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.
On Saturday 26th February 2011 we were in the heady days of the Arab Spring, and two groups of protesters came to the Libyan Embassy to call for Gaddafi to go.
Gaddafi had tried to prevent the movement spreading to Libya, reducing food prices, purging the army leadership and releasing some political prisoners, but major protests had still begun across the country on February 17th. Gaddafi had not quite been the evil dictator that the Western press portrayed him as, but there had been extensive corruption and patronage and unemployment had reached around 30%.
Gaddafi had begun to use the army to hunt down the protesters and hundreds had been shot, shocking many of the countries leading politicians some of whom defected to the rebels who by the end of February were in control of many of the major cities including Benghazi, Misrata, al-Bayda, and Tobruk.
On the day I photographed these protests were taking place outside the London embassy the UN Security Council passed a resolution suspending Libya from the UN Human Rights Council, implementing sanctions and calling for an International Criminal Court (ICC) investigation into the killing of unarmed civilians.
Around 200 Hizb ut-Tahrir supporters had arrived first to protest and had occupied the pavement opposite the embassy, with a large orange banner ‘ ‘Arab-Muslim Rulers Are Traitors’. Many of the men waved large black flags with white Arabic calligraphy, but there were also placards in English, calling for an end of Western interference in Muslim countries.
There were a few women too, in a separate pen to once side, many of whom appeared to take little part in the protest, though some did join in the chanting of slogans. Hizb ut-Tahrir were calling for the replacement of Gadaffi by a Muslim caliphate, although there was apparently little support for this in Libya.
Coming later, a number of Libyan students and supporters wanted to make clear they were separate from this Islamic protest. They went into Hyde Park to protest from a low grassy bank above the other group. They were at pains to make clear that the last thing that they wanted would be Islamic rule, which, as several pointed out has created a similar tyranny in Iran to Gaddafi’s Libya.
Later NATO intervened, supplying air cover for the rebel forces and launching air strikes against Gaddafi’s army. He was forced to flee, recording a farewell message and returning to his home area. Taking refuge from an air strike on a construction site, sheltering inside a drainage pipe, he was taken prisoner and killed by militia.
After his death, while Western leaders were triumphant, many across the rest of the world mourned him as a hero (as the Wikipedia article makes clear.) The future for Libya looked brighter, with trade unions legalised, press freedom and elections. But things have not gone smoothly since, as the UK government’s advice indicates:
The Foreign, Commonwealth & Development Office (FCDO) advise against all travel to Libya. This advice has been in place consistently since 2014. If you’re in Libya against this advice, you should seek to leave immediately by any practical means. …
The political situation in Libya remains fragile and the security situation remains dangerous and unpredictable. Uncertainty about when postponed Libyan elections will take place is likely to heighten tensions throughout the country, which may lead to security incidents such as inter-militia clashes and oil blockades.
From the Libyan Embassy close to Hyde Park Corner I made my way to Oxford Street to join around 70 UK Uncut protesters who were taking part in one of around 50 protests around the country against RBS/NatWest who had been bailed out in the banking crisis with £20 billion of public money – so we now owned 84% of it. But despite which it didn’t seem to be behaving in the public interest.
The Nat West branch in Regent Street where the protesters had intended to protest had shut down completely for the day, and after a short protest outside it, the protesters announced we would be moving fast to another location, and the mainly young protesters set off at a jog.
I managed to keep up with them – and was actually a few yards ahead when suddenly they turned and swarmed into a Lloyds TSB branch. I turned round and followed them in. There they began a series of lectures on the failures of the banking industry, tax avoidance and the alternative’s to the public sector cuts.
After around 25 minutes the police and branch manager came to ask the protesters to leave, warning them they would otherwise face arrest.After a short deliberation they went outside and continued the lectures on the pavement, and I left for other protests.
The main event I wanted to be at next was in Trafalgar Square where around 200 people took part in an Arab unity demonstration.
This had been called at at short notice by British Libyans and friends demanding freedom for all Arab nations. Heritage Wardens forced them to move from the main square where protests need permission from London’s Mayor to the North Terrace, still officially a public highway although pedestrianised.
It was an animated protest, with a number of emotional speeches, mainly in Arabic and calling for Gadaffi to go, and there were plenty of placards, poster and banners for me to photograph.
Ten years ago on Saturday 2nd February 2013 I went to Enfield to photograph a march against the planned closure of A&E and maternity services at Chase Farm Hospital there. I left the march to travel into central London for a protest by cleaners outside the Barbican Centre.
Save Chase Farm Hospital – Enfield
The march in Enfield took place a week after a massive march in South London against the closures at Lewisham hospital, but the march in Enfield was a rather smaller affair, with just a few hundred taking part.
Tory politicians including David Cameron, Andrew Lansley and Nick de Bois, by the time of this march Prime Minister, Health Secretary and local MP respectively, had visited the hospital in 2007 and pledged support for stopping closure of A&E and maternity services at Chase Farm.
Their promises turned out to be worthless once the Tory party had come to government and de Bois elected, plans for the closures were approved by Andrew Lansley in September 2011 and were due to come into force in November 2013.
But the local fight against closure had continued, now led by the North East London Council of Action, with daily pickets outside the hospital where the units are due to close this November. The march was also supported by the Save Chase Farm campaign and the London Fire Brigade Union as well as Unison and there were people with a banner from another North London hospital, the Whittington Hospital at Archway, where vigorous local protest stopped closures of A&E and maternity a few years ago, but where the management is again proposing cuts.
The hospital was then run by the Barnet and Chase Farm NHS Hospital Trust which included Barnet and North Middlesex hospitals who intended to spend £35million to expand A&E and maternity services at Barnet to replace those at Chase Farm and to make a £80million refurbishment of the 1970s Tower Block at the North Middlesex.
Around two hundred people gathered at the war memorial on Chase Green where there were some folk songs before the march set off to Enfield town centre, where many local shoppers showed their support.
The march then continued on its way to the hospital, with some of those taking part chanting ‘Occupy Now’. I had to leave them before they reached the hospital as I had promised to go to the Barbican, but later heard that a small group had occupied a part of one building and were evicted around 10pm that evening.
Despite the protests and an unsuccessful legal bid by Enfield Council to postpone the changes the Maternity Unit closed on 20th November 2013 and the Accident and Emergency Department on 9th December 2013. The closure remained controversial and although a Healthwatch Enfield report found no evidence that the closure of A&E had an adverse effect on Enfield residents ability to access emergency services, it was unconvincing, partly because of the failure of the three hospitals to provide adequate data.
Cleaners Protest at Barbican, Barbican Arts Centre – City of London
The Industrial Workers of Great Britain (IWGB) which represented the Barbican cleaners had declared an official dispute at the Barbican Centre in November 2012 and this was the latest in a series of protests.
The cleaners were protesting for the London Living Wage and also against unfair treatment and a union ban by cleaning contractor MITIE.
Although the City of London Corporation which owns the Barbican Centre has come out in support of the London Living Wage and pays all its workers at or above this, it is happy to outsource the cleaning to MITIE, a large and highly profitable company paying its CEO over a million pounds a year but with the cleaners on only £6.90 an hour, around one fifth less than the then London Living Wage of £8.55.
MITIE responded to the union claims with a letter to employees including “IWGB representatives will not be permitted access to any MITIE site, including the Tower of London, Barbican etc. to support the IWGB members who are employed by MITIE. We appreciate that many sites, where our employees undertake work for our clients, are open to public access, but no member of IWGB should discuss union business with any MITIE employee during their working hours or on premises within which they are employed.“
Despite this a spokesman for the City of London Corporation who are the owners of the Barbican denied in a post of Facebook that there is any ban on the union at the centre.
The protest took place outside the main entrance to the Barbican Arts Centre, with the protesters careful to leave room for people wanting to enter or leave the building. As well as making a loud noise with drumming, air horns and whistles they also shouted slogans, both in English and in Spanish, the first language of many of the cleaners.
There were also speeched, and one of the Barbican cleaners spoke about the low wages and poor working conditions, and the feeling by cleaners that they are treated like dirt rather than given the respect due to any person. He told how his pregnant wife had been forced to work with chemicals that were known to be dangerous for pregnant women, risking a miscarriage, despite her complaints. MITIE had failed to discipline the manager responsible in any way. Fortunately despite the exposure, his wife had given birth to a healthy child.
The protest was still continuing as I left for home and I could still hear the noise they were making – though faintly – as I reached Moorgate station, almost a quarter of a mile away despite the tall buildings lining the streets. It was a peaceful protest but one determined to be noticed and to make its complaints heard, something which the government has now made illegal.
Save Lewisham Hospital March & Rally – Saturday 26 January 2013
On Saturday 26th January 2013 an estimated 25,000 people marched through Lewisham to save their hospital from closure and to protect the NHS, showing south London united against the closure on pure financial grounds of its highly successful and much needed A&E and maternity departments.
Now the whole NHS is facing a crisis, and a similar united response across the country is needed to save it. It becomes clearer and clearer that this crisis has been deliberately engineered in order to destroy our health service and hand it over to private providers, particularly the US health giants.
Two years ago, US health insurance giant Centene Corporation took over 49 NHS GP surgeries and practices. Now as Jeremy Corbyn posted a couple of days ago on Facebook, “US health insurance giant, Centene, is the single largest provider of NHS primary care in England. Privatisation is the cause of — not the solution to — the NHS crisis. Stop wasting money on private contracts and start investing in a fully-public NHS instead.“
Unfortunately both Tory and Labour parties have taken part in the move towards privatisation of the NHS, though Tories have been more open in their support of such changes as suggesting the introduction of charges to see a doctor. But both parties have introduced changes which have brought private companies into providing NHS services, have taken large donations from private health companies, and have leading members who profit from them.
It was under Labour that the NHS took on poorly thought out Private Finance Initiative contracts that have landed many local health trusts with huge debt repayments, many of which extend to the middle of the century, and it was these which led to the crisis in Lewisham.
The PFI contracts were negotiated by civil servants and were and are a bonanza for private companies. Under them we pay totally ridiculous charges for simple jobs – such as Hull and East Yorkshire Hospitals Trust paying £8,450 to install a dishwasher because they are locked into maintenance contracts. Changing a light bulb can cost a couple of hundred pounds.
Lewisham Hospital wasn’t directly affected by PFI, but it was in 2009 put into the South London Hospitals Trust, which had two hospitals at Orpington and Woolwich whose PFI contracts saddled the trust with debts of over £60 million a year until 2032.
Lewisham Hospital was successful both medically and financially, but Health Secretary Andrew Lansley appointed a special administrator to the trust with a remit to drastically cut the trusts costs. And Matthew Kershaw decided to do so by closing the highly successful and much needed A&E and maternity departments at Lewisham.
It was a decision that made no sense. There wasn’t the spare capacity at other hospitals to cope with those no longer able to get treatment at Lewisham – the system was actually working in the other direction, with these other hospitals having to send patients to Lewisham.
Financially it made no sense – the patients would still require treatment and this would cost more elsewhere. The small annual savings the closure would give would be more than offset by increases in costs elsewhere – though some of these might be in other trusts.
The proposal generated an incredible amount of local opposition, with the campaign to save the hospital supported by all local MPs and policitician both in the area and across south London. Community groups and organisations all came together to save the hospital – Millwall football club even changed their weekend fixture to Friday night so the team and supporters could join the march.
As I wrote back in 2013, “The fight to save Lewisham Hospital isn’t just a local issue, but very much a national one, with the provision of medical services that form the bedrock of the NHS under attack. If the government can close down services at Lewisham, no other successful hospital in the UK is safe in their hands.”
Nurses and ambulance workers are now striking not just for a better deal for themselves, but for the future of the NHS, which the Tories have deliberately run down with drastic underfunding and a deliberate failure to train and recruit staff. Perhaps their most obvious action was the removal of the bursary for nurse training, but as well there has been the continuing decrease in real salaries with below inflation wage rises over the years. Together with the failure to keep European staff in this country after Brexit and the impact of Covid the results have been disastrous – except for those private companies providing agency nurses and doctors, often at horrific cost to the NHS.
If the NHS is to be saved it will need the kind of public mobilisation that saved Lewisham Hospital, with the people as a whole getting behind the nurses and doctors and others who are fighting to save it. We need to fight the policies and greed of the Tories and of Labour and of the billionaire press to preserve the NHS as a national service free at the point of use and organised for the national good rather than for profit.
London, UK. 15th Dec 2022. Around a thousand people, including nurses and supporters came to a lunchtime protest outside St Thomas’s Hospital on the approach to Westminster Bridge
I’ve been sitting in front of my computer for around half an hour wondering what I should write about for Christmas Eve. I tried looking back at what I’d done in previous years – all in the blog archive on the right of this page which goes back to 2006 (though I didn’t post anything on December 24th until the following year) but all that did was depress me as so many of my earlier posts seemed rather more interesting and better written than more recent entries, and much wider in scope.
London, UK. 15th Dec 2022.
This year seems likely to be a very quiet Christmas for me, and the reason is largely Covid and other infections. Although Christmas and Boxing Day will be much the same both my sons have cancelled planned visits home with their families because of the huge prevalence of disease at the moment and the risks they might cause both to vulnerable adults like us (I’m an ancient diabetic) and their families.
London, UK. 15th Dec 2022.
Of course I’ve had all the Covid jabs – I think four so far – and the flu vaccination and it’s perhaps why I seem at the moment to be doing better than some of my mainly rather younger friends. Last Wednesday four of us cancelled a final get-together before Christmas for a meal together as one had Covid and another was in bed with another virus.
London, UK. 15th Dec 2022.
But I do feel very depressed and angry. Mainly at the terrible mess our government have made of the country particularly in the last year, but also over the longer term. Truss’s nightmare government which resulted in the waste of many billions in a few days, Sunak as Chancellor and now PM and the longer term disastrous effects of Brexit and austerity. And longer term still the truly crazy privatisation of key industries such as gas, water, electricity, railways and the creeping back-door privatisation of the NHS with ‘reforms’ which have been largely about opening it to private profit.
London, UK. 20 Dec 2022.
Things do now seem to be coming to a head, with workers seeing wages clearly leaving them unable to cope with increases in prices of energy and food, as well as rises in rents and mortgages, and strikes across the public sector as well in the privatised postal service. Even some of the right-wing press have begun to desert the Tories for their incompetence – as Labour has moved and is beginning to look like a more economically competent right-wing party. And even the BBC has begun to pick up some of the more blatant lies made by ministers about the nurses.
London, UK. 20 Dec 2022.
One thing I’ve not posted much if at all about this year is my continuing photography on the streets of London, largely covering protests. I don’t do as much as I did in earlier years, but I’ve still been going out and working a few days each month since the lock-down ended. And although I’ve not been keeping My London Diary up to date, as well as filing the pictures to Alamy I’ve also been putting them in albums on Facebook.
London, UK. 20 Dec 2022.
The cold spell made it difficult for me to get out earlier in the month and rail strikes have made it impossible for me to get to some other events. But both days when the nurses were striking I went to photograph them, on the first strike day outside St Thomas’s Hospital and the second a rally at University College London Hospital followed by a march. The pictures with this post are from these two events. You can view more from both days by following the links in the previous sentence and see these pictures larger by right-clicking and choosing to open them in a new tab.
Key Workers were protesting in London on Wednesday 2nd December 2015, but their protests were ignored by government and then Tory Mayor of London Boris Johnson. Since then we have seen that the warnings of the protesters were real and the consequences of Tory policies have led to disaster. It’s a failure of our system of government that allows dogmatism and class interests to pursue such irresponsible policies at both local and national level, and one hugely facilitated by a media largely controlled by a handful of billionaires.
Firefighters say cuts endanger London – City Hall, Wednesday 2nd December 2015
Firefighters and supporters protested at City Hall against plans to get rid of 13 fire engines and slash 184 firefighters in the London Fire Brigade. These came on top of previous cuts and station closures which have already led to increases in the time taken for firefighters to arrive at fires which have lead to people who would otherwise have been rescued dying in fires.
The People of Shoreditch Say… Bozo Don’t take or Fire Engine Away! – Bozo the Clown of County Hall’
Trade unionists and others came to support the firefighters and some spoke at the rally along with speakers from the FBU. It took only a little persuasion to get George Galloway to speak. Members of the London Assembly had put forward an alternative plan to make savings and avoid the loss of the fire engines but these were dismissed by London Mayor Boris Johnson.
George Galloway came to show support
One of the consequences of the cuts to London’s fire services came sadly and disastrously with the loss of 72 lives at Grenfell Tower on 14 June 2017. We found then that London simply didn’t have a single fire engine capable of dealing with a fire in the upper floors of the building. Fortunately Surrey, although it has far fewer high rise buildings had kept one which could be called in to help, or the death toll would have been even higher.
Save NHS Student Bursaries – Dept of Health, Whitehall, Wednesday 2nd December 2015
George Osborne had decided to scrap NHS student bursaries from 2017. Nurses and other healthcare students have to spend around 50% or their time working in hospitals for the NHS during training and so are largely unable to take on part-time work as many other students do. They only payment they get for this work is through the bursaries.
It seems totally unfair to ask them to take out student loans and work for the NHS for nothing as well. And since many of the jobs they go into are not particularly well-paid, it makes little financial sense as many would probably never fully repay their loans.
Always plenty of money for our arms manufacturers
But what nurses said it would do was to lead to a reduction of students applying for healthcare courses, particularly the many single mothers and more matures students who are enabled to take the courses by the bursaries. And to take this action at a time when there was a critical shortage of medical staff was sheer lunacy.
Of course they were right. The situation in the NHS is even worse now partly due to this axing of bursaries. Of course there are other factors too – including a racist immigration policy which has been made much worse with Brexit. And the continually increasing privatisation taking place.
The NHS has so far suffered various areas of breakdown caused of exacerbated by various government policies – including some under New Labour who promoted disastrous PFI schemes that have brought some hospital trusts to financial ruin. Covid was another savage test and things look set to get far worse in the coming winter months. And given the years of below inflation pay offers its hardly suprising that nurses are now about to strike.
The problems with scrapping the student bursary were so intense that the government was forced to set up a new bursary scheme in 2020. But while the previous scheme had a maximum of £16,454 a year, with a minimum of £10,000, the new scheme was considerably less generous, at a standard £5000, with additions for shortage areas and childcare giving a maximum of £8000.
Scrap the ICP Contract, Keep the NHS Public – Westminster, Fri 26 Oct 2018
Later on Friday 26th October 2018 Eleanor Smith’s private members bill calling for the scrapping of plans for Integrated Care Providers which break up the NHS into smaller business units which can be competed for by private sector organisations was due for its second reading.
Eleanor Smith MP
ICPs were planned by NHS England whose CEO Simon Stevens was previously a senior executive of the giant US healthcare and health insurance company United Health Group, to be a way for the backdoor privatisation of our National Health Service.
The rally outside parliament had already begun when I arrived. It’s expensive for me to use the trains in the rush hour and in any case I don’t like getting up early now, but I had run much of the way from Waterloo and only missed the first few minutes. Speakers at a rally by Keep Our NHS public, Health Campaigns Together and We Own It included Eleanor Smith MP and Green Party Health spokesperson Larry Sanders (Bernie’s older brother) as well as other health campaigners.
The petition from ‘We Own It’ with 31,870 signatures to scrap the ICP contract
At the end of the rally campaigners marched to deliver a petition to the Dept of Health, which had recently moved to offices on Victoria Street. It isn’t easy to spot and the march at first went past it before I and others realised, and had to turn around and go back to it. There was only a very small notice outside and it was only by looking through the large glass windows that it was clear that this was the building.
There was then a short protest on the pavement outside before a small group went inside to hand over the box containing the petition which had over 31,000 signatures.
As we walked in a security man told us that we were not allowed to enter the building and could not take photographs. The campaigners told him he could not be serious and ignored him as they handed the petition over at the desk.
There was then a final speech on the pavement outside by Tony O’Sullivan of Keep Our NHS Public and the event ended with a group photograph in front of the Ministry offices. As expected the private members bill failed to get a second reading and the privatisation of the NHS continues.
Support self-employed parental leave – Old Palace Yard, Fri 26 Oct 2018
I returned to Old Palace Yard outside Parliament where a photocall was taking place for the second reading of another private member’s bill. Tracy Brabin MP’s #SelfieLeave bill was listed, which would give self-employed parents access to shared parental leave and pay.
Tracy Brabin had appeared in several soap operas including Coronation Street, EastEnders, Casualty and Emmerdale before becoming MP forBatley and Spen from 2016 to 2021. In May 2021 she became the first elected Mayor of West Yorkshire. Her bill was supported by members of Equity, UK Music, the Music Producers Guild and the Musicians Union. Currently women are forced to be the main carer, regardless of circumstances and fathers are denied any paid leave to look after their children, reinforcing outdated stereotypes and causing stress for thousands of families.
Although there would be no additional cost to the exchequer as the existing entitlement to Maternity Allowance for self-employed women would simply be shared with a partner, this bill too failed to get its second reading. I did my best, but I think the pictures are generally rather uninteresting and demonstrate why I don’t usually bother with such photocalls.
Fridays for Future – act on climate change – Parliament Square, Fri 26 Oct 2018
Elsie Luna who produces The Politics Podcast for Young People in the UK
In August 2018 Greta Thunberg instead of going back to school at the end of the Summer break protested outside the Swedish Parliament, breaking the law to start the School Strike For Climate.
This was the first protest in London hosted by Extinction Rebellion as a part of a #FridaysForFuture movement taking place in many cities and towns across the world inspired by her example. The group announced weekly protests would take place here in London.
Elise Luna with a message for Angela Merkel – Watch out – I see your dirty coal
They began the protest where I met them in front of the statue of Millicent Fawcett at the back of the square, but were soon told by the GLA heritage wardens they were not allowed to protest there and moved to the pavement at the front of Parliament Square which is not covered by the GLA bylaws.
Among the protesters was Elsie Luna who produces the remarkable ‘The Politics Podcast for Young People in the UK’. Few had come today, but it was the first protest and the organisers hope it will grow week by week.
