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latest news

Turkey
Terrorist attack at İstanbul Atatürk Airport kills dozens

01/07/2016: No to war and terror! Yes to workers’ unity and solidarity!

  Turkey

Iran
Jailed goldminers protest with hunger strike

01/07/2016: Workers subjected to public lashings

  Iran

US
Beyond Bernie

01/07/2016: Still not with her

  US

 Video
Defend Jeremy Corbyn

30/06/2016: Fight the Blairite coup

  Britain, Video

Britain
Blairite coup against Jeremy Corbyn

29/06/2016: Defend anti-austerity struggle

  Britain

Mexico
Teachers continue strike despite extreme repression

28/06/2016: Working people in Mexico need fighting unions, an independent left party, and socialism

  Mexico

Britain
Referendum revolt

27/06/2016: Capitalist establishment shattered

  Britain

Scotland
After Brexit, SNP government threaten second Indy referendum

27/06/2016: Leave vote higher than average in many working class areas

  Scotland

Britain
After the referendum

24/06/2016: Tories Out! General election now! Fight for a 24 hour general strike

  Britain, Europe

Pakistan
Budget 2016-17

24/06/2016: The digits change but reality remains a nightmare for most

  Pakistan

Britain
EU referendum

23/06/2016: Whatever the result, political turmoil is ahead

  Britain

Taiwan
Student protests win important victory

23/06/2016: Education ministry retreats over increased tuition fees

  Taiwan

Italy
Prime Minister Renzi’s party routed

22/06/2016: Five Star mayors elected in Rome and Turin

  Italy

Ireland
The left wing case for leaving the EU

22/06/2016: Article by Paul Murphy, Irish MP and former MEP and CWI member

  Ireland Republic

Hong Kong
New protests as kidnapped bookseller speaks out

22/06/2016: Gangster methods of China’s regime exposed

  Hong Kong

Ireland
This weak government can be beaten

21/06/2016: “The reality is that a small clique of hard-left, Trotskyite politicians, who are quite upfront about seeking to overthrow the current system, are now arguably setting the political agenda.” (Shane Coleman, Irish Independent 17 May 2016)

  Ireland Republic

 Pakistan
Women health workers protest in Sindh

21/06/2016: Lady Health Workers organisation protests at non-payment of wages

  Pakistan, Women

Britain
EU referendum

19/06/2016: Whatever the result, political turmoil is ahead

  Britain

US
Stand together against bigotry, war and terrorism

17/06/2016: Orlando – massive wave of solidarity with LGBTQ community

  US

Asia
Conflict in the South China Sea

16/06/2016: Territorial disputes resemble pieces on a ‘geopolitical chessboard’ as the US and China struggle for hegemony in Asia

  Asia, China

Middle East
ISIS under pressure on several fronts

15/06/2016: Working classes, through bitterest of experiences, will take to road of mass struggle again

  Iraq, Middle East, Syria

France
Massive protest demonstration in Paris

15/06/2016: Workers march as Senate debates hated labour law reform

  France

 US
Over 100,000 sign petition for independent Sanders challenge

13/06/2016: Surge in support for petition initiated by socialist councillor Kshama Sawant

  US, Video

US
Orlando massacre

13/06/2016: Stand with our LGBTQ Sisters and Brothers! Fight back against Scapegoating & Islamophobia!

  US

Belgium
New trade union action plan

13/06/2016: “The cup is full !”

  Belgium

Egypt’s workers in revolt

12/06/2016: Review of "The Egyptians: a radical story"

  Egypt

Environment
EU green myths

11/06/2016: The truth about the EU and the environment

  Environment

EU
Left parties turning against bosses’ Europe

10/06/2016: Progress in Portugal and Spain, confusion in Britain

  Europe, Portugal, Spain

History
China’s ’Cultural Revolution’ 1966-67

10/06/2016: 50 years ago the ’Cultural Revolution’ began in China.

  China, History

Britain
Youth and the EU referendum

09/06/2016: Fight for our future, starting with a Leave vote to smash the Tories

  Britain

Muhammad Ali
A fighter who inspired millions

09/06/2016: Establishment forced to incorporate his legend into re-writing of history

  Sport

Review
The working-class case against the EU

08/06/2016: Review of ‘And The Weak Must Suffer What They Must?’ by Yanis Varoufakis

  Review

China
1989 mass movement and June 4 massacre

08/06/2016: Video by CWI comrades in China and Hong Kong

  China, History

Greece
Victory for Athens bus cleaners

07/06/2016: Strike action wins major concessions from contractors and bus administration

  Greece

Northern Ireland
Biggest union votes to support exit from the EU

06/06/2016: Union and Labour leaders should join NIPSA and other combative unions in opposing bosses’ club

  Ireland North

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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NEWS

Turkey: Terrorist attack at İstanbul Atatürk Airport kills dozens
01/07/2016, Ahmet Küçük, Sosyalist Alternatif (CWI Turkey):
No to war and terror! Yes to workers’ unity and solidarity!

Iran: Jailed goldminers protest with hunger strike
01/07/2016, Report from Campaign in Support of Iranian Workers :
Workers subjected to public lashings

Video: Defend Jeremy Corbyn
30/06/2016, Video with Peter Taaffe, Socialist Party (CWI in England & Wales):
Fight the Blairite coup

Britain: Blairite coup against Jeremy Corbyn
29/06/2016, Peter Taaffe, Socialist Party (CWI in England & Wales) general secretary:
Defend anti-austerity struggle

Mexico: Teachers continue strike despite extreme repression
28/06/2016, Adam Ziemkowski, Socialist Alternative, USA:
Working people in Mexico need fighting unions, an independent left party, and socialism

Scotland: After Brexit, SNP government threaten second Indy referendum
27/06/2016, Philip Stott, Socialist Party Scotland (CWI) :
Leave vote higher than average in many working class areas

Britain: After the referendum
24/06/2016, Hannah Sell, Socialist Party deputy general secretary:
Tories Out! General election now! Fight for a 24 hour general strike

Pakistan: Budget 2016-17
24/06/2016, Muhammad Khan Ahmedani Socialist Movement Sindh, Pakistan:
The digits change but reality remains a nightmare for most

Britain: EU referendum
23/06/2016, Editorial from the Socialist, paper of the Socialist Party (CWI in England & Wales):
Whatever the result, political turmoil is ahead

Taiwan: Student protests win important victory
23/06/2016, CWI Taiwan:
Education ministry retreats over increased tuition fees

Italy: Prime Minister Renzi’s party routed
22/06/2016, Chris Thomas, ControCorrente (CWI Italy):
Five Star mayors elected in Rome and Turin

Ireland: The left wing case for leaving the EU
22/06/2016, Originally published on sluggerotoole.com:
Article by Paul Murphy, Irish MP and former MEP and CWI member

Hong Kong: New protests as kidnapped bookseller speaks out
22/06/2016, Dikang, Socialist Action (CWI in Hong Kong):
Gangster methods of China’s regime exposed

Ireland: This weak government can be beaten
21/06/2016, By Paul Murphy, Anti-Austerity Alliance MP and Socialist Party (CWI in Ireland) member:
“The reality is that a small clique of hard-left, Trotskyite politicians, who are quite upfront about seeking to overthrow the current system, are now arguably setting the political agenda.” (Shane Coleman, Irish Independent 17 May 2016)

Pakistan: Women health workers protest in Sindh
21/06/2016, Sughran Khaskheli:
Lady Health Workers organisation protests at non-payment of wages

Britain: EU referendum
19/06/2016, Editorial of the Socialist, issue 906:
Whatever the result, political turmoil is ahead

US: Stand together against bigotry, war and terrorism
17/06/2016, Tom Crean, Socialist Alternative:
Orlando – massive wave of solidarity with LGBTQ community

France : Massive protest demonstration in Paris
15/06/2016, Naomi Byron in France for The Socialist, paper of the Socialist Party (CWI in England and Wales):
Workers march as Senate debates hated labour law reform

US: Over 100,000 sign petition for independent Sanders challenge
13/06/2016, socialistworld.net:
Surge in support for petition initiated by socialist councillor Kshama Sawant

US: Orlando massacre
13/06/2016, Immediate reaction from Kshama Sawant, Socialist Alternative councillor, Seattle:
Stand with our LGBTQ Sisters and Brothers! Fight back against Scapegoating & Islamophobia!

Belgium: New trade union action plan
13/06/2016, Nicolas Croes, PSL-LSP (CWI in Belgium):
“The cup is full !”

Egypt’s workers in revolt
12/06/2016, Christine Thomas:
Review of "The Egyptians: a radical story"

Environment: EU green myths
11/06/2016, Claire Laker Mansfield, originally published in Socialism Today, magazine of the Socialist Party (CWI in England & Wales):
The truth about the EU and the environment

History: China’s ’Cultural Revolution’ 1966-67
10/06/2016, Edited version of article written by Socialist Party general secretary Peter Taaffe for Militant (predecessor of the Socialist) in February 1967.:
50 years ago the ’Cultural Revolution’ began in China.

Britain: Youth and the EU referendum
09/06/2016, Editorial from the Socialist (weekly paper of the Socialist Party – CWI England & Wales):
Fight for our future, starting with a Leave vote to smash the Tories

China: 1989 mass movement and June 4 massacre
08/06/2016, Socialist Action (CWI) reporters in Hong Kong:
Video by CWI comrades in China and Hong Kong

CWI Comment and Analysis

ANALYSIS

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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