The Royal College of Nursing has overwhelmingly backed a motion of no confidence in Andrew Lansley's handling of the NHS reforms.
Delegates at the RCN conference in Liverpool voted 99% in favour of the motion as the beleaguered health secretary struggles to persuade the public of the merits of his health reforms.
The simple fact is that trade unions only really survive when you have monopoly, or close to monopoly provision. Once you have open competition, unions will always get wiped out because non-unionised businesses are more competitive. Lansley's reforms mean a quite rapid decline of the union.
The 1% of delegates are basically turkeys voting for Christmas.