Nurses for Reform

Nurses for Reform is a lobby group created in 2007 which gives the impression that within the nursing profession there is a groundswell of opinion for increased private involvement in the NHS.

It is run by Helen Evans, and her husband Dr Tim Evans, who in turn is the director of development of the Stockholm Network and a well connected networker within the world of right-wing neo-liberal think tanks.

In its early days in 2007 it had a rather small advisory board of three people, including Helen Evans husband Tim, Shane Frith (of the Doctors' Alliance) and Robert McIndoe, who at that stage was listed as being an 'RMN' or Registered Mental Nurse.

In 2007 Helen Evans was the only name mentioned on their website - throwing into doubt the claim that 'Nurses for Reform (NFR) is a growing pan-European network of nurses.' However their claim that they are 'dedicated to consumer-oriented reform of European healthcare systems' is a euphemism for privatisation of healthcare. This focus on consumer orientated reform of healthcare through the use of markets is identical to the policy preference of the Stockholm Network, of which Nurses for Reform is a member.

Comment and controversies

The following is an article by Tom Harris MP for labourlist.org:

Nurses for Reform and David Cameron: the unanswered questions

Last month, David Cameron spent an hour ensconced in a private meeting in his House of Commons office with Dr Helen Evans.

Dr Evans is the director of a right-wing libertarian “think tank” called Nurses for Reform, which, according to its website:

believes that the government should re-cast the NHS as simply a funder of last resort alongside an insurance and self-funder based market. It believes that the state should set free – through a range of full blown for and not-for-profit privatisations – all NHS hospitals and healthcare provision.

Following the meeting with Cameron, Dr Evans said:

I had been invited by him to discuss NFR’s ideas on the future of health policy and presented a range of ideas. Amongst others, these included the end of national collective pay bargaining for nurses and doctors, the view that the state should not own or have any of its agents manage hospitals, a world of widespread health advertising (to overcome problems of patient ignorance through trusted brands) and a dramatic liberalisation of hospital planning laws. On this latter point, central government should have no say in when and where any hospital is opened or closed.

If he becomes Prime Minister I have no doubt NFR will meet with him and his policy team again.

I share her confidence. If he becomes Prime Minister.

No doubt the Tory Party will claim that, as an aspiring PM, Cameron has to meet a whole range of opinion formers and interest groups across the NHS. Yet he has consistently stated that his party has changed, that it is no longer antipathetic to the NHS. “We’ll cut the deficit but not the NHS,” he told us, unconvincingly, this week.

So if his party really is committed to the values of the NHS, if he really has distanced himself from the cranks in his ranks who describe the NHS as “a 60-year mistake”, why on earth is he even meeting a group that advocates large-scale privatisation of the NHS? An organisation which criticises the American healthcare system for being "a highly planned, regulated and government funded system."

Interestingly, there is no mention on the NFR website of the presence of Shadow Health Secretary Andrew Lansley at the meeting. Did Cameron take the meeting on his own, and if so, why?

And please take a look at the links section on the NFR website. There you’ll find links to all sorts of NHS-friendly organiations such as The Adam Smith Institute, the Libertarian Alliance and (inevitably) the Taxpayers’ Alliance.

Dr Evans expounds her views over at the Adam Smith Institute site, in an article entitled “The micro-politics of hospital privatisation”, in which she calls for the NHS to be renamed the “National Health SYSTEM” (her capitalisation).

So what role will the NFR have on Conservative health policy if the Tories form the next government? Dr Evans seems to think that, following her meeting with the Tory leader, there will be some kind of role for her organisation.

I think we should be told.

And I think we should be concerned.

People

Advisory board, 2007

• Dr. Tim Evans - Senior Fellow, Centre for the New Europe | Shane Frith - Director, The Doctors’ Alliance | Robert McIndoe, RMN

Advisory Board, 2010

• Stuart Browning, Free Market Cure | Dr. Eamonn Butler, Adam Smith Institute | Dr. Tim Evans, Libertarian Alliance | Shane Frith, Progressive Vision | Ruth Lea, Global Vision | Robert LeFever, Blogger | Robert McIndoe, British Nurse | Mr. John Wilden MRCP, FRCS, Global Health Futures

Publications

In February 2010 the NfR website was prominently promoting a downloadable publication by Helen Evans, "Sixty Years On - Who Cares for the NHS?" (2008), which is published by the Institute of Economic Affairs. The gist of the publication is clear from the subhead to the first chapter: "Questioning the state’s role in healthcare". The second chapter is headed, "The historic failure of the National Health Service".

Contact

Nurses for Reform Who We Are (No longer live) Nurses for Reform Website

• Nurses for Reform Blog from 22 October 2006 to 8 August 2009.
• Nurses for Reform Blog from 22 October 2006 to present (January 2010)