by David Talbot
The NHS is so central to British politics that a vague promise to provide it with more funding, festooned across the side of a bus, helped to sway a referendum of vital national importance. Such was the potency of the claim, which spoke to voters’ deepest passions, and indeed fears, about the NHS, that whilst voters believed Brexit would be bad for the economy, they had believed the Leave campaign’s claim of more funds for the health system in a post-Brexit Britain.
The pledge was indisputably incorrect, and horrid – but ultimately effective – politics. Little or no precious national debate was directed towards just what the funding ought to be directed towards, nor whether more long-lasting reform was required beyond the perennial resources argument.
That may be, of course, because ‘the NHS’ and ‘crisis’ has become the white noise of British politics. As an editorial in the BMJ pointedly stated: “The current media frenzy over the latest NHS crisis prompts speculation on how the NHS might end.” The caveat, however, is the editorial was written in 1999.
The Shadow Health Secretary, Wes Streeting, has lamented that the NHS is not “the envy of the world” and that “it is a service, not a shrine”. He has been lambasted from the predictable bastions of conservatism, the far left and the BMA. It did, though, signal a welcome, and long overdue, injection of realism from the Labour Party into the NHS debate.
