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latest news

 Solidarity
Brutal bosses attack striking Lisbon Dockers

25/05/2016: Protest and solidarity messages needed

  Solidarity

Austria
Only 31,026 votes prevent far right’s Hofer becoming president

24/05/2016: ‘Breathing space’ offers chance to build a fighting, democratic left alternative

  Austria

Britain
EU referendum exposes gaping political fault-lines

24/05/2016: New road can open up for labour movement if working class relies on its own forces

  Britain

Kazakhstan
Massive police operation confronts demonstrators

23/05/2016: Nazarbayev regime faces mounting opposition

  Kazakhstan

Australia
Federal election looming

21/05/2016: How should the labour and social movements respond?

  Australia

Kazakhstan
 Anger against Nazarbayev expressed on the streets

20/05/2016: ‘Illegal’ protests planned for Saturday 21 May

  Kazakhstan

Brazil
Fall of President Dilma Rousseff unleashes offensive against working class

19/05/2016: The impeachment process and historic crisis of the PT (Workers’ Party)

  Brazil

Britain
Brexit, the EU and the economy

19/05/2016: Remain or Leave, workers must fight for socialist change

  Britain

Nigeria
General strike begins

18/05/2016: Determined leadership and clear strategy needed to succeed

  Nigeria

Ireland
‘Jobstown trials’ to go ahead

18/05/2016: Government loses battle on water charges but wages war on Left

  Ireland Republic

Greece
Striking Athens bus cleaners continue their struggle

17/05/2016: Court declares strike ‘lawful’

  Greece

Canada
Fire devastates Fort McMurray

16/05/2016: Capitalism equals environmental destruction

  Canada

Saudi Arabia
Gathering storms over the House of Saud

13/05/2016: Collapse of oil prices expose fragile foundations of oil Gulf monarchies

  Middle East, Qatar, Saudi Arabia

France
New stage in battle over labour law

12/05/2016: Hollande’s decision to over-rule parliament provokes another round of struggle

  France

Kazakhstan
Protests erupt

12/05/2016: Phoney elections have not brought stability

  Kazakhstan

Sweden
Successful Congress for CWI forces

12/05/2016: Political foundations laid for new branches and growth in other Nordic countries

  Sweden

Ireland
100th anniversary of the execution of James Connolly

12/05/2016: Revolutionary socialist, militant workers' leader and internationalist

  Ireland Republic

Northern Ireland
Main parties win Assembly elections…

11/05/2016: But positive moves against sectarian politics

  Ireland North

Belgium
Trade unions announce new plan of action

11/05/2016: Call for two national demonstrations, building towards general strikes

  Belgium

Quebec
The fight for $15 shows true colors of Parti Québecois

10/05/2016: No to an all-class pro-independence alliance

  Quebec

Britain
Elections show anger and fragmentation

10/05/2016: Mobilise the anti-austerity mood into a mass, democratic movement to defeat the right

  Britain

Scotland
SNP win elections

09/05/2016: New openings for a socialist left alternative emerge

  Scotland

Ireland
How long can Kenny’s government last?

07/05/2016: Minority government supported by two main parties and “Independents” formed

  Ireland Republic

 Video
Paul Murphy sets record straight on "legal aid"

06/05/2016: Socialist MP threatened with jail for protesting against water charges responds to attacks in Irish parliament

  Video

South Africa
Zuma must go!

06/05/2016: Build a socialist mass workers’ party for a government of the working class

  South Africa

 Solidarity
Portuguese dock workers’ indefinite strike

05/05/2016: What we cannot do: leave the dockers alone

  Solidarity

Britain
90th anniversary of epochal general strike

05/05/2016: When workers tasted power

  Britain

Hong Kong
Racist smear campaign against refugees

05/05/2016: Socialist Action (CWI) initiates successful anti-racist march

  Aceh

May Day 2016
Rallies and marches mark international workers' day

04/05/2016: Photo gallery of CWI's global May Day participation

  May Day

Ireland
Water charges suspended

03/05/2016: Protest movement and boycott force huge Establishment parties climb down

  Ireland Republic

Britain
'Slow coup' against left Labour leader

02/05/2016: Anti-Semitism charges a cynical campaign by right-wing to ditch Jeremy Corbyn

  Britain

May Day 2016
The idea of May Day on the march

01/05/2016: "The brilliant idea of May Day is the immediate stepping forward of the proletarian masses"

  May Day

Israel/Palestine
The Marxist left, the national conflict and the
Palestinian struggle

29/04/2016: The necessity of a class approach and a socialist alternative

  Israel / Palestine

Austria
Stop the rise of the far right!

27/04/2016: Against Hofer, the government and the system of the super-rich!

  Austria

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

 video

Video: Paul Murphy sets record straight on "legal aid", 06/05/2016

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NEWS

Solidarity: Brutal bosses attack striking Lisbon Dockers
25/05/2016, Socialismo Revolucionario (CWI in Portugal) reporters:
Protest and solidarity messages needed

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

Kazakhstan: Massive police operation confronts demonstrators
23/05/2016, Clare Doyle, CWI:
Nazarbayev regime faces mounting opposition

Australia: Federal election looming
21/05/2016, Editorial from May 2016 edition of ‘The Socialist’ (paper of the Socialist Party – CWI Australia) :
How should the labour and social movements respond?

Kazakhstan: Anger against Nazarbayev expressed on the streets
20/05/2016, socialistworld.net :
‘Illegal’ protests planned for Saturday 21 May

Britain: Brexit, the EU and the economy
19/05/2016, Judy Beishon, from The Socialist (weekly paper of the Socialist Party England & Wales) :
Remain or Leave, workers must fight for socialist change

Nigeria: General strike begins
18/05/2016, HT Soweto, Democratic Socialist Movement (CWI Nigeria):
Determined leadership and clear strategy needed to succeed

Greece: Striking Athens bus cleaners continue their struggle
17/05/2016, Articles from Xekinima (CWI Greece) website :
Court declares strike ‘lawful’

Canada: Fire devastates Fort McMurray
16/05/2016, Bill Hopwood, Socialist Alternative (CWI Canada) Vancouver :
Capitalism equals environmental destruction

Kazakhstan: Protests erupt
12/05/2016, Sergei Skobelev, CWI Russia:
Phoney elections have not brought stability

Sweden: Successful Congress for CWI forces
12/05/2016, Kristofer Lundberg, Rättvisepartiet Socialistern:
Political foundations laid for new branches and growth in other Nordic countries

Northern Ireland: Main parties win Assembly elections…
11/05/2016, Daniel Waldron, Socialist Party (CWI Ireland), Belfast:
But positive moves against sectarian politics

Quebec: The fight for $15 shows true colors of Parti Québecois
10/05/2016, Bruno, Alternative Socialiste (CWI in Quebec):
No to an all-class pro-independence alliance

Britain: Elections show anger and fragmentation
10/05/2016, Hannah Sell, from The Socialist (weekly paper of the Socialist Party, CWI England & Wales):
Mobilise the anti-austerity mood into a mass, democratic movement to defeat the right

Scotland: SNP win elections
09/05/2016, Philip Stott, Socialist Party Scotland (CWI):
New openings for a socialist left alternative emerge

Ireland: How long can Kenny’s government last?
07/05/2016, By Kevin McLoughlin, Socialist Party (CWI in Irelnd):
Minority government supported by two main parties and “Independents” formed

Video: Paul Murphy sets record straight on "legal aid"
06/05/2016, socialistworld.net:
Socialist MP threatened with jail for protesting against water charges responds to attacks in Irish parliament

South Africa: Zuma must go!
06/05/2016, Editorial from Izwi Labasebenzi (WASP - CWI South Africa) :
Build a socialist mass workers’ party for a government of the working class

Solidarity: Portuguese dock workers’ indefinite strike
05/05/2016, Socialismo Revolucionário (CWI in Portugal) Statement:
What we cannot do: leave the dockers alone

Hong Kong: Racist smear campaign against refugees
05/05/2016, Dikang, Socialist Action (CWI in Hong Kong):
Socialist Action (CWI) initiates successful anti-racist march

France: Striking workers join students and youth in mass demonstrations
04/05/2016, Naomi Byron, Paris (first published in The Socialist):
Build a general strike movement!

May Day 2016: Rallies and marches mark international workers' day
04/05/2016, socialistworld.net :
Photo gallery of CWI's global May Day participation

Ireland: Water charges suspended
03/05/2016, Katia Hancke, Socialist Party (CWI Ireland), Dublin:
Protest movement and boycott force huge Establishment parties climb down

Britain: 'Slow coup' against left Labour leader
02/05/2016, Hannah Sell, Socialist Party deputy general secretary :
Anti-Semitism charges a cynical campaign by right-wing to ditch Jeremy Corbyn

May Day 2016: The idea of May Day on the march
01/05/2016, CWI socialist greetings/Two articles by Rosa Luxemburg :
"The brilliant idea of May Day is the immediate stepping forward of the proletarian masses"

Austria: Stop the rise of the far right!
27/04/2016, Tilman Ruster, SLP (CWI in Austria) :
Against Hofer, the government and the system of the super-rich!

CWI Comment and Analysis

ANALYSIS

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

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

Ireland: 100th anniversary of the execution of James Connolly
12/05/2016, Three articles on Connolly’s life and ideas :
Revolutionary socialist, militant workers' leader and internationalist

Belgium: Trade unions announce new plan of action
11/05/2016, LSP/PSL (CWI in Belgium) Reporters:
Call for two national demonstrations, building towards general strikes

Britain: 90th anniversary of epochal general strike
05/05/2016, Peter Taaffe, Socialist Party (CWI England & Wales) general secretary:
When workers tasted power

Israel/Palestine: The Marxist left, the national conflict and the
Palestinian struggle

29/04/2016, Socialist Struggle Movement (CWI Israel-Palestine):
The necessity of a class approach and a socialist alternative

France: One-day strike set for 28 April
26/04/2016, Alex Rouillard, Gauche Revolutionnaire (CWI in France):
A final stage before indefinite action against Hollande’s government?

US: The un-Democratic Primary
22/04/2016, Kshama Sawant, Socialist Alternative Seattle, originally published on counterpunch.org:
Why we need new party of the 99%

Capitalism: a failing system
18/04/2016, Peter Taaffe, from May edition of Socialism Today, magazine of the Socialist Party (CWI in England & Wales):
A new book, The Rise and Fall of American Growth, analyses the downward course of the US economy – and the limits of the whole capitalist system

Review: ’Militant’ by Michael Crick
14/04/2016, Peter Taaffe, Socialist Party (CWI in England & Wales) general secretary:
Lessons of Militant vital for anti-austerity struggles today

US election turmoil
01/04/2016, By Tony Saunois (CWI Secretary) who recently visited the US for meetings of Socialist Alternative:
Bernie Sanders campaign - an opportunity to build a new party of the 99%

Britain: A new moment
28/03/2016, Socialist Party (CWI in England & Wales), published in April 2016 issue of Socialism Today:
Extracts from a statement discussed at the Socialist Party’s recent congress

Ireland: 100th anniversary of Easter 1916 Rising
26/03/2016, Cillian Gillespie, Socialist Party (CWI Ireland):
A revolt against imperial power and war

History: When Khrushchev denounced Stalin
26/03/2016, Niall Mulholland, from Socialism Today (April 2016 issue of the monthly journal of Socialist Party, England & Wales):
1956 ‘secret speech’ a devastating blow to Stalinist regimes

11th CWI World Congress: World Perspectives
22/03/2016, socialistworld.net:
Amended agreed version of the World Perspectives document agreed by the CWI’s 11th World Congress

Germany: Big gains for right-wing, nationalist, AfD in state elections
22/03/2016, Sascha Stanicic, Sozialistische Alternative (CWI in Germany):
DIE LINKE (Left Party) urgently needs to change course

US: Sanders needs to run as an independent in November
18/03/2016, Calvin Priest, Socialist Alternative (CWI supporters in USA):
Continuing the Political Revolution

European Union: Alliance with Turkey to close borders
09/03/2016, Per-Ãke Westerlund, from Offensiv - the weekly paper of Rattvisepartiet Socialisterna (CWI in Sweden):
Crises for refugees - and the EU – continues

Germany: Between hatred and solidarity
08/03/2016, By Sascha Stanicic, Sozialistische Alternative (CWI in Germany):
The situation in Germany

Turkey: No intervention in Syria! Stop the war on the Kurds!
01/03/2016, By Murat Karin, Sosyalist Alternatif (CWI in Turkey) and Paula Mitchell, Socialist Party (CWI in England & Wales):
Two articles on the current situation in Turkey and Kurdistan

US: Nevada Goes to Clinton – Sanders Looks to Super Tuesday
26/02/2016, Calvin Priest, Socialist Alternative (CWI in the USA):
Huge enthusiasm for Bernie Sanders’ call for a political revolution leads to serious challenge to Hillary Clinton

Five years on from the “Arab Spring”
20/02/2016, Serge Jordan (CWI), article to be published in the March 2016 edition of Socialism Today, No.196.:
The “Arab Spring” revolutionary wave brought dictators in Tunisia and Egypt crashing down. It swept through the Middle East, inspiring workers and youth the world over. It has since ebbed, however, leaving the region wracked with war and sectarian conflict.