deutsch |  english |  español  |  français  |  italiano  |  nederlands  |  polski  |  português  |  svenska  |  türkçe  |  中文  |  عربي  |  русский

latest news

 Video
Revolution and counter-revolution in the world today

01/09/2014: Hannah Sell, deputy general secretary of the Socialist Party (CWI in England and Wales) speaking at recent summer camp

  Video

France
Economic stagnation and political instability

29/08/2014: Hollande removes ‘lefts’ from government

  France

Turkey
Erdoğan sworn in as country’s President

29/08/2014: Significant poll gains for the left coalition HDP

  Turkey

 Solidarity
Iranian mine workers on strike

26/08/2014: Demand the release of the arrested workers!

  Iran, Solidarity

Nigeria
Fees victory at Lagos State University!

26/08/2014: Vigilance required from LASU students and workers to ensure that victory is permanent

  Nigeria

ISIS
Capitalist slaughter in Iraq and Syria

25/08/2014: As ISIS (the Islamic State in Iraq and a-Shams) crossed the border between Syria and Iraq, it proclaimed this to be the “annihilation of the disgrace of Sykes-Picot” and the formation of an ‘Islamic state’ (IS).

  Iraq, Syria

US
Indict Michael Brown’s killer and spread the protests! The whole system is guilty!

22/08/2014: Text of a leaflet handed out by Socialist Alternative members in Ferguson and St. Louis

  US

 Women in World War One

20/08/2014: Protests, strikes and equality

  Women, World War 1

Pakistan
Not a “revolution” but an effort by power-hungry politicians to grab power

19/08/2014: Working class will bring the real revolution and change

  Pakistan

USA
Ferguson erupts in rage after police kill Michael Brown

18/08/2014: Spread the protests – unite against racism and inequality

  US

Iraq
Only united action can stop sectarian war

16/08/2014: Iraqis and Kurds must not trust imperialist ‘helpers’

  Iraq

Socialism and national rights

15/08/2014: Ukraine, Israel/Palestine and other countries

  Israel / Palestine, Ukraine

US
Jess Spear Primary result

14/08/2014: “We’ve only just gotten started”

  US

Scotland
Socialist policies are needed to answer Project Fear

13/08/2014: September 18 will see an unprecedented mobilisation to the polls for the referendum on Scottish independence

  Scotland

Indonesian Election

12/08/2014: New face; same problems

  Indonesia

Gaza
Kshama Sawant calls on Seattle city council to condemn Israeli onslaught

11/08/2014: Socialist councillor denounces Israeli state terror

  Israel / Palestine

Ukraine
Crisis deepens

09/08/2014: Military conflict escalates

  Ukraine

 CWI School
Latin America

08/08/2014: Beginning to feel full effects of world crisis

  CWI, Latin America

 CWI School
World capitalism fails working people

07/08/2014: System offers economic crisis, insecurity, poverty and wars

  CWI

Scotland
Countdown to independence referendum

07/08/2014: For an independent socialist Scotland

  Scotland

 Video
Paul Murphy speaks at Dublin Gaza protest

04/08/2014: Socialist Party (CWI in Ireland) Former MEP and parliamentary bye-election candidate speaks to thousands protesting against Israeli state terrorism

  Israel / Palestine, Video

 CWI Summer School
European capitalism fails to recover

02/08/2014: Working class must organise for future struggles

  CWI, Europe

Argentina
Another debt default

01/08/2014: Only socialist policies can end extortion of vulture markets

  Argentina

Gaza in crisis

29/07/2014: Mass action needed to stop bloodshed

  Israel / Palestine

Sri Lanka
United Socialist Party issues press statement

28/07/2014: CWI calls for protests and financial assistance

  Sri Lanka

Sri Lanka
Racist Buddhist mob ambushes United Socialist Party march

26/07/2014: CWI condemns attack and requests solidarity

  Sri Lanka

China
The great slowdown

24/07/2014: Signs the mammoth property bubble is finally bursting belie Beijing’s upbeat GDP data

  China

Trotsky
The first year of war

23/07/2014: Article by LEON TROTSKY translated into English for first time

  Trotsky

WW1
The Bolsheviks and the war

21/07/2014: The horrors of the first world war, and the economic and social turmoil it created, led to mass upheaval. In Russia alone did this lead to a successful revolution…

  World War 1

1914
The capitulation of the Second International

19/07/2014: Before 1914, the Second International resolved to act to prevent war…

  World War 1

South Africa
Metal workers’ strike

19/07/2014: Industrial action must take forward call for a new workers’ party

  Africa, South Africa

Britain
Abuse scandals reveal abusive system

18/07/2014: An Establishment cover-up?

  Britain

Sri Lanka
Vicious communalist attacks on Muslims

17/07/2014: USP mounts motor cycle ‘march’ to fight for united struggle against chauvinists

  Sri Lanka

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: Revolution and counter-revolution in the world today, 01/09/2014

 further videos

CWI - get involved


solidarity

tamil solidarity campaign kazakhstan

featured links

Paul Murphy, MEP

cwi links

Marxist.net, CWI marxist archive

cwi comment & analysis

world economic crisis

analysis and commentary


cwi publications

marxism in today's world che

Che Guevara: Símbolo de Lucha

Por Tony Saunois

A socialist world is possible, the history of the cwi with new introduction by Peter Planning green growth, a contribution to the debate on enviromental sustainability

NEWS

Video: Revolution and counter-revolution in the world today
01/09/2014, Socialistworld.net:
Hannah Sell, deputy general secretary of the Socialist Party (CWI in England and Wales) speaking at recent summer camp

France: Economic stagnation and political instability
29/08/2014, Leila Massaoudi, Gauche Revolutionnaire (CWI in France):
Hollande removes ‘lefts’ from government

Turkey: Erdoğan sworn in as country’s President
29/08/2014, Coşku Mıhcı:
Significant poll gains for the left coalition HDP

Ireland: Greyhound lockout enters ninth week
28/08/2014, Paul Murphy, Socialist Party (CWI Ireland), Dublin:
A fight for all workers!

Solidarity: Iranian mine workers on strike
26/08/2014, Campaign in support of workers of Iran:
Demand the release of the arrested workers!

Nigeria: Fees victory at Lagos State University!
26/08/2014, Education Rights Campaign, Nigeria statement:
Vigilance required from LASU students and workers to ensure that victory is permanent

ISIS: Capitalist slaughter in Iraq and Syria
25/08/2014, Georg Maier, SLP (CWI in Austria):
As ISIS (the Islamic State in Iraq and a-Shams) crossed the border between Syria and Iraq, it proclaimed this to be the “annihilation of the disgrace of Sykes-Picot” and the formation of an ‘Islamic state’ (IS).

US: Indict Michael Brown’s killer and spread the protests! The whole system is guilty!
22/08/2014, Socialist Alternative (CWI in the US):
Text of a leaflet handed out by Socialist Alternative members in Ferguson and St. Louis

Women in World War One
20/08/2014, Jane James and Jim Horton, Socialist Party (CWI in England & Wales):
Protests, strikes and equality

Pakistan: Not a “revolution” but an effort by power-hungry politicians to grab power
19/08/2014, Socialist Movement Pakistan (CWI) statement:
Working class will bring the real revolution and change

USA: Ferguson erupts in rage after police kill Michael Brown
18/08/2014, Eljeer Hawkins, Socialist Alternative, Harlem, New York:
Spread the protests – unite against racism and inequality

US: Jess Spear Primary result
14/08/2014, Socialist Alternative reporters, USA:
“We’ve only just gotten started”

Scotland: Socialist policies are needed to answer Project Fear
13/08/2014, Editorial from the latest issue of the Socialist:
September 18 will see an unprecedented mobilisation to the polls for the referendum on Scottish independence

Indonesian Election
12/08/2014, Conor Flynn, Socialist Party (CWI Australia):
New face; same problems

Gaza: Kshama Sawant calls on Seattle city council to condemn Israeli onslaught
11/08/2014, socialistworld.net:
Socialist councillor denounces Israeli state terror

CWI School: Latin America
08/08/2014, Claire Laker-Mansfield, Socialist Party (CWI in England & Wales):
Beginning to feel full effects of world crisis

Scotland: Countdown to independence referendum
07/08/2014, Matt Dobson, Socialist Party Scotland (CWI in Scotland):
For an independent socialist Scotland

Video: Paul Murphy speaks at Dublin Gaza protest
04/08/2014, socialistworld.net:
Socialist Party (CWI in Ireland) Former MEP and parliamentary bye-election candidate speaks to thousands protesting against Israeli state terrorism

Argentina: Another debt default
01/08/2014, Danny Byrne, CWI:
Only socialist policies can end extortion of vulture markets

Sri Lanka: United Socialist Party issues press statement
28/07/2014, Clare Doyle (CWI Secretariat):
CWI calls for protests and financial assistance

Sri Lanka: Racist Buddhist mob ambushes United Socialist Party march
26/07/2014, socialistworld.net:
CWI condemns attack and requests solidarity

China: The great slowdown
24/07/2014, Vincent Kolo, chinaworker.info:
Signs the mammoth property bubble is finally bursting belie Beijing’s upbeat GDP data

South Africa: Metal workers’ strike
19/07/2014, By Workers and Socialist Party (WASP – South Africa) Reporters:
Industrial action must take forward call for a new workers’ party

Britain: Abuse scandals reveal abusive system
18/07/2014, Hannah Sell, Socialist Party, Deputy General Secretary:
An Establishment cover-up?

Sri Lanka: Vicious communalist attacks on Muslims
17/07/2014, Siritunga Jayasura, United Socialist Party (CWI in Sri Lanka):
USP mounts motor cycle ‘march’ to fight for united struggle against chauvinists

History: Revolutionary US Teamsters
14/07/2014, Alan Jones and Ty Moore, Socialist Alternative:
Celebrating the 80th Anniversary of the 1934 Minneapolis Strikes

CWI Comment and Analysis

ANALYSIS

Iraq: Only united action can stop sectarian war
16/08/2014, Robert Bechert, CWI:
Iraqis and Kurds must not trust imperialist ‘helpers’

Socialism and national rights
15/08/2014, From Socialism Today No.181, September 2014 by Peter Taaffe, General Secretary of Socialist Party (England and Wales), CWI Secretariat:
Ukraine, Israel/Palestine and other countries

Ukraine: Crisis deepens
09/08/2014, Clare Doyle, CWI Secretariat:
Military conflict escalates

CWI School: World capitalism fails working people
07/08/2014, Kevin Parslow, Socialist Party (CWI England & Wales):
System offers economic crisis, insecurity, poverty and wars

Israel/Palestine: After weeks of mass slaughter in Gaza, IDF forces ‘withdraw’
06/08/2014, Niall Mulholland, from articles in this week’s Socialist (paper of the Socialist Party, England & Wales):
What is the role of imperialism in the conflict?

CWI Summer School: European capitalism fails to recover
02/08/2014, Sarah Sachs-Eldridge, Socialist Party (CWI England & Wales):
Working class must organise for future struggles

Gaza in crisis
29/07/2014, Shahar Benhorin, Socialist Struggle Movement (CWI in Israel-Palestine):
Mass action needed to stop bloodshed

Trotsky: The first year of war
23/07/2014, Originally published in in special WWI edition of Socialism Today, magazine of the Socialist Party (CWI in England & Wales):
Article by LEON TROTSKY translated into English for first time

WW1: The Bolsheviks and the war
21/07/2014, Peter Taaffe, article originally published in special WWI edition of Socialism Today, magazine of the Socialist Party (CWI in England & Wales):
The horrors of the first world war, and the economic and social turmoil it created, led to mass upheaval. In Russia alone did this lead to a successful revolution…

1914: The capitulation of the Second International
19/07/2014, Robert Bechert (a longer version of an article published in the July/August 2014 issue of Socialism Today):
Before 1914, the Second International resolved to act to prevent war…

World War One: 100 years since the great slaughter
16/07/2014, Tony Saunois, article originally published in special WWI edition of Socialism Today, magazine of the Socialist Party (CWI in England & Wales):
Ten million killed and more than ten million seriously injured

Israel-Palestine:World outraged by Israeli State’s ferocious bombing of Gaza
15/07/2014, Judy Beishon, from The Socialist (weekly newspaper of the Socialist Party – CWI England & Wales):
Mass action needed to end the slaughter and blockade!

Can capitalism put all of us first?
05/07/2014, By Philip Stott:
A response to the “practical idealism” of the Common Weal

Argentina: Return to turmoil
01/07/2014, Danny Byrne, CWI:
Debt crisis is back – the class struggle and tasks for the Left

Review: ’Capital in the Twenty-First Century’
28/06/2014, Hannah Sell, Socialist Party (CWI England and Wales):
Thomas Piketty: The new Marx?

Iraq: Isis jihadists capture more territory
24/06/2014, Niall Mulholland, CWI:
Only organised, united working class can end war and social misery

Nigeria: 200 school girls abducted
18/06/2014, By Segun Sango, National Chairperson, Socialist Party of Nigeria (SPN), a party initiated by the DSM (CWI in Nigeria):
Why has Boko Haram insurgency grown?

Iraq: Oil war’s bloody legacy
17/06/2014, Judy Beishon, from The Socialist, weekly paper of the Socialist Party (CWI England & Wales):
Escalating sectarian conflict threatens to draw in surrounding countries

Ukraine: Hundreds killed in military clashes
13/06/2014, Rob Jones, CWI, Moscow:
Working people fearing all-out war

Review: ’The Snowden Files’
12/06/2014, Clare Doyle, from Socialism Today (June 2014 issue), monthly magazine of the Socialist Party (CWI in England and Wales):
Exposing the ‘architecture of oppression’

Britain: The Battle of Orgreave
11/06/2014, Ken Smith, from Socialism Today (June 2014 issue), monthly magazine of the Socialist Party (CWI in England and Wales):
1984 state-organised riot against striking miners

Brazil: Homeless struggle and Metro strike as World Cup approaches
09/06/2014, André Ferrari, LSR (CWI in Brazil):
New stage of the class struggle

Euro polls warning
05/06/2014, Robert Bechert, CWI:
In country after country, May’s elections to the European parliament saw governments and traditional parties defeated

2014: The ’rejection election’
30/05/2014, Hannah Sell, Socialist Party (CWI in England and Wales):
Now Trade Unions must lead our fightback

Ireland: Electoral surge against austerity
28/05/2014, Danny Byrne, CWI:
Socialist Party wins a second TD and Anti Austerity Alliance 14 councillors