This policy brief examines the rationale, difficulties and effects of introducing market-like mechanisms into the English National Health Service (NHS) since 1990; and it puts forward an alternative hierarchical institutional structure for healthcare governance.Read More
Economic growth remains the predominant policy goal in the UK. However, the pursuit of economic growth stands at odds with environmental sustainability, and it is not needed to achieve social objectives such as full employment and improved quality of life.
A fundamentally different approach to managing the economy is required that puts people and the planet ahead of growth in GDP.Read More
For public sector workers, outsourcing to third sector organisations of local government and NHS delivery represents as big a threat as the private sector.
A Labour government should consider returning cooperatives, mutuals, social enterprises and third sector organisations to their original function of employment provision and generation, community support and self defence.Read More
A universal basic income (UBI), tax-free weekly income to every individual, provides an administratively simple method to resolve a range of social problems. A modified scheme that provided a universal and unconditional income at a moderate starting level, leaving much of the existing system intact, would be feasible, affordable and beneficial.Read More
British employees have traditionally relied on occupational pension funds in addition to Pay-As-You-Go State pensions to provide retirement income. These workplace funds are becoming less able to provide income security for all, let alone promote economic growth and financial stability. A change in state benefits must form the core of any retirement income provision system. If occupational pensions are to form a meaningful part of the change, a number of problems need to be addressed.Read More
The Conservative Government elected in 2015 declared an objective of reducing expenditure on working age claimants by £12 billion a year – that is £12 billion from the unemployed, the chronic sick and the low-paid (and their children). The then Labour leadership decided to abstain on the issue. There could be no better example of the bankruptcy of mainstream politics in Britain.
It is doubtful whether existing policies could in fact secure such a reduction in the near future.Read More
Free movement of labour and migration/immigration are hotly debated throughout Europe, especially in election campaigns. Some of these discussions and even political initiatives ignore important facts and arrive at unrealistic, unpractical or unfair conclusions.Read More
The UK has the longest and strongest tradition of research on the social determinants of health and health inequalities for any country, more government papers and reports, and more policy. Yet British governments have struggled to reduce inequalities in health.Read More
It is government policy, not market processes, which cause high drug prices. Patent monopolies have the negative effects that free market oriented economists typically ascribe to government interference in the market. Altering government policy would make drugs cheaper for the NHS and thus increase provision.Read More
The adequate provision of social care is a major issue facing the UK. A near crisis has been triggered by the failures of privatised provision, aggravated by the austerity inflicted upon the NHS.
However, it is not just a question of providing enough care but also about developing new and different forms of care.Read More
This Policy Brief evaluates the proposal to establish a universal basic income as a solution to the problems of the modern welfare state or social protection system.Read More