Liberal Democrats

Liberal Democrat members pass NHS £1 billion funding commitment

Liberal Democrat members today overwhelmingly backed plans to commit an £1 billion real term investment in NHS.

The manifesto commitment will see the health service receive the extra £1 billion of real term funding in 2016/17 and 2017/18.

It will be funded by scrapping the Tory "shares for rights” scheme, increasing the dividend tax on additional rate taxpayers and tightening the cap on pension tax relief.

By passing the Public Services Policy Motion, the party also backed moves to ensure all children will be taught by a qualified teacher and follow a core curriculum.

It would reverse a Tory policy to exempt academies and free schools from employing qualified teachers and following the National Curriculum.

Chief Secretary to the Treasury Danny Alexander said:

“A comprehensive health service paid for by the taxpayer and delivered free at the point of need was a Liberal idea and is a central part of our vision of a stronger economy and a fairer society.

“We will raise this extra money from asking the better off to contribute a little more in tax. This Liberal Democrat commitment is fully and fairly funded.

“It is in stark contrast to the Conservatives who have explicitly stated they will target working people on lower incomes to carry the heaviest burden.

“And any Labour commitment on spending is fatally undermined by their deficit amnesia.”


Notes to Editors

Conference endorses policy paper 119, Protecting Public Services and Making Them Work for You, as a statement of Liberal Democrat policy on public services generally and especially schools, health and transport, and particularly welcomes its proposals to:

1. Realise the huge potential for services to work together more effectively for the benefit of users, not distracted by formal structural changes, through:
a) Enabling public authorities responsible for different public services in a local area, led by a democratically-accountable tier, to come together to form a local Better Outcomes Board, supported by financial incentives from central government, to share budgets and explore ways of working together to better meet the combined needs of local people.
b) Employing modern uses of information which have significant power to create innovative and improved services, but with the user controlling their own data and always having the opportunity to opt out of data-sharing; access to personal data must be strictly controlled; and where data is used for research purposes, it must be anonymized.
c) Applying Freedom of Information obligations to private providers of public services as well as to the public sector, and making contractual arrangements more transparent, including a presumption in favour of ‘open book accounting’ in contracts.
d) Investing in leadership, which is crucial to developing and improving public services, and helping services and users to benefit from a range of steps to promote movement over careers across different parts of public services, including combined cross-service leadership development.
e) Recognising that inspection regimes play an important part in ensuring accountability, but cannot themselves ensure good quality services, and must not be excessively burdensome.
2. Make services flexible enough to meet the specific needs of their individual users, through:
a) Giving individual users a formal right to request a specific flexibility in the service they receive, backed by mediation.
b) Where a sizeable proportion of users or the public for a private or other provider of a public service believe that the service is inadequate, providing for a ‘community trigger for change’,
through which they could require the responsible authority to conduct a full review of who provides the service, and how.
c) All providers of public services, whether public, private or voluntary:
i) Being genuinely accountable to their users and the wider public.
ii) Meeting common standards in employment standards, datasharing and equity of government funding.
iii) Respecting the values of public services.
iv) Being transparent and operating in good faith. And that where they meet this test, they should achieve the status of ‘Accredited Public Service’.
d) Using measures or targets with extreme caution, in a way that is very limited and focussed on helping the public understand whether a good service is being delivered, rather than burdensome, excessively numerous and focussed on internal processes.
3. Encourage public services to become increasingly pro-active in helping improve lives, for example in preventing illness, as well as of course meeting existing current needs, by:
a) Fully involving staff in designing services, and having a strategy for involving users as partners in delivery of services.
b) Supporting users in mutual support arrangements, including through allowing them to share ‘personal budgets’.
4. Apply these approaches to achieve improvements in schools, especially:
a) Recognizing the crucial importance of good quality teaching to educational attainment, by creating an Investing in Teaching package, including:
i) Supporting the creation of a Royal College of Teachers.
ii) Creating a Continuing Professional Development (CPD) entitlement for all teachers of 50 hours per year, as part of a robust CPD framework.
iii) Spreading established good models for leadership development and school-to-school improvement.
b) Ensuring every child is taught by a qualified teacher.
c) Continuing to ensure that there is no return to a split between academic and vocational qualifications at age 16.
d) Continuing the pupil premium which successfully targets £2.5 billion a year on the most disadvantaged children, and extending the early years premium.
e) Continuing to slim down the national curriculum, putting it under the responsibility of an independent Educational Standards Authority (ESA) and requiring all state-funded schools to teach the same core curriculum, a slimmed-down national curriculum.
f) Clarifying responsibility for improving poorly performing schools, including academies and free schools, with schools themselves, any academy chains or dioceses they are part of, and their local authorities, all responsible for improvement, and all inspected for this work by Ofsted.
g) Repealing the rule that all new schools must be free schools or academies.
h) Being clear that responsibility for planning schools places locally, and decisions about any new schools required and their organizational status, must lie with the democratically-accountable local authority.
i) Abolishing the new regional tier for oversight of schools, and ensuring local Headteacher Boards of successful local heads, accountable to their peers, provide assistance to schools in need.
j) Allowing local people, when they believe a school is consistently inadequate, to require the local authority to carry out a review of the school’s management.
k) Schools continuing to set their admissions policy, and to ensure that every child has a fair chance and be treated equally, the local authority being responsible for admissions to all publicly-funded schools in their area.
5. Apply these approaches to improve the NHS, which must remain free at the point of delivery, by:
a) Making the aspiration of ‘parity of esteem’ between mental and physical health a reality, through spreading good practice access standards for mental health services, supporting greater integration between mental and physical health, and moving towards equality of funding to reflect the respective health need.
b) Delivering better care by continuing to expand approaches to integrated care, building on the Pioneers scheme.
c) Reforming ‘tariffs’, to promote better care, particularly for people with long term conditions.
d) Ensuring easier access to GPs, through:
i) Expanding evening and weekend opening.
ii) More use of communication by modern technology when a face to face appointment is not necessary.
iii) Greater use of ‘federations’ of GP practices to provide better access to care, closer to home, including out of hours.
iv) Making full use of the potential of pharmacists.
v) Allowing you, if you wish to, to register with a GP near your work, instead of near your home.
e) Ending the role of the Competition and Markets Authority (CMA) in health, making the rules clear that the needs of patients will always come ahead of competition, and that services need not be put out to tender if local people are happy with them.
f) While recognizing the value of increasing choice and enabling innovation in services, ensuring that duties on commissioners of health care give a higher priority to reducing inequality, and integration of services, than to promoting competition.
g) Continuing to develop Health and Wellbeing Boards, to comprise more elected councillors on a politically proportional basis and from all relevant tiers, and increasingly take on more responsibilities, including if they wish to for commissioning local GP services, and to be able to amend the commissioning plan of local commissioners.
6. Apply these approaches to achieve improvements in sustainable local public transport, which has a crucial role to play, especially in rural areas, in maintaining communities where people want to live and work, and in ensuring fair access to other public services and other opportunities, through:
a) Creating minimum standards for frequency and access for local public transport.
b) Giving public authorities greater influence over transport in their area, especially by supporting them to create ‘Quality Contracts’ which could help to achieve good services to meet the needs of local people.
c) Supporting small-scale voluntary or other organisations to be able to provide flexible, local transport services.
d) Ensuring all new significant infrastructure or vehicles meet standards for disability access, including audiovisual information.
e) Allowing public bodies to bid for rail franchises.
f) Getting refunds for delays or difficulties paid automatically for longer rail journeys, and providing better services and compensation when ‘rail replacement’ arrangements are required.
g) Extending ‘smart ticketing’, to give greater convenience for passengers, automatic lowest fares, and greater linkages across transport modes and with other public services.
h) Ensuring providers make realtime information on their services available electronically, as Transport for London does.
i) Giving a discount of two-thirds of the cost of buses to 16–21 year olds.

Applicability: England only, except 1 b) (lines 32–37), 1 d) and e) (lines 42–49), 2 (lines 50–72) and 3 a) (lines 76–77) which are Federal, and 3 b) (lines 78–79), 6 a) (lines 160–161) and 6 e) (line 170) which are England and Wales.


Committing to £1bn further real terms investment in the NHS each year until our fiscal mandate is met in 2017/18, followed by sustained real term increases in funding once the deficit has been eradicated and debt is falling, paid for through an increase in dividend tax on additional rate taxpayers, a further tightening of the cap on pension tax relief and by scrapping the "shares for rights" scheme introduced by the Conservatives.

Permitting NHS commissioners and providers in a local area to form a single integrated health organisation, responsible for managing the provision and integration of NHS services in that area, subject to public consultation, endorsement by local Health and Wellbeing Board(s), built-in arrangements for rigorous evaluation of effectiveness, and approval by Monitor and the Department of Health.

Repealing those parts of the NHS Health and Social Care Act 2012, dealing with competition which make NHS services vulnerable to increased privatisation through international agreements on free markets in goods and services.


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