This is the sequel to my post earlier today speculating on whether Starmer is planning to privatise the health service even further. I based that on his interview on the Beeb this morning, where he said he wanted to use private enterprise to clear the backlog, and that his reforms may include a greater use of private healthcare companies. I caught more of this on the ITV evening news, and while some of it looked good, it still included private healthcare companies. He laid out his plans for reforming the NHS in today’s Torygraph, which is a warning from the start. From the choice of paper it’s clear that he’s aiming at Tory voters rather than traditional Labour. Which, by previous experience of the way he and the Blairites generally side-line traditional Labour supporters and members, is what you would expect. According to ITV, he promised to recruit more NHS staff. This is good, but so blindingly obvious that the Tories have also been making the same promise over the past few years. They’ve repeatedly broken it, and working for our health service is now so bad that a large proportion of them are planning to leave. This leaves questions of how Starmer is planning to persuade more people to work for it and retain them. The report said nothing about Starmer promising them better wages or reducing the workload. He also promised to make doctors NHS employees. This is excellent. Pro-NHS groups like We Own It have said that doctors should be NHS employees in order to avoid the privatisation and sale of GP surgeries to the private healthcare giants. These have enhanced their corporate profits by closing those surgeries they deem unprofitable and sacking staff. The result is that many patients find themselves without a doctor, and the remaining doctors and staff have poorer working conditions. But hey, you gotta keep that tax money rolling in for the private healthcare firmes!
And then there’s the bit that worries me. Starmer has said he wants to make better use of private healthcare, but is still concerned to keep it free at the point of delivery. This says very strongly to me that he’s going to privatise more of the NHS and outsource services to the private sector. And as I’ve kept saying, this is one of the problems with the health service. Privatisation had resulted in poorer services and massively increasing bureaucracy and administration costs. Starmer has said he wants to cut down on the bureaucracy, which is more Tory cant. He could, if he renationalised the NHS. But he obviously doesn’t want to do that.
Among the people responding to Starmer’s proposals was someone from the NHS unions, who said that it wasn’t true that they were against change. They just wanted to see everything costed. The fact that Starmer hasn’t done that, or at least, not in the article he wrote for the Torygraph, suggests to me that he really won’t increase funding, or perhaps not by the amount necessary. With the exception of the proposal to make doctors state employees, his reforms come across very much as something the Tories would also say, while also crossing two fingers behind their backs. He did make a fourth commitment, but I’m afraid I’ve forgotten it.
I want the Tories out, but I do not want Starmer to carry on with their policies, as the Blairites have done in the past. And I think that if he gets the chance, he’ll ditch the promise to make the doctors employees of the state. It’s socialist, and he hates socialism and socialists.