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US
Over 1,000 attend housing debate hosted by Socialist councillor Kshama Sawant

31/07/2015: Kshama Sawant, Seattle’s socialist councillor defending seat in primary elections on 3 November

  US

 CWI School
Social and political turmoil in Ireland

30/07/2015: Socialists play key role in rapidly changing situation

  CWI, Ireland Republic

Britain
Corbyn’s Labour leadership bid shows anti-austerity message popular

29/07/2015: Militant Tendency held up as bogeyman by Labour right and media - What’s the real history?

  Britain

Turkey
Horrific Suruc massacre

28/07/2015: Only workers’ unity can end terrorism and division

  Turkey

 CWI School
Europe’s euro-crisis and prospects for class struggle

28/07/2015: Ground prepared everywhere for new battles and rise of left formations

  CWI, Europe

Britain
Labour Left leadership candidate under fire from right wing

27/07/2015: Blairites’ terror at popularity of left-wing ideas in Corbyn campaign

  Britain

 Turkey
CWI brings solidarity with Suruç victims

22/07/2015: Message of support from the CWI and its sections

  Solidarity, Turkey

Turkey
Massacre in Suruç

20/07/2015: Kurdish and Turkish people pay price for Erdoğan’s support for ISIS

  Turkey

 Venezuela
Solidarity with workers and unions at FOGADE

20/07/2015: No to union discrimination and repression!

  Solidarity, Venezuela

Ireland
57% boycott water charges

18/07/2015: Mass non-payment campaign gets results

  Ireland Republic

 Video
Reject sectarianism in Northern Ireland

17/07/2015: Paul Murphy addresses Irish parliament

  Ireland North, Ireland Republic, Video

Germany
Capitalists strangling Greece

15/07/2015: No to the dictatorship of banks and big business – For a socialist Europe!

  Germany, Greece

Migration
Fleeing horrors created by capitalism

14/07/2015: A socialist view on immigration crisis

  Britain

Greece
Tsipras crosses the Rubicon

10/07/2015: Time for a new, mass revolutionary Left to oppose all austerity!

  Greece

Britain
Union activists say, We could stop austerity in its tracks

09/07/2015: National Shop Stewards Network (NSSN) conference

  Britain

China
Stock market crash can turn into a political crisis

08/07/2015: Regime adopts panic measures as market crash threatens wider economic recession

  China

Greece
Mighty class-based ‘NO’ shakes bosses’ EU

06/07/2015: Referendum earthquake sees working class boldly defy Troika and Greece’s servile ruling class!

  Greece

Scotland
Dundee porters’ victory proves strike action can deliver

06/07/2015: After 13 weeks of all-out strike action the 117 Dundee hospital porters have won an inspiring victory

  Scotland

 Video
Harris Sideris on Greek referendum and Vodafone battle

05/07/2015: Sacked Greek Vodafone trade unionist speaks in London on eve of historic referendum

  Video

Austria
Social? Democratic? Party!

04/07/2015: The Fragmentation of the Social Democracy in Austria

  Austria

Britain
Socialists and the EU referendum

03/07/2015: How should socialists approach the in-or-out EU debate?

  Britain

 Video
Real nature of EU is being laid bare

02/07/2015: Ruth Coppinger, Socialist TD (Irish MP), supports Greek ‘NO’ vote, and calls for debt refutation and nationalisations

  Greece, Ireland Republic, Video

 Video
Socialist MP condemns Troika/Irish government’s bullying of Greek voters

01/07/2015: Paul Murphy TD (Irish MP) attacks Irish prime minister’s collusion with Brussels big business agenda and voices solidarity with Greek workers

  Video

Is China’s stock market bubble bursting?

01/07/2015: Billions wiped off share values in June – only the Greek stock market is more volatile

  China

Greece
Troika threatens Greeks ahead of referendum

30/06/2015: Vote ‘No’! For a mass working class campaign to oppose Troika and for socialist policies!

  Greece

South Africa
The Marikana Report – a whitewash

30/06/2015: Not a stone has been left unturned on the political landscape

  South Africa

Tunisia
Terrorist atrocity in Sousse

29/06/2015: For a renewed mass movement against poverty and terror

  Tunisia

Greece
“NO”

27/06/2015: On Sunday 5 July, we say “no” to the gang of the lenders!

  Greece

Britain’s class battle-lines are drawn

26/06/2015: A quarter-of-a-million people protested through London and Glasgow raising the need for trade union-led struggle

  Britain

Germany
Indefinite strike for more staff at Charité hospital

26/06/2015: Berlin industrial dispute of national importance

  Germany

Greece
Where are mass solidarity protests with Syriza?

26/06/2015: Troika must be defied – No more cuts! Don’t pay the debt! Socialist policies would win huge backing from Greek workers

  Greece

Egypt
Counter-revolution continues

25/06/2015: Recent strikes show workers will resist

  Egypt

Greece
Tsipras retreats before Troika threats

24/06/2015: What should the SYRIZA Left do next?

  Greece

Scotland
1,000s rally against austerity

24/06/2015: Ferry workers’ strike over jobs, pay, pensions and privatisation

  Scotland

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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NEWS

US: Over 1,000 attend housing debate hosted by Socialist councillor Kshama Sawant
31/07/2015, Kshama Sawant:
Kshama Sawant, Seattle’s socialist councillor defending seat in primary elections on 3 November

CWI School: Social and political turmoil in Ireland
30/07/2015, Eddie McCabe, Socialist Party (CWI in Ireland):
Socialists play key role in rapidly changing situation

Britain: Corbyn’s Labour leadership bid shows anti-austerity message popular
29/07/2015, Editorial from The Socialist, weekly paper of the Socialist Party (CWI England & Wales):
Militant Tendency held up as bogeyman by Labour right and media - What’s the real history?

Turkey: Horrific Suruc massacre
28/07/2015, Paula Mitchell, Socialist Party (CWI in England & Wales):
Only workers’ unity can end terrorism and division

Britain: Labour Left leadership candidate under fire from right wing
27/07/2015, Socialist Party (CWI in England & Wales - formerly the Militant Tendency) press statement on Labour leadership contest:
Blairites’ terror at popularity of left-wing ideas in Corbyn campaign

Turkey: CWI brings solidarity with Suruç victims
22/07/2015, :
Message of support from the CWI and its sections

Turkey: Massacre in Suruç
20/07/2015, Sosyalist Alternatif (CWI in Turkey):
Kurdish and Turkish people pay price for Erdoğan’s support for ISIS

Venezuela: Solidarity with workers and unions at FOGADE
20/07/2015, socialistworld.net:
No to union discrimination and repression!

Ireland: 57% boycott water charges
18/07/2015, Michael O’Brien, Anti-Austerity Alliance (AAA) Councillor and Socialist Party member:
Mass non-payment campaign gets results

Video: Reject sectarianism in Northern Ireland
17/07/2015, socialistworld.net:
Paul Murphy addresses Irish parliament

Germany: Capitalists strangling Greece
15/07/2015, Georg Kümmel, Cologne, Sozialistische Alternative (CWI in Germany):
No to the dictatorship of banks and big business – For a socialist Europe!

Migration: Fleeing horrors created by capitalism
14/07/2015, Editorial from the Socialist, paper of the Socialist Party (CWI in England & Wales):
A socialist view on immigration crisis

Greece: Tsipras crosses the Rubicon
10/07/2015, Editorial Statement by Xekinima(CWI Greece):
Time for a new, mass revolutionary Left to oppose all austerity!

Britain: Union activists say, We could stop austerity in its tracks
09/07/2015, From The Socialist (weekly paper of the Socialist Party, CWI England & Wales):
National Shop Stewards Network (NSSN) conference

Scotland: Dundee porters’ victory proves strike action can deliver
06/07/2015, By Philip Stott:
After 13 weeks of all-out strike action the 117 Dundee hospital porters have won an inspiring victory

Video: Harris Sideris on Greek referendum and Vodafone battle
05/07/2015, socialistworld.net:
Sacked Greek Vodafone trade unionist speaks in London on eve of historic referendum

Austria: Social? Democratic? Party!
04/07/2015, Sonja Grusch, Socialist Left Party (CWI in Austria):
The Fragmentation of the Social Democracy in Austria

Video: Real nature of EU is being laid bare
02/07/2015, Socialistworld.net:
Ruth Coppinger, Socialist TD (Irish MP), supports Greek ‘NO’ vote, and calls for debt refutation and nationalisations

Video: Socialist MP condemns Troika/Irish government’s bullying of Greek voters
01/07/2015, :
Paul Murphy TD (Irish MP) attacks Irish prime minister’s collusion with Brussels big business agenda and voices solidarity with Greek workers

Is China’s stock market bubble bursting?
01/07/2015, Dikang, chinaworker.info:
Billions wiped off share values in June – only the Greek stock market is more volatile

South Africa: The Marikana Report – a whitewash
30/06/2015, Weizmann Hamilton, Workers’ and Socialist Party (WASP):
Not a stone has been left unturned on the political landscape

Tunisia: Terrorist atrocity in Sousse
29/06/2015, Statement by Al-Badil al-Ishtiraki (Socialist Alternative, CWI in Tunisia):
For a renewed mass movement against poverty and terror

Greece: “NO”
27/06/2015, Statement by Xekinima (CWI in Greece):
On Sunday 5 July, we say “no” to the gang of the lenders!

Germany: Indefinite strike for more staff at Charité hospital
26/06/2015, Aron Amm, Sozialistische Alternative (CWI in Germany):
Berlin industrial dispute of national importance

Greece: Where are mass solidarity protests with Syriza?
26/06/2015, Eleni Mitsou, from Xekinima (CWI Greece) website:
Troika must be defied – No more cuts! Don’t pay the debt! Socialist policies would win huge backing from Greek workers

Egypt: Counter-revolution continues
25/06/2015, David Johnson, Socialist Party (CWI England & Wales):
Recent strikes show workers will resist

CWI Comment and Analysis

ANALYSIS

CWI School: Europe’s euro-crisis and prospects for class struggle
28/07/2015, Kevin Parslow, Socialist Party (CWI England & Wales):
Ground prepared everywhere for new battles and rise of left formations

China: Stock market crash can turn into a political crisis
08/07/2015, Interview, with chinaworker.info editor, Vincent Kolo:
Regime adopts panic measures as market crash threatens wider economic recession

Greece: Mighty class-based ‘NO’ shakes bosses’ EU
06/07/2015, Editorial comment by Xekinima (CWI Greece), 6 July 2015:
Referendum earthquake sees working class boldly defy Troika and Greece’s servile ruling class!

Britain: Socialists and the EU referendum
03/07/2015, Clive Heemskerk, Socialist Party (CWI in England & Wales):
How should socialists approach the in-or-out EU debate?

Greece: Troika threatens Greeks ahead of referendum
30/06/2015, Andreas Payiatsos and Niall Mulholland:
Vote ‘No’! For a mass working class campaign to oppose Troika and for socialist policies!

Britain’s class battle-lines are drawn
26/06/2015, Hannah Sell, Socialist Party (CWI in England & Wales) Deputy General Secretary - article from ’Socialism Today’:
A quarter-of-a-million people protested through London and Glasgow raising the need for trade union-led struggle

Greece: Tsipras retreats before Troika threats
24/06/2015, Statement by Xekinima (CWI Greece) [dated 23 June 2015]:
What should the SYRIZA Left do next?

Greece: No surrender to‘Gang of Lenders’
22/06/2015, Editorial article from Xekinima (CWI Greece) [dated 17 June 2015]:
Plan an anti-austerity fight-back, with socialist policies!

Iraq/Syria: US imperialist strategy in tatters
12/06/2015, Serge Jordan (CWI):
A year after ISIS captured Mosul, the jihadist group controls about half of Syria and a third of Iraq – more territory than ever before

Greece: Syriza voters want austerity ended, not another ’compromise’ Troika deal
04/06/2015, Editorial article from Xekinima (CWI Greece) website [dated 3 June 2015]:
Break with the austerity - adopt a socialist programme!

China: Is China heading for a new Tiananmen?
04/06/2015, Vincent Kolo, chinaworker.info:
26th anniversary of the Beijing massacre on June 4, 1989, is also a warning of revolutionary shocks ahead

Hong Kong: Endgame for Beijing’s fake democracy plan
03/06/2015, Vincent Kolo, chinaworker.info:
Government’s electoral reform proposals meet with mass opposition

Spain: Victories for Left “popular unity” lists in local elections
02/06/2015, Danny Byrne, CWI:
Two-party system dealt a new blow in local and regional elections

Belgium: Momentum to bring down right wing government lost
01/06/2015, Els Deschoemacker and Eric Byl, LSP/PSL (Belgian section of the CWI), Brussels:
Learn from the struggle, as new opportunities open up

Ireland: Massive ‘Yes’ to Marriage Equality referendum
28/05/2015, Conor Payne, Socialist Party (CWI in Ireland):
Growing opposition to conservative establishment

Britain: The struggles to come
27/05/2015, Peter Taaffe, Socialist Party (CWI England and Wales) General Secretary:
No fundamental change to be expected from the Labour Party

Canada’s ‘carbo-state’
26/05/2015, Bill Hopwood, Socialist Alternative (CWI Canada):
Only a socialist alternative can challenge the carbo-capitalists’ grip on Canadian politics

Iraq/Syria: ISIS rout national armies at Ramadi and Palmyra
23/05/2015, Niall Mulholland, CWI:
United working class movement needed to sweep away sectarian militias and reactionary politicians

Ireland North: Election marks growing rejection of sectarian status quo
21/05/2015, Daniel Waldron and Kevin Henry, Socialist Party (CWI Ireland), Belfast:
Opportunities to build new anti-sectarian political voice for working class and youth

Spain: Is Podemos in crisis?
20/05/2015, Danny Byrne, CWI:
Left and social movements in a state of flux, as key elections loom

USA: Presidential candidate declares "political revolution" against billionaires
12/05/2015, Philip Locker, Socialist Alternative, Seattle:
Campaign needs to build independent political power

Britain: Fight against "five more damned years" of Tory rule
12/05/2015, Peter Taaffe, Socialist Party )CWI England & Wales) General Secretary:
Labour leader’s ’responsible capitalism’ shows its bankruptcy

China: “In a hard landing now”
11/05/2015, Dikang, chinaworker.info:
Stock market frenzy and fabricated GDP figures cannot hide the reality of an economy in deep trouble

Ireland North: Socialist Party replies to leading Sinn Fein councillor’s attacks
06/05/2015, Socialist Party (CWI Ireland) Statement:
How to fight cuts, sectarianism and to build workers’ unity

May Day 2015: Socialist plan or capitalist chaos
01/05/2015, Peter Taaffe, Socialist Party General Secretary, (CWI England & Wales):
What sort of new society are we struggling for?