Fuel Poverty, NHS Staffing, Zero Hours – Three protests in London on Tuesday 26th November 2013 about issues that are still very much with us – and which have got worse since ten years ago today.
Justice Not Jumpers at NPower HQ – City
Ten years ago fuel poverty activists were protesting that profiteering by the major energy providers was leading to many people having to chose between eating and keeping warm, causing many unnecessary deaths. They protested to draw attention to the scandal of energy companies making huge profits and avoiding taxes while many died because of their greed.
The protest came on the day that figures were announced for ‘excess winter deaths’, of which at least 30% are due to cold homes. The previous year the figure had been around 24,000 but that announced on the day of the protest came as a shock, having increased by around a third to 31,000.
The protest in London was one of several around the country including at British Gas’s new Oxford HQ, as well as in Lewes and Bristol. NPower had been chosen for the London protest for its poor record of customer complaints and for having made larger price rises in that year than the other Big Six companies – 9.3% electricity and 11.1% gas.
The companies defend the price rises, spreading the lie that ‘green taxes’ were to blame, though these are a relatively minor factor in costs. The real problem is that privatisation means that large amounts are taken from our bills to pay to shareholders on top of the increasing costs of dirty fossil fuels.
NPower takes 5p in every pound we pay as profit and welcomes increasing costs as this adds to their profits which rose by over a third to £413 million in the previous winter when its price hikes pushed an estimate 300,000 more people into fuel poverty. Despite its huge profits the company had managed to avoid paying any corporation tax for the past three years.
Protesters met at Bank for a funeral procession around the City streets to the NPower offices in Throgmorton St with a coffin being carried by pallbears with masks including those of Prime Minister David Cameron and Chancellor George Osborn and wearing jumpers with the logos of the major energy companies.
At the NPower offices they lowered the coffin in front of the row of police protecting the building and a rally took place on the street. One of the first speakers was Andy Greene of Disabled People Against Cuts, who spoke of the effects the energy price rises were having, causing great hardship to many disabled people. Testimonies were then read from many individuals how they had to choose between heating and eating; many were already cold and dreading the coming winter.
4:1 legal minimum NHS staffing – Dept of Health, Whitehall
Nurses began the 4:1 campaign to draw attention to the crisis of staffing in the NHS where there were then over 20,000 nursing vacancies and to the Department of Health’s decision to downgrade 100 A&E departments, effectively closing them. They called for a mandatory staffing level of one nurse for every 4 patients in the NHS.
The campaign stated “The public have had enough of overworked staff, unprecedented avoidable death rates and negative press about the NHS. The public and nurses alike know the value of the NHS, and want to see it perform to its best, providing the dignified care patients deserve.“
They were joined in the protest outside the Ministry of Health, then in Richmond House in Whitehall, by other groups concerned about the future of the NHS, including those pointing out the threat to the NHS of the EU-US Trade Treaty, which would open up the whole of the NHS to privatisation.
They were joined by campaigners against the planned closure of many A&E units across the country and by those fighting to save hospitals including at Lewisham and King George V in Redbridge, as well as those with more general concerns about the future of the NHS.
Cultural Workers against Zero Hours – Millennium Bridge
PCS members from national cultural institutions in London staged a protest at Tate Modern and on the Millennium Bridge against zero hour contracts which gave them no guaranteed weekly hours or income, while stopping them taking on other work.
The number of workers on zero hours contracts more than doubled from around 250,000 in 2012 to around 600,000 in 2013, and since then has continued to increase to around 1.18 million in 2023, over 3% of the total workforce. Although legal in the UK, zero hours contracts are inherently unfair on workers and an exploitation of labour. Labour had pledged to outlaw them, but if they get into government with Starmer as leader we are unlikely to get fairer labour laws.
Employers use zero-hour contracts to cut wages, avoid holiday pay, pensions, and ensure the maximum flexibility and profit for themselves. Many on zero hours contracts in 2013 were also prevented from taking on other part-time work, as they were often obliged to be available for work at the whim of the employer.
The law was changed in 2015 to make contracts which stopped workers from having other part-time jobs. But although in theory workers are not obliged to accept any work offered, in practice should they refuse hours offered for any reason they know that they will be treated less favourably by the employer in the future, often severely discriminated against.
Zero hours contracts were initially designed for use in very limited and specific circumstances where there use might be justified but are now a widespread form of exploitation. The PCS (and other trade unions) “believe that guaranteed hours, a living wage, holiday and sick pay, respect for employment rights, and dignity and respect at work should be fundamental entitlements for all workers.”
Solidarity With Gaza, Save Lewisham Hospital – On Saturday morning, 24th November 2012 I joined marchers against the then recent Israeli attacks on Gaza and the continuing blockade which makes normal life there impossible. Although still a clearly disproportionate response, the death toll in 2012 was minuscule compared to the current ongoing destruction. In the afternoon I went to Lewisham for a march against proposals to close A&E and maternity services, and possibly also the the children’s wards, critical care unit and emergency surgery by the Trust Special Administrator Matthew Kershaw.
Solidarity With Gaza, End the Seige Now – Downing St
Despite persistent rain, several thousands turned up to protest at Downing Street before marching towards the Israeli Embassy following the start ten days earlier of ‘Operation Pillar of Defense‘ by the the Israel Defense Forces (IDF).
In the eight days before a ceasefire, Wikipedia states “the IDF claimed to have struck more than 1,500 sites in the Gaza Strip, including rocket launchpads, weapon depots, government facilities, and apartment blocks” with the UNHCR reporting “174 were killed and hundreds were wounded. Many families were displaced.”
There were also deaths and casualties among Israelis, but on a much smaller scale, with 6 Israelis being killed and 240 injured by rockets fired from Gaza.
As in this year, “Canada, Germany, the United Kingdom, the United States, and other Western countries expressed support for what they considered Israel’s right to defend itself” , or condemned the Hamas attacks, while some other countries condemned the Israel attacks. Human Rights Watch said both sites committed war crimes.
As in 2023, many of hose killed in Gaza in 2012 where children, and at the front of the march, ahead of the main banner were a group of children, each carrying a placard hanging around their neck with the names and ages of some of the dead children.
And as in the recent marches I’ve photographed, both the National Marches calling for a ceasefire in Gaza and those in Camden and Lewisham, among those taking part there were many individual Jews and Jewish groups including Jews Against the Siege of Gaza, Jews for Justice for Palestinians and a group of Jewish Socialists.
Before the march began 163 while balloons printed with the Palestinian flag – one for each of the Palestinians then known to have been killed – were released. The march then moved up Whitehall and I went with it as far as Trafalgar Square where I took pictures for the next 15 minutes or so as the crowd moved past before catching a train from Charing Cross to Lewisham.
Thousands of protesters – perhaps as many as 15,000 – formed a human chain to hold hands around Lewisham hospital after a march from the centre of Lewisham to oppose plans to close its A&E department to pay debts from mismanagement at other hospitals in south London, which have huge PFI debts.
The march had seemed rather smaller than expected when I arrived at the start close to Lewisham station, but the numbers grew greatly as we got closer to the hospital and Ladywell Fields, with the road still packed with people coming to join this as the human chain began to form.
At Ladywell Fields the march divided into two, with hospital workers making their way to the front of the hospital in an anti-clockwise direction and the others going clockwise to meet them. Soon people were filling the whole thre-quarters of a mile ring around the hospital and holding hands in a human chain. The organisers had asked people to go in single file, but there were far too many in most places for this and in some areas the pavements were filled ten deep.
Traffic around the hospital was brought to a stop with people still flooding in on the High Street and Ladywell Road and nothing was moving on the roads by the time I left and caught a train home, except for ambulances which police and stewards were ensuring could still reach the hospital, clearing a route through the crowds.
Lewisham Hospital is well run and well used by people in the area around, and has played no part in the financial problems faced by the South London Hospitals Trust, which were largely caused by disastrous private finance schemes entered into to build the trust’s hospitals in Orpington and Woolwich. The planned closures would drastically cut health services in the area and almost certainly lead to many deaths as well as huge inconvenience for millions and are driven entirely by the financial gain in selling off 60% of the site.
But even this makes little sense as the expected £17 million this would raise would be only a minor one-off contribution towards the over £60 million the Trust has to find each year for its PFI debts which were then expected to total around £1,200 million before they were paid off.
The problem of PFI debt is not of course limited to this trust. Government figures in 2018 were that the total value of PFI investments in the NHS was then £12.8 billion – and that by the time these were paid off the NHS will have paid over £80 billion for them – more than six times as much. The figures have worsened since then as many contracts include inflation-based cost increases – leading to an extra £264 million in payments in the past 2 years. Some trusts now have to spend 10-13% of their total income on their PFI debts, and these payments cannot be cut and are prioritised. over other expenditure such as than on staff costs and drugs.
Lewisham Hospital’s campaign against the cuts was successful. They were ruled unlawful by the High Court and eventually dropped by Health Secretary Jeremy Hunt after he lost an appeal.
End killing in Palestine & Doctors Protest: Eight years aso on Saturday 17th October 2015 protesters came to the street close to the Israeli Embassy to call for peace in Palestine and an end to Israeli repression. Later I photographed Junior Doctors protesting against changes to their contracts being imposed by the government.
End the killing in Palestine – Israeli Embassy
A large crowd were squashed into a protest pen set up by police on the far side of High Street Kensington opposite the private road where Israel has its embassy. Many had Palestinian flags and wore the Palestinian keffiyeh headscarf, and they included many Palestinians.
There had been a number of events over the previous month, in particular over what appeared to be a change to the de facto arrangements since 1967 for access by Palestinians to the Temple Mount in Jerusalem and an apparent end to the ban on Jewish religious ceremonies there, as well as growing frustration over the continuing suppression of human rights and the failure of any peace talks.
Tension was increased by a number of uncoordinated stabbings in what has been called the ‘Jerusalem intifada’, carried out by lone Palestinians against Israeli police, military personnel and civilians. This unrest lasted well into 2016.
In response Israeli forces killed over 200 Palestinians, many of whom were allegedly carrying out attacks on Israelis. But human rights organisations and Palestinian leaders say that many of these were unlawful ‘extrajudicial’ killings, with some of these being killed posing no threat.
Many of those who spoke at the protest – and many are listed and shown on My London Diary – complained about the one-sided coverage of the events in the UK media, particularly the BBC, saying that while the killing of Israelis makes the BBC news headlines, the deaths of Palestinians at the hand of Israeli security forces, illegal settlers and other Jewish extremists is seldom mentioned, although some BBC correspondents make a point of doing so despite the corporate pressure to downplay them.
Junior Doctors protest to save the NHS – Waterloo Place & Whitehall
Junior Doctors and their supporters including many consultants and other medical staff gathered for a rally in Waterloo Place before marching down Whitehall to a rally in Parliament Square.
They were protesting against new contracts which Health Minister Jeremy Hunt was imposing on them. These will mean more working unsocial hours at standard rates and remove the safeguards that prevent hospitals from more serious overwork. They also penalised those who volunteer for charities, have families or carry out research.
Many doctors see the new contracts as a part of the increasing attempts to privatise the NHS for the profits of private medical firms, which many Tory MPs have interests in. Overwhelmingly doctors who work in the NHS want to see it kept as a service dedicated to the public good rather than working for private profit.
Hunt says the changes are essential to make the NHS a 24 hour 7 day service, but it is already that, and there were many placards naming doctors who would have come to the protest but could not do so as they were at work.
Some of the placards against NHS privatisation for the march were designed by Street graffiti artist Stik who is standing under two of them in this picture. The marchers crowded into Parliament Square but there was not enough room for them all at the rally.
Global Frackdown TTIP & Kobane: On Saturday October 11th 2014 I photographed a protest against HSBC supporting fracking in the UK, against the secret TTIP US/EU trade deal and finally a rally in support of the Kurdish fight against ISIS in Kobane and against Turkish support for the ISIS militants.
Global Frackdown at HSBC
As a part of a ‘Global Frackdown’ by communities around the world against this environmentally destructive industry which leaves a legacy of water contamination, air pollution and health problems, activists took a mock ‘fracking rig’ to two branches of HSBC in central London. UK anti-fracking campaigners were joined by some from Algeria and Romania.
The HSBC bank provides banking services for Cuadrilla the oil and gas exploration and production company developing fracking in the UK and also funds fracking around the world. In Algeria, they are helping to bring this water intensive process to the Sahara and in the US, they underwrite the BG Group responsible for fracking in large parts of the country.
As well as the particular problems caused by fracking produces a dirty fossil fuel whose use deepens the climate crisis. But it was largely the earthquakes caused by Cuadrilla’s exploratory drilling that led to a moratorium on it in 2019 in England & Wales. The ban was briefly lifted by Liz Truss in her short but disastrous time as prime minister, but reinstated by Rishi Sunak.
I met with the campaigners in Golden Square in Soho, where they were being closely watched and probably outnumbered by obviously nervous police who tried with no success to find out what they planned to do. After a while a group dressed in orange ‘Frack Off London’ hi-viz suits picked up some long black poles they had brought with them and marched towards Regent Street, with others carrying a banner and joining the procession.
They marched along Regent Street forming a quite impressive small crowd and stepped to erect the poles into their mock fracking rig in front of the HSBC branch, where they held a rally. Supporting the protest were Climate Revolution and Romanian anti-fracking activists who had brought their own drilling rig for some street theatre.
After some speeches the campaigners set off marching again, down Regent Street and past Piccadilly Circus on their way to the Strand branch of HSBC where they erected their rig again.
Here there were more speeches and some from the Romanian group put on a short piece of street theatre, fortunately in English, involving a greedy banker, corrupt politicians and people protesting.
The the protest marched off and down Whitehall to Parliament Square for a final short rally and some photographs.
Protesters against the TTIP, a EU-US Trade Deal being negotiated at highly secretive talks would let corporations sue governments, lock in privatisation of our schools and NHS, undermine protection for privacy, workers and the environment and allow fracking and other harmful activities.
Although the talks were secret, some details had emerged and they were extremely worrying. The Transatlantic Trade and Investment Partnership would get the EU to remove the barriers which stopped US agricultural products produced under less hygienic conditions with lower animal welfare standards such as chlorine-washed chickens and beef pumped with high levels of growth hormones as well as GM crops being imported.
EU governments which took actions on environmental grounds could find themselves in industrial kangaroo courts which could impose huge fines if their laws caused US and other companies to lose potential profits from exporting their polluting goods.
The protesters had brought with them a very long two part banner reading ‘HANDS OFF DEMOCRACY’ which was really too long for Parliament Square – and certainly too long for most photographers. A third part of it read ‘#no TTIP’, and I could only just fit thatin as well using a fisheye lens.
After the rally in the square, the protesters marched on to Westminster Bridge and carried out a ‘Banner Drop’ holding all three parts of the message. I’d run down the busy embankment to where it was possible to get a decent picture of the whole thing, but just as I began taking pictures it was moved, probably at the phoned request of the rather lazier official photographer for the group who was much closer to the bridge. And shortly after I’d started taking pictures at the second position it was on the move again.
Support the Defenders of Kobane – Parliament Square
In Parliament Square I also photographed a rally with thousands, mainly of Kurdish or Turkish origin who had stopped for a rally on a march around London supporting the Kurdish fight against ISIS in Kobane, calling for support for the Kurdish fighters and condemning Turkish support for ISIS.
Kobane is a city in Syria and was surrounded by Islamic State of Iraq and the Levant (ISIL) militants in September 2014, forcing most of its inhabitants to flee to Turkey. Bloody battles by Kurdish forces with some help from US air strikes recaptured the city and the surrounding area, and they quickly drove back a later attack by ISIL in June 2015.
Kobane was at the time part of the de facto autonomous region of Syria, Rojava, a remarkable Kurdish democracy with a constitution giving equality to men, women and all ethnic and religious groups. But in October 2019 the city was threatened by an invasion by Turkey and accepted the entry of the Syrian government forces and Russian Military Police into the city, although it still then apparently remained under the de facto control of Rojava.
Turkey has supported the Islamic state militants, hoping that they will defeat the Kurds, many of whom live in Turkey and have been struggling for many years for greater autonomy. Turkey have provided routes for smuggling oil to provide finance for ISIS, and have for some years been fighting with Islamic militants against Kurdish forces in Syria.
Many speakers at the rally in Parliament Square called for the lifting by the UK of the ban on the PKK, the Kurdish Workers Party, whose leader Abdullah Öcalan has been held in jail in Turkey since 1999. In recent years Öcalan has been attempting to negotiate a peaceful end to the conflict, declaring a ceasefire at the Kurdish New Year in March 2013. There were many speakers from the mainstream UK community, including a number of trade unionists, London Green MEP Jean Lambert, and human rights lawyer Margaret Owen.
As the protesters marched away from Parliament Square there was a confrontation with police after they had tried to search some of the protesters and make an arrest. There was a lot of pushing and shoving and the marchers who had already left the square sat down on the street in Whitehall. They were still sitting there half an hour later, with negotiations between the police and protesters apparently continuing. Later one of the three men arrested was released and the protest came to and end.
DPAC take Pants to IDS: Wednesday 4th September 2013 was the last day of a week of action by Disabled People Against Cuts (DPAC) against the attacks by the coalition Tory government on the poor and disabled. I photographed protests outside the Dept of Health, Dept of Energy and Climate Change and the Dept of Education in the morning, and then a combined ‘Pants to IDS’ demonstration at the Dept for Work & Pensions in the afternoon. Between the these I also covered a rally in Parliament Square by UK Dalits protesting the failure of the government to outlaw caste discrimination in the UK; government policies on this issue seem to be dictated by their high-caste Hindu donors.
DPAC Picket Ministries
DPAC was formed by disabled to give a voice to disabled people who are so often patronised and marginalised, despite many being highly intelligent and articulate and obviously being able to speak from experience. As users of services they know better than the highly paid consultants and cronies that governments seem to prefer to rely on to give the answers they want.
At the Ministry of Health in Whitehall around 50 disablement activists held a protest “to defend our NHS and demand our right to levels of social care support enabling choice, control, dignity and independence.” There were banners, posters, placards, speeches and songs, including ‘Citizen Smart’ (Alan Smart) and Adeola Johnson, who sang her ‘General Strike’
The protest there was continuing when I went on to the Department of Energy and Climate Change and joined those “angry about the numbers of disabled people living in fuel poverty while the energy companies rake in ever growing profits” to hear more speeches and songs.
There were people holding a banner across the door which appeared to be blocked. Again I left before the end, catching a bus to the next of the four initial venues.
The mood at the Dept of Education was angrier, with a group crowding around the single doorway shouting and arguing with a man refusing them entry. They kept asking for either someone from the department to come out and discuss their protest against government attacks on inclusive education and a return to segregation or for a delegation to be allowed in to deliver their manifesto.
After I left three people were allowed to take the manifesto in, and were told that they might be allowed back to discuss it later in the week. There was so a protest at the Dept of Transport but I was too late by the time I arrived there.
The pavement outside the Dept of Work and Pensions was rather crowded with roughly a hundred protesters along with reporters and around 35 assorted wheelchairs and mobility vehicles.
They listened intently to speeches by Sean McGovern, co-chair of the TUC’s disabled workers’ committee, John McArdle of the Black Triangle Campaign (named after the symbol the Nazi’s forced those they considered “asocial” or “workshy” to wear) and Richard Reiser, co ordinator for UK Disability History Month, along with several from DPAC members.
There were performances by Heydon Prowse as a man in a white suit and with a three piece gospel choir performing a piece about Atos miracles which certify the dead and dying as ‘fit for work’.
A deputation let to deliver a copy of the UK Disabled People’s Manifesto: Reclaiming Our Futures which was to be launched at a meeting in the House of Commons later in the day to Downing St. Research shows that “disabled people are being disproportionately impacted by the cuts with those with the most complex levels of support need being hit by austerity nineteen times harder than the average person.”
The manifesto was produced by disabled people and their organisations and sets out the key principles, demands and commitments that are important to deaf and disabled people. MPs were reminded that “With around 1 in 5 of the population being disabled and many more affected by disability as family, friends and carers or simply as citizens who care about social justice, policy and pledges on disability will be a key concern of many voters as we approach the next election.”
As the deputation left, Andy Greene of DPAC opened the large bag he had been carrying around all day. He reminded us that Iain Duncan Smith (IDS) had his problems too (earlier McArdle had described him less sympathetically as “the psychopath that is the minister in this office“.)
One of IDS’s problems had been over housing, but had been solved when his daddy-in-law had given him the mansion where DPAC activists had visited him for a protest on his very nice lawn, and another was apparently with some very personal items.
Back in 2003, one of his senior aides gave evidence to a House of Commons Committee that he had claimed expenses from the taxpayer for – among other items – his underwear. So here in the bag were lots of pants for IDS, and we were invited to personalise them with a message saying what we thought of his policies, after which they could be pegged up on a washing line between the lamp posts outside the ministry. None of the comments were positive but there were just a few that were fit to photograph and print.
End UK Caste Discrimination Now – Parliament Square
Between the DPAC protests I also photographed a protest by some of the estimated 200-400,000 lower caste Dalits (formerly known as untouchables) living in the UK. Although the House of Lords had twice voted for caste discrimination to be included in equalities law, and section 9 of the Equality Act 2010 requires the Government to introduce secondary legislation to include it under race, the government continues to cave in to high-cast Hindu objections to doing so. Although illegal in India, it is still widespread there, and many in the UK have also suffer abuse because of their caste. But wealthy Hindus are large donors to the Conservative Party (and probably now to Starmer’s Labour.)
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.
Virgin NHS & Mock The Opera: My work on Tuesday 2nd June 2015 began outside the London HQ of Virgin Care where campaigners were protesting at the continuing private takeover of the NHS by companies including Virgin. Then I joined a group under Notting Hill’s Westway who were marching to Holland Park. While making deep cuts to social services, homelessness prevention schemes, nurseries and the Westway urban stables the council was giving £5m to Holland Park Opera, underwriting its losses.
Virgin Health hide behind NHS Logo – Tavistock Square
The protest outside Virgin Care was part of a National day of action against private healthcare companies who are hiding behind the NHS logo, using the NHS Logo when delivering private care.
The People’s NHS, a community-led campaign to help defend the NHS from private companies, point out that many MPs including some cabinet ministers and members of the House of Lords are profiting from private medical companies which are taking over our NHS in a bit-by-bit privatisation.
These politicians have backed legislation in which they have a personal private interest forcing the NHS to put services out to tender, with private companies taking on the more straightforward routine services which are relatively cheap to run and make profits from, leaving the trickier aspects of the health service to be run by the public NHS.
The campaign’s petition pointed out the huge corruption involved stating:
We are outraged that politicians with financial interests in the private healthcare sector, totalling millions of pounds, voted on the Health and Social Care Act that has led to a massive expansion in private sector involvement in the NHS and created a profits bonanza for the same companies these MPs and Lords are linked to.
No party stood on a platform of privatising the NHS. It is a scandal that politicians who can personally benefit financially voted for this wave of privatisation, when the general public have had no chance to cast our vote.
We demand that these parliamentarians give the money they have received from their private healthcare interests to NHS charities, and that the Government halts all sell-offs and conducts an urgent review of the Health and Social Care Act.
and it demanded that these parliamentarians give the money they have received from their private healthcare interests to NHS charities, and that the Government halts all sell-offs and conducts an urgent review of the Health and Social Care Act.
‘Mock the Opera protest at Kensington cuts – Notting Hill to Holland Park
Two years after this protest the Grenfell Tower fire made clear to the nation the lack of concern of the Royal Borough of Kensington & Chelsea for its less affluent residents in North Kensington, but it was already clear in 2015 to those who lived in this part what was called the “richest borough in the Universe” and which had reserves of over £280m. And among the groups taking part was the Grenfell Action Group, already pressing for action to be taken to make its building safe in case of fire, but labelled by the council as troublemakers.
Years earlier the working class north of the borough had become one of the worst environmental disaster areas in UK history, with the building of a stretch of London’s inner urban motorway ring through it creating devastation. The outcry caused by local groups here eventually led to the abandonment of the disastrous road scheme with this being one of few sections completed, and the setting up of a community land trust, the Westway Trust to manage 23 acres of land under the Westway, supposedly for the benefit of the local North Kensington community.
The protest was organised by Westway23, a direct action umbrella group of concerned local residents, traders, artists and organisations of all ages, ethnicities and backgrounds, united to defend the community rights formed as a result of a growing concern that the local community were being excluded from key decisions that were responsible for shaping the area’s future by the Westway Trust, council and developers.
The film The Westway: four decades of community activism, produced in 2017 gives a good account of how the area, including the Westway has been treated and the fight against this by various community groups.
The protest was supported by local organisations including the Maxilla Nursery and the stables based under the Westway which had for almost 20 years been providing affordable and subsidised riding and equine therapy for inner city residents, including disadvantaged and disabled children which were threatened by the cuts, as well as other local groups and wider groups including Radical Housing Network and Unite Community.
They marched from outside the Westway Trust to Holland Park Opera which the council had recently announced it was giving £5 million to underwrite its losses, and placards and posters stated ‘Take Action. Stop Kensington & Chelsea Council from Squeezing our Services as they splash out on Sopranos.’
At a rally outside the Opera building where people were sitting on the outside gallery enjoying a drink before the performance, one of the speakers made clear that they were not against opera or the people who listen to it, but against the council and its cutting of services. The protest with its loud drumming and shouting ended before the opera was scheduled to start to avoid spoiling the event for those who had paid a part of the cost to hear the highly subsidised performance.
“But“, as I pointed out, “perhaps it isn’t a sensible ordering of priorities to subsidise those who were able to stand on the gallery drinking champagne while cutting essential support to the poorest and most vulnerable in the community.”
Wednesday 24th April 2013 was a busy day for protests in Westminster. And there was one in the City.
Protest the Privatisation of NHS – Old Palace Yard
The House of Lords was debating NHS regulations which imposed full competitive tendering on the NHS, a key part in the escalating backdoor privatisation of the NHS.
Unite had set up a ‘Wheel of Fortune’ game show hosted by people wearing ‘David Cameron’ and ‘Jeremy Hunt’ masks and listing the likely costs of various procedures due to the tendering system. They feared “that the coalition’s NHS policies, including a multi billion pound funding squeeze coupled with a massive reorganisation, will destroy the 65 year old health service, paving the way for a new marketised system where paying up to £10,000 for maternity costs or £13,450 for a new hip is the norm.”
Unite said that already more than £20 billion of health costs go to private companies, who take their decisions on the basis of profit rather than the interests of patients. The Lords were debating a motion for the annulment of the regulations on the grounds that Parliament had been assured “that NHS commissioners would be free to commission services in the way they consider in the best interests of NHS patients“.
Following a petition with 117,387 signatures to bring Shaker Aamer home from Guantanamo, a debate had been held that morning by MPs in Westminster Hall, where most of the 17 MPs who spoke called for his release, including Shaker’s own MP, the Conservative MP for Battersea, Jane Ellison, who also came out to speak with the protesters.
Unfortunately such debates, although they do increase pressure on the government to take action have no actual consequences. But perhaps it did help to persuade the government that it had to ignore the embarrassment of British agents at being complicit in his torture by the US and make clear to the US government he should at last be released after being held for 12 years, long after he had been cleared of any involvement in terrorism. As I noted, “The facts about torture are now largely public and totally indefensible and it is time for justice to be done.”
Green Party leader Natalie Bennett speaking at the protest
I had to take the tube to the City to attend a protest outside Gocer’s Hall where the AGM of Drax, the huge coal-burning power station near Selby in Yorkshire was being held. Drax was planning to convert half its capacity to bio-mass and become the largest biomass-burning power station in the world, using 1.5 times the total UK wood production per year.
The wood pellets would come mainly from devastating clear-cutting of highly diverse forests in North America, and although re-grown will eventually remove the same amount of carbon this will take a hundred years or more – during which time the carbon Drax emits – roughly 50% greater than burning coal – will be contributing to disastrous global warming.
Drax already has a disastrous impact in South America were land is being grabbed from traditional communities for open cast coal mining, usually with complete disregard for their human and civil rights, cleared of its biodiverse forests and diverted from food production – often in places where food is desperately needed. Conversion to wood-burning at Drax will result in even more environmental and social destruction.
The incentive to change to wood-burning is that under current government policies Drax will receive huge government subsidies from funds intended to promote renewable energy, diverting funds from schemes for energy production and conservation that actually will help to combat climate change.
Gurkhas Call for equal treatment – Old Palace Yard
I returned to Westminster, where Several hundred Gurkha pensioners and supporters were holding a rally on the 198th anniversary of the first recruitment of Gurkhas into the British Army to deliver a petition to David Cameron asking for equal treatment to other British Army ex-soldiers.
British Army Gurkhas who retired before 1997 were granted the right to settle in the UK in 2009, but their pension remains only a fifth of that of other British soldiers, and is impossible to live on in the UK, being based on the cost of living in Nepal.
Also in Old Palace Yard were UK herbalists, both traditional and Chinese, protesting against the failure of the government to bring in the statutory regulations they had promised to do by 2012.
Under EU regulations from 2004, traditional remedies then in use could continue to be provided until 2011, but after that had to be covered by national policies to regulate their safety and effectiveness. Although the government had promised to set this up, it has so far failed to do so, and they are now unable to prescribe many commonly used and effective common herbal remedies.
Get Britain Cycling Report Launch – Parliament Square
Finally, in Parliament Square, Christ Boardman, a gold medal cylist in the Barcelona Olympics posed with MPs from the All Party Parliamentary Cycling Group to launch their report ‘Get Britain Cycling.’
This calls for more to be spent on supporting cycling and that it should be considered in all planning decisions. They want more segregated cycle lanes and for the 30mp urban speed limit to by reduced to 20mph. Children should be taught to ride a bike at school and the government should produce and annually report on a cross-departmental Cycling Action Plan. Cycling has enormous advantages both individually and for us all in better health and reducing pollution with reduced health spending.
Saving the Whittington A huge campaign in 2010 led to Andy Burnham, then Health Secretary stopping the Whittington hospital board’s plans to close its maternity and A&E Departments. A major event in this campaign was the march I photographed on Saturday 27 February 2010 from Highbury Corner to a rally at the hospital at Archway.
Later in 2013 when the board announced plans for more cuts another successful campaign stopped these, and in 2016 there was yet another campaign over redevelopment plans in concert with a private contractor.
Many people tell me that protest never works and that campaigners are simply wasting their time, but in 2022 the hospital announced a £100 million refurbishment of Whittington Hospital’s maternity and neonatal facilities, which still deliver over 3,600 babies a year, and the A&E department is still open for business 24 hours a day, 7 days a week.
I counted almost 2000 people walking past me a short distance from the start on the two mile march to the hospital, and more arrived for the rally, swelling the numbers to around 3-5,000. Or as the BBC at the time called it, in their usual way of minimising protests, ‘hundreds’ of protesters. But at least, unlike most protests, they did report on it.
Among the marchers and speakers where almost every local politician, including David Lammy, MP for Tottenham and then Minister for Higher Education and Intellectual Property in the Department for Business, Innovation and Skills, who pledged his support for the hospital and all its services, revealing that he had been born there. Frank Dobson MP who was Secretary of State for Health from 1997 to 1999 also gave a powerful speech in support, as did Lynne Featherstone, Liberal Democrat MP for Hornsey and Wood Green. MPs Jeremy Corbyn and Emily Thornberry were also at the event, as well as Terry Stacy, the leader of Islington Council.
The proposals for the cuts and downgarding of A&E had come from a rationalisation programme initiated by Lord Darzi, a surgeon and national adviser in surgery to the Department of Health and a Labour Peer from 2007 until he resigned the whip in 2019. His report suggested moving much care from hospitals to GP-led polyclinics and to greater centralisation of trauma, stork and heart attack services to centralised specialist services.
Frank Dobson
Polyclinics remain rare, but although the greater specialisation of acute services made clinical (and financial) sense it failed to take into account the problems of London’s congested streets which would have led to long delays in treatment for many patients. Those inevitable delays would have meant deaths. And the selection of Whittington for closure neglected its good road and public transport connections which make it an ideal location for emergency cases as well as other patients and visitors.
Why Whittington was chosen as suitable for closure probably came down to two factors. One was certainly the age of the buildings, but perhaps more important was that the same factors of location and transport links made it an exceptionally valuable site for property developers. Had the cuts gone ahead in 2010, the rest of the hospital would probably by now also had been closed, with the site developed, including some of those old buildings converted into luxury flats.
Many more pictures from the march and rally at Save the Whittington on My London Diary.
