SHA response to use of private health companies

Statement on Wes Streeting’s NHS proposals and acceptance of donations from John Armitage and MPM Connect

At the 2022 Labour Party Conference, the Health Composite Motion moved by the Socialist Health Association (“SHA”) stated that Labour would adopt “a position of outright opposition to and commit to vote against any and all forms of privatisation of the NHS” and “commit to returning all privatised portions of the NHS to public control upon forming a Government”. It also banned Labour MPs from accepting donations from private companies interested in outsourcing NHS functions. See Conference Arrangements Committee Report 4, page 12. Video.

The SHA’s motion was endorsed by a compositing process involving rank and file members, local constituency parties, trade unions, and the shadow front bench. The Labour Conference passed it unanimously.

The NHS is at breaking point after 12 years of Tory privatisation and outsourcing. It is therefore beyond disappointing that Shadow Health Secretary Wes Streeting has come out in favour of using private providers to bring down NHS waiting lists.

That is not the position democratically agreed at Labour Conference. And it is simply wrong, for the following reasons.

  1. It is simply wrong to say that the private sector has greater capacity to clear NHS backlogs. The people working in the private healthcare sector are, by and large, the same doctors and nurses who work in the NHS, and with the exception of the overseas health workers, the vast majority of them were trained in the NHS. Every hour of staff time devoted to private healthcare is an hour of staff time taken away from public healthcare for those who need it most.
  2. It is simply wrong to say that the private sector is more “efficient”. One example of this is that the Institute for Public Policy Research has found that Tony Blair’s Private Finance Initiatives cost the NHS almost £80 billion for only £13 billion of investment. The only party which benefits ‘efficiently’ from private finance is big finance – not patients.
  3. It is shameful that the Shadow Cabinet has failed to stand shoulder to shoulder with health unions in demanding fair pay and conditions for their members. The BMA has calculated that junior doctors have suffered a real pay cut of 26.1% since 2008 – meaning an exodus of qualified doctors driven out of the public sector just when patients need them most. Staff working conditions are patient treatment conditions.

The impetus for Labour’s ban on accepting donations from private companies interested in outsourcing NHS functions was a report that, in  2022, Wes Streeting accepted a £15,000 donation from hedge fund manager John Armitage. Mr Armitage’s fund owns shares worth more than half a billion dollars in UnitedHealth. UnitedHealth is America’s largest health insurer. It has spent millions of dollars lobbying US politicians against healthcare reform through seven different lobbying forms. This includes lobbying against the Affordable Insulin Now Act, which would guarantee supplies to insulin to diabetics who depend on it to survive. It is one of the largest profiteers from NHS outsourcing and one of the biggest potential beneficiaries of future privatisation.

It is therefore also beyond disappointing to see that Wes Streeting has accepted a further £60,000 from MPM Connect. Wes Streeting and the other recipients funds from MPM Connect (including Shadow Home Secretary Yvette Cooper and Mayor Dan Jarvis) should urgently confirm just what MPM Connect does; the terms under which they accepted a total of £340,000 from MPM Connect; just what MPM Connect expects in return; and whether its “investments in the employment sector” include further NHS outsourcing.

Accepting donations from private companies interested in NHS outsourcing creates an apparent conflict of interest, and undermines public confidence in Labour’s commitment to rebuilding a publicly owned and provided NHS.

We call on Keir Starmer and Wes Streeting to commit to the policy democratically agreed by the Labour Party – preventing further privatisation and immediately returning all privatised parts of the NHS to public ownership and control.

Mark Ladbrooke, SHA Chair
Harry Stratton,
SHA Secretary
Esther Giles, SHA Treasurer