Tag: NHS privatisation

People’s March For The NHS And More – 2014

On Saturday 6th September I was in London mainly to cover the final stage of the People’s March for the NHS which had begun in mid August in Jarrow, but also photographed Mourning Mothers of Iran, people on a Rolling Picket against Israeli violence and a protest against children being taken for families by social workers and family courts.

People’s March from Jarrow for NHS

When the NHS was founded back in 1948 it was an integral part of the welfare state, a social welfare policy to provide free and universal benefits. It was opposed at its start by the Conservative Party, and met with opposition from some doctors and other medical professionals worried that it would cut their earnings from private practice.

Particularly because of the opposition from doctors, the initial scheme had to be fairly drastically changed, with compromises being made by Minister for Health Aneurin Bevan. And dentistry was never really properly and fully brought withing the system.

Since 1948 much has changed. We’ve seen a huge growth in private hospitals, partly driven by many employers providing private healthcare schemes as a perk for their better paid employees, but also by public funding being used to pay for NHS services provided by the private sector.

We’ve also seen the introduction of charges for NHS prescriptions and more recently the NHS has decided on a fairly wide range of common conditions for which it will no longer provide treatment or prescriptions, sending people to the chemist for both advice and over the counter medicines.

There have been huge advances in medical science too, and more of us are living to a greater age than ever before, making more demands on the NHS. Our NHS is costing more, though still the total spending on health in the UK is significantly less than in many other countries as an OECD chart on Wikipedia shows – less than Japan, Ireland, Australia, France, Canada, Belgium, Luxembourg, Denmark, Sweden, Austria, Netherlands, Germany, Norway and Switzerland – and well under half of that in the USA.

Yet for some years many leading Conservatives have advocated the UK moving to a system based on the US model. It would not make our health any better, but would make it much more expensive. And lead to huge profits for healthcare companies – many of them US-based – which are already beginning to take large bites of our own NHS spending. Involving private companies in providing NHS services has not generally led to better services – and in some cases has certainly made them worse, unsurprisingly as it diverts money to shareholders rather than using it for patients. Some services have become more difficult to access.

GP surgeries have always been private businesses, but when these were run by the doctors they provided more personal services than those run by some private companies where patients are unlikely to see a ‘family doctor’ and far more likely to see a locum – if they can still get an appointment. The NHS also spends over £6bn a year on agency and bank staff which would be unnecessary if we were training enough staff.

The need to put services out to tender is time-consuming and wastes NHS resources, one of several things which has produced a top-heavy management. And accepting low tenders often leads to poorly performing services such as cleaning, as I found when I was in my local hospital and found staff simply were not allowed time to do the job properly.

The Health and Social Care Act 2012 was the most extensive reorganisation of the NHS to that date and Lansley has been widely seen as getting things wrong, and it replaced the duty on the NHS to provide services with one to promote them, with delivery possibly by others, opening up the entire health service to privatisation.

I walked with the marchers from a rally in Red Lion Square to Trafalgar Square where there was a final rally with speakers including Shadow Secretary of State for Health Andy Burnham and London Mayor Sadiq Kahn. In 1936 the Jarrow Crusade marchers in 1936 – who were shunned by the Labour Party but captured the hears of the British population – had been given a pound, along with a train ticket back to Jarrow, but failed to get any significant action from the government and Jarrow was left without jobs. Those marchers who had walked the whole 300 miles from Jarrow were presented with medals incorporating a pound coin.

People’s March from Jarrow for NHS

Mourning Mothers of Iran – Trafalgar Square

On the North Terrace of Trafalgar Square I found a group of mainly Iranian women standing in a silent vigil to support the Mourning Mothers of Iran.

Now renamed The Mothers of Laleh Park, these are women who hold vigils in the park in the centre of Tehran after their children were killed or imprisoned following a crackdown on members of the opposition after the 2009 Iranian election, and call for the release of political prisoners. Many of the women in Iran have been arrested for protesting and for talking to foreign journalists.

Mourning Mothers of Iran

Rolling Picket against Israeli violence – Downing St

At Downing Street I photographed a group protesting against Israeli violence towards Palestinians and clalling for a boycott of Israeli good.

After a brief protest at Downing St they marched up Whitehall and protested outside McDonalds before going for another short protest outside the Tesco facing Trafalgar Square. Police intervened to move them away when they tried to block the doorway there. I left them on their way to make further protests outside shops supporting Israel on their way to Tony Blair’s house off the Edgware Rd.

Rolling Picket against Israeli violence

Stolen Children of the UK – Parliament Square

This group say that many children in the UK are removed from families by social workers and family courts for no good reason. They allege that there is systematic, systemic institutional abuse of around a thousand children a month being removed in this way and then abused by paedophile rings. Although there may be children wrongly taken from families there appears to be no firm evidence for such abuse.

These conspiracy theories are a world-wide phenomenon and in 2017 became the core belief of QAnon, the US extreme right wing conspiracy theory political movement.

Stolen Children of the UK

NHS and Housing Marches in East London, 2014

NHS and Housing Marches in East London, 2014

Save our Surgeries on NHS 66th Birthday – Whitechapel

The National Health Service came into operation in the UK on 5th July 1948, established by a Labour government despite considerable opposition from the Conservative Party and some doctors’ organisations. In most recent years there have been protests marking the anniversary against the increasing privatisation of the system, large parts of which have now moved away from being provided by the NHS itself to being provided by private companies, motivated by profits rather than public service.

The opposition to Aneurin Bevan’s plans in the 1940s led to a number of compromises, but the NHS was launched with three basic principles – to meet the needs of everyone, to be free at the point of delivery, and to be based on clinical need rather than the ability to pay. Although those principles remain, there are some respects in which they are not entirely met.

Prescription charges – currently £9.35 per item – were introduced in England in 1952, removed from 1965-8 but then re-introduced, remaining free for under-16s and over 60s, with some other exceptions. And we pay too for NHS dentistry, and many people find it impossible to get dental treatment under the NHS as no practice in their area will take them on.

Access to GPs and other services at surgeries around the country is also much more difficult for many, and it can be difficult or impossible to get an appointment in a timely fashion. Many services dealing with relatively minor medical issues are no longer available, and people have either to pay for them or continue to suffer. Some of these problems have been exacerbated by the take-over of many surgeries by healthcare companies as a part of the creeping privatisation of the NHS.

Twenty years ago, when I had a hospital stay of several weeks, hospitals have been forced to put some essential services – such as cleaning – out to tender, resulting in two of the three hospitals I was in being in filthy conditions.

In 2014, cuts in funding were threatening the closure of surgeries in Tower Hamlets as they failed to pay for the extra needs faced in inner-city areas. Local hospitals were also threatened, particularly because of the huge debts from PFI contracts for the building an management of new hospitals. The deals with the private sector made under New Labour have left the NHS with impossible levels of debt – and the companies involved with high profits, continuing in some cases for another 20 or 30 years.

After a short rally with speakers including the local mayor and MP as well as health campaigners including local GPs, there was a march by several hundreds to a larger rally in Hackney. But I left the marchers shortly after it passed Whitechapel Station.

Save our Surgeries on NHS 66th Birthday

Focus E15 March for Decent Housing – East Ham

Earlier I had been to photograph a march through East Ham and Upton Park in a protest over the terrible state of housing in England, and in London in particular. The event had been organised by Focus E15 Mums with the support of Fight Racism Fight Imperialism, but included many other protest groups from Hackney, from Brent and from South London on the march as well as groups including BARAC, TUSC and others.

They included a number of groups who had stood up and fought for their own housing against councils lacking in principles and compassion who had suggested they might move to privately rented accommodation in Birmingham, Hastings, Wales or further afield, but who had stood their ground and made some progress like the Focus E15 Mothers.

Many London councils are still involved with developers in demolishing social housing and replacing it with houses and flats mainly for high market rents or sale, with some “affordable” properties at rates few can afford, and with much lower numbers than before at social rents. Many former residents are forced to move to outer areas of London in what campaigners call ‘social cleansing’.

Families that councils are under a statutory duty to find homes for are often housed in single rooms or flats, sometimes infected by insects or with terrible damp, often far from their jobs or schools. Councils are under huge pressure and funding cuts sometimes make it impossible for them to find suitable properties, though often there are empty properties which could be used, particularly on estates such as the Caarpenters Estate in Stratford which Newham had been emptying since around 2004 in the hope of redeveloping.

Government policies and subsidies for housing have largely been a way of subsiding private landlords, and we need national and local governments – as I worte ” determined to act for the benefit of ordinary people, making a real attempt to build much more social housing, removing the huge subsidies currently given to private landlords through housing benefit, legislating to provide fair contracts for private tenants and give them decent security – and criminalising unfair evictions.” Housing really is a national emergency and needs emergency measaures.

Much of what is currently being built in London is sold to overseas buyers as investments and often left empty as its owners profit from the rapid rises in property values in London. We need to make this either illegal or to impose heavy duties on overseas owners including increased council taxes on empty properties.

The march attracted considerable attention on the streets of East London, and as I note several motorists stopped to put money in the collection buckets – something I’ve never seen happen before. I left the march as it reached East Ham Station to go to the NHS event.

Focus E15 March for Decent Housing

Junior Doctors, Ugandan Election, Benefit Sanctions

Junior Doctors, Ugandan Election, Benefit Sanctions. Three protests I photographed on Wednesday 9th March 2016

David Clapson, one of many victions of inhumane Tory policies

UCH rally for Junior Doctors Strike

Junior doctors were on a one day strike against the imposition of unfair contracts which they say are unsafe and they were joined by other trade unionists on the picket line at University College Hospital on Euston Road.

Later in the morning came the rally opposite the hospital I photographed when other health workers and NHS activists came to support them, and also to oppose the axing for NHS student bursaries and the creeping privatisation of the NHS.

Ugandans protest rigged Presidential Election

Elections had been held in Uganda in February 2016, and international observers reported widespread fraud and irregularities with opposition politicians being arrested, voters intimidated and many polling stations reporting results very different to the actual votes cast.

The protesters called on the UK not to recognise Museveni as the legitimate President of Uganda and for the immediate release of Dr Besigye and other political prisoners, as well as action against those responsible for torture.

The protesters, who included the African LGBTI Out & Proud Diamond Group and Peter Tatchell Foundation were clear that Museveni had lost the election to his challenger Besigye, and having held a high-spirited protest outside the Ugandan High Commission on the corner of Trafalgar Square marched down to deliver a letter to Downing St.

Unite against Benefit Sanctions

Demonstrations were taking place at over 70 job centres across the country against the use of benefit sanctions. Many claimants lose benefits for trivial reasons and for events beyond their control and are left without support. Some are sanctioned for arriving a few minutes late because of traffic congestion or for missing appointments they have not been informed about. I photographed a protest called by Unite Community members outside the ministry responsible for the policy, the DWP in Caxton St, Westminster.

Sanctions mean people lose benefits and are left destitute. Despite government denials at least 95 deaths are known to have resulted from these sanctions and without the efforts of the many food banks the figure would be much higher.

Some campaigners see the use of sanctions as a deliberate and successful attack on the unemployed and disabled by minister Iain Duncan Smith who is responsible for those working for the DWP being given incentives and targets for causing maximum misery and they label him ‘Minister for Euthanasia’.

David Clapson – Sanctioned to Death

Among those at the protest at Caxton House was Gill Thompson, the sister of David Clapson, a diabetic ex-soldier who died starving and destitute because he was penalised by the Job Centre for missing a meeting. She delivered a petition calling for an inquest into his death and an end to unfair benefit sanctions which leave claimants without support. Over 200,000 people have signed this and a related petition.

Why we are short of Nurses

Why we are short of Nurses
On January 9th 2016 I took the pictures shown here of a rally and march against the axing of bursaries for student nurses and midwives. The current huge surge in hospitalisation of Covid victims as Omicron rages through the nation has highlighted the huge shortage of qualified medical people in the NHS at all levels.

For years, but increasingly since the Tory-led coalition came to power in 2010, there have been huge shortages, with the NHS having to recruit from overseas – including from many poorer countries which are even more short of staff than the UK.

We have of course been bringing in nurses and doctors from abroad for many years – at least from the 1950s – rather than training enough from our own population. It has never been that there were not enough young people who want to be nurses and doctors – and in my years as a teacher I taught quite a few suitable young men and women who were well qualified but failed to gain admission to medical schools where there were perhaps 12 applicants for every place.

Hospitals have also become hugely reliant on agency nurses rather than directly employed staff, partly because of relatively low pay, but also because of a lack of self-defeating lack of flexibility by underfunded NHS hospitals which actually results in increased costs.

But for training nurses, the Tory government really messed things up in 2016 by removing the training bursaries for NHS nurses and midwives. Unlike other students they perform essential work for the NHS in hospitals caring for patients as an integral part of their courses, which makes it virtually impossible for them to undertake other part-time employment during their studies.

And in 2017 things got even worse and nursing students have had to pay tuition fees in the same way as other university students, leaving them with large loans to pay off when they complete their courses and go into employment.

Len McClusky, General Secretary of Unite next to a Unison banner

In 2020 the Royal College of Nursing published a report Beyond the Bursary: Workforce Supply which makes the point that at the start of the pandemic there were almost 40,000 nursing vacancies in the NHS in England alone, and called on government to develop a fully funded workforce strategy and aim for “an oversupply of nurses given years of underinvestment and the growing needs of our population.“

The report notes that following the removal of the bursary there was a 31% drop in applicants for nursing courses, and over 4% fewer being accepted. Where we needed and increase in numbers being trained due to the shortage, government policies directly produced a decrease.

The RCN called on the government to abolish the tuition fees for nursing courses and reimburse the fees for those students affected by the removal of the bursary. And although the welcomed the decision to bring back an annual maintenance grant of £5000 for nursing students (£8,000 for some difficult to recruit specialities) from September 2020 they asked for that to be increased to a level that reflects the actual cost.

Of course the pandemic has made things worse. Some have died from Covid, partly as a result of the failure to provide effective protective clothing – and those contracts given to Tory mates with no experience in the field while some established companies failed to get orders. Many among those who recovered from Covid continue to suffer its after-effects – ‘long-Covid’. Others have simply been exhausted by overwork – and this is “a workforce that felt undervalued, unrewarded and where one in three were nearing retirement age.”

Brexit too has taken its toll, both with nurses from European countries leaving the UK and the failure of our government to respect the early promises it made to EU citizens working in the UK has not helped. Brexit and the continuing squabbles by the government over the treaty it signed is also a deterrent to people to now come and work here.

The shortage of nurses – and other medical staff – is a direct result of government policies. Not just the Tories but also of Labour under Blair and Brown, and is a part of the slow sabotaging of the NHS as a part of a policy of creeping privatisation that has been underway since at least the Thatcher years, though vastly accelerated since 2010. Unfortunately it isn’t as one placard states that the Tories are short-sighted, but that they are playing a long game to undermine our National Health Service.

More pictures on My London Diary:
NHS Bursaries March
NHS Bursaries rally before march

A Busy 10th October – 2014

Solidarity for Care UK Strikers

NSSN, TUSC and Southwark Unison protested at the Care UK offices in Southwark during the nation-wide day of solidarity with Doncaster Care UK workers who had been on strike for 81 days after huge cuts in pay and services by a private equity company taking over a part of the NHS, part of the continuing largely hidden privatisation of our NHS.

This protest was one of many around the country outside offices of Care UK and Bridgepoint, the private equity firm that owns Care UK, as well as at shops including branches of Fat Face and Pret a Manger also owned by Bridgepoint. As I wrote:

Their strike is not just about their own cuts in wages, but a stand against the principles involved and the whole idea of a values-based health service. The workers at Care UK are no longer able to proudly address the needs of those with learning disorders in their own community, but are simply required to meet minimum needs at the lowest possible cost – and the greatest profit to Bridgepoint and the company to which they will be sold on once the private equity company has slimmed services and pay to the bone.

Solidarity for Care UK Strikers

Free Ghoncheh Ghavami – SOAS action

Protesters at outside SOAS called for the release of former SOAS Law student Ghoncheh Ghavami, held in prison for 104 days and on hunger strike for 10 days after being detained in Iran with other women after she went to watch a volleyball match. Among those who spoke at the protest was Ghavami’s brother.

According to Wikipedia, “Ghavami was released on bail on 23 November 2014. She was sentenced to a one-year jail term and a two-year travel ban.”

Free Ghoncheh Ghavami – SOAS action

City Panoramas

I had a little time to spare between events and took a short walk in the City, including along one of the remaining areas of ‘highwalk’ at the southwest of the Barbican site, part of the post-war plan to segregate pedestrians from traffic.

The Museum of London had decorated the wall at left with characters related to an exhibition about Sherlock Holmes.

This large building site was on what used to be St Alphage Highwalk. The ambitious post-war plans to separate pedestrians from traffic in the City were never really practical on a large scale and large sections such as this have been demolished, although there are still some highwalks including throughout the large Barbican estate.

City Panoramas

Palestine protest at Hewlett Packard

The Palestinian Prisoners Campaign continued their campaign against Hewlett-Packard, which boasts of ‘a massive presence’ in Israel and are the IT backbone for the Israeli war machine with a picket outside their London offices in Wood St in the City.

Palestine protest at Hewlett Packard

Solidarity with the Umbrella Revolution

The National Campaign Against Fees and Cuts organised a protest at the Chinese Embassy in solidarity with the ‘umbrella revolution’ of the students and workers of Hong Kong in their fight for democracy. Many of the protesters carried umbrellas and others had small yellow paper umbrellas as well as their posters and placards.

Solidarity with the Umbrella Revolution

Five Years Ago – 13th July 2016

Wednesday was a busy day for me on 13th July 2016, photographing five events in London.

Cleaners at the 100 Wood St offices were still on strike against the anti-union cleaning contractor Thames Cleaning, by then the longest running industrial dispute in the history of the City of London and supporters including Unite the Resistance, the Haldane Society of Socialist Lawyers, Class War and others held a rally in support of the action by the United Voices of the World trade union, beginning on Wood St and then moving on to the street outside CBRE who manage the offices.

CND members and supporters had come to Parliament to lobby MPs against the plans to replace Trident at a cost of at least £205 billion, and held a ‘Mad Hatters Tea Party’ in Parliament Square where members of Faith groups including both Christians and Buddhists held placards. Church leaders had written to The Times stating ‘The Government must take a lead – cancelling Trident would be a momentous step – Britain can lead the way!’ The government was instead led in its decisions by the lobbyists from those arms companies that profit greatly from these totally redundant weapons.

Also on Parliament Square was a protest supporting Labour MP for Wirral West Margaret Greenwood’s ‘Ten Minute Rule Bill’ with cross-party support to stop the privatisation of the NHS and return it to its founding principles. Among those who spoke was Shadow Health Minister Diane Abbot.

The day was also a ‘#PIPFightback’ National Day of Action against the Personal Independence Payments which disabled people say are a totally inadequate replacement for the Disabled Living Allowance. These rely on systematically flawed assessments carried out by private firms Capita and Atos which make no allowances for many variable conditions and ignore medical evidence. Administered by poorly qualified staff, many are overturned at tribunals after disabled people have suffered for months, sometimes leading to hospitalisation or suicide.

I’d started the day outside the Vauxhall PIP Consultation Centre run by ATOS in a back street with a small group of protesters including Gill Thompson, whose brother David Clapson, a diabetic ex-soldier died in July 2013 after his benefits were ‘sanctioned’. He was left starving without money for food or electricity to keep the fridge containing his insulin running. Like many his benefits had been stopped for trivial reasons and she was calling for a full and public inquiry into cases like those of her brother and to ensure a fairer system for vulnerable claimants.

Later people from the Mental Health Resistance Network (MHRN), Disabled People Against Cuts (DPAC) and Winvisible (Women with Invisible and Visible Disabilities) and other supporters met outside the Victoria St offices of Capita PLC, one of the companies responsible for PIP assessments and held a rally on the busy pavement there.

After some speeches they moved from the narrow pavement to the busy road to continue their protest, holding up traffic for a few minutes, though they quickly moved to one side to allow an ambulance to drive through.

From there the moved to hold a short protest outside the Department of Work & Pensions offices at Caxton House, and then on to Parliament Square for another short rally.

Finally they decided to go to College Green where a media village was present with politicians being interviewed on TV over the appointment of Theresa May as Prime Minister. Police tried to stop them going into the area, but after some moved in eventually allowed them to stand on a path in the middle of the area a few yards away from the TV crews, who almost all totally ignored the protesters. Disabled people suffering and even dying apparently isn’t news.

Solidarity for Wood St cleaners
Trident Mad Hatters Tea Party
Disabled PIP Fightback blocks Westminster
NHS Bill protest at Parliament
PIP Fightback at Vauxhall

All photographs on this and my other sites, unless otherwise stated, are taken by and copyright of Peter Marshall, and are available for reproduction or can be bought as prints.

Save St Helier Hospital – 7 July 2018

The battle by local campaigners against the closure of acute facilities at Epsom and St Helier Hospitals in south London has been hard fought and illustrates many of the problems faced by the NHS as the government has called for huge savings from hospital trusts, many made paupers by PFI repayments.

The situation continues to develop after the march which I photographed on Saturday 7th July 2018, and in July 2020 plans were approved to build a new smaller Specialist Emergency Care Hospital in Sutton which will bring together six acute services, A&E, critical care, acute medicine, emergency surgery, inpatient paediatrics and maternity services.

The trust say in the documentation for the first phase of public consultation which closed on 30th June 2021 that “85% of current services will stay at Epsom Hospital and St Helier Hospital. There will be urgent treatment centres open 24 hours a day, 365 days a year at both of these hospitals.”

But health service unions and campaigners are worried by the proposals, which they say will strip acute services including two fully functioning A&E departments. The proposed urgent treatment centres will not have the capacity to treat life threatening illness. They say the downgrading of the two major hospitals will endanger the lives of people living in the area.

The new unit is one of 40 across the country which have been announced several times as a part of the governments increased investment in the NHS. Many see this and other similar schemes as being designed to increase privatisation and make involvement in the health service more attractive to healthcare companies.

July 7th was a sweltering hot day in London, and the walk from a park in the centre of Sutton to the St Helier Open Space in front of the hospital went through Sutton High St, fairly crowded with shoppers and then along hot, dusty streets with few people around. Walking was tiring, and taking photographs even more so. It was a difficult event to photograph, where I found relatively little to work with. But I was pleased to be there, supporting the campaign to keep the hospitals open and serving the community, part of a National Health Service that was celebrating 70 years of being brought into existence by a Labour Government.

It took a huge and deterimined fight by Nye Bevan to get the National Health Service Act passed, with Tories denouncing it as bringing National Socialism to the country and opposing it in parliament at every opportunity. But on 5th July 1948 we got the NHS, although almost ever since the Conservative party when in power has been looking for and finding ways to convert it from a universal public health care system to a service run for private profit.

NHS at 70 – Save St Helier Hospital

Save Our NHS

The past year has made all of us appreciate both what a great national asset our National Health Service is and also – unless we are blinkered Tories – to realise how much it has been run down as a deliberate Conservative policy ever since the Tories came into power in 2010. Though of course its problems also come from decisions taken by earlier governments, and in particular the disastrous PFI contracts taken out under New Labour which involve huge and continuing debt repayments by parts of the NHS.

Even the Tories have come to realise that the NHS reorganisation under Andrew Lansley’s 2012 Health and Social Care Act were a mistake, although the fine print of their 2021 White Paper makes clear that they are still – as in 2017 when I photographed this ‘Save Our NHS’ march – pursuing their goal of rapid stealthy privatisation with medical services increasingly being run for private profit rather than public benefit, threatening an increasingly under funded public service which delivers high quality service at low cost and remains the envy of the world.

This privatisation is continuing. Last month it was announced that Operose Health Ltd, a UK subsidiary of one of the larger US health insurance companies, is taking over AT Medics, which runs 49 General Practice surgeries across London, with around 370,000 Londoners registered at them. When the takeover was finalised on 10th Feb, the six GPs who had been the directors of AP Medics resigned and were replaced by Operose staff – who include two who had in previous years held high-level positions in NHS England, a public body of the Department of Health set up to oversee the commissioning side of the NHS under that 2012 Act.

The Save our NHS March on March 4th, 2017 pointed out that the Sustainability and Transformation Plans which NHS organisations and local authorities were made to produce as 5 year plans from 2016-21, intended to counteract some of the worst effects of the 2012 Act, were leading to cuts in services and hospital closure and had already caused many premature deaths. They are a part of the rapid stealthy privatisation with medical services increasingly being run for private profit rather than public benefit, threatening an increasingly under funded public service which delivers high quality service at low cost and remains the envy of the world.

It was a large march, and made up largely of those who work in various parts of the NHS and have clear view of the actual consequences of the effects of government actions, and many of them spoke before the march set off. Most medical professionals do the work they do through a strong sense of vocation rather than being motivated by money, and as we have seen over the past year, many have worked long over their paid hours, and often with inadequate personal protection because of decisions taken to lower the stocks of supplies and the cuts in beds, the cutting of support for the training of nurses, changes to contracts for junior doctors and other measures.

Looking at the faces in these pictures – and I took many more on the day – I wonder how many of them have died because of their dedication to their job of saving our lives. I wonder how many are suffering the prolonged debilitating effects of ‘long covid’, how many mental illness because of a year of working under extreme stress.

Some carried signs ‘Born in the NHS’. I wasn’t but I grew up with it and it was there when I needed it, and still is. Others carried that quote attributed to Aneurin Bevan, though he probably never said it,”The NHS will last as long as there are folk left with the faith to fight for it.” There were perhaps 50,000 on this march showing they were ready to do so.

More pictures in My London Diary: Save our NHS March

All photographs on this and my other sites, unless otherwise stated, are taken by and copyright of Peter Marshall, and are available for reproduction or can be bought as prints.