by Renie Anjeh
Lord Warner, the former Labour health minister, hit the headlines earlier this week by calling for a £10-per-month charge for the NHS as part of his report for the think tank Reform. The reaction from his fellow “comrades” was unsurprising. Some expressed their vehement disdain for the peer by launching a petition calling for his resignation from the party. Others edited his Wikipedia page so that it included insults and untruths.
Like most party members, I am strong supporter of the NHS and I cherish the principle of free healthcare at the point of use. However, supporting the NHS is not an excuse for refusing to face up to reality. The uncomfortable truth, especially for Labour supporters, is that the health service’s finances are not on a sustainable footing.
It is inevitable that due to a rising ageing population and increasing numbers of people suffering from chronic conditions, against the backdrop of tight spending constraint, the funding gap will increase to £54bn by 2020.
As Alan Milburn said in 2012, “the era of big spending is over, fiscal conservatism is order of the day”. Whoever is in government next year, will undoubtedly have to confront this problem. Unfortunately, Lord Warner’s report just shows that the Labour party – the party of the NHS – is not sufficiently psychologically prepared for this challenge. It is important to remember that the monthly NHS charge is one idea amongst many that Warner proposed in his report but the Labour party seemed to reject the report in its entirety.
Rather than braying for his blood, the party should have commended him for thinking seriously about this issue and should have adopted his issues on integrating budgets, investing in community services and efficiency.
