Tag: Speeches

  • Oliver Letwin – 2009 Speech on Regulation

    Below is the text of the speech made by Oliver Letwin to the Policy Exchange on 27th January 2009.

    Arguably, the biggest failures of the last eleven years have been failures of regulation. Some of these failures have been failures of under-regulation.

    Notoriously, bank lending has been under-regulated. Equitable Life was under-regulated. Haringey children’s services department has been under-regulated.

    But other failures have been failures of over-regulation.

    Doctors, nurses, teachers and police officers all complain about being over-regulated.

    Small businesses and voluntary groups are screaming about being over-regulated.

    And farmers are being driven mad by over regulation.

    How come there is both over-regulation of some things and under-regulation of others?

    Superficial answers abound. ‘The Government has its eye on the wrong balls’. ‘It all depends on the tabloid headlines’. ‘Some things are more difficult to regulate than others’. ‘Some things are easier to over-regulate than others’.

    But all of these superficial answers miss a deeper point …

    … Labour’s failures of under-regulation stem from exactly the same conceptual mistake as Labour’s failures of over-regulation.

    Indeed, in many cases, over-regulation of Type A has actually caused under-regulation of Type B.

    What are these two types of regulation?

    And what is the conceptual mistake that has led both to over-regulation of Type A and to under-regulation of Type B?

    First, the two types of regulation:

    Type A regulation is RULE-BASED. It has the form (often also the legal character) of law.

    Like any other rule-based system, Type A regulation prohibits certain actions and mandates others.

    So, for example, the Type A regulation of money-laundering forces every bank and building society to do certain things when a new client seeks to open an account. Passports are to be inspected, the addresses of grandmothers written down, and so forth. In the absence of such procedures, the Type A regulation prohibits a new account being established.

    Whether the things that are commanded actually have any effect on the amount of money-laundering is not a concern for the clerks and managers who are compelled to keep these records. As long as the records are amassed, dutifully stored and available for inspection, the call of duty (which is the stern daughter of the voice of God) has been heard and obeyed.

    This is, of course, what happened – mutatis mutandis – in the case of Haringey children’s services.

    They received, just after the horrific death of Baby P, a commendable Ofsted report. Processes were in order. Everything requiring to be done under regulation of Type A had been done.

    The baby was dead – ah yes, a tragic error. But the REGULATION had been observed.

    Much the same applies in the case of the over-lending and complex derivatives which are one of the main causes of Labour’s current debt crisis. The FSA – bless its cotton socks – had been studiously applying rule-based regulation. And the rules had been observed.  The procedures had been followed.

    The entire financial system was put at severe risk? Well, yes. But that was a mere lacuna. The REGULATION had been complied with.

    Proponents of Type A regulation have a touching faith that following the processes mandated in the rules will somehow guarantee the results which the rules are designed to deliver. But, of course, there is no such guarantee in practice. Following a given set of rules will produce the expected results if, but only if, the activity in question is very simple and the rules are very well judged.

    In general, the activities we most want to regulate – banking, looking after children at risk, flying airplanes, cutting people up on the operating table and so forth – are not simple at all, and devising rules that will guarantee results in these complex activities is well-nigh impossible.

    Hence, the need for regulation of Type B.

    In Type B regulation, the regulator supervises the activity in question on the basis not of rules but of professional competence. Type B regulation is not rules-based but JUDGMENT-BASED.

    A classic case of Type B regulation was Victorian school inspection. The school inspectors in those days did not require large volumes of paperwork to be produced by the schools they visited. They did not inspect the processes employed by the teachers. Instead, they inspected the children, hearing them say their lessons. If the inspector thought the children knew what they ought to know, given their abilities and ages, then all was well. If not, not.

    No rules. No processes. Just a judgment of the outcomes.

    It was much the same in the good old days before 1997, when Mr Brown hadn’t yet deprived the Bank of England of the power to supervise the banks. The main instrument of regulation was the Governor’s eyebrow. If, in his judgment (based on the judgment of his colleagues who were respected banking professionals) a given commercial bank was taking excessive risk, the Governor’s eyebrow would be raised – and the risky practice would be discontinued.

    No rules. No processes. Just a professional judgment of the risk.

    In Type B (judgment-based) regulation, what counts is the ability of the professionals engaged in the regulated activity to satisfy the fellow-professionals doing the regulating that they are properly living up to their professional responsibilities.

    By contrast, in Type A (rule-based) regulation, what counts is the ability of the professionals engaged in the regulated activity to tick all the boxes on the questionnaire sent out by the computers of the regulator.

    This is what helps to explain both the conceptual mistake that Labour has made about regulation and the reason why that mistake has generated, at one and the same time, over-regulation and under-regulation.

    The conceptual mistake is very simple. It consists of confusing Type A regulation with Type B regulation.

    Every time there is a call for something to be regulated, the Labour Government leaps into the fray – with new rule-based (Type A) regulation that specifies more processes that must or must not be followed.

    And, every time, Labour ministers imagine that they are thereby somehow going to affect, in some determinate way, whether the professionals engaged in the regulated activity are properly fulfilling their professional responsibilities.

    But, of course, there is in practice no particular reason why mandating processes in a complex activity should generally be expected to produce results similar to Type B regulation – where suitably qualified professionals in the regulatory bodies make judgments about whether the professionals in the field are living up to their professional responsibilities in an effective way.

    Neither form of regulation can produce the innovation or pressure for excellence that come only from contest and competition.

    Nor can either form of regulation create the sense of duty, the sense of professional ethics, which are the only true and sustainable basis for connecting professional responsibility with social responsibility.

    And, of course, there is no guarantee that any form of regulation will be perfect even in its own terms. Rule-based regulation will not produce 100 per cent compliance with the rules; and judgement-based regulation is only as good as the judgment of the regulators.

    But, for all that, there is a decisive difference between Type A regulation which dwells on rules and processes, and Type B regulation which dwells on judgment.

    Judging professional performance can help to draw attention to poor professional performance, and can thereby help to prevent continuing disasters.

    The last eleven years in Britain have provided ample evidence that mandating processes, by contrast, will generally do nothing more than make people follow those processes – often with little or no beneficial effect on outcomes.

    But we must add one rider.

    Process-based (Type A) regulation may well make things substantially worse.

    Indeed, the howls of protest now emanating from all those doctors and nurses, teachers and police officers, business people, charity trustees and farmers, are essentially howls of protest about the distorting effects of excessive Type A regulation.

    When processes are mandated, the scope for professional responsibility is diminished – because the time and energy that the professional might otherwise devote to fulfilling his or her professional responsibilities is reduced by the amount of time and effort that has to go into adhering to the mandated processes.

    Public choice theory teaches us what common sense in any case indicates – that people in important positions do what the system gives them incentives to do. If the system of regulation gives them incentives to adhere to processes, they will adhere to processes – even if that means suspending their professional judgment.

    And this is how the present Government has created the miracle of too much regulation becoming, at one and the same time, too little regulation.

    As the amount of Type A, rule-based regulation expands, the amount of process-following and box-ticking rises and the amount of professional responsibility exercised by the professionals in the field diminishes. In the absence of much Type B, judgment-based regulation, no-one notices that decline in professional responsibility – until, all of a sudden, there is a crisis and you wake up to find that (despite all the burdens of following mandatory processes) the activity in question displays the classic symptoms of under-regulation.

    Let me end with a little morality tale drawn from real life.

    It concerns farmers.

    More particularly, it concerns farmers near rivers and streams that are vulnerable to nitrates pollution.

    Those (many) farmers who combine high professional standards with a high conception of their social and environmental responsibilities know very well that they should not distribute slurry on land near to rivers on wet days.

    But our dearly beloved European Commission and our dearly beloved Department of Environment, Food and Rural Affairs decided that regulation must be introduced to protect these nitrate-vulnerable zones.

    What was the reaction?

    Search out old hands who could go and use their professional judgment to come down like a ton of bricks on farmers who were recklessly polluting rivers on wet days?

    Heaven forfend! That, after all, would be judgment-based Type B regulation.

    No, this was a serious matter requiring serious measures from serious men.

    Call for the Type A regulators.

    Make rules.

    And lo, rules were made. Processes designated. No tipping of slurry in certain (wet) months. All tipping of slurry to take place in other (dry) months.

    But, cried the farmers, some days in dry months are wet and some days in wet months are dry. Let us take professional responsibility, and we will avoid tipping the slurry when it would pollute the rivers. Come down on us like a ton of bricks if we do pollute the rivers, but let us choose the dates for the slurry.

    Alas, the farmers were unaware that they were facing a Government in the grip of a theory.

    Only rules and processes were on the menu. Judgments were off.

    So there are now, by decree (and largely unnoticed by the almighty), wet months and dry months. And the slurry is being stored in great stores every day in the wet months (including the dry days) and it is being distributed over the fields in huge quantities every day in the dry months (including the wet days); and the process is being adhered to; and the boxes are being ticked; but the farmers are bearing huge new costs of storing slurry and I’ll bet you anything you like that the pollution is not being much reduced, or even – in some cases – that it is being made worse.

    And that’s what happens when you get in a muddle about the difference between different types of regulation.

    You end up with too much regulation of the wrong kind and too little regulation of the right kind.

  • Oliver Letwin – 2009 Speech on Regulation

    Below is the text of the speech made by Oliver Letwin to the Policy Exchange on 27th January 2009.

    Arguably, the biggest failures of the last eleven years have been failures of regulation. Some of these failures have been failures of under-regulation.

    Notoriously, bank lending has been under-regulated. Equitable Life was under-regulated. Haringey children’s services department has been under-regulated.

    But other failures have been failures of over-regulation.

    Doctors, nurses, teachers and police officers all complain about being over-regulated.

    Small businesses and voluntary groups are screaming about being over-regulated.

    And farmers are being driven mad by over regulation.

    How come there is both over-regulation of some things and under-regulation of others?

    Superficial answers abound. ‘The Government has its eye on the wrong balls’. ‘It all depends on the tabloid headlines’. ‘Some things are more difficult to regulate than others’. ‘Some things are easier to over-regulate than others’.

    But all of these superficial answers miss a deeper point …

    … Labour’s failures of under-regulation stem from exactly the same conceptual mistake as Labour’s failures of over-regulation.

    Indeed, in many cases, over-regulation of Type A has actually caused under-regulation of Type B.

    What are these two types of regulation?

    And what is the conceptual mistake that has led both to over-regulation of Type A and to under-regulation of Type B?

    First, the two types of regulation:

    Type A regulation is RULE-BASED. It has the form (often also the legal character) of law.

    Like any other rule-based system, Type A regulation prohibits certain actions and mandates others.

    So, for example, the Type A regulation of money-laundering forces every bank and building society to do certain things when a new client seeks to open an account. Passports are to be inspected, the addresses of grandmothers written down, and so forth. In the absence of such procedures, the Type A regulation prohibits a new account being established.

    Whether the things that are commanded actually have any effect on the amount of money-laundering is not a concern for the clerks and managers who are compelled to keep these records. As long as the records are amassed, dutifully stored and available for inspection, the call of duty (which is the stern daughter of the voice of God) has been heard and obeyed.

    This is, of course, what happened – mutatis mutandis – in the case of Haringey children’s services.

    They received, just after the horrific death of Baby P, a commendable Ofsted report. Processes were in order. Everything requiring to be done under regulation of Type A had been done.

    The baby was dead – ah yes, a tragic error. But the REGULATION had been observed.

    Much the same applies in the case of the over-lending and complex derivatives which are one of the main causes of Labour’s current debt crisis. The FSA – bless its cotton socks – had been studiously applying rule-based regulation. And the rules had been observed.  The procedures had been followed.

    The entire financial system was put at severe risk? Well, yes. But that was a mere lacuna. The REGULATION had been complied with.

    Proponents of Type A regulation have a touching faith that following the processes mandated in the rules will somehow guarantee the results which the rules are designed to deliver. But, of course, there is no such guarantee in practice. Following a given set of rules will produce the expected results if, but only if, the activity in question is very simple and the rules are very well judged.

    In general, the activities we most want to regulate – banking, looking after children at risk, flying airplanes, cutting people up on the operating table and so forth – are not simple at all, and devising rules that will guarantee results in these complex activities is well-nigh impossible.

    Hence, the need for regulation of Type B.

    In Type B regulation, the regulator supervises the activity in question on the basis not of rules but of professional competence. Type B regulation is not rules-based but JUDGMENT-BASED.

    A classic case of Type B regulation was Victorian school inspection. The school inspectors in those days did not require large volumes of paperwork to be produced by the schools they visited. They did not inspect the processes employed by the teachers. Instead, they inspected the children, hearing them say their lessons. If the inspector thought the children knew what they ought to know, given their abilities and ages, then all was well. If not, not.

    No rules. No processes. Just a judgment of the outcomes.

    It was much the same in the good old days before 1997, when Mr Brown hadn’t yet deprived the Bank of England of the power to supervise the banks. The main instrument of regulation was the Governor’s eyebrow. If, in his judgment (based on the judgment of his colleagues who were respected banking professionals) a given commercial bank was taking excessive risk, the Governor’s eyebrow would be raised – and the risky practice would be discontinued.

    No rules. No processes. Just a professional judgment of the risk.

    In Type B (judgment-based) regulation, what counts is the ability of the professionals engaged in the regulated activity to satisfy the fellow-professionals doing the regulating that they are properly living up to their professional responsibilities.

    By contrast, in Type A (rule-based) regulation, what counts is the ability of the professionals engaged in the regulated activity to tick all the boxes on the questionnaire sent out by the computers of the regulator.

    This is what helps to explain both the conceptual mistake that Labour has made about regulation and the reason why that mistake has generated, at one and the same time, over-regulation and under-regulation.

    The conceptual mistake is very simple. It consists of confusing Type A regulation with Type B regulation.

    Every time there is a call for something to be regulated, the Labour Government leaps into the fray – with new rule-based (Type A) regulation that specifies more processes that must or must not be followed.

    And, every time, Labour ministers imagine that they are thereby somehow going to affect, in some determinate way, whether the professionals engaged in the regulated activity are properly fulfilling their professional responsibilities.

    But, of course, there is in practice no particular reason why mandating processes in a complex activity should generally be expected to produce results similar to Type B regulation – where suitably qualified professionals in the regulatory bodies make judgments about whether the professionals in the field are living up to their professional responsibilities in an effective way.

    Neither form of regulation can produce the innovation or pressure for excellence that come only from contest and competition.

    Nor can either form of regulation create the sense of duty, the sense of professional ethics, which are the only true and sustainable basis for connecting professional responsibility with social responsibility.

    And, of course, there is no guarantee that any form of regulation will be perfect even in its own terms. Rule-based regulation will not produce 100 per cent compliance with the rules; and judgement-based regulation is only as good as the judgment of the regulators.

    But, for all that, there is a decisive difference between Type A regulation which dwells on rules and processes, and Type B regulation which dwells on judgment.

    Judging professional performance can help to draw attention to poor professional performance, and can thereby help to prevent continuing disasters.

    The last eleven years in Britain have provided ample evidence that mandating processes, by contrast, will generally do nothing more than make people follow those processes – often with little or no beneficial effect on outcomes.

    But we must add one rider.

    Process-based (Type A) regulation may well make things substantially worse.

    Indeed, the howls of protest now emanating from all those doctors and nurses, teachers and police officers, business people, charity trustees and farmers, are essentially howls of protest about the distorting effects of excessive Type A regulation.

    When processes are mandated, the scope for professional responsibility is diminished – because the time and energy that the professional might otherwise devote to fulfilling his or her professional responsibilities is reduced by the amount of time and effort that has to go into adhering to the mandated processes.

    Public choice theory teaches us what common sense in any case indicates – that people in important positions do what the system gives them incentives to do. If the system of regulation gives them incentives to adhere to processes, they will adhere to processes – even if that means suspending their professional judgment.

    And this is how the present Government has created the miracle of too much regulation becoming, at one and the same time, too little regulation.

    As the amount of Type A, rule-based regulation expands, the amount of process-following and box-ticking rises and the amount of professional responsibility exercised by the professionals in the field diminishes. In the absence of much Type B, judgment-based regulation, no-one notices that decline in professional responsibility – until, all of a sudden, there is a crisis and you wake up to find that (despite all the burdens of following mandatory processes) the activity in question displays the classic symptoms of under-regulation.

    Let me end with a little morality tale drawn from real life.

    It concerns farmers.

    More particularly, it concerns farmers near rivers and streams that are vulnerable to nitrates pollution.

    Those (many) farmers who combine high professional standards with a high conception of their social and environmental responsibilities know very well that they should not distribute slurry on land near to rivers on wet days.

    But our dearly beloved European Commission and our dearly beloved Department of Environment, Food and Rural Affairs decided that regulation must be introduced to protect these nitrate-vulnerable zones.

    What was the reaction?

    Search out old hands who could go and use their professional judgment to come down like a ton of bricks on farmers who were recklessly polluting rivers on wet days?

    Heaven forfend! That, after all, would be judgment-based Type B regulation.

    No, this was a serious matter requiring serious measures from serious men.

    Call for the Type A regulators.

    Make rules.

    And lo, rules were made. Processes designated. No tipping of slurry in certain (wet) months. All tipping of slurry to take place in other (dry) months.

    But, cried the farmers, some days in dry months are wet and some days in wet months are dry. Let us take professional responsibility, and we will avoid tipping the slurry when it would pollute the rivers. Come down on us like a ton of bricks if we do pollute the rivers, but let us choose the dates for the slurry.

    Alas, the farmers were unaware that they were facing a Government in the grip of a theory.

    Only rules and processes were on the menu. Judgments were off.

    So there are now, by decree (and largely unnoticed by the almighty), wet months and dry months. And the slurry is being stored in great stores every day in the wet months (including the dry days) and it is being distributed over the fields in huge quantities every day in the dry months (including the wet days); and the process is being adhered to; and the boxes are being ticked; but the farmers are bearing huge new costs of storing slurry and I’ll bet you anything you like that the pollution is not being much reduced, or even – in some cases – that it is being made worse.

    And that’s what happens when you get in a muddle about the difference between different types of regulation.

    You end up with too much regulation of the wrong kind and too little regulation of the right kind.

  • Oliver Letwin – 2007 Speech on Cameron Conservatism

    Below is the text of the speech made by Oliver Letwin on 8th May 2007.

    Do Cameron Conservatives have a theory?

    This is not, of course, the same as asking whether Cameron Conservatism is theory-driven.

    Like any distinctively Conservative discourse, Cameron Conservatism is radically pragmatic rather than radically dogmatic. It is a practical response to felt need – a balanced answer to what are understood to be real and present challenges.

    But a political position which is not theory-driven, (which, indeed, is profoundly sceptical of theory as a guide to political action) may nevertheless disclose deep theoretical dispositions – distinctive patterns of thought which, through their internal coherence, lend strength to pragmatic responses as these come under attack in the battle of ideas and strengthen also the unity of purpose displayed when pragmatically tackling the perceived real-world challenges.

    In this sense, then, I repeat my question, do Cameron Conservatives have a theory?

    And my answer, in that same sense, is yes. The pragmatic responses of Cameron Conservatism to perceived real-world challenges do disclose a set of coherent theoretical dispositions.

    In particular, Cameron Conservatism is an attempt to achieve two paradigm shifts – a shift in the locus of political debate and a shift in the theory of the state.

    First, it is an attempt to shift the locus of debate from an econo-centric paradigm to a socio-centric paradigm.

    Second, it is an attempt to shift the theory of the state from a provision-based paradigm to a framework-based paradigm, within which government (apart from its perennial role in guaranteeing security and stability)…

    is conceived principally as an agency for enabling individuals, families, associations and corporations to internalise externalities and hence to live up to social responsibilities without the further intervention of authority.

    This concise description of the theory is inevitably both dense and unfamiliar.

    Let me now unpack it, employing a somewhat more perspicuous and familiar idiom.

    But before I do so, let me offer you what is sometimes called a meta-thought or a second-order observation.

    There is a reason why I have been using this ridiculous, high-falutin language.

    I want to make the point that ridiculous high-falutin language is not the sole prerogative of Gordon Brown with his post neo-classical endogenous growth theory…

    Nor of David Miliband with his “emphasis on the value of equality and solidarity…supplemented by renewed commitment to the extension of personal autonomy in an increasingly interdependent world”.

    You shouldn’t think that, just because someone uses complicated words, they have a coherent theory. And you shouldn’t think that, just because someone tries, most of the time to speak in plain English, they don’t have a theory.

    Cameron Conservatives have a strong attachment to plain English. That is because we think that it is easier to think clearly in clear language. But this has misled some people who think that theories come in complicated language to think we haven’t got one.

    And my point is that, despite our general preference for plain language, we do have a theory. It can be expressed (as I have just expressed it) in complicated language. It can also be expressed (as I am about to do) in much simpler terms.

    So what do I mean by Cameron Conservatism being an attempt to shift the locus of debate from an econo-centric paradigm to a socio-centric paradigm?

    It all goes back to Marx.

    Before Marx, politics was multi-dimensional – constitutional, social, environmental as well as economic. But Marx changed all that. The real triumph of Marxism consisted in the way that it defined the preoccupations not only of its supporters but also of its opponents.

    After Marx, socialists defended socialism and free marketeers defended capitalism. For both sides, the centrepiece of the debate was the system of economic management. Politics became econo-centric.

    But, as we begin the 21st century, things have changed. Since Thatcher, and despite recent recurrences of something like full-blooded socialism in some parts of Latin America, the capitalist/socialist debate has in general ceased to dominate modern politics. From Beijing to Brussels, the free market has won the battle of economic ideas.

    Victories like this often cause a hiatus in political thought. And the transition to a post-Marxist politics caused just such a hiatus.

    For several years, politicians have been wandering round in the mist, trying to discern the shape of a new politics more suited to an age in which socialism and capitalism no longer vie for acceptance.

    After war, the peace is sometimes more difficult for the victors than for the vanquished. So it was in this ideological war. Peace proved particularly difficult for British Conservatives – the very group that had raised the battle-standard and led the global army of the free market to victory.

    But, after a decade of disarray and enforced reflection on the part of the British Conservative Party, an answer has emerged. Cameron Conservatives have recognised the profound consequences of the fact that we have entered a post-Marxist era. Politics – once econo-centric – must now become socio-centric.

    If the free market is a matter of consensus, the debate must change its nature. Instead of arguing about systems of economic management, we have to discuss how to make better lives out of the prosperity generated by the free market. Growth in well-being hasn’t kept pace with growth in domestic product.

    At the recent Conservative Spring Forum, I chaired a discussion about the work of our six policy groups. Afterwards, a senior party official – who had taken time off from his arduous administrative responsibilities to listen to the discussion – approached me to say that he had now understood what we were up to. “Instead of economics”, he said, “it’s now about the whole way we live our lives”.

    Bull’s eye.

    Instead of being about economics, politics in a post-Marxist age is about the whole way we live our lives; it is about society.

    Politics today is socio-centric.

    The first theoretical advance (the first paradigm shift) of Cameron-Conservatism is to see that fact clearly – to refocus the debate, to change the terms of political trade, to ask a different set of questions.

    As David Cameron put it in his speech to the same Spring Forum:

    “It’s not economic breakdown that Britain now faces, but social breakdown. Not businesses that aren’t delivering, but public services. Not rampant inflation but rampant crime, disorder and anti-social behaviour. Not irresponsible unions – it’s irresponsible parents…

    And as a recent report from UNICEF showed – a report which put Britain at the bottom of the international league table for the well-being of children – it’s not that Britain is the sick man of Europe; we’re becoming the sick family of Europe…The mission of the modern Conservative Party, could not be clearer. It is to bring about Britain’s social revival: to improve the quality of life for everyone in our country, increasing our well-being, not just our wealth.”

    So far, I hope, so clear.

    But what do I mean by saying that Cameron Conservatism is also “an attempt to shift the theory of the state from a provision-based paradigm to a framework-based paradigm, within which government (apart from its perennial role in guaranteeing security and stability)…

    is conceived principally as an agency for enabling individuals, families, associations and corporations to internalise externalities and hence to live up to social responsibilities without the further intervention of authority?”

    Here, we move from the focus of the debate to the arguments on each side of the refocused debate – from the nature of the question to the nature of the answer.

    And, first, we have to attend to the meaning of the provision-theory of the modern state.

    This is the successor to socialism in the post-Marxist era. It is, in British terms, the essence of Gordon Brown’s version of New Labour.

    The provision-theory accepts the free market as the engine of economic growth. But, just as Clause 4 socialism once saw the state as the proper provider of goods and services through ownership of the means of production, so the provision-theorists of Brownian New Labour see the state as the proper provider of public services and of well-being through direction and control.

    The tell-tale marks of provision-theory are to be seen in much of the record of the last ten years – the targets and directives, the reorganisations, schemes and initiatives. Direct government intervention has been brought – with the best of intentions, though often with notable lack of practical success – to bear on schools and hospitals, police officers and neighbourhoods, local authorities and universities…

    The state has been seen as the source of enlightened social action, just as it was once seen as the source of enlightened economic action.

    The Cameron Conservative framework-theory of the state is fundamentally different. It takes the same place in the socio-centric political debate of the twenty-first century that free market theory once took before it triumphed in, and hence outdated, the econo-centric debate of the twentieth century.

    The framework theory of the modern state sees government as having two fundamental roles: to guarantee the stability and security upon which, by common consent, both the free market and well-being depend; and, much more controversially, to establish a framework…

    of support and incentive which enables and induces individual citizens and organisations to act in ways that fulfil not merely their own self-interested ambitions but also their wider social responsibilities.

    It is in emphasising this second duty of government that Cameron Conservatism distinguishes itself radically from the provision-theory of Brownian New Labour.

    Cameron Conservatism puts no faith in central direction and control. Instead, it seeks to identify externalities (social and environmental responsibilities) that participants in the free market are likely to neglect, and then seeks to establish frameworks that will lead people and organisations to internalise those externalities – to act of their own volition in ways that will improve society by increasing general well being.

    The intuitions about human nature that underpin this framework-theory of the modern state in twenty-first century post-Marxist socio-centric politics are unsurprisingly the same as the intuitions about human nature that underpinned free market theory in twentieth century econo-centric politics.

    The first intuition is that human enterprise, initiative, vocation and morale are the things that lead to progress and sustainable success in the socio-environmental sphere, just as in the economic sphere. The second, allied intuition is that command and control systems eventually fall under their own weight because they stifle enterprise, initiative, vocation and morale.

    And the third intuition is that a framework which leads people to internalise their social responsibilities and to fulfil those responsibilities of their own volition in their own ways is accordingly a much more powerful engine for sustained socio-environmental success than direct government control.

    Will the framework-theory based on these liberal conservative intuitions come in time to win the battle of ideas in socio-centric politics as comprehensively as its precursor, liberal conservative free market theory, did in the old econo-centric political debates?

    It is too early to tell.

    But one thing at least is clear. Cameron Conservatives have both an analysis of the nature of twenty-first century politics and a theory of the role of the modern state.

    To win a battle of ideas is always a hard task. But having an idea is certainly a good starting-point.

  • Oliver Letwin – 2003 Speech at Conservative Spring Conference

    Below is the text of the speech made by Oliver Letwin at the 2003 Conservative Spring Conference on 16th March 2003.

    On our minds today, we have two great matters: the war with Iraq and the threat of terrorism in this country. But we cannot allow these matters to prevent us from considering the abiding problems of our society – in particular, the problems of crime and disorder. Just as Rab Butler took his great Education Act through Parliament in 1944, against the backdrop of war, so, we, today, must attend to the nature of our society, notwithstanding the dangers in which we find ourselves.

    2003 did not begin well for Britain.

    It began with a tragedy.

    On New Years Day two teenage cousins Letisha Shakespeare and Charlene Ellis – out at a party in Birmingham – died in a hail of sub machinegun fire.

    Alas, this was not an isolated incident.

    Gun crime has risen; violent crime has risen; burglary has risen; drug offences have risen; and criminals contemplating a crime know they have only a 3% chance of being caught and convicted.

    In almost every sphere of criminality it is the criminal that is winning.

    What kind of country are we now becoming?

    We are facing a retreat from civilised values.

    Things happened yesterday that didn’t happen last year. Things happened last year that didn’t happen ten years ago.

    First fists, then knives, then guns. First pot, then smack, then crack. First cities, then towns, then villages. First men, then women, and then children.

    Only a few years ago we were worried about knives. Now we are worried about sub machine guns.

    In some of our inner city estates, those who can get out do so. The poor, the old, the weak retreat from parks and playgrounds, from streets and shopping areas to live behind closed doors.

    But, despite this crisis of criminality, despite the retreat from civilisation that is occurring in many of our most vulnerable neighbourhoods, I am still optimistic we can turn back the tide.

    Across the country, I have met and seen remarkable individuals who are determined to reduce crime on their estates.

    These are individuals who refuse to give up. We Conservatives must do everything we can to support them.

    I want to tell you this morning about some of these people.

    Recently, I visited Handsworth in Birmingham where I met two groups, Parents United and the Partnership Against Crime. These groups were set up in response to the shootings in Aston. They are determined to work with local churches to draw their young people away from the gun culture and off the conveyer belt to crime.

    They are doing everything possible to ensure that the tragedy that befell the families of Letisha Shakespeare and Charlene Ellis does not happen to another family.

    Recently I also went to the Clarence Way Estate in Camden, North London. This is an Estate riddled with drug users, dealers and drug related prostitution. Residents often have to step through needles, excrement and vomit just to get out of their front door. Young children see addicts injecting in front of them on their way to school, as often as other luckier children might see their friends on swings in a park.

    The whole Estate has just one part time WPC who manages to patrol every Tuesday, Wednesday and every other Saturday. I doubt that the drug-dealers wait politely to let her arrest them when she arrives!

    I am not sure that the drug dealers regard the police as having a right to be on the estate. When I was there, I saw at first hand drug addicts waiting for their next drop and dealers providing it. They even shouted at us to move on as we were on their “territory”.

    I was told of a man who lives in the block and is a leaseholder. He hasn’ t seen his daughter for three years because she is too afraid to make her way through the drug addicts on every corner. He has had excrement and firebombs put through his letterbox because he had the temerity to ask the drug addicts to get away from the outside of his front door. The police couldn’t deal with it because they were tied up with other crimes in the area, or as it was described “with paperwork”.

    Mental torture is not too strong a term for this man who suffers day in, day out, for months, for years.

    This is an Estate which has been virtually taken over by the forces of criminality…

    Almost.

    I say “almost” because of the efforts of a remarkable woman, Silla Carron who lives on the Estate.

    Almost single handedly she has worked hard to make her Estate a better place to live. She has established a Tenants Association and she has organised petitions for more police on her Estate. Through vigorous campaigning she has secured funding for a dog patrol that provides some safety on the estate.

    When Silla Carron decided to do something about her estate, nobody told her to do this.

    She did it out of a sense of service and responsibility to her family and neighbours.

    You can’t teach good neighbourliness from on high or for that matter from Downing Street.

    This is something the Home Secretary doesn’t understand. He is well intentioned. He talks tough. But he delivers very little.

    Every time there is a crisis, every criminal outrage we face, Mr Blunkett responds with initiatives and targets, ably designed to create favourable newspaper headlines to show that he is doing something.

    He thinks that every problem can be controlled by pressing buttons at his desk in Queen Anne’s Gate.

    But, what is really needed, is to find ways to encourage and motivate the networks of individuals, families and community associations that are doing their best to keep their neighbourly society alive.

    Over 5 years we have had over sixteen Criminal Justice Bills and over 100 initiatives. We have had targets galore. But the targets have not been met. Targets for recorded crime, for class A drugs and for reducing robbery have been missed. Other targets on drugs, vehicle crime, burglary and asylum have gone missing altogether.

    Then there are the inevitable “summits” at the Home Office and Downing Street.

    An American philosopher George Santayana once said:

    “trust the man who hesitates in his speech and is quick and steady in action. But beware of long arguments and long beards”.

    Thinking of David Blunkett, I agree.

    It is time he was reminded of that old proverb “saying is one thing, doing another”.

    All this tough talk by the Home Secretary impresses for a while. The problem is that the failure to deliver in the long run breeds at best cynicism and at worse despair.

    If we are not careful, the public will turn away from traditional politicians to local, dangerous extremists whose only appeal is that they are ‘outsiders’ and offer quick and simplistic solutions. Their success will cause immense damage to the fabric of our society.

    That is why all of us have to work hard to ensure that the success of the BNP in some towns in the North is not replicated across the country.

    We face the threat of ever growing apathy and of ever-decreasing turnouts at elections. We face the danger of ever-increasing support for the kind of people who want to make this country a nasty and brutish place to live.

    We must not and we will not allow the contrast between rhetoric and the Government’s reality to be exploited by such people.

    Nowhere is that contrast between rhetoric and reality greater than in the case of asylum.

    Britain has lost control of her borders. Last year a record 110,000 people sought asylum here – the highest number in Europe. Of these, just 8,000 and their dependents were judged to be genuine refugees.

    Yet of the tens of thousands who were turned down, a mere 3,000 were removed from the country.

    The whole system is in chaos.

    David Blunkett’s response to this problem has been the same again: talk tough but do very little.

    Now we have the implausible spectacle of the Prime Minister, clearly under pressure, pledging to halve the numbers of asylum seekers by September. Unless the Government intend to manipulate the statistics by issuing in-country work permits or visas without restrictions on work to people who would otherwise claim asylum, this is a very rash promise indeed.

    A future Conservative Government will scrap our entire asylum system.

    We will replace it with a system of rational quotas for genuine refugees. We will accept around 20,000 refugees in a quota identified offshore with the help of the United Nations High Commission for Refugees. That 20,000 is larger than the number of genuine refugees admitted each year at present, but only one-fifth of the number of people currently using our asylum system to enter the country.

    Conservatives are determined to end the asylum chaos. We can no longer tolerate a system in which the genuine refugee, sometimes suffering from the most horrific persecution, is pushed way down the queue by those who are brought here frequently by people traffickers, to seek economic security.

    We can no longer support a system on which the taxpayer is spending £1,800 million a year. The quota system eliminates the need for asylum centres and costly processing. There will be no need for processing here because those within the quota will already have been identified as genuine refugees in refugee camps overseas. All those who arrive illegally and outside the quota will be removed. Our scarce financial resources could be better spent elsewhere.

    And I have a clear idea – which I am glad to say I share with the Shadow Chancellor – about where the money we save on the asylum system could and should be spent.

    We will spend it on the police.

    I know very well that policing is not the whole answer to the breakdown of order.

    That is why we have set out a range of policies that will offer long-term solutions to crime rather than quick fixes.

    For over fifteen months we have been meeting and consulting with hundreds of experts and practitioners in the field. We have travelled to America and countries across Europe visiting prisons, young offenders institutions, drug offender projects and neighbourhood policing schemes. In Bournemouth last October I set out to you the direction of our policy.

    We are determined to tackle crime at its source by lifting young people off the Conveyer Belt to Crime. We will intervene early when children show signs of disruptive behaviour, giving support to parents struggling to provide necessary authority and guidance. We will tackle persistent young offenders by providing for longer but more constructive custodial sentences, in which there is an intensive effort to rehabilitate and in which support continues long after they have been released. And we will focus effort on getting children off heroin and crack cocaine, providing a choice for every addict between compulsory, intensive treatment and rehabilitation or the penal system.

    But before we can do any of these things effectively, we have to reclaim our streets for the honest citizen.

    We have to ensure that once again police become the custodians of our neighbourhoods and the guarantors of authority and order.

    We can do this only by putting police on the streets where they can apprehend criminals and deal with social disorder.

    Often politicians promise more police on the beat but the reality is empty. The Government have been doing this for the past six years.

    It is time for real policemen and real neighbourhood policing.

    That is why I make this pledge to you today that the next Conservative Government will increase police numbers by 40,000.

    That is 5,000 extra police officers a year over eight years.

    This commitment will cost money.

    For those of you wondering where we will get the money from, let me reassure you: I have never been a serial spender! And I do not intend to start now.

    As I mentioned to you a moment ago, Britain pays a heavy price for the shambles on asylum.

    Total spending on asylum seekers is now – I remind you – £1.8 billion a year. This is a crazy figure given that most of the cash goes on those who are not genuine refugees.

    Were we to have an efficient and working system we could make significant savings on this amount and spend it where it is needed the most: waging the battle against ever rising crime by having tens of thousands more policemen on our streets.

    Our strict quota system for refugees will in due course save more than £1.3 billion a year. We know that, because the Australian quota system shows how much such an arrangement costs.

    These savings will allow us to provide 5,000 extra police officers a year, starting one year into the next Conservative Government. And amazingly enough we will have money left in the bank.

    Our proposals will enable our chief constables to put police officers back onto the streets in every Parish and neighbourhood across Britain.

    A long time ago, the Prime Minister promised to be tough on crime and tough on the causes of crime.

    The truth is that under Labour there has been very little serious, concerted and effective action to achieve a long-term change in the level of crime.

    There are no coherent and focused programmes to take young people off the conveyer belt to crime. There are no substantive measures to get people off hard drugs. There are no efforts to recapture the streets through real and sustained neighbourhood policing.

    The Government have missed an opportunity to get to grips with crime.

    It is time to offer a real alternative.

  • Chris Leslie – 2014 Speech on Public Finance

    Below is the text of the speech made by Chris Leslie, the Shadow Chief Secretary to the Treasury, in a speech to the Institute for Chartered Accountants of England and Wales on 30th May 2014.

    I want to thank the Institute for Chartered Accountants in England and Wales for hosting this morning’s focus on the long-term challenges facing the public finances and tackling Britain’s fiscal deficit. The ICAEW has been a relentless campaigner for improved decision-making arrangements at the Treasury to deliver long-term sustainable public finances and I commend your work in setting this agenda.

    Before Christmas Ed Miliband and Ed Balls announced that we would conduct a root and branch review of every pound the government spends to prepare for the challenges the next administration will face.

    We set out the principles that our Zero-Based Review would follow: stronger efficiencies, taking a fairer approach to deficit reduction, supporting growth, intervening early to prevent higher costs, and testing how justifiable programmes and projects are in an era following the global financial crisis.

    In my February speech at the Social Market Foundation I set out our approach to decluttering public service delivery and streamlining government.

    Since then I have completed the first round process analysing every departmental budget and exploring public service reform and redesign in detail with every shadow team – and all my Shadow Cabinet colleagues know that the settlements we will need to make following the general election will be the toughest faced by an incoming Labour government for a generation.

    We will publish an interim report summarising early findings in the near future, and complete the Zero-Based Review in our first year in office.

    Today, though, I want to talk specifically about how the next Labour Government will place long-termism at the heart of public spending plans.

    But I want to go beyond the lip-service that politicians often pay to long-termism and instead propose a fundamental restructuring of the decision-making process.

    Short-termism is now a chronic disease eating away at the heart of our public services. Ministers repeat their ‘long-term-economic-plan’ mantra with such frequency that they are deluding themselves into a belief that simply uttering these words will magically make them come true.

    So I want to set out why we can no longer continue with the myopic year-by-year lack of foresight that is too often a hallmark of the current Treasury and the coalition government.

    For one thing, the existing short-range view of Ministers risks costing the country far more in the decades ahead.

    And with the Prime Minister’s promise to balance the books by next year now at least £75 billion wide of the mark, we need to get a grip of this situation and move onto the right path towards eliminating the deficit in the next Parliament in a fair and sustainable way.

    So what does a long-term approach to rebalancing public finances look like?

    First things first – let’s stop wasting so much taxpayers’ money.

    Nothing infuriates the public more than seeing hard-earned taxpayer resources thrown away because of short-term decision-making or poor planning.

    Let me give you an example from my own constituency in Nottingham from just last week.

    The police station in Sneinton was refurbished in 2005 at a cost of £720,000.

    It is an important base in the fight against crime and reassuring the public.

    Yet the salami-slicing of grants to Nottinghamshire Police, shaving off a chunk each year, has left this public body like so many others looking for bite-sized operational savings.

    It only costs £21,000 a year to run the Sneinton Police station.

    But now it looks set to close.

    How wise is it to throw this £700,000 asset overboard, all for the sake of that short-term saving?

    Shouldn’t we factor in the new costs that might arise from higher crime levels that could occur without this one stop shop?

    Or is that just ‘somebody else’s problem’ shunted across to some other department to pick up the bill?

    I don’t really blame Nottinghamshire Police on this occasion.

    They’re just doing what a thousand other public service organisations are forced to do.

    They don’t really know what lies around the corner; they are given little insight into national budget settlements and have limited scope to plan beyond the annual parcel of money delegated to them.

    Yes, cuts do need to be made. Of course this is the case. But why do we hobble our public services by refusing to let them cast ahead in a mature and long-term manner? There is an alternative.

    The Home Office are not helping the 43 police forces across England & Wales to make sufficient savings by working together, procuring together, collaborating on support functions and specialist work. We need structures that are leaner and more appropriate – because the Government isn’t taking that long-term strategic approach which defends the frontline first. As the widely respected Independent Police Commission chaired by Lord Stevens and commissioned by Yvette Cooper set out, on matters such as procurement we should be looking at a national procurement model to save money and enhancing collaboration in all appropriate areas, something that could save at least £60million before 2016/17 if enacted swiftly.

    And there are other flaws with the way this Treasury has approached deficit reduction.

    To some managers, setting artificial deadlines is a way of driving results. But others have learned that it’s the outcome we need to focus on – because sometimes the means do matter as much as the end. And sometimes that narrow-minded focus on the end-of-financial-year can provoke plainly stupid decisions. Just look at the millions spent sacking or ‘retiring’ senior officials at the Ministries of Defence, Transport and Foreign Office, only to see them re-hired again at greater expense.

    A long-term, partnership approach which includes delegated bodies in the forward planning process is more likely to deliver the goods and avoid false economies.

    WHAT SHOULD THAT LONG-TERM APPROACH LOOK LIKE?

    It needs to start with a fiscal commitment that is stretching but achievable, which takes account of the reality that public finances have an impact on society and the economy – and vice versa.

    George Osborne dismissed the idea that fiscal consolidation could have an adverse impact on economic growth. But his 2010 Budget and Spending Review undoubtedly knocked confidence from what was an emerging recovery at that time – and the three years that followed created the slowest recovery in a century.

    Growth has finally returned not because of those fiscal choices, but despite them. Yet the Chancellor continues to deny that public expenditure decisions can support growth and the positive revenues that flow from growth.

    This is why Labour’s fiscal commitment will get the current budget into surplus and national debt falling as soon as possible in the next Parliament. Judgements about the degree of capital investment that the country may require in the early years of the next Parliament must be evidence based – especially as Britain could well face productivity constraints and imbalances that only long-term public policy can overcome.

    Unfortunately this Chancellor’s timetable has never been evidence-based or grounded in economic realities. What evidence is there that people should believe George Osborne’s arbitrary target of 2017/18, when he has failed so notably on his original 2015 target?

    These are the sort of short-term political timetables that distort sound decision-making and can create perverse consequences. And there are too many instances of short-term budget decisions that cost more in the long run:

    – The closure of fourteen prisons at the Ministry of Justice, creating a shortage of capacity and provoking Ministers to later change tack and commission new ‘Titan’ prison projects which appear unfunded and may even worsen re-offending.

    – A decision to withdraw the A14 upgrade in 2010 as “unaffordable” at £1.3 billion – yet the resurrection of the same scheme in 2013 now costing £1.5 billion.

    – The roads maintenance budget for local authorities cut by a fifth in 2013, followed by an about-turn in 2014 with a complex ‘Potholes Challenge Fund’ assessed by Whitehall civil servants on the basis of bureaucratic bids submitted from town halls – hardly progress towards localism.

    – And not forgetting the bedroom tax, which not only causes great hardship but merely shunts costs from local authority housing benefit and into the more expensive private rented sector element of housing benefit.

    Just a few examples of short-term poor decisions driven more by an artificial timetable than the careful forethought and planning that we desperately need.

    When the Chancellor did have a three year spending review from 2011/12, it rapidly fell to pieces with salami-slicing and shifting parcels of money to meet political year-end goals. Eventually, Coalition pressures led to last summer’s one-year spending review – which was a one-off budget settlement in all but name.

    Annual processes just make this situation worse. The next Labour Government will take a more strategic long-term approach to the savings that need to be made. So Ed Balls and I have concluded that a Labour Treasury will put an end to the one year spending reviews recently introduced by George Osborne. We will instead set out Spending Review plans on a multi-year basis. And we would go further and expect departments in turn to provide public bodies and organisations under their stewardship with the same longer-term certainties, so they can make better decisions and plan for the savings they will need to make. As we have seen across local government and various agencies, keeping public services in the dark makes it harder to plan the fundamental reforms that ought to be addressed.

    Settlements need to give departments a clear incentive to retain some of the savings and efficiencies they can achieve. We have to reduce the litany of false economies and illusory ‘savings’ that end up wasting public money and stacking up greater costs further down the line.

    It is why we have also concluded that the Treasury must improve its partnerships with other departments, and look at the real world outcomes that people care about most – which don’t neatly fit into a single department of state portfolio. The previous government created Public Service Agreements as a way to join-up Whitehall and prevent problems falling between the gaps. But there were too many of them to allow for the degree of focus and prioritisation needed today. It’s clear that the Coalition are lacking an adequate accountability mechanism as departments flail around and the goal of deficit eradication goes further into the distance.

    So the next Labour Government will ensure greater accountability and will concentrate efforts on a core set of outcome-based inter-departmental priorities. In the coming months we will agree the scope of this prioritisation process and precisely how each inter-departmental arrangement will be implemented. This is a key part of sticking to a strategic, long-term focus and delivering firm commitments on lasting and sustainable savings.

    We will support early intervention programmes where there is a robust invest-to-save business case. Early intervention must mean preventing costs from hitting budgets further down the line.

    Eliminating the deficit as soon as possible will not be the end of the job – because the task of reducing the national debt in the long term will require savings to be maintained in the decades ahead. There are three other areas I want to highlight today in this respect.

    1. LONG-TERMISM AND THE CAUSES OF WELFARE INFLATION

    Capping the aggregate social security budget is something we support as a way to bear down on rising costs, but it can only be a part of the solution. If we are going to tackle the benefits bill in the long-term, we need to dig deeper. We need to be tough on welfare inflation, and tough on the causes of welfare inflation. And those underlying causes are a series of long-term pressures which the Government has shied away from:

    – We need to move the long term unemployed off benefits and into work, which requires greater effort than the Work Programme can muster – and we need guaranteed starter jobs fully funded from a repeat of the bank bonus tax to give young people out of work for a year or more that first meaningful foot on the ladder.

    – We need greater health service emphasis on preventing illness not only to improve the quality of life, but to ensure people can be active and available for work.

    – We need to strengthen the minimum wage and incentivise the living wage, to relieve the tax credit subsidies which top-up low pay

    – And we need to tackle the underlying costs of housing benefit by getting more affordable homes built.

    If you don’t get to these root causes of higher costs that are being picked up by the taxpayer, it’s no wonder that the welfare bill goes up by more than you expect; overall spending on welfare is set to be £13 billion higher than the Tories originally planned for in 2010.

    2. LONG-TERM MANAGEMENT OF FUTURE LIABILITIES

    During the course of the zero based review discussions I have been having so far with my shadow Cabinet colleagues, it has also struck me how little attention Government departments are paying to the management of long-term future liabilities that are likely to land on the taxpayer. Departments set aside ‘provisions’ to cover costs for some staggering expenditure possibilities. For instance, the Department for Health currently estimate that clinical negligence liabilities that may arise in future years as a result of NHS litigation could be of the order of £22 billion, with more than £7 billion of this expected to be spent in the next 5 years. And the Department for Energy and Climate Change reckon that the costs of nuclear decommissioning may be as high as £62 billion, a figure that has increased by £10 billion since 2011. For these reasons I will be spending more time in the months ahead looking in more depth at the scale of provisions and ways in which we might bear down and prevent some of these liabilities from spiralling out of control.

    3. A MORE DEMANDING APPROACH TO MAJOR PROJECTS

    Every Government embarks on major projects and there are some notable disasters in the making. Seeing Iain Duncan-Smith struggle with the Universal Credit has been like watching a car crash in slow motion; after five years in office only a tiny fraction of its intended recipients might, just might, be receiving it by the time of the next election. In fact, the situation is so bad that the Major Projects Authority refused to give Universal Credit a colour coded status report. Instead they created an entirely new “reset” category, signalling that after 4 years the project is not even over the starting line.

    And how much forethought went into the reorganisation of the health service? In opposition David Cameron promised there would be no such reorganisation and then wasted £3 billion, and caused chaos, with a damaging shake-up that led to nearly 4,000 NHS managers being laid off and then rehired, many on six-figure salaries.

    How did we end up commissioning two aircraft carriers which have doubled in cost with indecision on the type of aircraft that would use them?

    And is anyone at the Department for Education taking collective responsibility for the ballooning costs of the free schools experiment? Not to mention the lack of planning and farcical management of the Universal Free School Meals policy?

    Where major projects will have a beneficial impact saving resources in the long term, then we need departments and the Treasury working together to make better progress. Where projects are in trouble, we need the Major Projects Authority to have a greater role in flagging up risk and driving in fresh management rigour. We cannot afford vanity projects where more money is thrown at a failing scheme for the sake of sparing Ministerial blushes.

    A WIDER APPROACH TO THE LONG-TERM…

    As I say, a commitment to long-termism means concrete steps to change the way government works – not just words or slogans. So for Labour, long-termism is about more than an approach to public services and budgets. As my colleague Chuka Umunna the shadow Business Secretary has set out through his ‘Agenda 2030’ process, we need an economic and industrial strategy to compete on quality, and not cost alone.

    This means a serious strategy for investing in skills and getting the next generation ready for the world of work.

    U-turns and indecision on investment allowances, the carbon floor price and regional growth funds have become barriers to business development.

    Instead we want stability and certainty with a British Investment Bank and infrastructure decisions elevated from the daily politics with the creation of a long-term Independent Infrastructure Commission as recommended by Sir John Armitt.

    And we need to take heed of the recommendations from Sir George Cox about how to overcome short-termism in business R&D, recruitment and investment.

    Labour’s Policy Review process will culminate at our National Policy Forum in July. Ed Balls, Jon Cruddas and I have been clear that our conclusions and agenda will be radical but suited to our times. So it will not be about spending commitments, but solutions that are funded, achievable and which can be delivered in office.

    Parties that make promises to the electorate must prove that those promises can be kept. If the Government really believed in long-termism, they would also allow the Office for Budget Responsibility to independently audit the manifesto spending and tax commitments of the main political parties.

    That way we could elevate the debate at the next election into a comparison of genuine priorities, rather than a slanging match about whose statistics are accurate. But perhaps that’s precisely why the Chancellor doesn’t want independent validation of the figures.

    I’d like to conclude on the challenge to come.

    I’m not heading into this expecting popularity. Quite the opposite.

    All government departments in the next Labour Government will have to face fundamental questions as never before.

    We won’t be able to undo the cuts that the have been felt in recent years. And I know that this will be disappointing for many people.

    A more limited pot of money will have to be spent on a smaller number of priorities. Lower priorities will get less.

    We are not arguing with the Government about the scale of the challenge.

    But we do differ significantly on the best way to confront it.

    George Osborne has had his five years to eradicate the deficit. I am determined that we finish that task on which he has failed.

    Why does it matters so much to get the books into balance?

    Because if you believe that as a society we achieve more by coming together and pooling our resources to deliver services from which we all benefit, then we have a responsibility to prove to the taxpayer that this can be done efficiently and effectively.

    Public service budgets have got to be sustainable.

    We need to continually demonstrate to taxpayers that they can trust the public realm to manage services well.

    The alternative risks eroding public confidence and an opt-out culture of private provision for those who can afford it – and sub-standard services for the rest.

    There’s no reason why we cannot create decent quality services and a fair society while living within our means.

    This is why I believe those on the progressive centre-left of politics should embrace the goal of balancing the books. There is nothing left-wing about running a deficit.

    As last week’s elections showed, the public want the realistic prospect of change, not just more of the same. And they want Labour to focus relentlessly on how it would deliver those changes.

    These are serious times and they demand a hard-headed approach from political parties seeking the chance to govern.

    By taking the long-term perspective and reviewing every item of government expenditure from the ground up I am confident we can get the job done.

  • John Healey – 2011 Speech to Labour Party Conference

    johnhealey

    Below is the text of the speech made by John Healey to Labour Party conference on 28th September 2011.

    Conference.

    We’ve heard powerful testimonies today in defence of our NHS from our panel, and in our debate. Thank you.

    Today we reject the Tories’ plans.

    We back the founding principles of our NHS.

    And we dedicate ourselves to winning a Labour government to protect the NHS.

    It has been a real privilege to work with an outstanding shadow health team; with many of you in our health unions; and with Norma Stephenson and the Party’s policy commission.

    But the greatest privilege has been meeting the men and women of the NHS, and hearing patients’ experiences.

    Last week I was with Margaret Pritchard – a long-time community campaigner for Whiston hospital.

    She’s never forgotten the NHS under the Tories: ”People were waiting hours on trolleys in the corridor. I know”, she told me, “I was one of them”.

    Or Anne McCormack, who I met at Conference this week. Doctors found breast cancer and she said “Thanks to the NHS and what Labour did, I’m here today and not an obituary”.

    LABOUR’S RECORD

    We take great Labour pride in the creation of the NHS. And in the great improvements people saw during the last 13 years of Labour investment and reform.

    Hundreds of new hospitals and health centres.

    Thousands more doctors, nurses and specialist staff.

    Millions of patients with the shortest ever waits for tests and treatment.

    THE NHS – BUILT BY THE PEOPLE, FOR THE PEOPLE

    But the NHS was not built by governments.

    The NHS was built by nurses and doctors, radiographers and pharmacists, porters and clerks and cleaners.

    Built over decades by people from across Britain and the world – committed to curing and caring; sharing their humanity and the high ideal of public service in our NHS.

    It was built by working people, through their taxes, willing in the knowledge that care will be there if they need it, free and equal for all.

    The NHS – the proudest, greatest Promise of Britain.

    CAMERON’S BROKEN NHS PROMISES

    Even David Cameron declares he loves the NHS. But he’s never been straight with people.

    He’s breaking each and every one of his personal NHS promises:

    “Protect the NHS”. Broken.

    “Give the NHS a real rise in funding”. Broken

    “Stop top-down reorganisations”. Broken. Big time.

    That’s why people are starting to see the NHS go backwards again with the Tories. Services cut; treatments denied; long waiting times up.

    We’ve seen over a million patients suffer long waits for treatment under David Cameron, breaking Labour’s guarantees to patients.

    LABOUR OPPOSING TORY NHS PLANS

    The Prime Minister is in denial about the damage his Government is doing.

    The chaos of the biggest reorganisation in NHS history.

    The waste of billions of pounds on new bureaucracy.

    The betrayal of our NHS in a health bill which will break up the NHS as a “national” health service and set it up as a full-scale market, ruled for the first time by the full force of competition law.

    No one wants this. No one voted for this.

    I am proud that it’s Labour that has led the campaign to defend the NHS.

    The first to expose and oppose the Tories’ plans last autumn.

    Then the long, slow haul of opposition: building alliances behind the scenes; making arguments that others come to accept, then make as well; and – yes – allowing others to claim credit to get results.

    David Cameron claimed last month: “The whole health profession is on board for what is now being done”.

    Conference, he’s in denial!

    He thinks he’s right. Doctors’, nurses’, patients’ groups say he’s wrong.

    So this summer we called on the people to help save the NHS.

    From the south coast of England, to the northern cities. Labour and union members, together, took to the high streets and the town squares with our campaign.

    It’s been a while since many of us can remember people queuing – queuing – to sign up to a Labour petition.

    NHS NEED FOR CHANGE

    The Tories and the Lib Dems are throwing away Labour’s golden legacy to NHS patients.

    Destroying the goodwill of NHS staff to support further reform.

    Piling extra pressure on the NHS to make short term cuts, rather than long-term change.

    And our health and care services do require reform.

    Yesterday Ed Miliband set out our Labour values. He said the rules for care services must change.

    People’s confidence in care was shaken by the crisis at Southern Cross. Care for some of the most vulnerable in our society, traded by predatory fund managers who saw elderly people as commodities. Dementia as a high-profit market.

    We did not act before but we will in future. So we will regulate for the best business practices as well as the best care standards.

    And let us learn lessons for the NHS. The health bill opens up all parts of the NHS to private companies, backed for the first time by a competition regulator and competition courts.

    Ministers in private conferences talk about “huge opportunities for the private sector”.

    Their civil servants hold secret talks on handing over 22 NHS hospitals to a foreign multinational.

    Privatising NHS hospitals will drive a wedge between hospitals and the wider health service.

    Companies whose bottom line depends on bringing more patients, more business into their own hospitals, will not collaborate with others to cut admissions, when the treatment for patients can be better and better value elsewhere.

    The huge challenge of changing health needs, tighter finances and a more elderly population can only be met through more reform – more say for clinicians; more control for patients; more prevention; more integration of services across hospital, primary and community care.

    Let me be clear. There has always been and will be in the future an important contribution for non-NHS providers – including private providers – towards better health care, to supplement not substitute for the NHS.

    But let me say now, hospitals are at the heart of our NHS; they should be in public not private hands; dedicated totally to patients, not profits.

    So we will oppose any government move to privatise NHS hospitals.

    We will guarantee under Labour that NHS hospitals remain in the NHS.

    Labour will look instead to develop integrated care organisations to allow primary, secondary and social care to work together. And because our values demand we’re not neutral on who provides care, we will look to promote those that share a true social ethos over those driven by narrow commercial interests.

    We make this pledge not because we want no change in the NHS but because we need greater change.

    Because our health and care system must reform, and must retain the faith of all who need and use it.

    CONCLUSION

    I had an email from a mental health nurse the other day.

    He said “you and your Labour colleagues are the last bastion of the NHS; don’t let us and future generations down”.

    Conference, the health bill has been through the Commons but the battle is not over.

    The NHS was built by the people. It is cherished by the people. It belongs to the people.

    Let us tell David Cameron today:

    We will give voice to the dissent of people who heard your promises, saw your posters; people who wanted to believe you before the election but are now seeing the truth. You can’t trust the Tories with our NHS.

    Bevan said “the NHS will last as long as there are folk with the faith to fight for it”.

    Conference, this is our faith. Our fight.

  • John Healey – 2011 Speech to National Housing Federation

    johnhealey

    Below is the text of the speech made by John Healey to the National Housing Federation on 8th July 2011.

    Introduction

    Thank you … I am glad to join you again at a NHF conference.

    A couple of years ago I spoke at the Federation’s national conference in Birmingham.

    That was almost 9 weeks to the day into my job as Housing Minister; this is now 9 months since I became Labour’s shadow health secretary.

    As before, this invitation has been a welcome spur to reflect on how we see and meet important policy challenges.

    Then I was able to set out plans for the extra £1.5 billion I’d negotiated for our Labour Housing Pledge to kick start 10 000 new homes on commercial sites stalled in recession and build an extra 20 000 new affordable homes, including the largest council house building programme for two decades.

    Now I’m no longer in Government; and no longer in a position to make things happen.

    It was Tony Blair who said there’s one essential difference between government and opposition: “In government you wake up each morning and say ‘what can I do today?’ In opposition, you wake up and ask yourself ‘what can I say today?’

    But one thing after government in opposition that’s imperative, is to learn the lessons of what worked, what didn’t and why.

    You are all housing service and policy experts. More so than I am, or will ever become. So I wanted to contribute to your conference discussion by offering my reflections less on policy debate and more on policy decisions as they are taken in Westminster and Whitehall, as well as reflections on overcoming the flaws.

    Health and housing

    You’ve brought health and housing together for debate at this conference.

    But do you know … in my 10 months as housing minister, I don’t recall a single meeting with health ministers to discuss the essential policy and delivery links.

    And in 9 months as shadow health secretary, no doctor, nurse, NHS manager or health policy expert has said to me …’we must do more to get better housing if we want better health’.

    It is an evident truth.

    You know it as housing experts from the way you run your housing and tenant services. I know it as constituency MP for part of Rotherham and Barnsley.

    Poorly heated or insulated homes can lead to hypothermia and preventable deaths.

    Overcrowded homes can lead to strains on relationships and infectious diseases spreading more rapidly.

    Badly adapted homes can lead to trips, falls, avoidable pain and hospital admissions.

    Pressure with rent payments or anti-social behaviour can lead to mental stress and ill health.

    So housing does directly affect health. Just as health affects housing.

    Addiction or mental health problems can lead to loss or work, financial problems, arrears and eviction.

    Physical disability or injury can make an existing home impossible to live in.

    The Marmot review into health inequalities, which Labour commissioned and published in government, nailed the problem of separating health and housing policy into the silos of different Whitehall departments: “Many of the difficulties in addressing the issue of cold homes is that the effects of the problem are the responsibility of one government department – the DH – while the responsibility for solutions lies with the CLG and DECC”.

    Government has not always been organised or operated like this.

    History

    When Bevan led the legislation to set up the NHS through Parliament in 1946, he was secretary of state for health and housing.

    When he launched the post-war council house building programme in the same year he said: “We must not only build quickly, we must build well. In the next year or so we will be judged by the number of houses we have put up. But in ten years we will be judged by the quality of those homes.”

    The twin responsibilities were separated by the new Conservative Government in 1951 into two different departments. And they’ve remained separated at the national level since then.

    Housing and public health remained twin responsibilities of local government, however, until 1974 when public health was taken into the NHS as a national responsibility.

    We can see both changes, I think, as part of the process of the British state centralising to expand its domestic role as its foreign responsibilities diminished post-empire.

    Flaws in system

    This is not just a feature of recent years in Whitehall. It is reflected directly in Westminster and in the way policy debate and scrutiny takes place.

    Neither the Commons health select committee nor the CLG committee has done a report on health and housing, though from time to time the essential links are raised with both and referenced in their published evidence.

    The Marmot report recommended greater integration of policy and delivery: “An important step in tackling the social determinants of health at a local level would be greater integration of health, planning, transport, environment and housing departments and personnel.”

    Even when Parliament legislates for the broader view and delivery links, this is no guarantee that it happens in practice.

    Directors of Public Health have a statutory duty to assess the health needs of their area. But the Chief Executive of St Mungo’s – London’s largest provider for homeless people – told me recently in the 30 years he’s worked for the charity, not once has a public health director approached them about the health needs of London’s homeless.

    The personal consequences of this mean only 1 in 6 homeless people come away with a treatment plan when they are discharged from hospital.

    And even when the financial evidence also underlines the imperative to overcome policy and service separations, this is no guarantee that it happens in practice.

    The Audit Commission confirm “Every £1 spent on providing housing support for vulnerable people can save nearly £2 in reduced costs of health services, tenancy failure, crime and residential care”.

    The Chartered Institute for Environmental Health report health costs of £600 million a year from poor housing; and health, crime and education costs totalling £1.5 billion.

    Reflecting on five years as a minister at the Treasury, and two spending reviews, we tried joint PSA targets and jointly-held dual-key budgets between departments in some policy areas.

    These worked only up to a point. Neither were strong enough to overcome the force of the single department culture. And neither were underpinned with strong enough financial metrics to support one department spending money that reduced costs or lifted burdens for another.

    The row this week over the Government’s cap on and cuts to housing benefit offers an interesting illustration. In this case the DWP wants to cut the benefit bill and, even though the consequences and costs to local government were serious and obvious, they played no part in the decision to press ahead with the policy.

    Labour steps 

    So the separation of health and housing responsibilities makes sound, sensible policy making much harder.

    We took some steps in Government to bridge the gap over the last decade. These were necessary, but not sufficient to overcome the significant policy separation between housing and health.

    We started and completed 90% of the massive Decent Homes programme, fitting new boilers, insulation, doors, windows and kitchens for council and housing association tenants in more than 1.4 million homes by last May.

    We introduced the supporting people grant specifically to help people stay in their own homes; people who are vulnerable and with complex needs for housing support.

    And we encouraged closer local working between housing and health providers. The recent ‘Healthy Homes’ initiative launched jointly by Liverpool Council and Liverpool PCT is an excellent example of integrated, locality based, whole population commissioning.

    It targets assessment of the health and the housing needs of families living in 25,000 homes across the city. Where needed they improve properties, make appropriate health referrals and expect to prevent at least 100 premature deaths a year.

    One year on – the balance sheet

    One year on – where are we now with the new government?

    The Liverpool Healthy Homes programme is exactly the type of integrated long-term commissioning at risk in the huge NHS reorganisation.

    They – like almost everyone else – are beset by uncertainty, confusion and extra cost as more bodies and bureaucracy are being created by the  upheaval in the health service.

    Within the Government’s NHS legislation however, the move to return public health to local authorities is sound in principle, although there are important unanswered questions in practice about the powers and funding that councils will have to do the job; about the retention of skilled public health staff; and about the continuing commitment of the NHS to work on public health improvements.

    But it is impossible to ignore the scale of the Government’s cuts, which have gone too far, too fast.

    I have mentioned housing benefit already. Age UK report average cuts this year of 8% – with councils reducing care hours and raising eligibility thresholds for help.

    These are short-term, budget driven cuts which will have longer-term consequences for many people’s health and welfare, and will inevitably lead to greater cost in other parts of the system, especially for the NHS.

    There are still 400,000 non-decent homes left, and the Government will not provide the funding to finish the programme. The benefits go wider even than health – for every one million pounds of public investment in housing refurbishment, 17 jobs are created and the Labour shadow housing team has calculated that completing the programme would support 54,000 jobs.

    Finally, the supporting people grant is being squeezed and is set of a 12% real terms cut over the course of the Parliament.

    The recommendations by Andrew Dilnot on the funding of social are provide an opportunity to reverse this trend of damaging policies. I have called for, and Ed Miliband has called for, cross-party talks at the highest levels to discuss and agree a new system of funding social care, and how to pay for it.

    Opposition and alternatives – proposals

    One of the very few advantages of Opposition that you are freer from the Departmental constraints of Government, and free to think more broadly.

    So I want to use this period in opposition to look for solutions to the systematic separation of housing and health, solutions that we can push through from the word go when we are in Government.

    And today I want to open up this work to you and the NHF.

    I would like to invite you and your colleagues in the housing and health fields to let me know:

    –    First, what are the best examples of work being done on health and housing together. I mentioned Liverpool – tell me more.

    –    Second, where are the problems? Where do Government departments or the policy silos of health and housing get in the way of improving people’s health and their homes?

    –    Third, if there are the problems, what are the solutions?

    You can help shape this work which I will do alongside my colleagues Caroline Flint and Alison Seabeck in the autumn. We have a firm commitment to finding the housing and health policies that we can put in place once we’re in Government, and to give them the weight they will need to have a real impact to improve people’s health, housing and lives.

    Conclusion

    I wrote Labour’s housing manifesto for last year’s election. It was the first of the specialist policy manifestos we published.

    The first line was: “Labour believes that everyone has the right to a secure, decent and affordable home in a safe community.”

    There’s a strong social, moral and economic case for this commitment. What I didn’t properly appreciate then, but I do now, is that there is also a strong health case for that commitment too.

  • John Healey – 2011 Speech to Unison Conference

    johnhealey

    Below is the text of the speech made by John Healey to the 2011 Unison Health Conference.

    It’s fully ten days since I was last amongst so many trade unionists.

    Last Saturday, with 300 times as many of you marching in London alongside Mums campaigning against closure at their local surestart, kids campaigning to save their their youth club. Grandparents campaigning to stop cuts to their meals on wheels…and everyone, campaigning to safeguard the NHS.

    Britain’s mainstream saying the Tories are taking Britain in the wrong direction.

    Ed Miliband was right.  David Cameron would have seen the big society in Hyde Park last Saturday.

    And he can see the big society everyday in the heart of our British trade unions, convenors and stewards and Health & Safety officers and learning reps and pensions trustees ready to represent and support their colleagues at work.

    They put themselves out for others, unpaid and often under pressure because they believe in helping others, they believe no one should deal with the power of employers alone and they believe together we’re always stronger.

    I’m proud to have been a trade unionist all my working life.

    And as an MP I’m proud of my working links with trade unions, including and especially with UNISON.

    So thank you for the work you do to support nearly half a million other UNISON members across every area of our NHS.

    Thank you for the work you do to support the NHS and NHS patients.

    Thank you for the work you do to support me and colleagues in the Labour Party.

    And, to Dave Prentis, a special thanks, you made sure UNISON was out early in opposition to the Tories’ NHS plans with the Judicial Review, and you’ve not let up since.  I worked closely with UNISON as Housing Minister, and I’m glad to be doing the same now on health.

    To Karen Jennings, as she moves on to be your AGS, you have been an outstanding advocate for NHS staff and for the NHS itself.  I know Christina McAnea will be just as strong and challenging as your new national officer for health.

    And to your President, Angela Lynes, and health chair, Lilian Macer, as you look at what the Tories plan for the NHS in England, I suspect the case for devolution has never seemed stronger, especially this week in Scotland, where Labour’s backing has led to the end of prescription charges on the same day as the Tories in England put them up.

    With over 450,000 health members, UNISON has a strength and breadth of membership unmatched in other unions or other parts of the public sector.

    Andrew Lansley dismisses trade unions as vested interests fighting the loss of power.  And the Prime Minister dismisses the BMA as just another union.

    Of course unions in the NHS have a vested interest what the Tories fail to understand is that it’s precisely because trade unions represent their members, that they believe so passionately in the NHS.

    To those of us who care most about the NHS – Labour, unions, patients groups, NHS professionals – falls the heaviest duty.  The duty both to safeguard the NHS, and the duty to change and continuously improve the NHS.

    Ed Miliband described this yesterday as part of the British promise, that each generation makes and leaves the NHS better than the last.

    Labour is the Party of the NHS.  We are also the Party of NHS reform.  The status quo has never been good enough for Labour.  We have always championed change for patients.

    That’s why we set up the NHS, why we led the case for raising National Insurance to invest in the NHS, why we required reform – often in the face of resistance – getting GPs to open out of office hours or introducing the challenge of competition from new providers to help clear waiting lists and improve NHS hospitals for patients.

    But don’t fall for propaganda that what the Tories are doing now is an extension of what Labour was doing before.

    If the biggest reorganisation in NHS history was simply the evolution of Labour’s policies, the Tories would not need legislation more than three times longer than the Act that set up for NHS in 1948.

    We were ready to use competition, we were ready to use private providers.  But always properly planned, managed and publicly accountable, to supplement not substitute for the NHS.  By the Election last year, fewer than one in twenty treatments were carried out by independent health providers.

    We are proud of our Labour achievements in the NHS.

    Many of you here will remember the NHS of the 80s and 90s.

    Trolleys in corridors.  Chronic staff shortages and annual winter crises.

    100 hour weeks with exhausted overstretched staff.

    The NHS was a service whose staff remained true to its values let down by a government that did not share them.

    1997 we set out together – to save the NHS; then to review it.

    NHS funding doubled in real terms.

    Most NHS buildings have been updated with modern equipment.

    Staffing numbers are up by 200,000 extra clinical and support staff.

    You have training and development through Agenda for Change. And your national NHS pensions protected under Labour – the country’s recognition of the years of commitment to caring for your community.

    Some of the changes I know have not been popular, but looking back I believe that we made many of the right choices for the NHS.

    Giving well run hospitals more freedom was challenging for many of us.  But Foundation Trusts are today among the best public sector employers in the country, providing world class services to the public.

    Bringing in commercial partners to finance and build new public hospitals helped us achieve the biggest hospital building programme in our country’s history.

    Allowing patients to choose to have their operation in independent treatment centres was popular and meant patients waiting less time in pain.

    We did make mistakes – every government does.

    As I have said, we did not always get the best deals and there were times when we should have been tougher in our negotiations.  We had too many reorganisations and we should have done more to relieve the paperwork and release time to care.

    Our Labour – investment and reform – plus the hard work, collaboration and commitment of staff meant real improvements for patients.

    MRSA and CDiff – tested the collaborative effort of cleaning staff, healthcare assistants, nurses, managers and pathologists but together we cut the rates three quarters and 30%.

    Cancer deaths are down by 20% and improving faster than the rest of Europe.

    Heart deaths are down by 50% thanks to paramedics and crash team nurses collaborating to provide life saving treatment after stroke or heart attack.

    In 1997 more than a third of a million people were waiting over six months for operations they needed.

    Together, by 2010 we were doing 2.5 million more operations and the average waiting time was 4.5 weeks.

    The lowest waiting lists in NHS history, alongside the highest patient satisfaction ever.

    After the Election, we were ready for further changes.  We were ready to remove back office and bureaucratic costs.  Integrate services and see a significant shift of care, especially for elderly people and those with long term health conditions, from hospitals closer to patients at home and in their community.

    We have started fresh work on Labour’s health and care policies for the long term.  And I’m proud to chair our Labour health commission jointly with your UNISON ex President and our current Labour Party chair Norma Stephenson.

    And as we listen to the public, to staff and to experts, we’re open to criticism as well as compliments, and above all we’re open to new ideas, so Norma and I invite you, as active members of UNISON, to play your part in shaping the alternative future for the NHS through the union and through the Labour Party.

    For now our main job is to oppose reckless and ideological plans.

    We’ve been making strong arguments against the NHS reorganisation since the early Autumn, and moving amendments to the legislation since it was introduced in January.

    Our arguments are hitting home.  Our criticisms about the Tories NHS plans are now coming from doctors, nurses, patients groups, the health select committee, NHS experts, Lib Dems, Peers on all sides of the House of Lords, and I have to hand it to Andrew Lansley, it takes a special talent to unite opposition from Norman Tebbit and MC NXT GEN.

    The Prime Minister is increasingly isolated on his NHS plans.

    Only 1 in 4 of the public back him in wanting profit making companies given free access across the NHS.

    Two thirds of doctors think the reorganisation will lead to worse – not better – patient care.

    And nearly 9 in 10 believe it will lead to the fragmentation of services.

    Yesterday, in the middle of confusion, chaos and incompetence, the Prime Minister has pushed the Health Secretary out of the bunker to try and tell people what on earth the Tories are doing with the NHS.

    He didn’t want to be there, he had nothing to say.

    But he was in the House of Commons, because there’s a growing crisis of confidence over the far reaching changes the Government are making to the NHS.

    Because there’s confusion at the heart of Government, with briefings and counter briefings on all sides.

    And because patients are starting to see the NHS go backwards again under the Tories, with waiting times rising, frontline staff cut, and services cut back.

    That’s why Labour has been saying the reorganisation requires a root and branch rethink and the legislation needs radical surgery.

    This Bill is not just about getting GPs to lead commissioning or looking to cut layers of management, one third of the long legislation sets up the NHS as a full scale market ruled by the power of a competition regulator and the force of competition law.

    It is designed to:

    – break up the NHS

    – open up all areas of the NHS to private health companies

    – remove all requirements for proper openness, scrutiny and accountability – to the public  and to Parliament

    – and to expose the NHS to the full force of both UK and European competition law.

    Tories are driving free market political ideology into the heart of the NHS.

    Helpfully, the government’s new chair for the new market regulator Monitor confirmed – before he was banned from doing more interviews.

    We did it in gas, we did it in power, we did it in telecoms, we’ve done it in rail, we’ve done it in water, so there’s actually 20 years of experience in taking monopolistic, monolithic markets and providers and exposing them to economic regulation.

    So what the Tories did to public utilities in the 1980s, they’re doing now to public services, including the NHS.

    Whilst I don’t want the power companies collaborating on their services and prices, I certainly do want hospitals, GPs and other parts of the NHS to do so – it’s in the best interests of patients and in the NHS DNA.

    They are making fundamental and far reaching changes to our NHS and to its ethos.

    So there are fundamental flaws in what the Government is doing, not just what it is saying on the NHS.

    The test is whether the Prime Minister will deal with these flaws.

    Tests for the Tories on NHS

    I have five tests for David Cameron; major changes that must be made to his legislation.

    These tests reflect the concerns I have heard from patients groups, experts and NHS staff criticisms.

    These tests also reflect Labour’s deeply held concerns.

    So, Prime Minister, here’s your starter for five…..

    – Keep NHS protections against the full force of UK and competiton law, drop your plan for a free market NHS and delete part 3 of the bill

    – Keep the waiting time guarantees for patients, so they’re seen and treated quickly

    – Drop plans to break up commissioning into so many small GP consortia, make them involve wider expertise and require them to be open and accountable to local patients and the public.

    – Ban GP bonuses, stop conflicts of interest where they can commission from themselves and close the loophole that lets them outsource the commissioning job to the private sector

    – Keep the cap on NHS hospitals treating private patients, so they don’t jump the queue on NHS patients and strengthen the safeguards on closing down hospital services.

    When the Health Secretary was forced to the House of Commons yesterday.

    He said Ministers would now “pause, listen, engage” on the Tories’ NHS plans

    Andrew Lansley has not been listening for nine months.  The test is now whether David Cameron will recognise the very wide concerns and respond with radical surgery to his health bill.

    They’ve failed to listen to criticisms in 6000 responses to their consultation.

    They’ve failed to listen to the same concerns in rejecting 100 Labour amendments to the bill.

    So this ‘pause’ looks suspiciously like a PR stunt to quell the coalition of critics.

    Labour will look to turn this Tory pause into a problem for David Cameron.

    We will encourage patients, staff and the public to challenge the changes, wherever and whenever the Prime Minister, deputy Prime Minister and Health Secretary go through the motions of “listening” in the weeks ahead.

    Conclusion

    For those of us who care most about the NHS – our job, our duty must be to help people see more clearly and more quickly what the consequences of these changes will be.

    This means explaining and exposing the truth at the heart of the Tory plans.

    We must together make it impossible for the Prime Minister or Health Secretary to dismiss criticisms as the concerns of vested interests or complaints of the minority.

    Nye Bevan:  The NHS “will last as long as there are folk left with the faith to fight for it”

    It’s our NHS.  It’s our duty to fight for it now.  And it’s our mission to see the NHS changed and improved in the future.

  • John Healey – 2010 Speech to Labour Party Conference

    johnhealey

    Below is the text of the speech made by John Healey, the then Shadow Housing and Planning Minister, to the 2010 Labour Party conference.

    Conference, John Healey, Shadow Housing Minister responding to the housing motion, backed first by 28 CLPs and the Labour Housing Group, now, clearly, with every speaker and the whole Conference behind it.

    The motion calls on the Shadow Cabinet and Parliamentary Labour Party to campaign with other groups against the new government’s housing cuts and policy changes.

    We will.

    We will campaign with other groups and we will campaign together with you in your constituencies, your Labour council groups and your trade unions.

    We will campa ign together because what we see from the Tories and Lib Dems offends our basic Labour belief in a decent, secure and affordable home for all.

    And our job is to help people see more clearly, more quickly not just what this Tory-led government is doing, but also why.

    Make no mistake Conference, we must be most concerned about many of the cuts; but if we only talk of spending cuts we miss something more fundamental.

    They want a smaller deficit, of course, we all do.

    They want a smaller state, of course, they’re Tories.

    But they also want a state which sheds its duty to its people on housing.

    You can see this in their:

    Cuts to national housing investment, which means thousands fewer affordable homes built this year, and the end of our new council house building;

    Changes to the planning system which remove any national requirement on local councils to plan or agree new homes for their area;

    Cutbacks in the national sy stem of help, which leaves people with less support on housing costs and more local variation;

    Plans to remove the right to long-term tenancies in public housing, which means local landlords setting their own tenancy terms;

    Questions over the national cap on rent rises for social housing tenants and over the nationally-set homelessness duty on councils.

    On every front they are looking to withdraw national government with Tory and Lib Dem ministers washing their hands of any national role or responsibility for meeting people’s housing needs and aspirations.

    Meanwhile, local councils – increasingly Labour local councils – will be left to pick up the pieces, and, if we don’t help people see clearly what’s happening and why – local councils will also be left to pick up the blame.

    Conference, what difference a year makes, what a differe nce a Labour government makes.

    Last year, I reported to you as Labour’s Housing Minister.

    Last year, as a Labour government, we didn’t cutback housing investment, despite and because of the deep recession, we stepped it up.

    Last year, we:

    Kept Britain building through recession, starting more new affordable homes than before the downturn;

    Launched the largest council house building programme for nearly 20 years;

    Made apprenticeships a compulsory condition of getting any government contract;

    Set up special help on mortgages, so repossessions have been half the rate of the last recession;

    Gave councils new powers to clamp down on the worst private landlords and control the spread of bedsit-barons.

    Ed Miliband told us on Tuesday to be proud of what we did well in government.

    I am.

    He also said he’d back the new government when they’re right.

    So will I.

    But Conference, I have to tell you that in five months I’ve not found a single change I can support.

    Their latest plan is a “new homes bonus”, matching the council tax on any new home built with extra funding for the local council for six years.

    They’re right to want to a strong incentive system for councils and communities ready to see new homes built in their area.

    But this isn’t it.

    There’s no new money. And the government will take a top-slice cut across the grant to all local government to cover the cost.

    This scheme robs some councils to pay the rest.

    So I’m publishing a detailed analysis of their plans today, which shows:

    It will cause chaos in the council tax system, and more cuts to many hard-pressed council budgets.

    It blows a huge hole in George Osborne’s promise to freeze council tax.

    And our big towns and cities will be hardest hit, as they will have to see many more new homes built every year in their area to “break even” under the new system.

    This is the latest in the long line of damaging cuts and policy changes.

    This motion and this Conference is right to say we must campaign harder on housing.

    Our debate today is a start.

    Our duty tomorrow is to fight to stop the worst of what’s to come, and to show there is an alternative, a Labour alternative, a better way, the Labour way.

    With you, we will do that, every day until the last day of this Tory-Lib Dem government.

  • John Healey – 2009 Speech to Labour Party Conference

    johnhealey

    Below is the text of the speech made by John Healey, the then Minister of State for Housing, to the 2009 Labour Party conference.

    So Conference, we’ve heard from the people on the panel.

    Powerful words about the ways that we – your Labour government – are acting to offer real help through tough times in recession.

    Help for firms to stay in business.

    Help for people to stay in work.

    Help for families to stay – where they should be – in their own homes.

    And today Conference, I can announce that we are tightening the rules to help protect those struggling with their mortgage.

    From this week lenders will have to tell local councils, as they file for repossession action in the courts. Councils can the offer advice, or help with our special rescue schemes.

    If the Tories had their way, there would be no special help on mortgages, no extra jobs and apprenticeships, no boost for building affordable homes.

    If they’d had their way, the recession would be deeper and longer.

    But we’re Labour.

    We’re different.

    We believe we have a duty to help when people are struggling.

    We believe in using the power of government to protect the poorest and discipline the market.

    We believe in the progressive power of public investment.

    You know when Gordon Brown asked me to do this job in June,  the first thing he said was:

    “John – we must do more”

    He backed me as I put together the deal for an extra £1.5 billion in our Housing Pledge – a centrepiece of our Building Britain’s Future plans.

    So this year and next we’re backing developers to kickstart housebuilding sites which have stalled in recession.

    We’re backing housing associations to build more affordable homes.

    And we’re backing councils to build new council homes again – more new council homes starting this year than in any year for nearly two decades.

    But Conference we can do more.

    So today, I am launching a second round of funding for councils that are ready to help build the new affordable homes we need in this country.

    I’m inviting bids by the end of next month.

    And before Christmas I aim to give the go ahead to at least 1200 extra council homes.

    At this time of all times, with pressure on the public finances, I want to make sure we use the power of public investment to the full.

    So I’ve told all private developers and all housing associations that we will now require apprenticeships and local jobs as a condition of public funding.

    And I will require the same of councils.

    A total of 3000 extra apprenticeships over the next two years.

    This is what it means to get the most for every taxpayers’ pound, as we – your Labour government – invest now to help the country through recession; invest now in the homes and jobs and skills the country needs for the future.

    And what of the Tories?

    They don’t believe in building affordable homes.

    Their council leaders describe them as “barracks for the poor”.

    Their shadow minister tells Tory councils to block planning for new homes.

    This is what they say now, in public before the election. What they plan in secret is even more serious.

    Forced by FoI, we now have the record and names from these discussions.

    I quote:

    “The priorities identified were:

    Equalise rents between sectors

    Create one form of rented tenure using the assured shorthold tenancy

    The private rented sector needs to be cultivated.”

    Conference, these are the conclusions of:

    4 Tory council leaders

    2 Deputies to the London Mayor

    and The Shadow Housing Minister.

    Secret plans that would double or triple rents for 8 million people in council or housing association homes, and put their homes on the line with two months notice.

    If I am wrong, David Cameron can say so.

    But he won’t.

    I challenged him two months ago, and two weeks ago.

    I’m now publishing my letters, and I challenge him again today to come clean.

    He owes council or housing association tenants the truth about the Tories plans.

    There are two faces of the Tory Party.

    The spin, the smiles, the soft words of the Leader, frontman for a fresh Conservative brand.

    The harsh ideas and harsh ideology of those behind him; uncompromising, uncaring, unchanging.

    Conference, nothing is more important to all of us than our home.

    It’s where we are warm.

    It’s where we’re safe.

    It’s where we eat, laugh and cry with our family and our friends.

    It’s where our children sleep at night.

    This is why decent, secure and affordable homes for all has always been at Labour’s heart.

    It’s what Ben Tillett stood for 100 years ago. It’s what we stand for now.

    Proud of our action. Proud of our values. Proud to be Labour.