Posts Tagged ‘PFI debt’

Free Speech & PFI Debt – 2013

Sunday, October 8th, 2023

Free Speech & PFI Debt – Ten years ago on Tuesday 8th October 2013 I photographed two protests in London, the first against a controversial law which prevents some campaigning by organisations in the year before a general election and the second over the effect of huge repayments of PFI debts that are severely affecting the ability to provide proper hospital services – a result of misguided policy decisions by previous governments and poor agreements made by civil servants.


Don’t Gag Free Speech – Parliament Square

Free Speech & PFI Debt

Campaigners in Parliament Square opposed the Transparency of Lobbying, Non-party Campaigning and Trade Union Administration Bill which was being debated that day in Parliament in what was somewhere between a staged photo-opportunity and a protest.

Free Speech & PFI Debt

The name of the Bill (and the Act which came into force in 2014) is something of a mouthful as it combined three quite different things. Establishing a register of consultant lobbyists seemed long overdue, although it seemed unlikely to reduce the scandalous effect of lobbying by groups such as fossil fuel companies on government policies – and clearly has not as recent decisions on Rosebank and other environmental issues has shown.

Free Speech & PFI Debt

But the restrictions on the campaigning activities by charities and other “third party organisations” in the year before a general election was extremely controversial. So controversial that it was opposed by an incredibly wide range of voluntary organisations, “including Action for Blind People, Action for Children, the British Heart Foundation, the Campaign to Protect Rural England, the Countryside Alliance, Guide Dogs, Islamic Relief UK, Hope not Hate, the National Federation of Women’s Institutes, the Royal British Legion, the RSPB and the Salvation Army.” All saw that their legitimate activities in pursuing their charitable and other aims could be limited by the new legislation at least one year in four.

Free Speech & PFI Debt

The third section of the bill would effect the ability of trade unions to play a full role in informing and advising members in ways that might influence how they should vote.

Many saw the bill as an attack on free speech and something that could be used to silence critics of the government in the run-up to general elections, while failing to address the problems of lobbying by vested interests which could continue so long as the lobbyists were registered.

Rather than the mouthful of its full name, the Bill was widely referred to as the “lobbying bill”, or by its many critics as the “gagging bill” and this was reflected in some of those protesting having tape across their mouths, as well as in posters and placards. Although the bill became law it has perhaps had less effect than many of the campaigners feared, probably because of its lack of clarity. But it remains in law as a failure to deal with lobbying and a threat to free speech.

More pictures at Don’t Gag Free Speech.


Scrap Royal London NHS PFI Debt – Royal London Hospital, Whitechapel

The Private Finance Initiative (PFI) was a disastrous system which enabled essential government expenditure to be taken off the books. Essentially it involved in disguising borrowing by the government to build schools and hospitals etc by getting money from the private sector for these works and then paying these back over long periods of time.

But rather than the government paying back the loans for new hospitals, these would be paid back by the NHS through the various health trusts. It made no real sense, but made the figures for government borrowing look better.

Things were made worse, firstly by the private sector negotiators of the agreements running rings around those from the public sector inexperienced in such things meaning the contracts are far too favourable to them. Then we had the financial crash and the Tory-imposed austerity. Health trusts found themselves in an impossible situation, which required some radical government action. Even the Tories were eventually forced to do something, and in 2020, over £13 billion of NHS debt was scrapped; this good news came together with a wider package of NHS reforms in part intended to allow them to cope with Covid, and I’m unclear of what the overall effect will be in the longer term.

The Barts Health Trust which covers much of East London, including Barts, The Royal London, Newham General, Whipps Cross and London Chest Hospital, as well as many smaller community facilities has been particularly badly hit, with PFI payments of £129m a year to a private consortium who financed the new (and much needed) Royal London Hospital.

Barts Health Trust needs to cut £78m from the services it provides and planned to do so by downgrading the posts of many of its staff, paying them less for doing the same work, or rather doing more work, as there will be increasing staff shortages with vacancies being deliberately left unfilled. In any case new staff will be unwilling to come and work for a trust that wants to pay them less than their experience and qualifications merit.

Barts were also proposing to close departments such as A&E at Whipps Cross or Newham and for the population of East London things are made worse by proposed closures in neighbouring health trusts.

The rally began on a narrow pavement on the busy Whitechapel Road outside the hospital but after police told the organisers it was too dangerous moved onto the access road in front of the new PFI financed hospital where they had previously been denied permission to protest.

Although the hospital has a new building, financial problems have prevented them from making use of the top two floors – and for two days recently had been unable to admit any new patients as no beds were available.

More at Scrap Royal London NHS PFI Debt.


Olympic Park, Barts and Food Poverty – 2014

Sunday, April 16th, 2023

Olympic Park, Barts and Food Poverty. On Wednesday 16 April 2014 there were two events in the evening I wanted to photograph, the first in Whitechapel and another in Westminster. It was a fine Spring day and I decided to go out much earlier and take a long walk around the former Olympic site, much of which had just been opened to the public ten days earlier.


Queen Elizabeth Olympic Park Panoramics – Stratford

Olympic Park, Barts and Food Poverty - 2014

My walk got of to a poor start, as I followed the large signs in Stratford Station to the park and found myself hopelessly lost.

Olympic Park, Barts and Food Poverty - 2014

I retraced my steps and went through where I thought I had probably missed a turning and walked though Stratford Westfield past many shops I would never feel any desire to enter.

Emerging on the other side I could still find no way into the Park, keeping coming up to areas still blocked by fencing.

Olympic Park, Barts and Food Poverty - 2014

Google Maps wasn’t much help. Streetview, claimed to work on some streets in the area, “but actually carries out what seems a fairly random translocation to some varied London locations. All of them seemed more interesting than the actual topography I had found myself facing on the ground.”

Olympic Park, Barts and Food Poverty - 2014

Eventually I managed to access the park, though it didn’t seem much like a park to me. As I wrote back then, “It gives the impression that as little has been spent and done as possible post the Olympics and it largely remains a series of routes to the Olympic stadium, ready for the mass tramping feet of West Ham fans, though some might favour more direct routes. It is a complete contrast to what might be expected of a new park for – and there is a good example of one just a couple of miles away in Thames Barrier Park.”

It has improved a little in the nine years since this visit, but still in many areas seems more desert than park, and my conclusion that it was “a rather bleak area, enlivened occasionally by the odd art work” still seems apt for much of the area.

Of course I was comparing it to the same area before the Olympics, which I had often wandered and enjoyed, and had been a more exciting and much wilder area. Of course a part of its attraction had been its relative isolation and the new park will attract hugely greater numbers to its various attractions. The local schools were on holiday and there were areas in which children were playing which for various reasons don’t feature in my pictures.

Many more at QE Olympic Park Panoramics


Barts cuts Health Advocacy & Interpreting – Royal London Hospital, Whitechapel

From Stratford Marsh and Pudding Mill Lane Station it was a short journey to Whitechapel, with just a short walk in the middle from Bow Church DLR to Bow Road on the District Line.

The Royal London Hospital at Whitechapel is run by the Barts Health trust, who were proposing to make drastic cuts in advocacy and interpreting services.

The hospital is in the centre of a multiethnic community of great deprivation and need, a community desperate for an increase in these services,with an ageing population many of whom speak and understand little English but are now in much greater need of health care.

I was there to photograph the handing over of a petition by GPs and other health professionals as well as members of various parts of the BME community, including Somalis, Bangladeshis and Chinese. The Mayor of Tower Hamlets backed the campaign and had sent apologies and a representative to express his support, and a Labour councillor gave support from the Labour group.

The removal of the services at GP surgeries and community and hospital services would mean the loss of around 11 full-time Bengali/Sylheti Health Advocates and the languages affected would include Somali, Punjabi, Urdu, Hindi, Tamil and French.

Bart’s Health Trust has huge financial problems because of the huge PFI debt incurred in the building of the sorely needed new hospital in front of which we were meeting, with continuing huge payments that mean that they have been unable to fully use the new building and have cut other vital services. PFI was always a mistake and the civil servants who negotiated the terms were no match for the skilled and highly paid operators for the developers who ended up with terms that were hugely favourable to them – and which changes in the financial conditions since then have made even more so.

The hospital tried to restrict the publicity for the event, although they had agreed to accept the petition, they wanted to do so in private. Hospital security staff tried to stop most of those present from witnessing the handover, and to prevent photography, but without success.

Barts cuts Health Advocacy & Interpreting


End Hunger Fast Vigil against Food Poverty – Old Palace Yard


Over 600 leaders from all major Christian denominations, including 47 bishops had earlier in the day called for urgent government action on food poverty, and earlier in the month thousands had taken part in a 24 hour day of fasting, praying and reflecting on the hunger in the one of the world’s richest countries came to the vigil.

On 16th April, ‘End Hunger Fast’ campaigners held a vigil outside Parliament, lighting candles and breaking bread together.

Earlier in the day figures from the Trussell Trust and independent food banks had been released showing that one million food parcels were handed out over the previoUs year as the safety net for the poor and vulnerable in Britain was crumbling.

There were a number of speeches before a sharing of bread in a minute of silence before eating to reflect on the problem faced by those who cannot afford food. CanDles were then lit (with some difficulty because a a stiff breeze) for another period of silent contemplation before the final address by End Hunger Fast media spokesperson Keith Hebden. He was then going without food for 40 days and 40 nights to draw attention to food poverty, and stressed the importance of getting politicians to take action on the issue.

End Hunger Fast Vigil against Food Poverty


People’s March For The NHS And More – 2014

Tuesday, September 6th, 2022

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


People’s March from Jarrow for NHS

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

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

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

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

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

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

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

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

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

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

People’s March from Jarrow for NHS


Mourning Mothers of Iran – Trafalgar Square

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

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

Mourning Mothers of Iran


Rolling Picket against Israeli violence – Downing St

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

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

Rolling Picket against Israeli violence


Stolen Children of the UK – Parliament Square

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

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

Stolen Children of the UK