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Public Services for All > Published by Shamik Das, October 12th 2011 at 7:45 am

Ten reasons peers should vote against Lansley’s anti-NHS bill

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This afternoon, peers will vote on amendments to the health and social care bill – a bill that threatens to destroy our NHS as we know it. The bill is currently at the second reading stage in the House of Lords, which debated the bill long into the night and will resume debate this morning at 11.

NHS-protests-our-health-service-is-not-for-saleAt about 1:45 today, members will vote on Labour peer Lord Rea’s motion:

“This House declines to give the bill a second reading, in the light of the statement in the Coalition Agreement that ‘we will stop the top-down reorganisations of the NHS that have got in the way of patient care’.”

If this vote is successful, the bill would go no further in the House of Lords and could not pass into law in this session of Parliament.

If unsuccessful, as seems likely, peers will then vote on former Labour health minister Lord Owen’s amendment, at approximately 2:30, which states:

“A Select Committee shall be appointed to examine and make recommendations to the House on the issues raised by the 18th Report of the Constitution Committee, namely the Government’s and Parliament’s constitutional responsibilities with regard to the NHS, in particular to clarify (a) the extent to which the Secretary of State remains responsible and accountable for the comprehensive health service, and (b) individual Ministerial responsibility to Parliament, and to report on the extent to which legal accountability to the courts is fragmented…

“This House requests that the services of Parliamentary Counsel be available to the Committee; and that the Committee shall report no later than 19 December 2011.”

Were this amendement – which refers the entire bill to a select committee for what would be a line-by-line deconstruction – to pass, it would effectively kill the bill, something the Secretary of State conceded late last night; any changes would have to be reconciled with the version the Commons passed, which the Tories just would not accept.

Here are Left Foot Forward’s ten reasons why peers should vote with the consciences, vote for the amendmemts, and vote to save our NHS:

1). It leads to a conflict of interest for GPs, incentivsing them to not NHS-commission services they can provide privately;

2). Market-based systems are more expensive;

3). There will be more bureaucracy;

4). You should not reform during austerity;

5). Look at who is backing it – and who is not;

6). It is expensive to carry out the reform;

7). It will remove the Secretary of State’s responsibility to provide;

8). GPs should be doctors not entrepeneurs – a crucial part of what Lord Owen called yesterday ‘the pool of altrusim’ in the NHS;

9). This will kill collaboration; and

10). There is no mandate – from either coalition party, from either party manifesto, or, as Lord Rea says, from the coalition agreement.

The success or failure of the bill, the continued success or future failure of the NHS, will be determined by Liberal Democrat peers, for whom it is crunch time: do they stand shoulder-to-shoulder with Nick Clegg or the NHS?

As this morning’s Guardian puts it:

In two crunch votes in the Lords on Wednesday, Liberal Democrat peers in particular must decide whether loyalty to their leader requires acquiescence in a botched law which he says was the best deal he could get…

As health budgets are squeezed, it will be more important than ever to have clarity on the underlying principles, such as where the buck stops. The coalition might have hoped to evade blame for problems that arise from the financial climate, but after the ruinous row over these reforms, every dropped bedpan will inevitably reverberate back to Whitehall – whether that is desirable or not.

The descendants of a liberal party which helped to found the NHS now must decide whether they are prepared to risk a row to defend it. Capitulation here could carry a higher price than raising student fees.

The stakes really are that high.

Liberal Democrat peers must join their Labour and crossbench colleagues, do the right thing, stand up for the voiceless, the poor and the unwell, stand up to Nick Clegg and the Conservatives, say no to the reforms and vote, vote, vote to save the NHS.

See also:

• Lord Owen: NHS is under threat like never before – Alex Hern, October 11th 2011

• UK Uncut: Stop the traffic to stop the NHS being run over – Tim Holmes, October 7th 2011

• Second reading of NHS bill offers a second chance to kill it – Alex Hern, October 6th 2011

• The two faces of NHS reform – Tamasin Cave, September 7th 2011

• Cameron’s fantasy list of NHS reform backers – Shamik Das, September 7th 2011

• Safe in Cameron’s hands? Waiting times for treatments, tests, and A&E all up – Shamik Das, September 4th 2011

• Exposed: Lansley’s NHS reform cheerleaders – Tamasin Cave, March 16th 2011

  • http://twitter.com/therightarticle/status/124020774741876736 Michael

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  • http://twitter.com/kaalgroup/status/124021161817407489 KAAL Group

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  • http://twitter.com/benleto/status/124021498653573120 Ben Leto

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  • http://twitter.com/jonathanpsadler/status/124024512953069568 Jonathan Sadler

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  • http://twitter.com/ropercarl/status/124025317324111872 Carl Roper

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  • http://twitter.com/labour_dave/status/124026249801768961 David Marsden

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  • http://twitter.com/danielelton/status/124028227294474240 Daniel Elton

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  • http://twitter.com/danielelton/status/124028344558813185 Daniel Elton

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  • http://twitter.com/danielelton/status/124028400385011712 Daniel Elton

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  • http://twitter.com/danielelton/status/124028498175197184 Daniel Elton

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  • http://twitter.com/danielelton/status/124028537492619264 Daniel Elton

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  • http://twitter.com/jamesanthonyrn/status/124028811443580928 James Anthony

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  • http://twitter.com/unisonournhs/status/124029450403840000 UNISON Health

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  • http://twitter.com/danielelton/status/124029722043744257 Daniel Elton

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  • http://twitter.com/danielelton/status/124029891460079616 Daniel Elton

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  • http://twitter.com/richardjmurphy/status/124030201280729088 Richard Murphy

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  • http://twitter.com/deardaveandnick/status/124030302338301952 Bern O’Donoghue

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  • http://twitter.com/johnwest_journo/status/124030435033489409 John West

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  • http://twitter.com/dianehain/status/124030490595442688 Diane Hain

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  • http://twitter.com/danielelton/status/124030590495367168 Daniel Elton

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  • http://twitter.com/khalldearn/status/124030631746347008 K Halldearn

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  • http://twitter.com/double_karma/status/124030725690372096 Double.Karma

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  • http://twitter.com/cretinate/status/124032006823739392 Aaron Chandra

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  • http://twitter.com/lisaansell/status/124033001515520000 Lisa Ansell

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  • http://twitter.com/lisaansell/status/124033215085285376 Lisa Ansell

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  • http://twitter.com/nellbridges/status/124033232869134336 Nell Epona Bridges

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  • http://twitter.com/unisonhousing/status/124033616358555648 UNISON Housing Assoc

    Ten reasons peers should vote against Lansley’s anti-NHS bill- read this & then contact a Lib Dem or Cross bencher… http://t.co/mLztRVXd

  • http://twitter.com/samanthaj494/status/124033735996878848 Samantha Johnston

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  • http://twitter.com/double_karma/status/124034248540819456 Double.Karma

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  • http://twitter.com/suey2y/status/124034611851436032 Sue Marsh

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  • http://twitter.com/notforme999/status/124034857511821313 S.Worrall

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  • http://twitter.com/double_karma/status/124035051926208512 Double.Karma

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  • http://twitter.com/susanturner8/status/124035194268295168 sue turner

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  • http://twitter.com/n_l_a_t/status/124035390045814784 NobodyLikesATory

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  • http://twitter.com/carerwatch/status/124036179439001602 Rosemary

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  • http://twitter.com/sandyd68/status/124036435216056321 sandy

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  • http://twitter.com/creativecrip/status/124036573732937728 TheCreativeCrip

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  • http://twitter.com/danielelton/status/124037077926019072 Daniel Elton

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  • http://twitter.com/danielelton/status/124037124172427264 Daniel Elton

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  • http://twitter.com/croydonfeed/status/124037943257079808 Croydon feed

    Why The Peers should kill the bill: http://t.co/BSUrujHj . Makes sense to me. #Croydon #Labour http://t.co/dSx7f88n

  • http://twitter.com/danielelton/status/124038805102665728 Daniel Elton

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  • http://twitter.com/danielelton/status/124038855392370688 Daniel Elton

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  • http://twitter.com/markfergusonuk/status/124038899914911744 Mark Ferguson

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  • http://twitter.com/bevaniteellie/status/124039097567289344 Ellie Gellard

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  • http://twitter.com/ppukscuzz/status/124039562325532673 Will Mac

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  • http://twitter.com/chrispurser/status/124039714444550144 CHRIS PURSER

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  • http://twitter.com/tonyjoneslab/status/124039765510209536 Tony Jones

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  • http://twitter.com/falseecon/status/124039772258832385 False Economy

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  • http://twitter.com/frankowen999/status/124039996507299840 frank owen

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  • http://twitter.com/swithinfry/status/124040755877654528 Swithin Fry

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  • http://twitter.com/primevalmudd/status/124040846332010496 Dave Plummer

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  • http://twitter.com/pcs_euston/status/124040850647949312 pcs_euston

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  • http://twitter.com/camdenunited/status/124040856708714496 Camden United

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  • http://twitter.com/ronisgreat/status/124041049235660800 Ronnie

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  • http://twitter.com/daveyst143/status/124041085508005888 Silas Dogood

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  • http://twitter.com/tamworthtalks/status/124041183449202688 Tamworth Talks

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  • http://twitter.com/pcmcreative/status/124041686992158720 Caron (CJ) Lyon

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  • http://twitter.com/willsheaney/status/124041926759559168 Wills Heaney

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  • http://twitter.com/johannabaxter/status/124042528155631616 Johanna Baxter

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  • http://twitter.com/unisonnurses/status/124042776433270784 Adams

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  • http://twitter.com/asitseemstome/status/124043097175891968 Fiona McMahon

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  • http://twitter.com/daniel_orton/status/124043653520957440 Dan

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  • http://twitter.com/cormacholly/status/124043816821981185 Cormac Hollingsworth

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  • http://twitter.com/studentsw_katie/status/124043955103989761 Katie

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  • http://twitter.com/studentsw_katie/status/124043955103989761 Katie

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  • http://twitter.com/howardricketts/status/124044069847564288 Howard Ricketts

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  • http://twitter.com/howardricketts/status/124044069847564288 Howard Ricketts

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  • http://twitter.com/hopbin/status/124045001503154176 James Maddison

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  • http://twitter.com/hopbin/status/124045001503154176 James Maddison

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  • http://twitter.com/ladycatlover/status/124045054976335873 Maggie W

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  • http://twitter.com/ladycatlover/status/124045054976335873 Maggie W

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  • http://twitter.com/amandakendal/status/124045654329790464 Amanda Kendal

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  • http://twitter.com/pinners/status/124046981055258624 pinners

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  • http://twitter.com/yrotitna/status/124047654811484160 Juan Voet

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  • http://twitter.com/benedictleigh/status/124049588347871232 Benedict Leigh

    Ten reasons peers should vote against Lansley's anti-NHS bill. http://t.co/ATBP4Ryg

  • http://twitter.com/jeffreynewman/status/124050770168512512 Jeffrey Newman

    @richardJMurphy See @leftfootfwd's 10 reasons to vote against the NHS bill – complete with hyperlinks!!!: http://t.co/T87KB4vM #saveourNHS

  • http://twitter.com/richerde/status/124053789761208320 Richard Eason

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  • http://twitter.com/trouper29/status/124054690525741056 Alice Murphy

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  • http://www.chatten.me.uk/?p=4115 NHS reforms vote: Andrew Lansley pleads to peers to support controversial bill – Daily Mail | Chatten Me UK

    [...] vote today. Health Secretary Andrew Lansley faced the humiliation of touring the House …Ten reasons peers should vote against Lansley's anti-NHS billLeft Foot ForwardLords set to vote on NHS reformsThe GuardianPeers vote on health bill delayBBC [...]

  • http://twitter.com/maryxmaguire/status/124058298889666560 Mary Maguire

    @MaryxMaguire See @leftfootfwd's 10 reasons to vote against the NHS bill – complete with hyperlinks!!!: http://t.co/T87KB4vM #saveourNHS

  • http://www.leftfootforward.org/2011/10/opposition-day-debate-labour-five-poind-plan-for-jobs/ Commons to vote today on Labour’s five-point plan for jobs | Left Foot Forward

    [...] the Lords votes today on the coalition’s controversial NHS reforms, in the other place, it will be all about the [...]

  • http://twitter.com/manicuredsteph/status/124063887699095552 Stephanie Nuttall

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  • http://twitter.com/virginiamoffatt/status/124064527779237888 Virginia Moffatt

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  • http://twitter.com/enchantedattic1/status/124067686991925248 Enchanted Attic

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  • http://twitter.com/virginiamoffatt/status/124068942011572224 Virginia Moffatt

    @richardJMurphy See @leftfootfwd's 10 reasons to vote against the NHS bill – complete with hyperlinks!!!: http://t.co/T87KB4vM #saveourNHS

  • http://twitter.com/diyamukarji/status/124069411521970176 Diya Mukarji

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  • http://twitter.com/saraelias55/status/124071396526669824 sara

    Ten reasons peers should vote against Lansley’s anti-NHS bill: http://t.co/znoQwqBZ by @ShamikDas #SaveTheNHS #SaveOurNHS

  • http://twitter.com/suziebells/status/124071818628841472 Susan Hoath

    V good. #peerpressure RT @danielelton: @BevaniteEllie See @leftfootfwd's 10 reasons to vote against the NHS bill http://t.co/jSKYauDj

  • http://twitter.com/lhsi/status/124097471751262208 Simon Baldwin

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  • http://twitter.com/gdnlocalgov/status/124106696422473729 GdnLocalGov

    @leftfootfwd notes ten reasons peers should vote against #healthandsocialcare bill today: http://t.co/6m6sygxi

  • http://twitter.com/hannahfearn/status/124106698188275712 Hannah Fearn

    @leftfootfwd notes ten reasons peers should vote against #healthandsocialcare bill today: http://t.co/SsWvjp5Y

  • http://twitter.com/ssiah_a/status/124108331831930880 Lindsay Ashford

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  • http://twitter.com/shamikdas/status/124109286396801024 Shamik Das

    In the Lords, Lord Rea's amendment falls, by 324-220 – nxt up, the vote on Lord Owen's amendment – see http://t.co/W8vdlsW9 for details

  • http://twitter.com/jos21/status/124109476105158656 Jos Bell

    In the Lords, Lord Rea's amendment falls, by 324-220 – nxt up, the vote on Lord Owen's amendment – see http://t.co/W8vdlsW9 for details

  • http://twitter.com/johannatc/status/124111103969079296 Johanna Thomas-Corr

    In the Lords, Lord Rea's amendment falls, by 324-220 – nxt up, the vote on Lord Owen's amendment – see http://t.co/W8vdlsW9 for details

  • http://twitter.com/loopylisa/status/124122500564140033 Lisa Edwards

    Ten reasons peers should vote against Lansley’s anti-NHS bill: http://t.co/znoQwqBZ by @ShamikDas #SaveTheNHS #SaveOurNHS

  • http://twitter.com/sapiencedowne/status/124135412624146433 Melanie Branton

    RT @leftfootfwd: Ten reasons peers should vote against Lansley’s anti-NHS bill http://t.co/987ye2wJ

  • http://twitter.com/primevalmudd/status/124211420853305344 Dave Plummer

    @MotherVintage >> Ten reasons peers should vote against Lansley’s anti-NHS bill | Left Foot Forward http://t.co/UJgZ5NJd

  • http://twitter.com/shamikdas/status/124603417372000257 Shamik Das

    Here's why the Lords should've killed #Lansley's anti-NHS bill: http://t.co/W8vdlsW9 #BBCQT

  • http://www.leftfootforward.org/2011/10/dr-phil-hammond-andrew-lansley-nhs-reforms-question-time/ Lansley told to his face why his NHS reforms are wrong, wrong, wrong | Left Foot Forward

    [...] also: • Ten reasons peers should vote against Lansley’s anti-NHS bill – Shamik Das, October 12th [...]

  • http://www.leftfootforward.org/2011/10/tory-nhs-policy-makes-waiting-times-48-per-cent-worse/ First Tory policy on the NHS makes waiting times 48% worse | Left Foot Forward

    [...] Ten reasons peers should vote against Lansley’s anti-NHS bill – Shamik Das, October 12th [...]

  • http://www.leftfootforward.org/2011/10/look-left-14-10-11/ Look Left – Cameron bids Fox ‘thank you and goodbye’ | Left Foot Forward

    [...] Owen’s amendment, which would have referred the health and social care bill to a select committee for a line-by-line [...]

  • http://twitter.com/londoniww/status/124915412608622592 London IWW

    Ten reasons peers should vote against #AndrewLansleyTosser’s anti-#NHS bill http://t.co/Ff7tiFrk | #SaveTheNHS #NHS #KeepOurNHSpublic

  • http://www.leftfootforward.org/2011/11/how-tories-wrecked-the-nhs-but-learnt-to-love-targets-too-late/ How Tories wrecked the NHS (but learnt to love targets (too late)) | Left Foot Forward

    [...] Ten reasons peers should vote against Lansley’s anti-NHS bill - Shamik Das, October 12th [...]

  • http://www.leftfootforward.org/2011/12/life-in-the-lords-logjam-may-be-death-for-the-health-bill/ Life in the Lords logjam may be death for the health bill | Left Foot Forward

    [...] Ten reasons peers should vote against Lansley’s anti-NHS bill - Shamik Das, October 12th [...]

  • http://www.leftfootforward.org/2012/02/conhome-drop-the-health-bill/ ConHome: Neuter the Health Bill | Left Foot Forward

    [...] Ten reasons peers should vote against Lansley’s anti-NHS bill – Shamik Das, October 12th [...]