Shirley Williams: Lib Dems should take credit for thwarting Lansley

The complex, extensive and sometimes almost incomprehensible blueprint attracted remarkably little public attention until well into this year

Share
Related Topics

Liberal Democrats, from our party's grassroots to its leadership, can be proud of the influence we have exerted to change the Government's NHS plans. It is clear now that the proposals that will be taken forward are dramatically different to those originally proposed.

The implications of Andrew Lansley's massive health proposals, setting England's health system on the path to a market in health care rather than a public service, were very slow to sink in. The complex, extensive and sometimes almost incomprehensible blueprint attracted remarkably little public attention until well into this year.

A handful of committed doctors, nurses and administrators got together to challenge this complacency at the Liberal Democrats' spring conference in Sheffield. In the next three months of intensive debate and deliberation, there was a remarkable meeting of minds, one that embraced the leading medical organisations representing GPs, nurses and patients, as well as the leading think-tanks such as the Nuffield Foundation and the King's Fund.

What are the essential elements of the changes we want to see?

The Secretary of State for Health should remain responsible for administering a universal health service free at the point of need. The commissioning of health care should be done by GPs, together with doctors responsible for hospital care and specialised treatment, representatives of other medical professions such as nursing and physiotherapy, and independent members representing the community that is being served.

As far as practicable, the boundaries of clinical consortiums should reflect geographical communities. Furthermore these consortiums must meet in public, be accountable for their actions, and maintain the highest public standards by ensuring their members declare any financial interest they might have in the decisions being taken.

Monitor, the body responsible for the surveillance of foundation hospitals, should ensure that new providers, which could come from the private sector, put integration and partnership first among their priorities, should compete only on quality, not price, and should not be able to "cherry-pick" easy and profitable cases.

Liberal Democrats can comfort themselves with the realisation that one of England's most trusted and best loved public services will now survive as the framework for our health care; the Prime Minister will be able to say with confidence that the NHS is safe in the Coalition's hands.

Baroness Williams of Crosby served as Leader of the Liberal Democrats in the House of Lords, 2001-2004

React Now

  • Get to the point
Latest stories from i100
Have you tried new the Independent Digital Edition apps?
iJobs Job Widget
iJobs General

SThree: Trainee Recruitment Consultant - Dublin

£13676.46 - £16411.61 per annum + OTE: SThree: SThree Trainee Recruitment Cons...

Ashdown Group: Marketing or Business Graduate Opportunity - Norwich - £22,000

£18000 - £22000 per annum + training: Ashdown Group: Business and Marketing Gr...

SThree: Trainee Recruitment Consultant

£20000 - £25000 per annum + Commission: SThree: Are you great at building rela...

Ashdown Group: Database Analyst - Birmingham - £22,000 plus benefits

£20000 - £22000 per annum + excellent benefits: Ashdown Group: Application Sup...

Day In a Page

Read Next
Labour leader Ed Miliband unveils Labour's pledges carved into a stone plinth in Hastings  

Election 2015: Smash the two-party system! Smash the voting system!

Armando Iannucci
Tactical voting is a necessary evil of the current first-past-the-post system, where voters vote against what they do not want rather than in favour of what they do  

Election 2015: Voting tactically has become more fraught in new political order

Michael Ashcroft
Fishing for votes with Nigel Farage: The Ukip leader shows how he can work an audience as he casts his line to the disaffected of Grimsby

Fishing is on Nigel Farage's mind

Ukip leader casts a line to the disaffected
Who is bombing whom in the Middle East? It's amazing they don't all hit each other

Who is bombing whom in the Middle East?

Robert Fisk untangles the countries and factions
China's influence on fashion: At the top of the game both creatively and commercially

China's influence on fashion

At the top of the game both creatively and commercially
Lord O’Donnell: Former cabinet secretary on the election and life away from the levers of power

The man known as GOD has a reputation for getting the job done

Lord O'Donnell's three principles of rule
Rainbow shades: It's all bright on the night

Rainbow shades

It's all bright on the night
'It was first time I had ever tasted chocolate. I kept a piece, and when Amsterdam was liberated, I gave it to the first Allied soldier I saw'

Bread from heaven

Dutch survivors thank RAF for World War II drop that saved millions
Britain will be 'run for the wealthy and powerful' if Tories retain power - Labour

How 'the Axe' helped Labour

UK will be 'run for the wealthy and powerful' if Tories retain power
Rare and exclusive video shows the horrific price paid by activists for challenging the rule of jihadist extremists in Syria

The price to be paid for challenging the rule of extremists

A revolution now 'consuming its own children'
Welcome to the world of Megagames

Welcome to the world of Megagames

300 players take part in Watch the Skies! board game in London
'Nymphomaniac' actress reveals what it was really like to star in one of the most explicit films ever

Charlotte Gainsbourg on 'Nymphomaniac'

Starring in one of the most explicit films ever
Robert Fisk in Abu Dhabi: The Emirates' out-of-sight migrant workers helping to build the dream projects of its rulers

Robert Fisk in Abu Dhabi

The Emirates' out-of-sight migrant workers helping to build the dream projects of its rulers
Vince Cable interview: Charging fees for employment tribunals was 'a very bad move'

Vince Cable exclusive interview

Charging fees for employment tribunals was 'a very bad move'
Iwan Rheon interview: Game of Thrones star returns to his Welsh roots to record debut album

Iwan Rheon is returning to his Welsh roots

Rheon is best known for his role as the Bastard of Bolton. It's gruelling playing a sadistic torturer, he tells Craig McLean, but it hasn't stopped him recording an album of Welsh psychedelia
Morne Hardenberg interview: Cameraman for BBC's upcoming show Shark on filming the ocean's most dangerous predator

It's time for my close-up

Meet the man who films great whites for a living
Increasing numbers of homeless people in America keep their mobile phones on the streets

Homeless people keep mobile phones

A homeless person with a smartphone is a common sight in the US. And that's creating a network where the 'hobo' community can share information - and fight stigma - like never before