Almost perfectly timed to follow on the tail of the latest round of Junior Doctors Strikes, Caroline Lucas' backbench National Health Service Bill has its second reading in the Commons today (Friday 11th).
The aim of the bill is to rein in, what has been called, the undemocratic backdoor privatisation of the NHS. The bill seeks to undo internal competition introduced in 1991 and reintroduce local health boards, to streamline the identification of the services needed and to provide them (Lucas, 2016).
Public backing for the NHS remains high, and the bill has received broad support from celebrities and other publicly notable persons (The Guardian, 2016). The good feeling towards the institution can be seen in the still high support for the junior doctors in the ongoing contract dispute between the British Medical Association, the BMA, and Secretary of Health Jeremy Hunt (ITV, 2016; Stone, 2016).
The junior doctors strikes themselves seem almost to be symptomatic of the problems to be found in the NHS' inner workings. Staff have been stretched thin across shifts for years (The Telegraph, 2012).
After a number of strikes, negotiations completely broke down, with Jeremy Hunt attempting to suggest that the doctor's union, the BMA, was trying to hold the government to ransom (Ashmore, 2016). Treating unionised medical professionals like they're mutineers at least doesn't seem to have helped Hunt's standing with the public.
Yet the decision by the Health Secretary to impose the government's newly designed contracts (Tran & Campbell, 2016), without further negotiation or bilateral acceptance, was a potentially damaging but possibly effective escalation of the dispute - effectively calling out doctors in the expectation of grumbling compliance.
For doctors are left with little alternative, besides interminable strikes, than flight - literally abroad, or figuratively, to the private sector. With the NHS in crisis in recent years, this has already been increasingly the case (El Sheika, 2016; Johnson, 2016).
Yet it has also been suggested that Hunt, and others who are actually in favour of a privatised system of healthcare, are unlikely to shed a tear for staff flying to the private sector (Stone, 2016). In fact there are some who see these events as part of a long chain, a long and concerted effort to discredit the NHS in order to pave the way for privatisation (El Gingihy, 2015).
Supporters of the NHS Bill, which is being debated and voted on in parliament today, see the privatisation agenda as both undemocratic and also contrary to the facts. Accusations have been made that the costs of healthcare are being inflated, in all parts of the NHS, by the infiltration of the private sector (Furse, 2016) - completely contrary to the standard narrative of market 'efficiency'.
Caroline Lucas', who is sponsoring the bill, has argued that the virtual army of staff required to manage private contracts is contributing heavily to the growing deficit and debt hanging around the NHS' neck (Lucas, 2016{2}). In fact, it has been pointed to that by the WHO, World Health Organisation, definition, the NHS is all but privatised already (El Gingihy, 2016).
The backbench NHS Bill is an attempt to reverse that direction and keep the institution alive and restore it for the future. The NHS remains an important part of the public safety net that guards against disaster. Alongside future progressive, like the basic income and a shortening of the working day, a free-at-the-point-of-use public healthcare system still has a place in ensuring justice and liberty.