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Chile
Up to 2 million march against pensions robbery

24/08/2016: General strike threatened for 4 November as protests grow

  Chile

Quebec
Montreal workers strike for $15 an hour

22/08/2016: "Company totally underestimated workers’ determination"

  Quebec

 Video
Militant, Liverpool and Trotskyism today

22/08/2016: Russia Today covers historic Liverpool battle, led by the CWI in Britain

  Trotsky, Video

US
Build a new party of the 99%

21/08/2016: Support Jill Stein

  US

Middle East
ISIS’ waning “caliphate”

20/08/2016: Imperialist solutions are no solution at all

  Middle East

Russia
Twenty fifth anniversary of attempted coup

19/08/2016: Attempted Stalinist counter-revolution speeds up capitalist counter-revolution

  Russia

US
Trump in trouble

17/08/2016: Political polarisation deepens

  US

Philippines
Is Duterte following in Marcos’ footsteps?

16/08/2016: New president threatens martial law while leaning on ‘left’ parties for support

  Philippines

Britain
The Corbyn insurgency 2.0

15/08/2016: Now let’s finish the job

  Britain

 Video
Socialist Party general secretary Peter Taaffe on Channel 4

14/08/2016: Socialist party media coverage amid accusations of Trotskyist "entryism"

  Video

 Video
CWI around the world

13/08/2016: Video shown at the CWI Summer school of some sections’ activities

  CWI, Video

Quebec
World Social Forum 2016

13/08/2016: Tens of thousands of activists from around the world gather WSF in Montreal, 9-14 August

  Canada, Quebec

Hong Kong
Multinational MTR takes socialist Sally Tang Mei-ching to court

12/08/2016: Political motives behind ‘David versus Goliath’ trial

  Hong Kong

Britain
#KeepCorbyn - stand firm for socialism

10/08/2016: The fight for a Labour Party for the working class

  Britain

South Africa
Local elections a thunderous rebuke for ANC

09/08/2016: ANC polls less than 60% for first time since end of apartheid

  Africa, South Africa

Zimbabwe
Mugabe must fall!

05/08/2016: Mass revolt shakes the regime to its foundations

  Zimbabwe

The Olympics, big business and dictatorship

04/08/2016: A short history of the Olympics:

  History

 CWI Summer school
Brazil

04/08/2016: New cycle of struggle following right-wing parliamentary coup

  Brazil, CWI

 CWI Summer School
Economic instability, inter-imperialist tensions, workers struggles’ and political earthquakes

03/08/2016: Report of the discussion on world perspectives at the recent CWI Summer School

  CWI, Turkey

 CWI Summer School 2016
Fighting racism and the far right 

02/08/2016: Capitalist crisis and anti-immigrant reaction

  CWI

Germany
‘Brexit’ and the German Left

30/07/2016: Reject the bosses’ EU! For a Europe of working people - a voluntary socialist federation

  Germany

US
Most contentious Democratic Convention since 1968

29/07/2016: We need a new party of the 99% to defeat the billionaire class

  US

 Cameroon
Free jailed Buea activists!

28/07/2016: 100 protest outside the court demanding release of the 15

  Cameroon, Solidarity

Cote d’Ivoire
Protests against electricity prices

28/07/2016: The straw that broke the camel’s back!

  Ivory Coast

US
A call to action

27/07/2016: Walk out from the Democratic National Convention!

  US

Chile
One million protest against private pension fund

26/07/2016: After student protests, working class returns to streets

  Chile

 CWI Summer School
Europe in the aftermath of the Brexit shock

26/07/2016: Continent enters new phase of political and economic crises

  CWI

Britain
Westminster renews Trident weapons of mass destruction

25/07/2016: Debate exposes Labour as two parties

  Britain

Belgium
Brutal repression against Hong Kong socialist at Brussels Airport

18/07/2016: Chinese methods against Marxists copied by Belgian authorities

  Belgium

Turkey
Attempted coup failed

16/07/2016: No to military rule, no to Erdogan’s rule! For a workers’ alternative!

  Turkey

Britain

Con-Dem government propose denationalisation of NHS

www.socialistworld.net, 26/07/2010
website of the committee for a workers' international, CWI

For trade union led mass campaign to stop destruction of Health Service!

From The Socialist, weekly paper of the Socialist Party (CWI England & Wales)

Using the cover of ‘saving’ money by reducing ‘bureaucracy’, the Conservative/Liberal Democrats (‘Con-Dem’) coalition government is effectively proposing the wholesale privatisation of the National Health Service (NHS). In doing so, Tory Prime Minister David Cameron and Liberal Deputy Prime Minister Nick Clegg aim to finish what Margaret Thatcher started in the 1980s and Labour enthusiastically continued.

Andrew Lansley, the new Tory health minister, has set out his government’s plans to reduce the NHS to dust. Far from the stated aim of cutting bureaucracy and saving money, these plans are predicted to cost £1.7 billion to implement. Seumas Milne, writing in the Guardian, summed up the proposals: “From a major public service with a million employees, [the NHS] will have become a central fund with a minimal workforce, commissioning services from a string of private companies in a fully-fledged health care market.”

The NHS is due to be turned completely on its head and there is no doubt that chaos will follow. If Andrew Lansley succeeds in getting his legislation passed the NHS logo will be all that remains to be misused by a multitude of new health care providers.

Private companies that specialise in ‘out-sourcing’ of public services, such as Capita, Serco and many others, are lining up to take advantage of the huge profits they can make by the ‘denationalisation’ of the NHS. Richard Marchant, one of the heads at Capita, openly stated that the ‘problems’ in the public sector represent a ‘significant opportunity’ for his company.

The White Paper

Can it be managed by the ‘third sector’? Can it be cut? Can it be privatised? These are the three questions the new Con-Dem government is asking about the NHS.

The White Paper calls for more and more NHS services (including those which directly provide patient care) to be tendered out to ‘any willing provider’. Private companies will be lining up for their golden opportunity to take their pick of the most lucrative NHS services.

Profit maximisation in the NHS will have a profoundly damaging impact on a service, which was designed to have the needs of the patient at the heart of its core philosophy. Lansley is explicit about his desire to “create the largest social enterprise sector in the world”.

The idea of the ‘internal market’ was first introduced into the NHS by Thatcher in the 1980s and it was carried on with zeal by Tony Blair’s New Labour administration. One aspect of the market policy is that various NHS services get ‘split off’ into separate components and they are then tendered out to companies like Serco.

This process has happened wholesale in all NHS cleaning and catering services and it is happening increasingly with phlebotomy (blood taking) services. We have all borne witness to the damage inflicted on the NHS via PFI (private finance initiatives) which basically gave construction companies carte blanche to lock NHS trusts into long term, hugely expensive contracts for building new hospitals. NHS trusts ended up in massive amounts of debt as public funds were effectively diverted into the pockets of company shareholders.

The GMB union has identified around 640 current PFIs and more than 100 new projects in the pipeline (across all public services, although many may now be cut). The total cost was estimated at £250 billion over 25-30 years, four times the value of the assets built (£64 billion). This is equivalent to £8,400 per taxpayer.

Duplication of existing services will also be encouraged under the pretext of ‘offering choice’ and this production of excess capacity will lead to unnecessary waste.

Extended role of the GP

Primary Care Trusts (PCTs) and Strategic Health Authorities (SHAs) are to be completely abolished by 2013. This will fundamentally change the structure of the NHS and radically alter the existing funding and commissioning of health care. These changes will be costly and complicated to implement.

Groups of GP surgeries (consortia) will be handed responsibility for up to 80% of the £100 billion health budget. GPs will increasingly have their eyes on budgets rather than on providing and accessing care for their patient population.

When money is a factor in a GP’s decision-making this will make purchasing the cheapest, possibly less effective health care option more attractive, regardless of a patient’s clinical need. GPs will end up avoiding referring patients on for specialist investigations and services that are deemed to be ‘too expensive’ or are not deemed to provide ‘value for money’.

35,000 doctors could form up to 500 consortia, which will then ‘buy care’ from local hospitals or other providers, including private organisations. They will hire staff to manage these processes. While some have welcomed this proposal, Unison reports that around half of GPs are opposed.

GPs are not trained for their new commissioning responsibilities and will need to employ existing commissioners to help them. Capita, for example, is already offering to ‘help’ GPs with billing and human resources etc. It is acknowledged in the White Paper that GPs will not fully understand all of the complex areas of the specialist services, eg mental health services, that they will be commissioning.

According to Rethink, a mental health charity, two-thirds of GPs say they lack the expertise to commission mental health services. Ignorance of the value of a particular service will rapidly lead to ‘disinvestment’ which is the current NHS buzz term for cutting a service.

There are some GPs who wisely realise that they are going to be handed a ‘poisoned chalice’ and will end up implementing the government’s hidden agenda of carrying out cuts to patient services.

‘Efficiency savings’, i.e. cuts of £20 billion, are expected over the next few years and if GP consortia are deemed to ‘fail’, i.e. overspend on their allocated budgets, the government is being explicit about the fact that there will be no ‘bailouts’. Any failure will pave the way for other groups with vested interests to take away the health care commissioning role from a GP consortium.

Effects on existing NHS staff

The abolition of the PCTs and SHAs will lead to masses of job losses as all of the existing staff cannot be absorbed into the new structure. Admin workers and other ancillary staff will be hit the hardest. In the meantime Andrew Lansley is already busying himself finding cushy, lucrative roles for the old bosses of the quangos.

Dame Barbara Hakin, chief executive of NHS East Midlands, has already secured a role for herself as one of the directors of the new NHS commissioning board. She will be paid £200,000 a year in the midst of ‘the very challenging financial position’ to which Lansley alludes.

In the meantime, the accelerated privatisation of the remainder of the NHS will mean that the contracts of NHS staff will change and our pay and conditions will most likely be driven down in the process. Staff will find that who they work for, what they work for and the way in which they work will change fundamentally.

Lansley is signing the death warrant for national pay bargaining and agreements: “Pay decisions should be led by health care employers rather than imposed by the government. In future, all individual employers will have the right, as foundation trusts have now, to determine pay for their own staff.” NHS workers’ pensions are also under threat.

The White Paper also proposes changes in the provision of staff training which will be outsourced to the cheapest bidder. There is a real risk that the content and the quality of training will evolve over time to incorporate more of a ‘business ethos’ with reduced emphasis on the needs of the patient being at the heart of operational philosophy.

Staff who entered the service because they care about patients will end up feeling completely demoralised as they are pressurised to ensure that ‘the company is successful’.

The cost of caring

The drive towards ‘payment by results’ and introducing ‘currencies’ for units of care will be pushed forward and standardised. This is to ensure that service providers can be compared with each other and to increase competition between an ever-growing number of health care providers.

Prices for service provision will inevitably rise as new technologies, medicines and treatments are refined and developed. An organisation called ‘Monitor’ will be involved in price regulation, but only for publicly provided NHS services.

Competition rather than cooperation will become the order of the day. Disputes between providers could become a reality and the resolution of these disputes via the courts could put further strain on the public purse.

Health and social services will be integrated further and their budgets will be pooled. This integration has already been started and staff are finding that they have to take on additional roles and responsibilities for which they are not trained. This has a negative impact on the quality of care a patient receives.

Integration of services also leads to services being centralised in one building and patients then have to travel miles out of their local area to access the service they need.

Funding arrangements for social care are being scrutinised by the government and they are openly admitting that they are considering voluntary health insurance as one of the payment options. Of course this option will not be open to everyone, particularly the unemployed and could directly lead to those most in need of services being excluded.

Patient information

The White Paper proposes radical changes to the way in which patients communicate with health care professionals. Patients and professionals will be encouraged to communicate about a patient’s health status online. This is a time-saving exercise and there is no evidence that patients have requested this style of communication or will value this ‘arm’s length’, and essentially dehumanising, approach.

There will be implications for patients as their confidential health information will be shared with a multitude of newer, profit-driven, health and social care providers and the government has yet to clarify the legal situation around this.

In reality it will be very difficult for GP consortia and the new NHS commissioning board to ensure that these many and varied health care providers are held accountable to the public.

A patient’s confidential information could end up being misused in a variety of ways and there will be more opportunities for confidentiality to be breached and privacy eroded.

These plans must be stopped

These proposed changes will make a mockery of the founding principles of the NHS constitution. Legislation still needs to get through parliament in order to effect the changes so urgent, nationwide action is needed right now to send a clear message to Andrew Lansley and the big business vultures that we, the NHS staff and service users will not tolerate the massacre of our NHS.

During the general election campaign Labour candidates liked to dress in the cloak of saviours of the NHS. This was and is pure hypocrisy. Labour’s 13-year reign saw the massive expansion of the internal market in the NHS while Private Finance Initiatives sucked up enormous amounts of public money, depositing them in the pockets of private, profiteering contractors. Lansley’s plan is but the next logical step.

While all three main parties agree wholeheartedly on the ‘need’ for private companies in the NHS the majority of public opinion wants the NHS to remain a publicly owned and run service. An overwhelming 89% of the public agree that “public services should be run by the government or local authorities, rather than by private companies”, according to a 2005 YouGov poll. A mass workers’ party that represents that majority view is desperately needed as part of the struggle to save the NHS.

We cannot sit back and allow this government to sell off the NHS. The Socialist Party calls for the formation of a broad coalition of NHS staff (nurses, ancillary and medical staff), trade unions, patients, carers, community and health campaigners to coordinate a nationwide campaign to save what remains of the NHS and rebuild it before it’s too late.

We urgently need a national trade union-led demonstration against all cuts in jobs and services. The slogans for this demonstration must include opposition to the destruction of the NHS and for kicking out the profiteers, as well as defence of health jobs and services.

The Socialist Party calls for:

End all privatisation. Return privatised services to NHS control.

Take PFI hospitals and all other privately owned aspects of the health service back from big business. Publicly fund and integrate them with the rest of the NHS.

End Foundation Trusts. For democratic control of local health services by elected health workers and community representatives as well as elected representatives from local and national government.

Nationalise the big construction companies, service companies, medical supply and pharmaceutical industries that are taking billions of pounds out of the NHS.

Build anti-cuts unions in every area to defend the NHS and all our jobs and public services.



Europe

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Video: Militant, Liverpool and Trotskyism today, 22/08/2016

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NEWS

Pakistan: Vindictive management suspend and transfer Sindh teachers
24/08/2016, CWI Reporters, Sindh :
Solidarity protests needed!

Chile: Up to 2 million march against pensions robbery
24/08/2016, Socialismo Revolucionario (CWI in Chile) reporters:
General strike threatened for 4 November as protests grow

Britain: Answer right’s attacks with firm socialist programme
23/08/2016, Editorial from the Socialist, paper of the Socialist Party (CWI in England & Wales):
#KeepCorbyn

Quebec: Montreal workers strike for $15 an hour
22/08/2016, Interview with Jacques Fontaine, a striking worker at the Old Port of Montreal:
"Company totally underestimated workers’ determination"

Video: Militant, Liverpool and Trotskyism today
22/08/2016, socialistworld.net:
Russia Today covers historic Liverpool battle, led by the CWI in Britain

US: Build a new party of the 99%
21/08/2016, Joshua Koritz, Socialist Alternative, USA:
Support Jill Stein

Philippines: Is Duterte following in Marcos’ footsteps?
16/08/2016, Vincent Kolo (CWI) interviews Philippines-based socialist, Gabriel:
New president threatens martial law while leaning on ‘left’ parties for support

Video: Socialist Party general secretary Peter Taaffe on Channel 4
14/08/2016, Socialistworld.net:
Socialist party media coverage amid accusations of Trotskyist "entryism"

Video: CWI around the world
13/08/2016, socialistworld.net:
Video shown at the CWI Summer school of some sections’ activities

Quebec: World Social Forum 2016
13/08/2016, socialistworld.net:
Tens of thousands of activists from around the world gather WSF in Montreal, 9-14 August

Hong Kong: Multinational MTR takes socialist Sally Tang Mei-ching to court
12/08/2016, Socialist Action reporters (CWI in Hong Kong):
Political motives behind ‘David versus Goliath’ trial

Britain: #KeepCorbyn - stand firm for socialism
10/08/2016, Editorial from the Socialist, paper of the Socialist Party (CWI in England & Wales):
The fight for a Labour Party for the working class

South Africa: Local elections a thunderous rebuke for ANC
09/08/2016, Weizmann Hamilton, Workers and Socialist Party (CWI in South Africa):
ANC polls less than 60% for first time since end of apartheid

Ireland: Non-payment of water bills rises to 73%
09/08/2016, Katia Hancke, Socialist Party (CWI in Ireland):
Abolish the charges now

Zimbabwe: Mugabe must fall!
05/08/2016, Statement by the Executive Committee of the Workers and Socialist Party (CWI in South Africa):
Mass revolt shakes the regime to its foundations

The Olympics, big business and dictatorship
04/08/2016, Vincent Kolo, chinaworker.info:
A short history of the Olympics:

CWI Summer school: Brazil
04/08/2016, Michael O’Brien, Socialist Party (CWI in Ireland):
New cycle of struggle following right-wing parliamentary coup

CWI Summer School 2016: Fighting racism and the far right 
02/08/2016, Scott Jones, Socialist Party (CWI England & Wales):
Capitalist crisis and anti-immigrant reaction

Germany: Media seizes on violent attacks to whip up Islamophobia
01/08/2016, Sascha Stanicic, Sozialistische Alternative (CWI in Germany):
No security under capitalism

US: Most contentious Democratic Convention since 1968
29/07/2016, Patrick Ayers, Socialist Alternative (US):
We need a new party of the 99% to defeat the billionaire class

Cameroon: Free jailed Buea activists!
28/07/2016, CWI reporters:
100 protest outside the court demanding release of the 15

Cote d’Ivoire: Protests against electricity prices
28/07/2016, CWI in Cote d’Ivoire:
The straw that broke the camel’s back!

Britain: No compromise with Labour right wing
28/07/2016, Editorial of the Socialist, newspaper of the Socialist Party (CWI in England & Wales):
#Keep Corbyn

Chile: One million protest against private pension fund
26/07/2016, Celso Calfullan and Patricio Guzman Socialism Revolucionario (CIT/CWI Chile):
After student protests, working class returns to streets

Britain: Westminster renews Trident weapons of mass destruction
25/07/2016, Socialist Party (CWI England & Wales) Reporters:
Debate exposes Labour as two parties

Belgium: Brutal repression against Hong Kong socialist at Brussels Airport
18/07/2016, CWI reporters :
Chinese methods against Marxists copied by Belgian authorities

CWI Comment and Analysis

ANALYSIS

Middle East: ISIS’ waning “caliphate”
20/08/2016, Serge Jordan, CWI:
Imperialist solutions are no solution at all

Russia: Twenty fifth anniversary of attempted coup
19/08/2016, Clare Doyle, International Secretariat of the CWI:
Attempted Stalinist counter-revolution speeds up capitalist counter-revolution

US: Trump in trouble
17/08/2016, Tom Crean, Socialist Alternative, USA:
Political polarisation deepens

Britain: The Corbyn insurgency 2.0
15/08/2016, Hannah Sell, Socialist Party (CWI in England & Wales):
Now let’s finish the job

CWI Summer School: Economic instability, inter-imperialist tensions, workers struggles’ and political earthquakes
03/08/2016, James McCabe, Socialist Party (CWI in Ireland):
Report of the discussion on world perspectives at the recent CWI Summer School

Germany: ‘Brexit’ and the German Left
30/07/2016, Sascha Stanicic, Sozialistische Alternative (CWI in Germany):
Reject the bosses’ EU! For a Europe of working people - a voluntary socialist federation

US: A call to action
27/07/2016, Kshama Sawant, Socialist Alternative (CWI in the US):
Walk out from the Democratic National Convention!

CWI Summer School: Europe in the aftermath of the Brexit shock
26/07/2016, Kevin Parslow, Socialist Party (CWI England & Wales):
Continent enters new phase of political and economic crises

US: Bernie Abandons 'the Revolution’
14/07/2016, Kshama Sawant, Socialist councillor Seattle City :
Time to back Green candidate Jill Stein

Australia: Close election result - A crisis for the establishment
08/07/2016, Socialist Party (CWI Australia) statement :
To fight anti-working class measures, we must build a socialist alternative

History: 1936 - Spain’s revolutionary promise
06/07/2016, Tony Saunois, from Socialism Today (July/August 2016):
Working class and peasants rose up against capitalist exploitation, poverty and fascism

US: Beyond Bernie
01/07/2016, Kshama Sawant, Socialist Alternative (CWI in the USA):
Still not with her

Britain: Referendum revolt
27/06/2016, Peter Taaffe, from Socialism Today (issue No.200, July-August 2016):
Capitalist establishment shattered

Asia: Conflict in the South China Sea
16/06/2016, This is an abridged version of an article by Vincent Kolo, originally published on chinaworker.info.:
Territorial disputes resemble pieces on a ‘geopolitical chessboard’ as the US and China struggle for hegemony in Asia

Middle East: ISIS under pressure on several fronts
15/06/2016, Niall Mulholland, CWI:
Working classes, through bitterest of experiences, will take to road of mass struggle again

EU: Left parties turning against bosses’ Europe
10/06/2016, Danny Byrne, CWI:
Progress in Portugal and Spain, confusion in Britain

Muhammad Ali: A fighter who inspired millions
09/06/2016, Hugo Pierre, Socialism Today (originally published in 2003):
Establishment forced to incorporate his legend into re-writing of history

Review: The working-class case against the EU
08/06/2016, Hannah Sell, article from Socialism Today, magazine of the Socialist Party (CWI in England & Wales):
Review of ‘And The Weak Must Suffer What They Must?’ by Yanis Varoufakis

France: Fight against Valls/Hollande government intensifies
31/05/2016, Clare Doyle, CWI:
Gauche Revolutionnaire statement underlines vital need for political alternative

Austria: Only 31,026 votes prevent far right’s Hofer becoming president
24/05/2016, Sonja Grusch, SLP (the Austrian section of the CWI):
‘Breathing space’ offers chance to build a fighting, democratic left alternative

Britain: EU referendum exposes gaping political fault-lines
24/05/2016, Peter Taaffe, from Socialism Today (monthly magazine of the Socialist Party England & Wales):
New road can open up for labour movement if working class relies on its own forces

Brazil: Fall of President Dilma Rousseff unleashes offensive against working class
19/05/2016, André Ferrari, LSR (‘Freedom, Socialism and Revolution’ - CWI Brazil):
The impeachment process and historic crisis of the PT (Workers’ Party)

Ireland: ‘Jobstown trials’ to go ahead
18/05/2016, Kieran Mahon, Anti-Austerity Alliance / Socialist Party Councillor, Dublin:
Government loses battle on water charges but wages war on Left

Saudi Arabia: Gathering storms over the House of Saud
13/05/2016, Serge Jordan, CWI:
Collapse of oil prices expose fragile foundations of oil Gulf monarchies

France: New stage in battle over labour law
12/05/2016, Clare Doyle, CWI:
Hollande’s decision to over-rule parliament provokes another round of struggle