In 2007 St Patrick’s Day, 17th March, fell on a Saturday and the parade in Willesden Green held on the day itself was well attended. I found it rather more interesting than the big London celebration with a march from Hyde Park to Trafalgar Square the following day, though I met some of the same peopleand groups again there.
It had been a busy day for me, starting with a protest about problems for young doctors in the NHS whose managers had managed to make a complete mess of their workforce planning with thousands of junior doctors likely to find themselves without a place to continue their careers in the coming August, and there being no consultant posts for thousands of registrars in 2010-11. Among the speakers was the then Leader of the Opposition, David Cameron who I found hard to photograph. More on this on My London Diary, with pictures starting here.
Next up was a protest four years after the invasion of Iraq, where 655,000 had by then died. My comment in 2007: “It is always easy to be right in hindsight, but the majority of the British people were right at the time of the invasion, and the government held its telescope firmly to its blind eye of mis-interpreted, faulty and partly invented intelligence. unfortunately both Britain and even more Iraq will suffer for Blair’s shameful mistake for many years to come.” And they are still suffering. It was a small protest in Trafalgar Square, mainly by Iraqis and there are just a few pictures here.
Also in Trafalgar Square, close to Canada House was a protest against the annual slaughter of seal cubs in Canada, clubbed to death in a way that “is certainly inhumane and a public relations disaster, with blood staining the ice and clubbed animals at times being skinned while still conscious.”
But then I took the underground to Willesden Green, where “a much happier event was taking place … the borough of Brent was celebrating St Patrick’s day with a parade and cultural activities.” Mainly but not exclusively Irish, but with many from Brent’s other communities taking part and watching.
“It’s great to photograph the people out on the street to celebrate, and wanting to have their pictures taken, and there was plenty to photograph, including of course St Patrick himself leading the procession, along with the mayor, Kensal Green councillor Bertha Joseph, in her second term as mayor.“
“She was brent’s first African Caribbean mayor in 1998. but of course the real stars of the event were the people of all ages who were taking part and having a fine time.”
“After the parade there was time for the culture – in the form of a pint of Guinness in a real Irish bar, after which I went to watch the band ‘Neck’ performing, and the people dancing to their music.“
It was a fine event, the band clearly setting out not just to play but to entertain the audience and doing so in great style.
Chelsea Manning, Kurdistan & Syria – Three protests in London on Saturday 17th December 2016.
Vigil on Chelsea Manning’s 29th birthday – Trafalgar Square
A silent vigil on the steps of St Martin-in-the-Fields in Trafalgar Square marked the 29th birthday of trans-gender whistleblower Chelsea (formerly Bradley) Manning, jailed for 35 years in 2013, whose courageous leaks revealed war crimes by US, UK and other governments.
A Queer Strike protester and veteran peace activist Bruce Kent
Working for the US Army as a specialist intelligence analyst as Bradley Manning she released almost 750,000 documents to Wikileaks in 2010 showing the US, UK and other governments’ war crimes and corruption in Afghanistan, Haiti, Iraq, Israel & the Palestinian Authority, Peru, Venezuela and elsewhere. Some were classified and many others were highly sensitive and incriminating. In 2013 she was sentenced to 35 years and held in the maximum security U.S. Disciplinary Barracks at Fort Leavenworth.
The London vigil was a part of an international day of action for her release. Since she came out as a trans woman in 2013 she had been repeatedly harassed by the military in prison and twice in 2016 had attempted suicide. Protesters around the world called on President Obama to release her on the basis of the prison time she had already served before he left office. The following month he commuted her sentence to around seven years and she was released from jail. She spent a further year in 2019-2020 after she refused to testify to a grand jury investigating WikiLeaks founder Julian Assange.
Kurds, many wearing or waving the flag of Free Kurdistan called on the civilised world to recognise the sacrifices made by the Peshmerga in fighting for freedom and against Islamic extremism in Iraq and Syria.
The Peshmerga is the army of the Kurdistan Regional Government (KRG) in Iraq, first formed in the18th century as border guards but more recently fighting for Kurdish autonomy, although it also includes Assyrian and Yazidi units. Iraqi Kurdistan is an autonomous region of Iraq, and under the Iraqi constitution the Pershmerga is responsible for the security of the region.
They played a key role in US missions against al-Qaeda after 9/11and were with other Kurdish forces now fighting against ISIS with some support from the USA. But the USA was refusing to directly supply any weapons except through the Iraqi government who were failing to pass any on the the Pershmerga as they feared they would be used to promote an independent Kurdistan. And in London people seemd to be clearly calling for a free Kurdistan.
The result of this failure to pass on weapons is that the force is poorly armed, mainly using Soviet-era weapons they captured in earlier Iraq uprisings and now weapons captured from ISIS in 2014. This protest called for greater support to provide them with modern weapons and other support they lack including ammunition, ambulances and military communications equipment.
Doctors & Nurses Die-in for Syria – Old Palace Yard, Westminster
A short walk away in front of the Houses of Parliament Healthcare workers held a die-in at Parliament in solidarity with the Syrian people.
They called for an end to the bombing of civilians, hospitals and schools by the Assad regime and for the UK government to put pressure on the Syrian government to allow the delivery of aid. They urged the UK to make airdrops of aid, provide safe passage to all those trapped and grant asylum to refugees.
The protest was organised by Medact’s Arms and Militarisation (MAM) group along with Syria solidarity activist groups and individuals including the Syrian British Medical Society.
Peter Tatchell holds a poster
Between 2014 and 2021 when the Syrian Vulnerable Persons Resettlement Scheme closed, the UK accepted around 20,000 Syrian refugees. When adjusted to reflect the population size of European countries this puts the UK well down among European countries. For the total number of resettled refugees from 2008-20021 the UK comes fifth behind Germany, Sweden, Norway and France but adjusted for population size we are in 10th position.
But along with the USA, Britain failed to take any effective action in support of the Syrian revolution and the crimes against the people committed by the Assad regime, and were severely outplayed by Russia who backed Assad.
NHS Birthday Celebrations: Today the National Health Service marks its 75th Anniversary, founded thanks to the efforts of the Labour Party and in particular Aneurin Bevan, following on from the 1942 report by Liberal economist William Beveridge which had proposed wide-reaching social reforms to tackle the “five giants” of “Want… Disease, Ignorance, Squalor and Idleness” (Idleness meaning of course unemployment.) The pictures in this post come from the 65th anniversary ten years ago today, Friday 5th July 2013.
Beveridge was opposed to means-tested benefits which he stated were unfair on the poor, and although the wartime coalition government set up committees to look at how his reforms could be put into practice they were from the onset opposed by many Conservatives and some on the Labour right.
But Labour stood in the 1945 elections promising to put the proposals into effect, and after their victory passed the National Insurance Act 1946, the National Assistance Act 1948, and the National Health Service Act 1946 and other Acts to do so, founding the UK’s modern welfare state.
Bevan was the wizard who integrated the multifarious per-existing medical services into the single functioning state body of the National Health Service, though he had to make many compromises to do so, working against considerable opposition both political from the Tories and from the medical bodies which were dominated by old men, many with fixed ideas.
The 75 years since then have seen many changes in the NHS, not all for the good, with both Conservative and Labour governments determined both to penny-pinch and bring in private enterprise to profit in various ways from our health service. The last 13 years have been particularly tough for the NHS, with disastrous reforms brought in and cuts which have made it impossible for NHS workers to provide the services and care they desperately want to do.
Covid of course didn’t help – and the failure to provide proper protective equipment, with too many contracts going to cronies who didn’t deliver – and fraudsters – was a real disaster, killing far too many health and other key workers. Despite a magnificent effort by health workers too many died, and the only reward for the huge efforts made by the NHS was claps.
Currently we have a government which refuses to talk sensibly with workers across the health centre, instead simply saying that the below inflation rises it is offering – essentially wage cuts – are fair. It obviously hopes that by provoking strikes and getting its friends in our billionaire owned right-wing press to condemn the strikers for the cancellations, increase in waiting lists and possible deaths it will get the public on its side against the NHS.
Instead we need policies which will engage with the problems the NHS faces after years of underfunding, overwork and shortages. The recently announced workforce plan at least is a plan to do something, though it seems unlikely to prove workable. The shortage of doctors, nurses and other medical staff has been clear almost since the start of the NHS, and certainly critical for many years.
We need to both increase the number of training places and tackle some of the other causes. Private hospitals rely on publicly funded doctors and nurses – and should at least have to pay the training costs for those they employ – although personally I’d prefer to see them being brought into public ownership. As well as poaching staff they also cherry-pick offering care for simpler cases but largely passing back more critical care to the NHS.
There needs to be an end to the expensive and somewhat unreliable use of agency staff, at least by the NHS setting up its own temporary staffing organisation and also by ending payments for work at above normal rates. The NHS also needs to become a much friendlier employer in terms of flexibility of shifts etc.
And of course we need to remove the caps on training for doctors, nurses and other staff, and to provide proper bursaries to cover both fees and maintenance for these vital workers. The proposed ‘apprenticeship’ scheme for doctors seems unworkable as such, but all medical course are already in some part apprenticeships, including some on the job training. Finding the additional mentors needed for more work-based schemes seems an example of cloud-cuckoo land thinking, and the setting up of a two-class system of doctors seems highly undesirable.
Importantly too we need to drastically reduce the bureaucratic workload of all doctors and health staff at all levels. Theoretically the increased use of IT could play a role in this – although the NHS has been disastrously shafted by its IT providers in the past, promising much but delivering mainly greater complexity. So far bringing in IT has increased the amount and time spent in form-filling at the expense of treating patients, partly because the various levels of administration up to the government has seized the opportunity for the greater demands it makes possible.
I was born before the NHS and looking at it in recent years I’ve sometimes wondered if my own death will be due to its stuttering demise. I hope not. But the NHS is certainly not safe in the hands of the Tories, and little that we have so far seen about Labour’s plans give me confidence it will be safe in theirs.
The two events I photographed on the NHS’s 65th Birthday were all concerned with its problems and doubts about its future, The GMB trade union came to Parliament with 3 vintage ambulances saying the NHS Is At Risk, campaigners at Lewisham Hospital celebrated hoping and fighting to keep their busy, successful and much needed hospital open and stop it being sacrificed to meet the disastrous PFI debts of a neighbouring hospital. I’d taken my bike to ride to Lewisham, and made a leisurely ride through Deptford on my way back to Westminster.
At the Ministry of Health, then still on Whitehall, Dr Clive Peedell was about to begin his 65 mile ultra-marathon run to David Cameron’s Witney constituency where he was to ceremonially bury the NHS coffin and launch the National Health Action Party plan by doctors and health professionals to revive the NHS. Their 10-point plan included “policies to restore the duty of the Secretary of State to provide comprehensive NHS care, and return the NHS as the preferred provider of services.”
More about the events on the 65th Birthday of the NHS – from which all the pictures in the post come – are on My London Diary.
NHS – Free, For All, Forever?. Five years ago on Saturday 30th June thousands marched through London to celebrate 70 years of the National Health Service, which began on 5th July 1948. In a few days we will celebrate the 75 anniversary. The pictures here are from that march.
A few days ago the Kings Fund published their report comparing the NHS to health care systems of other countries. It made depressing reading, but its findings were already well-known – and the result of government policies over the years.
Conservatives were opposed to the setting up of the NHS and voted against it on numerous occasions when Aneurin Bevan was campaigning for its setting up and taking the bill through parliament. Bevan established the three basic ideas, that it should benefit everyone, that healthcare would be free and that care would be provided on the basis of need rather than ability to pay.
Many doctors and dentists were opposed to the new system, which they saw as a threat to their lucrative private practices and this led to a number of compromises which have had serious consequences over the years.
Dentistry has never really been made properly a part of our health care system and now large areas of the country have few if any dentists who will take on NHS patients. Private medicine has continued and grown parasitically on the NHS – who train those working in it, while it now gets paid by the NHS to provide many of the simpler aspects of treatment while leaving the heavy lifting to our public service.
Both Conservative and Labour governments since its formation have made changes which have diluted Bevan’s principles. Contracting out of various services began under the Tories, sometimes resulting in disastrous lowering of standards. Proper cleaning services etc are essential in hospitals.
New Labour brought in Private Finance Initiative projects (they borrowed the idea from the Tories) which have led to huge ongoing debts for some NHS trusts – and closures of some vitally needed hospital departments to meet these.
Since the Coalition and then the Tories came back into power there has been a huge increase in the creeping privatisation of the NHS, with Andrew Lansley’s 2012 Health and Social Care Act forcing the NHS into a market-based model based on competitive tendering, which even his successor as Health Minister, Jeremy Hunt has described parts of as ‘frankly, completely ridiculous’. So much so that even the Tories have no had to row back a little.
The King’s Fund report makes clear that “The UK has below-average health spending per person compared to peer countries” and it “lags behind other countries in its capital investment, and has substantially fewer key physical resources than many of its peers, including CT and MRI scanners and hospital beds.”
Successive governments have prevented the training in the UK from expanding the numbers of university places for medical training, and a few years ago the Tories removed the bursaries available for nurses. Since the start of the NHS this had been a failure, and as the report states there are now “strikingly low levels of key clinical staff, including doctors and nurses” and the NHS is “heavily reliant on foreign-trained staff.” Only in recent days have we seen an effort by government to put forward plans to address the issue – and almost certainly one that is inadequate.
There is also the question of pay, brought to the fore in recent months by strikes by nurses and doctors. The government’s response has mainly been to refuse to enter into meaningful talks and mutter about the impossible demands being made.
Of course nobody expects junior doctors to get a 35% rise, but all that it would take to resolve the dispute is a much lower figure, combined with a commitment to make a small above inflation increase in a number of following years to reduce the gap that has opened up.
You can read more about the march and rally and some of the issues in my post on My London Diary from June 2018, which also includes some information about the interests or many MPs and peers in private healthcare and connections to those wanting to see the NHS abolished. It may be ‘OUR NHS’ but many of those who have power to determine its future want it to belong to them.
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.
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.
There is no real connection I’m aware of between doctors and blood diamonds other than the fact I photographed both protests on 6th February 2016 – and I thought it made a nice headline.
Valentines Israeli Blood Diamonds protest
My working day started on Old Bond Street in Mayfair, an area of London I generally try to avoid, packed with businesses which represent the true scum on the capitalist system and their customers largely representing those most successful at exploiting the system and the great majority of the population. While the City of London is still the world capital of dodgy financial management, Mayfair is where much of the more commercial aspects of our current system ply their trade.
There are no diamonds mined in Israel, but diamonds are Israel, largest manufacturing export – then at around $10 billion a year and contributing around $1 billion a year to Israeli military and security industries. In a direct connection the Steinmetz Diamonds Group which supplies companies including De Beers and Tiffany supports the Israeli Givati Brigade through the Steinmetz Foundation. One banner was a message from the Samouni family, 29 of whom were killed by the Givati Brigade in 2008 in cold blood.
A week before St Valentines Day, protesters stood outside diamond sellers including De Beers and Tiffanys with banners urging people not to buy engagement rings these shops that sell rings using diamonds from Israel’s Steinmetz Diamonds Group.
Junior Doctors Rally & March
I left for the short walk to Waterloo Place, where Junior Doctors and supporters were gathering for a rally against against the imposition of new contracts they say will destroy the NHS and make it unsafe for patients. Supporting them were many other medical professionals – consultants, GPs, nurses and others – who all saw the contract as a part of an attack on the NHS to move towards a privatised medical system.
Speaker after speaker – including Dame Vivienne Westwood, her son Ben, and Vanessa Redgrave as well as many medical professionals – stressed how Health Minister Jeremy Hunt Hunt was misleading the media and public about the need for changes in the contract, carefully selecting evidence that supports his case while ignoring the much wider evidence against it.
Dame Vivienne Westwood and Vanessa Redgrave at the rally
Among the many placards were those naming doctors who had already left the NHS to work abroad, with the message ‘You’ve driven me out Jeremy… Stop bleeding the NHS dry’. Others named junior doctors supporting of the protest who were unable to attend the protest because they were working in what is already a 24 hour 7 day profession.
The protesters marched to Downing St where they sat down blocking the road wearing surgical masks while a deputation went into Downing St to deliver a message to the prime minister; they emerged a few minutes later to announce that the people inside No 10 had refused to accept any message from them.
We have seen in the current pandemic how this and other changes made in recent years have put the NHS under severe strain. As I wrote in 2016:
Of course it isn’t just junior doctors; new income rules for immigrant workers are likely to lead to up to 30,000 nurses being deported, and the cutting of bursaries for nurses and now proposed for all other medical courses will have disastrous effects. Add to this the effects of PFI which is bankrupting hospitals leading to privatisations and its hard not to see the end of the NHS as we have known it as inevitable.
It’s almost certainly too late to save the NHS in its current incarnation. The only solution is the kind of radical change that happened before under Nye Bevan and others to create a new NHS. But for that we would need a new revitalised Labour party in power – or a people’s revolution. Don’t hold your breath – and don’t get old or ill.
The UK’s National Health Service began on 5 July 1948, 73 years ago today. Earlier in 1946 doctors had voted 10:1 against, but compromises were made to bring more of them on side. It had taken the Labour government a fierce battle to get the proposals through parliament, with the Conservative Party under Winston Churchill voting against its formation 21 times when the bill was being passed.
Churchill followed the example of a former chair of the British Medical Association and compared its formation to Nazism, calling it the “first step to turn Britain into a National Socialist economy.”
It was their often unprincipled opposition that lead Aneurin Bevan to make a famous speech two days before the NHS began that included the following: “That is why no amount of cajolery, and no attempts at ethical or social seduction, can eradicate from my heart a deep burning hatred for the Tory Party that inflicted those bitter experiences on me. So far as I am concerned they are lower than vermin.”
In recent years various Tory MPs have claimed that the Conservative Party should be credited for setting up the NHS, when in fact the party fought tooth and nail against it. They also claim that the NHS is ‘safe in their hands’ while increasingly selling off parts of it, largely to US based healthcare companies. Many MPs have financial interests in healthcare and their votes reflect this, in what seems a clear conflict of interest.
One of the compromises needed to get the bill through was that GP surgeries would remain private businesses that could be bought and sold. Doctors in general practice were to remain independent, with the NHS giving them contracts to provide healthcare. What is now happening is that GP surgeries are increasingly becoming owned by large healthcare companies who organise how they are run and employ doctors.
At the moment we still get to see the doctor for free, though it has become more and more difficult for many to do so, in part because of the systems set up by these healthcare companies. But we have now and then heard proposals for charges to be introduced. We do currently have to pay to see a dentist, and even with these charges it has become difficult for many to get dental treatment under the NHS. Many cannot afford the higher charges for private treatment and even the lower rates under the NHS are a huge problem for those on low pay who are not entitled to exemptions.
This year there were protests around the country last Saturday, a few days before the NHS’s 73rd anniversary. Ten years ago around a thousand people marched through central London on the actual 63rd anniversary of the foundation of the NHS in a protest to defend the NHS against cuts and privatisation, ending with a rally outside the Houses of Parliament. The changes then being debated under Andrew Lansley’s bill made radical changes which brought in private companies to take over the straightforward and highly profitable areas of NHS services. Now a new bill is under consideration which will make for further back door privatisation of the NHS.
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.
Five years ago on the day after the Brexit vote, Friday 24 Jun 2016, socialists and anarchists marched in London in support of migrant rights and against racism and against the attacks and scapegoating of immigrants not only by right wing extremists but by mainstream parties and media over many years. The pictures in this post are from that march. The most recent of these attacks has come from a Tory peer who has proved herself a serial failure over the years and seems likely to be rewarded for this by being put in charge of the NHS.
One of the most disturbing trends during the last eleven years of Coalition and Tory governments has been the increasing politicisation of public appointments, with jobs in charge of public bodies increasingly being awarded to people on the basis of their political views rather than any relevant experience or competence.
Of course there are many other things to be worried about, not least the many dodgy contracts awarded to family, friends and party donors, particularly those lucrative Covid-related contracts. One major benefactor has been Conservative peer Baroness Dido Harding, married to the Tory MP and United Kingdom Anti-Corruption Champion at the Cabinet Office since 2017. No, you really couldn’t make it up.
In 2015, when Harding was the much criticised CEO of TalkTalk, following a cyber-attack in which the personal and banking details of up to four million customers, many not encrypted, were though to have been stolen, Marketing Magazine ran a story under the headline “TalkTalk boss Dido Harding’s utter ignorance is a lesson to us all”. The Information Commissioner agreed, though the fine of £400,000 seems far too low for a company which she said failed “to implement the most basic cyber security measures.” Harding, who had been made a Tory Life Peer the previous year, stood down from TalkTalk in 2017 to concentrate on her public activities, following the party line on all her Lords votes and joining the board of the Jockey Club.
Her appointment as Chair of NHS Improvement in 2017 was a clearly political one, and Harding rejected the recommendation of Parliament’s Health Select Committee that she should resign as a Conservative peer and become a cross-bencher.
Her appointment to run the track, trace and test programme in 2020 (later misleadingly named NHS Test and Trace) was highly controversial. It had little or no connection with the NHS, simply outsourcing work to private contractors including Serco, Mitie, G4S, Boots and Sodexo and paying several thousand consultants from Deloitte and elsewhere on average £1,100 a day each.
Harding is now expected to be appointed as Chief Executive of the National Health Service (NHS) and has pledged to make the NHS less reliant on foreign doctors and nurses. At the moment about 1 in 7 NHS staff are not British, including many Indian, Filipino and Irish. There are many others too who while themselves British are the sons and daughters of migrants to this country, some of whom came here as health workers.
We currently have over 40,000 nursing vacancies and are heavily reliant on the contribution of foreign healthcare professionals who have made great sacrifices during the Covid pandemic. They already suffer from having to pay an immigration health surcharge fee of £470 per person per year for themselves and their families.
Nursing Notes quotes Andrew Johnson of the grassroots campaign Nurses United UK as saying:
“Dido Harding remains as incompetent as ever as she panders to her political party.”
“The UK has always benefitted from international staff. Whether it was Indian, Pakistani or Caribbean nurses like my grandma in the 50s and 60s, or our colleagues from Europe and the Philippines in more recent times, we needed them to keep our loved ones safe.”
“The NHS would not exist without international staff and if Dido wants to grow homegrown staff, we would need greater investment in our schools, a living bursary, a substantial restorative pay rise and an end to the privatisation she has been a part of.”
There are good reasons for the UK to train more doctors, nurses and other medical specialists. We are a wealthy nation and as well as caring for the health of our own population should be sending trained staff to other countries around the world, particularly those less able to train them. But as well as sending people abroad there is also much to be gained from having migrants coming to work here and foreign medical staff should be welcomed, not denigrated.
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.
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.
We didn’t have Covid in 2018, but the Tory Government was busy laying the groundwork that would lead to our current 100,000 deaths and counting as a part of their longer term intention to privatise the NHS. It looks likely that the total excess deaths due to the virus will rise to over 200,000 before the outbreak is tamed to a fairly small continuing trickle, mainly then killing those who refuse vaccination.
Tens of thousands marched in support of the NHS through London on 3 February to a rally at Downing St calling on the Government to stop blaming patients, nurses, doctors, immigrants, flu and the elderly for the crisis in the health service and to fund it properly and bring it back into public hands from the waste and demands of private profit.
Despite warnings from many in the health sector of the dangers which would arise from any major pandemic, the government ignored many of the warnings and recommendations of the 2016 Exercise Cygnus, which had simulated a flu pandemic causing as many as 400,000 excess deaths, as well as the experience from other countries around the world in dealing with epidemics.
Over a long period, under Tories and New Labour, the increasing outsourcing of services has damaged the efficiency of the NHS and created dangerously low standards of hygiene, while expensive PFI building contracts have left many hospital trusts with impossible long-term debt repayments. Cutting the number of beds was a way to ease the financial problems, but left hospitals unable to meet the extra demands of normal winters, let along Covid.
Cutting bursaries for nurse training exacerbated the shortage of nursing staff, and over the longer term we have failed to provide training places for sufficient doctors, relying increasingly on those trained abroad, both from the EU and also from countries with greater need of doctors than the UK. And changes to pay and conditions, particularly for junior doctors have led to more UK trained doctors and nurses finding work in other countries.
Back in 2018 I pointed out:
Many in the Conservative Party have financial interests in healthcare companies and their policies are clearly designed to carry out a creeping privatisation of the NHS, setting up various devices including STPs and ACSs (Sustainability and transformation partnerships and accountable care systems) which obligate the tendering of NHS services to private healthcare providers, and large areas of NHS services now provided by companies such as Virgin Healthcare.
The march on 3 Feb 2018 began in Gower St, which was packed with people making it hard to walk down as I arrived around an hour before it was due to start. I made my way to the front in time for the start and walked with it for a short way before stopping to photograph marchers as they walked past me on Shaftesbury Avenue. They were still filing past – an estimated 50,000 of them – when I had to rush away to Downing St to photograph the rally there. More were still arriving when I left.
Three years later the need to fix the NHS and to stop the increasing privatisation is even greater. Many of those now in government, including my own MP are advocated moving away from a system free at the point of use to a private insurance-based healthcare system similar to that in the USA – where many now are unable to afford insurance or find that more serious conditions are not covered by it. Were I now living in the USA, it is unlikely that the prescriptions that I now get free for my long-term condition would be covered by insurance and they would be costing me over £1000 per month. Many with Covid would also find they were not covered by insurance and would have no way of covering the huge costs of hospitalisation should there condition become serious. We need to keep our NHS and to stop privatisation – and if necessary increase our tax and national insurance payments to fund it.
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.
