The NHS is a totemic institution in Labour’s history and that of the country, and voters care more about it than most things the government does. So the publication of Labour’s 10-year plan for health in England was a crucial opportunity for ministers to show that they are in tune with the public. Given that satisfaction with the health service has hit a record low of 21%, and doctors are again threatening to go on strike, the announcement was also a moment of peril – even before the damage suffered by the prime minister and chancellor earlier this week, when rebels forced a U-turn on planned cuts to welfare.
The overarching principles of Labour’s reforms were set out last year: more prevention, more technology, more care delivered in the community (as opposed to in hospital). So the challenge was to find something fresh, original and hopeful to say. The promise of science and the potential of localism are what Wes Streeting’s team has come up with. The strand of DNA pictured on the document’s cover points to high expectations of genomic medicine and other cutting-edge technology. Neighbourhood clinics, by contrast, represent a prosaic recognition of demand for more ordinary services and treatments, from an ageing and increasingly unhealthy population. The aim is to deliver most outpatient care away from hospitals by 2035.
