Andrew Lansley
Andrew David Lansley, Baron Lansley is a British Conservative politician who previously served as Secretary of State for Health and Leader of the House of Commons. He was Member of Parliament for South Cambridgeshire from 1997 to 2015.
Lansley was born in Hornchurch, Essex, and studied Politics at the University of Exeter. He worked in the civil service before entering politics. He ran the Conservatives' campaign in the 1992 general election while at the Conservative Research Department, and later was Vice-Chairman of the Conservative Party at the 2001 general election.
Lansley was the Shadow Secretary of State for Health from 2004 until 2010, the Secretary of State for Health from 2010 until 2012, and Leader of the House of Commons from 2012 until 2014. As Health Secretary, Lansley was responsible for the government's controversial Health and Social Care Act 2012. In 2024 an independent report commissioned by the Government described the Lansley reforms as "a calamity without international precedent". Lansley announced his intention to stand down as an MP in 2015, and was awarded a life peerage in the 2015 Dissolution Honours. Following his career in Westminster, Lansley advised corporate clients on healthcare reforms.
Early life
Born in Hornchurch, Essex, Lansley was educated at Brentwood School and the University of Exeter, gaining a BA in politics. In 1977 while at Exeter University, Lansley was elected President of the Guild of Students, as a Tory Reform Group candidate.His father Thomas Stewart Lansley attended Tottenham County School. After the war his father attended a school reunion, which was important, as at that reunion he met Irene, the mother of Andrew Lansley, and were married in 1947. They had three sons. Thomas Lansley was at East Ham Memorial Hospital from 1955 to 1983. His father worked in a pathology laboratory, and became co-founder of the Council for Professions Supplementary to Medicine and President of the Institute of Medical Laboratory Scientists.
His father was awarded the OBE in the 1975 Birthday Honours. His father worked with the Bible Society. His mother died in 2014 in Hertfordshire.
Before entering politics, Lansley had "a promising career in the civil service". Lansley worked for Norman Tebbit for three years as his private secretary at the Department of Trade and Industry. This encompassed the period of the IRA's 1984 Brighton hotel bombing at the Conservative Party Conference in which Tebbit was seriously injured. Lansley and others have been praised by Tebbit for their support at that time.
Lansley went on to become more fully involved in politics. A member of the Social Democratic Party who joined the Conservatives after the SDP dissolved in 1988, he was appointed in 1990 to run the Conservative Research Department. He ran the Conservative campaign for the 1992 general election, which he describes as one of "his proudest career achievements" He suffered a minor stroke in 1992, initially misdiagnosed as an ear infection, but made a full recovery save for permanently losing his sense of "fine balance".
He was appointed a Commander of the Order of the British Empire for political service in the 1996 New Year Honours.
Member of parliament
Lansley sought to enter parliament and was selected for the South Cambridgeshire seat where he was subsequently elected as an MP in 1997. He immediately joined the House of Commons health select committee.At the 2001 election, he again took on a strategy role as a vice-chairman of the Conservative Party. As part of his duties, shadow ministers had to clear the timing of their announcements with Lansley. The 2001 election was not a success for the Conservative Party, and its leader William Hague resigned shortly afterward. Iain Duncan Smith, the new leader, offered Lansley a position following election but he turned this down and, until Michael Howard became Leader, Lansley was a backbencher.
Lansley was appointed a Privy Counsellor upon becoming health secretary on 13 May 2010.
Shadow cabinet
Following Howard's election as party leader, Lansley soon returned to the Conservative frontbench. He served as the Shadow Secretary of State for Health. In his post he developed policies centred on using choice to improve the National Health Service, and was author of a chapter in Dr Tempest's 2006 book The Future of the NHS.Cabinet minister
After becoming prime minister in May 2010, David Cameron named Lansley as Health Secretary in the Conservative/Liberal Democrat coalition government.On 4 September 2012, Lansley was moved to the positions of Lord Privy Seal and Leader of the House of Commons, which he retained until 14 July 2014. He was then replaced by William Hague, following Hague's surprise resignation as foreign secretary, and retired from the cabinet to the back benches, announcing the same day that he would not be seeking re-election to the House of Commons at the next election and would hope to find an international role. In the event, the election came on 7 May 2015, and until his appointment to the House of Lords in October Lansley was out of parliament.
Proposed health reforms
In November 2010, Lansley provoked controversy by factoring into public health related bills representations from fast food companies such as McDonald's, KFC and processed food and drink manufacturers PepsiCo, Kellogg's, Unilever, Mars and Diageo on obesity, diet-related disease and alcohol, said by campaign groups to be the equivalent of handing smoking policy over to the tobacco industry.In January 2011, ministers published the Health and Social Care Bill, detailing planned reforms that would pave the way for GP consortia to take over management of the NHS from primary care trusts. Prime minister David Cameron said "fundamental changes" were needed in the NHS.
But doctors' leaders believed that GPs could simply have taken charge of PCTs instead, and achieved the same results. The reforms were intended to pave the way for groups of GPs to take control of NHS budgets, with the consortia to take charge in 2013 of about 80% of the funding and of planning and buying everything, from community health centres to hospital services. However, some specialist services such as neurosurgery would be provided by a national board.
In a letter to The Times, British Medical Association chairman Hamish Meldrum, Royal College of Nursing chief executive Peter Carter, and the heads of the Unison and Unite unions, said the speed and scale of the reforms proposed risked undermining the care of patients by putting cost before quality. Criticism of the reforms had been mounting ahead of the publication of the Health and Social Care Bill on 19 January 2011.
Lansley's white paper on the NHS led to him being the subject of an unflattering hip hop track and video written by rapper NxtGen and poet Rob Gee, with the chorus "Andrew Lansley, greedy / Andrew Lansley, tosser / the NHS is not for sale, you grey-haired manky codger". It was picked up as one of the theme tunes to the anti-cuts movement and spawned placards at a March for the Alternative in March 2011. The video, partly paid for by Unison featured NxtGen rapping about Lansley's proposed GP commissioning policy, his part in the parliamentary expenses scandal, and a controversial donation he had received from private health company Care UK. Lansley responded with a statement that he was "impressed that he's managed to get lyrics about GP commissioning into a rap", but stated "We will never privatise the NHS".
Following the widespread criticism, on 4 April 2011, the Government announced a "pause" in the progress of the Health and Social Care Bill to allow the government to 'listen, reflect and improve' on the proposals.
In November 2011, Lansley faced more criticism when he appeared speaking on a video played at NHS patients' bedside in England, the continuous loop video was played to patients as the main free content on the Hospedia system. When asked by Tom Blenkinsop MP, Lansley replied that he received no payment and there was no cost to the taxpayer.
On 13 April 2011, 96 per cent of 497 delegates at the Royal College of Nursing conference backed a motion of no confidence questioning Andrew Lansley's handling of NHS reforms in England. Later that day, Lansley met with 65 nurses at the same conference, and apologised by saying "I am sorry if what I'm setting out to do hasn't communicated itself."
In May 2012, Lansley appeared at the Royal College of Nursing annual conference where he stated that although "the number of qualified nurses has gone down by nearly 3,000... clinical staffing levels overall have gone up by nearly 4,000". His comments at the conference were met with uproar from nurses and union members in the audience with heckling and some shouting "liar". The Royal College's general secretary, Dr Peter Carter criticised the health secretary's claim as being "nonsense that there's more clinical staff than there was two years ago is just incorrect" and later told the health secretary that currently "There is a great deal of unhappiness" amongst nurses and health care professionals, with a standing ovation from the audience.
On 28 June 2012, doctors meeting at a British Medical Association conference voted in favour of calling for Lansley's resignation.
Doctors voted in agreement of a motion stating "This meeting has no confidence in Andrew Lansley, the Secretary of State for Health, and calls for him to resign". In the meeting, Lansley was accused by the BMA of "breaching doctors' trust" over pension agreements, and was accused by Dr Gary Marlowe who tabled the motion that "during the election he misled the public and the profession" regarding the Health and Social Care Bill. Before voting, Marlowe also stated that "The Bill went through a stunning number of amendments and revisions. I believe the most of any Bill. How can we trust someone with such a poor record with our NHS?"
On 4 September 2012, Lansley was replaced in his role as health secretary by Jeremy Hunt, with Lansley becoming Leader of the House of Commons.
In the years that followed, the reforms remained the focus of criticism by both the medical profession and independent bodies.