Friday, July 19, 2013
George Obsorne - CEO of Britain PLC
Tuesday, March 20, 2012
Market state wrecks public services
As local councils struggling with reduced budgets prepare to “outsource” huge swathes of their services, and GPs line up to commission health services from all and sundry, the so-called “public services industry” (PSI) is licking its lips.
The PSI is made up mostly of commercial companies, many of them global operators like Serco, as well as some “third sector” voluntary, non-profit organisations. Together they take taxpayers’ money in return for providing services formerly delivered by the state
By 2007, driven by the Blair governments, the PSI had grown to mammoth proportions (link) with revenues of £80 billion year, representing 6% of the economy and employing 1.2 million people. These figures are undoubtedly far higher now.
Lobbying organisations such as the CBI Public Services Strategy Board, the PPP
Forum, the Business Services Association and the NHS Partners Network (which is actually part of the NHS Confederation) have developed close relations with government and the media.
Contractors have recruited many former government ministers and senior civil
servants as directors and advisors. Former health secretary Alan Milburn took several jobs with private health companies after leaving office.
The NHS concluded a contract with Bridgepoint Capital’s daughter company, Alliance Medical, six months after Milburn joined the parent company. Under the contract, Alliance Medical agreed to supply 130,000 MRI scans, of which fewer than half were eventually used. The government was nevertheless compelled to pay the full £16m contract price. The full scale of the revolving door between Whitehall and big business was revealed by Transparency International in its report, “Cabs for hire”.
Failure by contractors in areas like health service data management, the upgrade of the London Underground and care homes has left the state to pick up the financial pieces. Twenty-two hospitals face bankruptcy because they cannot meet exorbitant “private-finance initiative” contracts. Even the ConDems have had to come to the rescue with £1.5 billion of taxpayers’ money.
The ConDems’ bill to restructure the NHS in England is the latest chapter in a 20-year journey from a planned system to a competitive market for the supply of health care services. This began with the development of the internal market in the 1990s and the New Labour government extended it with the introduction of “patient choice”, foundation trusts, payment by results and independent sector treatment centres (ISTC).
There are nearly 35 ISTCs now operating alongside the NHS, carrying out surgical and other medical treatment on the basis of local contracts. Information about ISTCs is hard to come by on the grounds of “commercial confidentiality”, but a British Medical Association report says:
“The BMA is concerned because what evidence does exist suggests that where patients’ care is bought and sold, and where hospitals, doctors, nurses and carers have to compete with one another like businesses, we find poorer health outcomes for patients, lower quality care, rising bureaucracy and the erosion of relationships where co-operation is replaced with competition.”
As the state’s role is to enhance the development of capitalism, none of this should come as a surprise. As opportunities for making profit out of producing things declined in Britain, markets in public goods emerged to compensate. The private sector in turn drove down wages and conditions when they took over. Now the ConDems plan to drive down wages in the public sector to create a “level playing field” with big business.
Outsourcing state services is a project that all the major parties have championed. So returning to some mythical golden age of state ownership and provision is impossible. Instead, we need strategies aimed at ending the rule of the market state altogether, with policies and plans that shape a democratic future beyond profit and capitalism.
Paul Feldman
Communications editor
Monday, April 12, 2010
Privatisation by stealth set to soar
Whatever the result of the general election, private sector corporations are eagerly looking forward to getting their hands on larger and larger areas of public services as state spending comes under pressure because of the budget deficit.
The trend was set as soon as New Labour was elected in 1997 when prime minister Blair declared that what mattered was “what worked” – not what sector the service was in. Within a short period, contracting out in Britain surpassed every other major industrial country in its size and scope.
Total British government expenditure stands at about £620bn, of which just over a fifth is contracted out to companies operating for profit. You name it and the private sector is involved. They clean your streets, maintain social housing, run prisons and detention centres, train military pilots, transport prisoners, collect parking fines, maintain databases, inspect schools, administer the criminal records bureau and collect TV licence fees.
This is in addition to full privatisation of public services, as well as the so-called public private partnerships (under which the London Tube system is part-privatised) and private finance initiative (PFI) partnerships. Under these, the private sector build new projects like hospitals and schools which they then lease back to the public sector at vast expense because the state picks up the interest on the finance.
With all the major parties promising to cut state spending and find cheaper ways to run services, the leading companies in the field are rubbing their hand with glee. Their shares on soaring as the market anticipates rich pickings.
Shares in Capita, the back-office specialist, closed at 796p on Friday, a record. Shares in Serco, which runs prisons and welfare-to-work schemes, are at their highest since November 2000. The firms have told the parties that they can run services 30% cheaper. “There is almost no area of public services where we wouldn’t be able to help provide efficient and quality services,” said Chris Hyman, chief executive of Serco.
Local authorities account for a fifth of Capita's business, which describes itself as “the UK’s leading outsourcing company”. Outsourcing is increasingly being applied to "frontline" services. Recently outsourcing firm Tribal Group announced it had won a £64m five-year contract from the government funded education inspection body Ofsted to inspect almost half of England's nurseries.
In 2008, the DeAnne Julius report commissioned by the government estimated that services outsourced to the private sector cost 20% less. The explanation is obvious. The “savings” are more often than not achieved by cutting jobs and hiring new staff on inferior pay and conditions.
Dubbed “stealth privatisation” by trade unions – whose leaders have done precious little to resist the process – the prospect of an even larger market in the near future has produced a spate of mergers. Babcock, which makes most of its profits from defence contracts, has taken over VT, formerly Vosper Thornycroft and once famous for shipbuilding, which reinvented itself as a provider of services to cash-strapped government and local authorities in a bid to diversify its business.
Paul Feldman
Communications editor