Leading article: The Coalition will listen, but will it learn?

Share
Related Topics

It is probably fair to say that not one of this trio – not David Cameron, not Nick Clegg, and not Andrew Lansley – expected to spend the first day of the Easter recess sharing a platform at Frimley Park Hospital in Surrey. Still less, that at this late stage, they would be having to explain to a sceptical public what the reforms were and, far more to the point, what they were not. That this show of coalition unity was being mounted at all, however, and with the purpose of denying that the NHS was to be cut, cherry-picked or even privatised, is a measure of how far the Government has failed to get its message out.

On the one hand, what has happened offers a lesson to all governments in the imperative of controlling the agenda, especially when, as with the medical profession, long-standing vested interests may be threatened. On the other, however, as was clear from what Mr Cameron and Mr Clegg said yesterday, the public have still not "bought" the idea that the NHS needs such root and branch change at all. They may not be entirely happy with all aspects of the service they receive, but there is clearly widespread apprehension that, after a period of improvement, particularly where waiting lists were concerned, different will mean worse, less fair and distorted by commercial considerations.

The question – which remained open yesterday – was whether the next two months of "listening" on the Government's part will be anything more than a cosmetic exercise. Although many GPs are already preparing to take over the proposed budgetary responsibilities, for some the 2013 deadline will not be feasible, and there are real concerns about transparency and accountability. That a former chairman of the Royal College of GPs has been named head of an expert panel, the NHS Future Forum, to help lead the "listening" process suggests that ministers are concerned to keep GPs in the driving seat, even if the proposed consortiums are eventually supplemented by hospital doctors and local councillors. For the listening exercise to mean anything, however, the Government must be ready to hear what is said, and then defend, convincingly, the conclusions it reaches.

React Now

Latest stories from i100
iJobs Job Widget
iJobs General

Ashdown Group: Finance Manager - Covent Garden, central London - £45k - £55k

£45000 - £55000 per annum + 30 days holiday: Ashdown Group: Finance Manager - ...

Ashdown Group: Systems Administrator - Lancashire - £30,000

£28000 - £30000 per annum: Ashdown Group: 3rd Line Support Engineer / Network ...

Recruitment Genius: Graduate Web Developer

£26000 - £33000 per annum: Recruitment Genius: A Web Developer is required to ...

Ashdown Group: PeopleSoft Developer - London - £45k

£45000 per annum: Ashdown Group: PeopleSoft Application Support & Development ...

Day In a Page

Read Next
David Cameron met with Ukrainian President Petro Poroshenko prior to the start of the European Council Summit in Brussels last month  

David Cameron talks big but is waving a small stick at the Russian bear

Kim Sengupta
 

Isis in Iraq: Even if Iraqi troops take back Saddam’s city of Tikrit they will face bombs and booby traps

Patrick Cockburn
The difference between America and Israel? There isn’t one

The difference between America and Israel? There isn’t one

Netanyahu knows he can get away with anything in America, says Robert Fisk
Families clubbing together to build their own affordable accommodation

Do It Yourself approach to securing a new house

Community land trusts marking a new trend for taking the initiative away from developers
Head of WWF UK: We didn’t send Cameron to the Arctic to see green ideas freeze

David Nussbaum: We didn’t send Cameron to the Arctic to see green ideas freeze

The head of WWF UK remains sanguine despite the Government’s failure to live up to its pledges on the environment
Author Kazuo Ishiguro on being inspired by shoot-outs and samurai

Author Kazuo Ishiguro on being inspired by shoot-outs and samurai

Set in a mythologised 5th-century Britain, ‘The Buried Giant’ is a strange beast
With money, corruption and drugs, this monk fears Buddhism in Thailand is a ‘poisoned fruit’

Money, corruption and drugs

The monk who fears Buddhism in Thailand is a ‘poisoned fruit’
America's first slavery museum established at Django Unchained plantation - 150 years after slavery outlawed

150 years after it was outlawed...

... America's first slavery museum is established in Louisiana
Kelly Clarkson: How I snubbed Simon Cowell and become a Grammy-winning superstar

Kelly Clarkson: How I snubbed Simon Cowell and become a Grammy-winning superstar

The first 'American Idol' winner on how she manages to remain her own woman – Jane Austen fascination and all
Tony Oursler on exploring our uneasy relationship with technology with his new show

You won't believe your eyes

Tony Oursler's new show explores our uneasy relationship with technology. He's one of a growing number of artists with that preoccupation
Ian Herbert: Peter Moores must go. He should never have been brought back to fail again

Moores must go. He should never have been brought back to fail again

The England coach leaves players to find solutions - which makes you wonder where he adds value, says Ian Herbert
War with Isis: Fears that the looming battle for Mosul will unleash 'a million refugees'

The battle for Mosul will unleash 'a million refugees'

Aid agencies prepare for vast exodus following planned Iraqi offensive against the Isis-held city, reports Patrick Cockburn
Yvette Cooper: We can't lose the election. There's too much on the line

Yvette Cooper: We can't lose the election. There's too much on the line

The shadow Home Secretary on fighting radical Islam, protecting children, and why anyone in Labour who's thinking beyond May must 'sort themselves out'
A bad week for the Greens: Leader Natalie Bennett's 'car crash' radio interview is followed by Brighton council's failure to set a budget due to infighting

It's not easy being Green

After a bad week in which its leader had a public meltdown and its only city council couldn't agree on a budget vote, what next for the alternative party? It's over to Caroline Lucas to find out
Gorillas nearly missed: BBC producers didn't want to broadcast Sir David Attenborough's famed Rwandan encounter

Gorillas nearly missed

BBC producers didn't want to broadcast Sir David Attenborough's famed Rwandan encounter
Downton Abbey effect sees impoverished Italian nobles inspired to open their doors to paying guests for up to €650 a night

The Downton Abbey effect

Impoverished Italian nobles are opening their doors to paying guests, inspired by the TV drama
China's wild panda numbers have increased by 17% since 2003, new census reveals

China's wild panda numbers on the up

New census reveals 17% since 2003