I am attaching a short piece on the cuts which I did partly to support the Labour Party campaign in Chelmsford – though the views and accuracy are my responsibility alone.
Public Spending Cuts: Not Needed, but Very Damaging
Osborne claims that the cuts are necessary for the future health of the economy.
This is not true. They are a choice made by an extreme Government intent on reducing the role of the State in providing essential services and a safety net for those who fall on hard times.
No Need for Austerity
- Public debt at about 80% of GDP is not high by historical standards (it was over 200% when the NHS was established, and over 100% for much of our history). If nothing more is done to reduce the deficit, the effects of economic growth and inflation mean that it will fall anyway as a share of a growing economy.
- Because interest rates are so low (and likely to remain so), the 2.5% of GDP annual cost of servicing the debt is trivial. The Thatcher and Major Governments spent more on debt interest in every year they were in power – but nobody then argued that public spending cuts were needed on the scale currently planned.
This is why most economists argue that there is no need for further cuts – and they support the case for maintaining spending. At 43% of GDP, public spending is comparable to the average level in the 1970s. It is slightly above the long term average of 40%, but that is to be expected in a period of sluggish growth when Government needs to maintain spending to boost the economy.
Low Tax and Low Spend means Private Affluence for some –Public Squalor for All
Osborne claims he is ‘repairing the roof while the sun shines.’ In fact, the sun is not shining on most of us, and this Government is not repairing anything much at all – as the state of our pot-holed roads and the strains on our health and education services will attest. Private affluence for the few is resting on public squalor for us all.
Our World Class NHS is Under Threat
We have public services to be proud of – but they are under threat. As recently as 2014, the Commonwealth Fund rated the UK health care system as the best in the world – based on the quality of care, efficiency, and low cost to patients. We achieve this by spending less than other countries -just 8.5% of our national income on health –compared to 11% in major European countries like France and Germany, and a staggering 16% in the US, which is consistently rated as having the worst health care system in the world.
These good results though are threatened by rising costs and an ageing population. If we want to keep our good services, we will need to spend a little more – but the extent of the increased spending required will be less if we maintain our efficient Government funded service free at the point of delivery. Outsourcing of services threatens this – bringing in private providers from the inefficient and expensive US system, and undermining the fundamental features of an NHS which is rightly valued in this country.
The Cuts in Mid Essex
We can see the results of inadequate public funding in our own home town. One important example is the Mid Essex NHS Trust – which runs Broomfield Hospital. The trust has one of the lowest levels of spending per head of population in the country. In 2012-13, it was £24 mn short of the level that Department of Health guidance says is the minimum necessary to provide a uniform level of service. This is over 4% of total expenditure – and the strains have probably increased since.
Given the grossly inadequate funding available, it is not surprising that Broomfield has been rated as requiring improvement in the latest Care Quality Commission report, with urgent and emergency services described as ‘inadequate’. Management and staff will get the blame – but the real culprit is a Government trying to maintain a world class health system on the cheap.
The very deep cuts now being enacted by this Government threaten fundamental aspects of our way of life as a caring society that wants and can afford a good standard of public services and amenities. Meanwhile this Government continues to fund Cameron’s vanity projects – preposterously expensive nuclear power from Hinckley Point, new high speed rail links based on questionable economic analysis while the roads are full of potholes, and a nuclear weapons system the purpose of which has yet to be explained other than a desire for Cameron to look more important at conferences.
We need to fight the cuts – before the deterioration to our fundamental public sector institutions becomes too extensive to be easily repaired by the next Labour Government.