ground on which we will fight in 2015 and, for our NHS, it’s crucial that we win.

  • Andy Burnham – 2013 Speech to The King’s Fund

    andyburnham

    The below speech was made by the Shadow Secretary of State for Health, Andy Burnham, on 24th January 2013 to the King’s Fund.

    Today I open Labour’s health and care policy review.

    For the first time in 20 years, our Party has the chance to rethink its health and care policy from first principles.

    Whatever your political views, it’s a big moment.

    It presents the chance to change the terms of the health and care debate.

    That is what One Nation Labour is setting out to do.

    For too long, it has been trapped on narrow ground, in technical debates about regulation, commissioning, competition.

    It is struggling to come up with credible answers to the questions that the 21st century is asking with ever greater urgency.

    I want to change the debate by opening up new possibilities and posing new questions of my own, starting with people and families and what they want from a 21st century health and care service.

    For now, they are just that – questions. This is a Green Paper moment – the start of a conversation not the end.

    But what you will hear today is the first articulation of a coherent and genuine alternative to the current Government’s direction.

    It is the product both of careful reflection on Labour’s time in government and a response to what has happened since.

    Everything I say today is based on two unshakable assumptions.

    First, that the health and care we want will need to be delivered in a tighter fiscal climate for the foreseeable future, so we have to think even more fundamentally about getting better results for people and families from what we already have.

    Second, our fragile NHS has no capacity for further top-down reorganisation, having been ground down by the current round. I know that any changes must be delivered through the organisations and structures we inherit in 2015.

    But that can’t mean planning for no change.

    Those questions that the 21st century is bringing demand an answer.

    When the modern condition means we are all living with higher levels of stress, change and insecurity, how do we give families the mental health support they will need and remove the stigma?

    How will we ensure we are not overwhelmed by the costs of treating diseases linked to lifestyle and diet?

    And how can we stop people fearing old age and have true peace of mind throughout a longer life?

    Huge questions that require scale and a sense of ambition in our answers.

    When a Labour Opposition last undertook this exercise, the world looked very different. But it had to be similarly ambitious.

    People were waiting months and years for hospital treatment, even dying on NHS waiting lists.

    So Labour set itself the mission of rescuing a beleaguered NHS which was starting to look as if it was on the way out.

    A big ambition and, by and large, with help of the professions, we succeeded.

    We left office with waiting lists at an all-time low and patient satisfaction at an all-time high; a major turn-around from the NHS we inherited in 1997.

    But that doesn’t tell the whole story.

    I can trace the moment that made me think differently, and challenge an approach that was too focused on hospitals.

    In early 2007, my sister-in-law was in the Royal Marsden dying from breast cancer.

    After visiting one night, she called me over and asked if I could get her home to be with her four children.

    I told her I thought I would be able to.

    But, after a day of phone calls, I will never forget having to going back to Claire and say it couldn’t be done.

    And I was a Minister who knew how the system worked, so what chance have families who are at a low ebb and don’t know where to start?

    As a Government, we were talking about choice. But it was a painful discovery for me to find we were unable to deliver to this most fundamental of choices.

    Concerns about the way we care for people in the later stages of life, as well as how it is paid for, has built and built over recent years.

    Stories of older people neglected or abused in care homes, isolated in their own homes or lost in acute hospitals – disorientated and dehydrated – recurred with ever greater frequency.

    I have thought long and hard about why this is happening.

    It is in part explained by regulatory failures and we will of course learn the lessons emerging from the Francis Report as part of this policy review.

    Changes in nursing and professional practice may also have played a part.

    But, in my view, these explanations deal with the symptoms rather than the cause of a problem that goes much deeper.

    My penny-drop moment came last year when I was work-shadowing a ward sister at the Royal Derby.

    It was not long after the Prime Minister had proposed hourly bed rounds for nurses.

    I asked her what she thought of that. Her answer made an impression on me.

    It was not that nurses didn’t care any more, she said. On the whole, they did.

    It was more that the wards today are simply not staffed to deal with the complexity of what the ageing society is bringing to them.

    When she qualified, it was rare to see someone in their 80s on the ward after a major operation.

    Now there are ever greater numbers of very frail people in their 80s and 90s, with intensive physical, mental and social care needs.

    Hospitals hadn’t changed to reflect this new reality, she said, and nurses were struggling to cope with it.

    They were still operating on a 20th century production-line model, with a tendency to see the immediate problem – the broken hip, the stroke – but not the whole-person behind it.

    They are geared up to meet physical needs, but not to provide the mental or social care that we will all need in the later stages of life.

    So our hospitals, designed for the last century, are in danger of being overwhelmed by the demographic challenges of this century.

    And that is the crux of our problem.

    To understand its roots, it helps to go back to the 1948 World Health Organisation definition of health:

    “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”

    A simple vision which stands today.

    But, for all its strengths, the NHS was not set up to achieve it. It went two thirds of the way, although mental health was not given proper priority, but the third, social, was left out altogether.

    The trouble is that last bit is the preventative part.

    Helping people with daily living, staying active and independent, delays the day they need more expensive physical and mental support.

    But deep in the DNA of the NHS is the notion that the home, the place where so much happens to affect health, is not its responsibility.

    It doesn’t pay for grab rails or walk-in showers, even if it is accepted that they can keep people safer and healthy.

    The exclusion of the social side of care from the NHS settlement explains why it has never been able to break out of a ‘treatment service’ mentality and truly embrace prevention. It is a medical model; patient-centred, not person-centred.

    But, in reality, it’s even worse than that.

    For 65 years, England has tried to meet one person’s needs not through two but three services: physical, through the mainstream NHS; mental, through a detached system on the fringes of the NHS; and social, through a means-tested and charged-for council service, that varies greatly from one area to the next.

    One person. Three care services.

    For most of the 20th century, we just about managed to make it work for most people.

    When people had chronic or terminal illness at a younger age, they could still cope with daily living even towards the end of life. Families lived closer to each other and, with a bit of council support, could cope.

    Now, in the century of the ageing society, the gaps between our three services are getting dangerous.

    The 21st century is asking questions of our 20th century health and care system that, in its current position, will never be able to answer to the public’s satisfaction.

    As we live longer, people’s needs become a complex blur of the physical, mental and social.

    It is just not possible to disaggregate them and meet them through our three separate services.

    But that’s what we’re still trying to do.

    So, wherever people are in this disjointed system, some or all of one person’s needs will be left unmet.

    In the acute hospital ward, social and mental needs can be neglected. This explains why older people often go downhill quickly on admission to hospital.

    In mental health care settings, people can have their physical health overlooked, in part explaining why those with serious mental health problems die 15 years younger than the rest of the population.

    And, in places, such is the low standard of social care provision in both the home and care homes, barely any needs are properly met.

    What, realistically, can be achieved from a home care service based around ten-minute slots per person?

    On a practical level, families are looking for things from the current system that it just isn’t able to provide.

    They desperately want co-ordination of care – a single point of contact for all of mum or dad’s needs – but it’s unlikely to be on offer in a three-service world.

    So people continue to face the frustration of telling the same story over again to all of the different council and NHS professionals who come through the door.

    Carers get ground down by the battle to get support, spending days on the phone being passed from pillar to post.

    So far, I have spoken about the experience of older people and their carers.

    But the problems I describe – the lack of a whole-person approach – holds equally true for the start of life and adults with disabilities.

    Parents of children with severe disabilities will recognise the pattern – the battle for support, the lack of co-ordination and a single point of contact.

    CAMHS support at the right time can make all the difference to a young life but is often not there when it is needed.

    Children on the autistic spectrum are frequently missed altogether.

    The mantra is that early intervention makes all the difference. But it is rarely a reality in a system that doesn’t have prevention at its heart.

    If we leave things as they are, carers of young and old will continue to feel the frustration of dealing with services which don’t provide what they really need, that don’t see the whole-person.

    They won’t provide the quality people want.

    But nor will they be financially sustainable in this century.

    For One Nation Labour, this is crucial. Protecting the institutions that bind us together, like the NHS – the expression of what we can achieve together when everyone plays their part.

    Right now, the incentives are working in the wrong direction.

    For older people, the gravitational pull is towards hospital and care home.

    For the want of spending a few hundred pounds in the home, we seem to be happy to pick up hospital bills for thousands.

    We are paying for failure on a grand scale, allowing people to fail at home and drift into expensive hospital beds and from there into expensive care homes.

    The trouble is no-one has the incentive to invest in prevention.

    Councils face different pressures and priorities than the NHS, with significant cuts in funding and an overriding incentive to keep council tax low.

    So care services have been whittled away, in the knowledge that the NHS will always provide a safety net for people who can’t cope. And, of course, this could be said to suit hospitals as they get paid for each person who comes through the door.

    In their defence, councils and the NHS may be following the institutional logic of the systems they are in.

    But it’s financial madness, as well as being bad for people.

    Hospital Chief Executives tell me that, on any given day, around 30 to 40 per cent of beds are occupied by older people who, if better provision was available, would not need to be there.

    If we leave things as they are, our DGHs will be like warehouses of older people – lined up on the wards because we failed to do something better for them.

    But it gets worse. Once they are there, they go downhill for lack of whole-person support and end up on a fast-track to care homes – costing them and us even more.

    We could get much better results for people, and much more for the £104bn we spend on the NHS and the £15bn on social care, but only if we turn this system on its head.

    We need incentives in the right place – keeping people at home and out of hospitals.

    We must take away the debates between different parts of the public sector, where the NHS won’t invest if councils reap the benefit and vice versa, that are utterly meaningless to the public.

    So the question I am today putting at the heart of Labour’s policy review is this: is it time for the full integration of health and social care?

    One budget, one service co-ordinating all of one person’s needs: physical, mental and social. Whole-Person Care.

    A service that starts with what people want – to stay comfortable at home – and is built around them.

    When you start to think of a one-budget, one-service world, all kinds of new possibilities open up.

    If the NHS was commissioned to provide Whole-Person Care in all settings – physical, mental, social from home to hospital – a decisive shift can be made towards prevention.

    A year-of-care approach to funding, for instance, would finally put the financial incentives where they need to be.

    NHS hospitals would be paid more for keeping people comfortable at home rather than admitting them.

    That would be true human progress in the century of the ageing society.

    Commissioning acute trusts in this way could change the terms of the debate about hospitals at a stroke.

    Rather than feeling under constant siege, it could create positive conditions for the District General Hospital to evolve over time into a fundamentally different entity: an integrated care provider from home to hospital.

    In Torbay, where the NHS and Council have already gone some way down this path, around 200 beds have been taken out from the local hospital without any great argument as families have other things they truly value.

    Unlike other parts of England, they have one point of contact for the co-ordination of health and care needs.

    Occupational Therapists visit homes the same day or the day after they are requested; urgent aids and adaptations supplied in minutes not days.

    If an older person has to go into hospital, a care worker provides support on the ward and ensures the right package of care is in place to help get them back home as soon as possible.

    Imagine what a step forward it would be if we could introduce these three things across England.

    For the increasing numbers of people who are filled with dread at the thought of mum or dad going into hospital, social care support on the ward would provide instant reassurance.

    It is a clear illustration of what becomes possible in a one-service, one-budget world with prevention at its heart.

    If local hospitals are to grow into integrated providers of Whole-Person Care, then it will make sense to continue to separate general care from specialist care, and continue to centralise the latter.

    So hospitals will need to change and we shouldn’t fear that.

    But, with the change I propose, we can also put that whole debate on a much better footing.

    If people accept changes to some parts of the local hospital, it becomes more possible to protect the parts that they truly value – specifically local general acute and emergency provision.

    The model I am proposing could create a firmer financial base under acute hospitals trusts where they can sustain a back-stop, local A&E service as part of a more streamlined, re-modelled, efficient local healthcare system.

    So A&Es need not close for purely or predominantly financial reasons, although a compelling clinical case for change must always be heard and we would never make the mistake of a blanket moratorium.

    I am clear that we will never make the most of our £120 billion health and care budget unless hospitals have positive reasons to grow into the community, and we break down the divide between primary and secondary care.

    It could see GPs working differently, as we can see in Torbay, leading teams of others professionals – physios, Occupational Therapists, district nurses – managing the care of the at-risk older population.

    Nerves about hospital take-over start to disappear in a one-budget world where the financial incentives work in the opposite direction.

    NHS hospitals need the security to embrace change and that change will happen more quickly in an NHS Preferred Provider world rather than an Any Qualified Provider world, where every change is an open tender.

    I don’t shy away from saying this.

    I believe passionately in the public NHS and what it represents.

    I think a majority of the public share this sentiment.

    They are uncomfortable with mixing medicine with the money motive. They support what the NHS represents – people before profits – as memorably celebrated by Danny Boyle at the opening ceremony of the Olympic Games.

    Over time, allowing the advance of a market with no limits will undermine the core, emergency, public provision that people hold dear.

    So I challenge those who say that the continued advance of competition and the market into the NHS is the answer to the challenges of this century.

    The evidence simply doesn’t support it – financially or on quality grounds.

    If we look around the world, market-based health systems cost more per person not less than the NHS. The planned nature of our system, under attack from the current Government’s reforms, is its most precious strength in facing a century when demand will ratchet up.

    Rather than allowing the NHS model to be gradually eroded, we should be protecting it and extending it as the most efficient way of meeting this century’s pressures.

    The AQP approach will not deliver what people want either.

    Families are demanding integration. Markets deliver fragmentation.

    The logical conclusion of the open-tender approach is to bring an ever-increasing number of providers on to the pitch, dealing with ever smaller elements of a person’s care, without an overall co-ordinating force.

    If we look to the US, the best providers are working on that highly integrated basis, co-ordinating physical, mental and social care from home to hospital.

    We have got to take the best of that approach and universalise it here.

    But there are dangers of monopolistic or unresponsive providers.

    Even if the NHS is co-ordinating all care, it is essential that people are able to choose other providers. And within a managed system there must always be a role for the private and voluntary sectors and the innovation they bring.

    But let me say something that the last Labour Government didn’t make clear: choice is not the same thing as competition.

    The system I am describing will only work if it is based around what people and families want, giving them full control.

    To make that a reality, we want to empower patients to have more control over their care, such as dialysis treatment in the home or the choice to die at home or in a hospice.

    We will work towards extending patients’ rights to treatment in the NHS Constitution.

    This would mean the system would have to change to provide what people want, rather than vice versa.

    The best advert for the people-centred system in Torbay is that more people there die at home than in any other part of England.

    When I visited, they explained that they had never set out to do that – a target had not been set – but it had been a natural consequence of a system built around people. A real lesson there for politicians.

    So an NHS providing all care – physical, mental and social – would be held to account by powerful patient rights.

    But, as part of our consultation, we will be asking whether it follows that local government could take a prominent role working in partnership with CCGs on commissioning with a single budget.

    This change would allow a much more ambitious approach to commissioning than we have previously managed.

    At the moment, we are commissioning health services. This was the case with PCTs and will remain so with CCGs.

    The challenges of the 21st century are such that we need to make a shift to commissioning for good population health, making the link with housing, planning, employment, leisure and education.

    This approach to commissioning, particularly in the early years, begins to make a reality of the Marmot vision, where all the determinants of health are in play. Improving PH will not be a fringe pursuit for councils but central to everything that they do.

    But it also solves a problem that is becoming increasingly urgent.

    Councils are warning that, within a decade, they will be overwhelmed by the costs of care if nothing changes.

    They point to a chart – affectionately known as the ‘graph of doom’ – which shows there will be little money for libraries, parks and leisure centres by 2020.

    One of the great strengths of the one-budget, Whole-Person approach would be to break this downward spiral.

    It would give local government a positive future and local communities a real say.

    The challenge becomes not how to patch two conflicting worlds together but how to make the most of a single budget.

    To address fears that health money will be siphoned off into other, unrelated areas, reassurance is provided by a much more clearly defined national entitlement, based around a strengthened NICE, able to take a broader view of all local public spending when making its recommendations.

    It won’t be the job of people at local level to decide what should be provided. That will be set out in a new entitlement. But it will be their job to decide how it should be provided.

    That would provide clarity about the respective roles of national and local government, too often a source of confusion and tension.

    But I want to be clear: nothing I have said today requires a top-down structural re-organisation.

    In the same way that Andrew Lansley should have refocused PCTs and put doctors in charge, I will simply re-focus the organisations I inherit to deliver this vision of Whole-Person Care.

    Health and Well-Being Boards could come to the fore, with CCGs supporting them with technical advice.

    While we retain the organisations, we will repeal the Health and Social Care Act 2012 and the rules of the market.

    It is a confused, sub-optimal piece of legislation not worthy of the NHS and which fails to give the clarity respective bodies need about their role.

    This approach creates the conditions for the evolutionary change towards the Whole-Person vision rather than structural upheaval.

    At a stroke, those two crucial local institutions – council and hospital – have an alignment of interests and a clear future role to grow into.

    But the same is true for social care.

    At present, it is trapped in a failing financial model.

    The great attraction of the Whole-Person approach, with the NHS taking responsibility for coordination, is that it will be in a position to raise the standards and horizons of social care, lifting it out of today’s cut-price, minimum wage business.

    Social care careers would be more valued and young people able to progress as part of an integrated Whole-Person workforce.

    Of course, the change we aspire to, particularly in social care, won’t come by simply changing structures. It will need a change of culture including leadership, training, working in teams, better information and seeing patients and families as partners in achieving better health and care.

    So Whole-Person Care is the proposal at the heart of Labour’s health and care policy review which is formally launched today.

    It will be led by Liz Kendall, and will run alongside Diane Abbott’s separate Public Health Policy Review. Over the next six months, we will be holding events in all parts of England seeking views on two central questions.

    First, do you see merit in this vision of Whole-Person Care and support the proposals for the full integration of health and social care?

    Second, if you do, how far down this path of integration do you think we should go?

    The fact is that, even if we move to a fully integrated model, and shift resources from hospital to home, it won’t be enough to pay for all of one person’s care needs.

    We need to be very clear about that.

    So this opens up the question of the funding of social care.

    It is the case that, with the shift of resources out of hospital, more preventative social care could be provided in the home and, in all likelihood, better standards of social care offered, as we have seen in Torbay.

    For instance, we have already proposed that this should include people on the end-of-life register. It would also include provision for those with the highest needs and at risk from going into hospital.

    But rather than leave this unspecified, people need to know exactly where they stand. Currently, council care provision is the ultimate lottery.

    In a single system, it would be right to set for the first time a clear entitlement to what social care could be provided and on what terms, as part of a national entitlement to health and care.

    That would help people understand what is not covered – which is very unclear to people at present.

    But the question arises: what is the fairest way of helping people cover the rest?

    At present, beyond the £23,000 floor, care charges are unlimited.

    These are ‘dementia taxes’: the more vulnerable you are, the more you pay.

    As cruel as pre-NHS or US healthcare.

    No other part of our welfare state works in this way and, in the century of the ageing society, failure to resolve how we pay for care could undermine the NHS, the contributory principle and incentives to save.

    Some people might ask why they should save for retirement, when the chances of it all being washed away increase every year?

    In this century, we can’t carry on letting people go into old age with everything – home, savings, pension – on the roulette table.

    So there is a political consensus that the status quo is the worst of all possible worlds and it needs to change.

    We agree about the need to find a fairer way of paying for social care, but not on what that system should be.

    The Government have begun to set out their version of Andrew Dilnot’s proposals.

    A cap, not of £35,000 but over the £50,000 Dilnot recommended, and possibly up to £75,000.

    This is better than the status quo.

    But we all know that setting a cap of up to £150,000 for a couple is not a fair solution.

    For Labour, it fails a basic One Nation test.

    Offering some protection to the better off, but doing little to help a couple in an average semi in the Midlands or the North.

    But it also fails a sustainability test.

    By failing to address the shortfall in council budgets, it leaves people exposed to ever-increasing care charges and more likely to pay up to the level of the cap.

    This won’t feel like progress to many.

    So, as part of Labour’s policy consultation, we will ask for views on other ways of paying for social care.

    We will only have a solution when all people, regardless of their savings and the severity of their needs, have the chance to protect what they have worked for.

    There are two basic choices – a voluntary or all-in approach – and, at this stage, we are seeking views on which path people think we should take, building on the foundations of a fully merged health and social care system.

    Both would represent a significant improvement on the status quo, but both present significant difficulties in terms of implementation.

    Andrew Dilnot’s proposed cap and means-test would help everyone protect their savings.

    It would mean people only pay as much as they need to, but, in the worst case scenario, could stand to lose a significant chunk of their savings.

    If people support this option, we would be interested in hearing views on how it could be funded.

    One of the problems with the voluntary approach is it assumes the continuation of two care worlds – one charged for, the other one free-at-the-point-of-use – with all its complexity.

    So it is right to ask whether we can move to an all-in system, extend the NHS principle to all care.

    This would mean asking people to pay differently for social care to create a level playing field on how all care is provided.

    But it would only work on the all-in principle and that is its major downside: all people would be required to contribute, rather than just those needing care.

    People’s exposure to care costs in an all-in system would be significantly lower. But, as with any insurance system, people might pay and never end up using the service.

    As with the voluntary option we would be interested in hearing people views on the pros and cons of the all-in principle and options for how this could be done.

    It is an open question whether a broad consensus can be found on funding social care on either a voluntary or all-in principle.

    But Labour is clear that this must not stand in the way of progress now to get much more for people from what we currently spend on health and care.

    To Beveridge’s five giants of the 20th century, the 21st is rapidly adding a sixth: fear of old age.

    If we do nothing, that fear will only grow as we hear more and more stories of older people failed by a system that is simply not geared up to meet their needs.

    A One Nation approach to health and care means giving all people freedom from this fear, all families peace of mind.

    Whole-Person Care is a vision for a truly integrated service not just battling disease and infirmity but able to aspire to give all people a complete state of physical, mental and social well-being.

    A people-centred service which starts with people’s lives, their hopes and dreams, and builds out from there, strengthening and extending the NHS in the 21st century not whittling it away.

    A service which affords everyone’s parents the dignity and respect we would want for our own.

    There will be many questions which arise from what I have said today.

    I don’t yet have all the answers.

    But that’s why Labour is opening this discussion now.

    It’s an open invitation to anyone who has anxieties about what is happening to the NHS right now to help us build a genuine alternative – integrated, collaborative, accountable.

    I don’t want to do the usual politician thing of pulling a policy out of the hat at the time of the next manifesto that takes people by surprise.

    Instead, I want to involve as many people as I can in shaping an alternative they can believe in.

    The task is urgent because the NHS is on the same fast-track to fragmentation that social care has been down.

    The further it carries on down this path, the harder it will be to glue it back together.

    Unlike the last Election, the next one needs to give people a proper choice of what kind of health and care system they want in the 21st century.

    That’s why I started by saying it’s time to change the terms of the debate and put more ambition into our ideas.

    Labour is rediscovering its roots and its ability to think in the boldest terms about a society that cares for everyone and leaves no-one behind.

    People need One Nation Labour to be as brave in this Century as Bevan was in the last.

    That’s the challenge and we will rise to it.

  • Andy Burnham – 2012 Speech to Labour Party Conference

    andyburnham

    Below is the text of the speech made by Andy Burnham to the 2012 Labour Party conference.

    Conference, my thanks to everyone who has spoken so passionately today and I take note of the composite.

    A year ago, I asked for your help.

    To join the fight to defend the NHS – the ultimate symbol of Ed’s One Nation Britain.

    You couldn’t have done more.

    You helped me mount a Drop the Bill campaign that shook this Coalition to its core.

    Dave’s NHS Break-Up Bill was dead in the water until Nick gave it the kiss of life.

    NHS privatisation – courtesy of the Lib Dems. Don’t ever let them forget that.

    We didn’t win, but all was not lost.

    We reminded people of the strength there still is in this Labour movement of ours when we fight as one, unions and Party together, for the things we hold in common.

    We stood up for thousands of NHS staff like those with us today who saw Labour defending the values to which they have devoted their working lives.

    And we spoke for the country – for patients and people everywhere who truly value the health service Labour created and don’t want to see it broken down.

    Conference, our job now is to give them hope.

    To put Labour at the heart of a new coalition for the NHS.

    To set out a Labour alternative to Cameron’s market.

    To make the next election a choice between two futures for our NHS.

    They inherited from us a self-confident and successful NHS.

    In just two years, they have reduced it to a service demoralised, destabilised, fearful of the future.

    The N in NHS under sustained attack.

    A postcode lottery running riot – older people denied cataract and hip operations.

    NHS privatisation at a pace and scale never seen before.

    Be warned – Cameron’s Great NHS Carve-Up is coming to your community.

    As we speak, contracts are being signed in the single biggest act of privatisation the NHS has ever seen.

    398 NHS community services all over England – worth over a quarter of a billion pounds – out to open tender.

    At least 37 private bidders – and yes, friends of Dave amongst the winners.

    Not the choice of GPs, who we were told would be in control.

    But a forced privatisation ordered from the top.

    And a secret privatisation – details hidden under “commercial confidentiality” – but exposed today in Labour’s NHS Check.

    Our country’s most-valued institution broken up, sold off, sold out – all under a news black-out.

    It’s not just community services.

    From this week, hospitals can earn up to half their income from treating private patients. Already, plans emerging for a massive expansion in private work, meaning longer waits for NHS patients.

    And here in Greater Manchester – Arriva, a private bus company, now in charge of your ambulances.

    When you said three letters would be your priority, Mr Cameron, people didn’t realise you meant a business priority for your friends.

    Conference, I now have a huge responsibility to you all to challenge it.

    Every single month until the Election, Jamie Reed will use NHS Check to expose the reality.

    I know you want us to hit them even harder – and we will.

    But, Conference, I have to tell you this: it’s hard to be a Shadow when you’re up against the Invisible Man.

    Hunt Jeremy – the search is on for the missing Health Secretary.

    A month in the job but not a word about thousands of nursing jobs lost.

    Not one word about crude rationing, older people left without essential treatment.

    Not a word about moves in the South West to break national pay.

    Jeremy Hunt might be happy hiding behind trees while the front-line of the NHS takes a battering.

    But, Conference, for as long as I do this job, I will support front-line staff and defend national pay in the NHS to the hilt.

    Lightweight Jeremy might look harmless. But don’t be conned.

    This is the man who said the NHS should be replaced with an insurance system.

    The man who loves the NHS so much he tried to remove the tribute to it from the Opening Ceremony of the Olympic Games.

    Can you imagine the conversation with Danny Boyle?

    “Danny, if you really must spell NHS with the beds, at least can we have a Virgin Health logo on the uniforms?”

    Never before has the NHS been lumbered with a Secretary of State with so little belief in it.

    It’s almost enough to say “come back Lansley.”

    But no. He’s guilty too.

    Lansley smashed it up for Hunt to sell it off with a smile.

    But let me say this to you, Mr Hunt. If you promise to stop privatising the NHS, I promise never to mispronounce your name.

    So, Conference, we’re the NHS’s best hope. Its only hope.

    It’s counting on us.

    We can’t let it down.

    So let’s defend it on the ground in every community in England.

    Andrew Gwynne is building an NHS Pledge with our councillors so, come May, our message will be: Labour councils, last line of defence for your NHS.

    But we need to do more.

    People across the political spectrum oppose NHS privatisation.

    We need to reach out to them, build a new coalition for the NHS.

    I want Labour at its heart, but that means saying more about what we would do.

    We know working in the NHS is hard right now, when everything you care about is being pulled down around you.

    I want all the staff to know you have the thanks of this Conference for what you do.

    But thanks are not enough. You need hope.

    To all patients and staff worried about the future, hear me today: the next Labour Government will repeal Cameron’s Act.

    We will stop the sell-off, put patients before profits, restore the N in NHS.

    Conference, put it on every leaflet you write. Mention it on every doorstep.

    Make the next election a referendum on Cameron’s NHS betrayal.

    On the man who cynically posed as a friend of the NHS to rebrand the Tories but who has sold it down the river.

    In 2015, a vote for Labour will be a vote for the NHS.

    Labour – the best hope of the NHS. Its only hope.

    And we can save it without another structural re-organisation.

    I’ve never had any objection to involving doctors in commissioning. It’s the creation of a full-blown market I can’t accept.

    So I don’t need new organisations. I will simply ask those I inherit to work differently.

    Not hospital against hospital or doctor against doctor.

    But working together, putting patients before profits.

    For that to happen, I must repeal Cameron’s market and restore the legal basis of a national, democratically-accountable, collaborative health service.

    But that’s just the start.

    Now I need your help to build a Labour vision for 21st century health and care, reflecting on our time in Government.

    We left an NHS with the lowest-ever waiting lists, highest-ever patient satisfaction.

    Conference, always take pride in that.

    But where we got it wrong, let’s say so.

    So while we rebuilt the crumbling, damp hospitals we inherited, providing world-class facilities for patients and staff, some PFI deals were poor value for money.

    At times, care of older people simply wasn’t good enough. So we owe it to the people of Stafford to reflect carefully on the Francis report into the failure at Mid-Staffordshire Foundation NHS Trust.

    And while we brought waiting lists down to record lows, with the help of the private sector, at times we let the market in too far.

    Some tell me markets are the only way forward.

    My answer is simple: markets deliver fragmentation; the future demands integration.

    As we get older, our needs become a mix of the social, mental and physical.

    But, today, we meet them through three separate, fragmented systems.

    In this century of the ageing society, that won’t do.

    Older people failed, struggling at home, falling between the gaps.

    Families never getting the peace of mind they are looking for, being passed from pillar to post, facing an ever-increasing number of providers.

    Too many older people suffering in hospital, disorientated and dehydrated.

    When I shadowed a nurse at the Royal Derby, I asked her why this happens.

    Her answer made an impression.

    It’s not that modern nurses are callous, she said. Far from it. It’s simply that frail people in their 80s and 90s are in hospitals in ever greater numbers and the NHS front-line, designed for a different age, is in danger of being overwhelmed.

    Our hospitals are simply not geared to meet people’s social or mental care needs.

    They can take too much of a production-line approach, seeing the isolated problem – the stroke, the broken hip – but not the whole person behind it.

    And the sadness is they are paid by how many older people they admit, not by how many they keep out.

    If we don’t change that, we won’t deliver the care people need in an era when there’s less money around.

    It’s not about new money.

    We can get better results for people if we think of one budget, one system caring for the whole person – with councils and the NHS working closely together.

    All options must be considered – including full integration of health and social care.

    We don’t have all the answers. But we have the ambition. So help us build that alternative as Liz Kendall leads our health service policy review.

    It means ending the care lottery and setting a clear a national entitlement to what physical, mental and social care we can afford – so people can see what’s free and what must be paid for.

    It means councils developing a more ambitious vision for local people’s health: matching housing with health and care need; getting people active, less dependent on care services, by linking health with leisure and libraries; prioritising cycling and walking.

    A 21st century public health policy that Diane Abbott will lead.

    If we are prepared to accept changes to our hospitals, more care could be provided in the home for free for those with the greatest needs and for those reaching the end of their lives.

    To the district general hospitals that are struggling, I don’t say close or privatise.

    I say let’s help you develop into different organisations – moving into the community and the home meeting physical, social and mental needs.

    Whole-person care – the best route to an NHS with mental health at its heart, not relegated to the fringes, but ready to help people deal with the pressure of modern living.

    Imagine what a step forward this could be.

    Carers today at their wits end with worry, battling the system, in future able to rely on one point of contact to look after all of their loved-one’s needs.

    The older person with advanced dementia supported by one team at home, not lost on a hospital ward.

    The devoted people who look after our grans and grand-dads, mums and dads, brothers and sisters – today exploited in a cut-price, minimum wage business – held in the same regard as NHS staff.

    And, if we can find a better solution to paying for care, one day we might be able to replace the cruel ‘dementia taxes’ we have at the moment and build a system meeting all of a person’s needs – mental, physical, social – rooted in NHS values.

    In the century of the ageing society, just imagine what a step forward that could be.

    Families with peace of mind, able to work and balance the pressures of caring – the best way to help people work longer and support a productive economy in the 21st century.

    True human progress of the kind only this Party can deliver.

    So, in this century, let’s be as bold as Bevan was in the last.

    Conference, the NHS is at a fork in the road.

    Two directions: integration or fragmentation.

    We have chosen our path.

    Not Cameron’s fast-track to fragmentation.

    But whole-person care.

    A One Nation system built on NHS values, putting people before profits.

    A Labour vision to give people the hope they need, to unite a new coalition for the NHS.

    The NHS desperately needs a Labour win in 2015.

    You, me, we are its best hope. It’s only real hope.

    It won’t last another term of Cameron.

    NHS.

    Three letters. Not Here Soon.

    The man who promised to protect it is privatising it.

    The man who cut the NHS not the deficit.

    Cameron. NHS Conman.

    Now more than ever, it needs folk with the faith to fight for it.

    You’re its best hope. It’s only hope.

    You’ve kept the faith

    Now fight for it – and we will win.