It is now more than a week since Parliament was dissolved and the General Election campaign is in full swing. A lot has already happened and the stakes for Britain could be not be higher.

Before I set out the choice before voters I just want to highlight a shameful act by the Tory leadership in the last days of Parliament to try and unseat the Speaker John Bercow. It was a deliberate secret ambush led by William Hague and Michael Gove with the Prime Minister and other Tory MPs whipped in to vote for a procedure they knew would end the Speaker's distinguished career. It was a mean shabby personal attack that thankfully failed but it speaks volumes of the nastiness of the Tories even to one their own.

So what of the choice before voters on 7 May? Firstly the question as to who would be the best Prime Minister has been turned on its head after impressive performances by Ed Miliband in the first Paxman interview and the ensuing Leaders' debate. Cameron in contrast looked nervous, rattled and ill prepared in the Paxman interview and then disengaged and disinterested in the Leaders' debate demonstrating an underlying lack of hunger and willingness to fight for the top job. Ed on the other hand has looked hungry, confident and assured.

Secondly the future of the NHS hangs by a thread in this election. Over the last five years the Tories have broken every promise they made about the NHS both nationally and locally. Their promise of no top down reorganisation of the NHS was swept aside by the Health and Social Care Act, arrogantly brought in by Andrew Lansley, that paved the way for more competition and privatisation and wasted £3bn on a needless bureaucratic change.

As highlighted this week by 150 senior Doctors the NHS infrastructure is being irreversible eroded with Hospitals, A&Es, Maternity Units and GP practices being closed and downgraded. We know this only too well in Ealing with Central Middlesex and Hammersmith A&Es already closed and the decision to close Ealing and Charing Cross A&Es already taken by the Tory Secretary of State. Ealing's maternity unit is also all but closed and in future no babies will be born in Ealing.

These closures are taking place against a back drop of a fast rising local population and a crisis in A&E with the worst waiting times on record and in the country here in Ealing. The crisis has been made worse by government cuts to Councils' social care budgets and the near impossibility to see a GP. It is all a very sorry state of affairs for our most cherished institution. The NHS can't survive another five years of the Tories!

Labour will repeal the Health and Social care act, guarantee a GP appointment in 48 hours and invest £2.5bn in the NHS to recruit 20,000 more nurses, 8,000 more GPs, 5,000 more care workers and 3,000 more midwives using money from a mansion tax and the tobacco companies.

Finally this election is all about ordinary people trying to make ends meet and survive the cost of living crisis. The Tory led government has presided over the slowest economic recovery in over 100 years and failed to remove the deficit as they promised. They have also increased taxes for ordinary people whilst giving a tax cut to millionaires. Ordinary families are £1300 a year worse off because of the Tory and LibDem government. If elected again the Tories will target ordinary families by hiking up VAT as they have always done and that is just for starters.

If Labour win on 7 May we will reverse the Tory millionaire tax cut and cut taxes for millions with a new 10p starting rate of tax, increase the minimum wage to £8 an hour, encourage employers to pay the Living Wage, tackle exploitative zero hour contracts and work to provide better paid jobs that allow ordinary people to escape poverty pay.

On all counts - leadership, the NHS and the cost of living - it will cost all of us dearly if Labour don't win on 7 May.