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latest news

 CWI 11th World Congress
Upheaval of traditional European political framework

12/02/2016: Workers’ fury at austerity and capitalist system will find more expression

  CWI, Europe

Ireland North
Hundreds protest against manufacturing destruction

12/02/2016: Union movement should step up call for nationalisation of threatened factories

  Ireland North

 11th CWI World Congress
A World in turmoil

11/02/2016: Renewed economic crisis, wars, political polarisation & class struggle perspectives

  Africa, Asia, CWI, Latin America, Middle East, Russia, US, World Economy

Hong Kong
‘Fishball Revolution’!

10/02/2016: Brutal policing must be condemned

  Hong Kong

Ethiopia
Hunger and deadly repression

09/02/2016: Crisis for imperialism and a fight-back from below

  Africa

Greece
Powerful general strike opposes cuts to pensions

09/02/2016: All out in the struggle! Coordinate and develop the fight now!

  Greece

Africa
New political storms and mass struggles

08/02/2016: Opportunities will arise for working class and poor to organise

  Africa

Spain
A break in the political establishment

07/02/2016: December’s elections broke the hold of the two main capitalist parties for the first time since the Franco dictatorship. The high vote for representatives of workers’ and social movements, and the recovery of the left-populist Podemos, open up a new phase in the struggle against austerity.

  Spain

US
#Movement4Bernie Takes Off Around the Country

06/02/2016: Bernie Sanders’ call for a political revolution against the billionaire class enthuses millions

  US

Brazil
Devastating outbreak of Zika virus

04/02/2016: Another healthcare system failure

  Brazil

Pakistan
PIA strike continues despite state repression

04/02/2016: Four workers killed, eight injured as security forces open fire on protesting workers

  Pakistan

US
Iowa results reveal crisis of establishment politics - Sanders and Clinton tie

03/02/2016: “It’s too late for establishment politics, establishment economics!”

  US

Japan
Social and political unease after “twenty lost years”

03/02/2016: Weakness of opposition is Prime Minister Abe’s only strength

  Japan

 Greece
Workers strike at Contitech-IMAS factory

02/02/2016: Solidarity campaign needed!

  Greece, Solidarity

World Economy
Capitalism buffeted by choppy waters

02/02/2016: Bosses strive to offload cost of crisis on working class - a struggle for system change is needed

  World Economy

Egypt
Fifth anniversary of heroic revolutionary uprising

01/02/2016: Workers’ struggles continue despite repression

  Egypt

India
Justice for Rohit Vemula

31/01/2016: Solidarity message from the Committee for a Workers’ International

  India, US

Britain
Fractured politics

29/01/2016: A volatile mix

  Britain

Tunisia
Suicide of unemployed youth sparks new wave of protests

22/01/2016: Five years after the fall of Ben Ali, demands of the revolution remain unsatisfied

  Tunisia

China
Kidnapping and TV show-trials

21/01/2016: “China is entering a dark night of repression and detentions under Xi Jinping”

  China

Venezuela
Right-wing landslide

20/01/2016: First electoral defeat suffered by the Chavistas since Hugo Chávez was first elected president in 1998

  Venezuela

Leningrad
‘Hero City’

19/01/2016: 900 days of siege in World War Two

  History, Russia

Britain
Police infiltration of Socialist Party exposed

19/01/2016: Untold distress caused to women in relationships with undercover police officers

  Britain

US
Socialist response to State of the Union 2016

15/01/2016: Kshama Sawant replies to Obama’s "State of the Union" speech

  US

 South Africa
Campus workers strike against outsourcing

14/01/2016: For the mobilisation and support of all students, permanent workers and communities across Tshwane

  Africa, Solidarity, South Africa

Britain
Steps towards setting up Trade Union Momentum

12/01/2016: Potential for inclusive, anti-austerity trade union based movement with effective alliances in workplaces and communities

  Britain

Scotland
Politicians have a choice

11/01/2016: Implement Tory austerity or set no-cuts budgets

  Scotland

Sweden/Denmark
Closing borders

07/01/2016: The EU’s nightmare continues

  Denmark, Sweden

 Pakistan
Nestle workers solidarity campaign update

06/01/2016: Union leader, Muhammad Hussain Bhatti, released on bail

  Pakistan, Solidarity

 Taiwan
Solidarity urged for insurance workers’ strike

05/01/2016: Determined battle for pension rights and an end to contract labour

  Solidarity, Taiwan

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.



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Northern Ireland: New agreement bad news for working class, 02/12/2015

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NEWS

Ireland North: Hundreds protest against manufacturing destruction
12/02/2016, Daniel Waldron, Socialist Party (CWI Ireland), Belfast:
Union movement should step up call for nationalisation of threatened factories

Hong Kong: ‘Fishball Revolution’!
10/02/2016, Eyewitness report from Socialist Action (CWI in Hong Kong):
Brutal policing must be condemned

Ethiopia: Hunger and deadly repression
09/02/2016, Per-Ãke Westerlund, Rattvisepartiet Socialisterna (CWI in Sweden):
Crisis for imperialism and a fight-back from below

Greece: Powerful general strike opposes cuts to pensions
09/02/2016, Editorial from Xekinima, fortnightly newspaper of the CWI, Greece:
All out in the struggle! Coordinate and develop the fight now!

US: #Movement4Bernie Takes Off Around the Country
06/02/2016, Socialist Alternative, CWI in the USA:
Bernie Sanders’ call for a political revolution against the billionaire class enthuses millions

Brazil: Devastating outbreak of Zika virus
04/02/2016, Isabel Keppler, LSR (CWI Brazil):
Another healthcare system failure

Pakistan: PIA strike continues despite state repression
04/02/2016, Fazal Abbas Shah and Rukhsana Manzoor, Socialist Movement Pakistan, Lahore:
Four workers killed, eight injured as security forces open fire on protesting workers

US: Iowa results reveal crisis of establishment politics - Sanders and Clinton tie
03/02/2016, Joshua Koritz, Socialist Alternative (CWI in the US):
“It’s too late for establishment politics, establishment economics!”

Greece: Workers strike at Contitech-IMAS factory
02/02/2016, Xekinima (CWI Greece) Reporters:
Solidarity campaign needed!

Egypt: Fifth anniversary of heroic revolutionary uprising
01/02/2016, David Johnson, Socialist Party (CWI England & Wales):
Workers’ struggles continue despite repression

India: Justice for Rohit Vemula
31/01/2016, socialistworld.net:
Solidarity message from the Committee for a Workers’ International

Britain: Fractured politics
29/01/2016, Peter Taaffe, general secretary, Socialist Party (CWI in England & Wales):
A volatile mix

Tunisia: Suicide of unemployed youth sparks new wave of protests
22/01/2016, Al-Badil al-Ishtiraki, CWI in Tunisia:
Five years after the fall of Ben Ali, demands of the revolution remain unsatisfied

China: Kidnapping and TV show-trials
21/01/2016, chinaworker.info:
“China is entering a dark night of repression and detentions under Xi Jinping”

Britain: Police infiltration of Socialist Party exposed
19/01/2016, Press statement from the Socialist Party (CWI England & Wales):
Untold distress caused to women in relationships with undercover police officers

US: Socialist response to State of the Union 2016
15/01/2016, Socialistworld.net:
Kshama Sawant replies to Obama’s "State of the Union" speech

South Africa: Campus workers strike against outsourcing
14/01/2016, Workers & Socialist Party (WASP), Reporters:
For the mobilisation and support of all students, permanent workers and communities across Tshwane

Britain: Steps towards setting up Trade Union Momentum
12/01/2016, John McInally Public and Commercial Services Union Vice-President (personal capacity), from The Socialist newspaper:
Potential for inclusive, anti-austerity trade union based movement with effective alliances in workplaces and communities

Scotland: Politicians have a choice
11/01/2016, By Brian Smith and Jim McFarlane, Glasgow City Unison and Dundee City Unison branch secretaries (in a personal capacity) and Socialist Party Scotland:
Implement Tory austerity or set no-cuts budgets

Sweden/Denmark: Closing borders
07/01/2016, Per-Ãke Westerlund, Rattvisepartiet Socialisterna (CWI in Sweden):
The EU’s nightmare continues

Pakistan: Nestle workers solidarity campaign update
06/01/2016, Fazal Abbas Shah SMP (CWI in Pakistan), Lahore:
Union leader, Muhammad Hussain Bhatti, released on bail

Taiwan: Solidarity urged for insurance workers’ strike
05/01/2016, CWI Taiwan Reporters (translated from The Socialist, journal of the CWI Taiwan):
Determined battle for pension rights and an end to contract labour

China 2015: A year of unnatural disasters
04/01/2016, chinaworker.info reporters:
Corruption, poor oversight and chase for profits, maim thousands

Britain: Corbyn’s supporters want resistance against the right
01/01/2016, Peter Taaffe, Socialist Party (CWI in England & Wales):
Edited extracts from an article by Peter Taaffe, Socialist Party general secretary, that will be published in the first 2016 issue of the Socialist (7 January).

Review: Alexandra Kollontai
29/12/2015, Heather Rawling, from Socialism Today:
A life of socialist struggle

Review: Revisiting Animal Farm
27/12/2015, Andy Ford, from Socialism Today (Issue 192 October 2015):
Allegory of the terrible betrayal of the Russian revolution

CWI Comment and Analysis

ANALYSIS

CWI 11th World Congress 2016: Women and oppression in class society
13/02/2016, CWI World Congress Document:
A socialist approach

CWI 11th World Congress: Upheaval of traditional European political framework
12/02/2016, Sarah Wrack, Socialist Party (CWI England & Wales):
Workers’ fury at austerity and capitalist system will find more expression

11th CWI World Congress: A World in turmoil
11/02/2016, Kevin Parslow, Socialist Party (CWI England & Wales):
Renewed economic crisis, wars, political polarisation & class struggle perspectives

Africa: New political storms and mass struggles
08/02/2016, CWI 11th World Congress Document:
Opportunities will arise for working class and poor to organise

India: Rising class struggle reflects seething anger of working class
08/02/2016, Anand Kumar, from Dudiyora Horaata (Workers’ Struggle – newspaper of the CWI in India), Bangalore:
Is ‘Modimania’ on the wane?

World relations, economy and the class struggle
08/02/2016, Socialistworld.net:
CWI 11th World Congress document

Spain: A break in the political establishment
07/02/2016, Danny Byrne, CWI (article from issue 195 of ’Socialism Today’):
December’s elections broke the hold of the two main capitalist parties for the first time since the Franco dictatorship. The high vote for representatives of workers’ and social movements, and the recovery of the left-populist Podemos, open up a new phase in the struggle against austerity.

Japan: Social and political unease after “twenty lost years”
03/02/2016, Carl Simmons, Kokusai Rentai (CWI in Japan):
Weakness of opposition is Prime Minister Abe’s only strength

World Economy: Capitalism buffeted by choppy waters
02/02/2016, Lynn Walsh, from The Socialist (weekly paper of the Socialist Party, CWI England & Wales):
Bosses strive to offload cost of crisis on working class - a struggle for system change is needed

Venezuela: Right-wing landslide
20/01/2016, Tony Saunois, from February edition of Socialism Today, magazine of the Socialist Party (CWI in England & Wales):
First electoral defeat suffered by the Chavistas since Hugo Chávez was first elected president in 1998

Leningrad: ‘Hero City’
19/01/2016, Clare Doyle (fuller version of a review article to be published in the February 2016 issue of Socialism Today):
900 days of siege in World War Two

China: Financial turmoil spreads fear across global markets
14/01/2016, Per-Åke Westerlund, with additional reporting by Vincent Kolo:
Setting the tone for 2016?

2016: Crisis-ridden capitalism will meet with bitter mood of resistance
05/01/2016, Peter Taaffe, Socialist Party (CWI in England & Wales) general secretary:
Socialist alternative is essential

Environment: A world of change
23/12/2015, Jess Spear, Socialist Alternative (CWI in USA):
Human beings have radically altered the Earth, adapting nature in the struggle to survive and thrive…

Venezuela: Elections – who won and who lost?
16/12/2015, Johan Rivas, Socialismo Revolucionario (CWI in Venezuela):
Victory for the right wing reflects popular discontent

Pakistan: Religious extremism, military operations and increased intolerance
15/12/2015, Khalid Bhatti SMP (CWI in Pakistan):
Revolutionary movement of the working class needs to finally defeat religious extremism and intolerance

Côte d’Ivoire : Ouattara reelected in a “frighteningly quiet” atmosphere
14/12/2015, CWI in Ivory Coast:
Dictatorship consolidating while opposition ridicules itself. Time to “turn the page”!

Environment: Socialism or ecological catastrophe
05/12/2015, Articles from Socialism Today, magazine of the Socialist Party (CWI in England & Wales):
25 years of hot air from establishment

World relations, economy and the class struggle
05/12/2015, CWI International Secretariat:
There has been a profound change in the world situation and world relations since the CWI’s last World Congress in 2010

Britain: After the vote in parliament to bomb Syria
04/12/2015, Socialist Party (CWI in England & Wales) reporters:
This crisis has revealed that Labour is essentially two parties in one

Britain: Syria vote reveals two Labour parties in one
02/12/2015, Editorial from The Socialist, paper of the Socialist Party (CWI in England & Wales):
Fight for a party that stands against war and austerity

Scotland: Post-referendum, where is Scotland heading?
29/11/2015, Socialist Party Scotland (CWI):
Mass struggle and socialism will challenge capitalist austerity

Environment: Socialist change not climate change
28/11/2015, Pete Dickenson, Socialist Party (CWI in England & Wales):
The growing threat of climate change and a socialist programme for the environment

Middle East: Bombing Syria won’t stop Isis
25/11/2015, Editorial of The Socialist, weekly newspaper of the Socialist Party (CWI England & Wales):
For workers’ unity against war, terrorism and racism

Hong Kong: Great result for socialist election campaign
25/11/2015, Vincent Kolo, chinaworker.info:
Socialist Action’s Sally Tang Mei-ching lifts opposition vote to 33 percent