John Riddell: Democracy in Lenin's Comintern

How did Communist parties handle issues of internal discipline and democracy in Lenin’s time? The recent intense discussion within the British Socialist Workers’ Party (SWP) and beyond has heard claims that the SWP rests on the traditions of democratic centralism inherited from the Bolsheviks.

John Riddell: Democracy in Lenin's Comintern

Richard Atkinson: Death and the Bedroom Tax

Some extended thoughts about Stephanie Bottrill, the woman who committed suicide because of the bedroom tax.

Richard Atkinson: Death and the Bedroom Tax

Dave Renton: Who Was Blair Peach?

Today marks the 35th anniversary of the killing of Blair Peach by the police. David Renton looks back at Blair Peach’s life as a poet, trade unionist and committed antifascist

Dave Renton: Who Was Blair Peach?

Bunny La Roche: Nasty Little Nigel gets a rude welcome to Kent

Bunny La Roche of RS21 on Nigel Farage's visit to Kent

Bunny La Roche: Nasty Little Nigel gets a rude welcome to Kent

Financial Appeal

We're up and running! An appeal for funds to kickstart the IS Network

Financial Appeal

#OccupyDemocracy - out of hibernation

Photo by bjpcorp

#Occupy has been in a state of hibernation until recently. Three years ago, the movement which started with Occupy Wall Street in the US sent ripples over the world, with camps in every continent, in hundreds of cities, demanding a alternative to the status quo. The occupations are organised horizontally through general assemblies. For various reasons, although the movement’s effect continues to be felt, the Occupy movement itself slowed down and gradually went into decline. 

Awaking from this period of slumber, the latest action has been named Occupy Democracy. In Parliament Square, opposite the Houses of Parliament, the occupation started on Friday 17 October, the day before the latest big action called by the TUC, which, as is traditional, took the form of a march followed by a rally in Hyde Park. They plan to be occupying till Sunday 26 October. However the police since the first night of the protest have been trying to move them off using various bylaws. Even though Parliament Square’s main purpose is usually to give a space for protest it seems that is not quite the case anymore. 

For the occupiers it has been a mix of extremes, of activist solidarity and celebrity endorsement on the one hand, and heavy state harassment on the other. Russell Brand showed his support for the Occupy Democracy on a number of occasions, bringing pizza and speaking to the occupiers, as well as Green MP Caroline Lucas. UK Uncut came to do a talk on direct action. I spent the night with the occupiers on Saturday night. It was a great experience with people all sitting down on the tarpaulin (which the police tried to confiscate) talking about politics and how our current model of representative democracy isn't working to represent us. The atmosphere was really relaxed once the police retreated from trying to pull us off the square. However, people have been arrested and now Parliament Square is guarded by a fence all the way round. Despite this, the occupiers have spent the rest of the week on a small piece of grass next to the square.

For more information you can see the occupiers online at where there are video blogs of what has been going on. Where next for Occupy? Keep a look out, I have a feeling they will be around for some time to come.


Add a comment

We all need the E15 occupation, and the E15 occupation needs YOU

What will you see if you visit the E15 occupation on the Carpenters Estate in Newham? Outside you will see a surprisingly good looking open and tidy council estate with many of its buildings inexplicably boarded up. Inside you will definitely see people rushing around from laptops to phones, others cooking or cleaning and, in various rooms, signs of donated toys, clothes, bottled water, hoovers etc. It would be almost impossible, in the experience of my three short visits there, not to see Jasmine and Sam, who carried their experience of defending themselves when the home they shared with around 30 other mothers was closed down by Newham council and they were threatened with being housed far from the community and support they knew. In that fight they won the right to stay in Newham, although not, in their view, in the kind of social housing that is needed.

If you do see them they will likely be discussing their next move to defend their occupation from Newham council’s sudden need to “put all to right” on an estate they have left to decay for around 7 years. You will see them working alongside activists in planning community events and reacting to various problems as they occur. They will probably disappear at points to meet visitors, give interviews and probably for the thousandth time patiently and passionately explain why they are occupying a group of flats in the middle of this little estate.  The first time I arrived the visitors were a group of secondary school children from North London trying to understand the dynamics of housing in the city and probably getting one of the most memorable and useful lessons they ever will.

Today on my third visit I decided I needed to do something mildly useful so went equipped to get my hands dirty helping out with the decorating of one of the downstairs flats that was a little worse for wear after being vacant for 7 years. With some paint and a bit of filler, however, this house would be a dream come true for any of the thousands of homeless Londoners out there, many of whom are surviving in the very this borough. While I was scrapping some stripped wallpaper from the skirting in preparation for a undercoat of silk emulsion I got glad-handed (I think they call it) by Darren Johnson, London's Green Assembly member as he made his way around  the building. The fact he was there was no surprise as this occupation is so timely and speaks to so much that is wrong in London, in the country and indeed within capitalism, that the coverage and support it has got from those in and around the Left reflects that. Darren Johnson is just the latest in that line.

So I came out after the couple of hours I could spare wishing, as always, that I could stay longer and feeling energised by the potential. When I arrived via the path from the back door onto the open square at the front of the house I was greeted by the wonderful sight of Jasmine and Sam holding an outdoor answer and question session with a large group of around 20 or 30 young adults. At an opportune moment I caught one of the other house activists standing to the side to find out what prompted this event. It turned out a group of Sociology students from a London university had got in touch and arranged the visit. I could not help but take a few snaps of this exchange before I had to reluctantly leave.

The house will be appearing in court at 10:00am on Thursday 2 October at Bow County Court, 96 Romford Road, London E15 4EG. If they lose they will be expected to vacate within 24 hours. Tell everyone you know about the campaign, and get everyone down. The residents are asking people to get to the court from 9.30am.

They need our support. And whatever happens, we need this campaign to continue. London's housing crisis can only get worse without the resistance of ordinary working class Londoners through campaigns like this.

Add a comment

We want our football back

I’ve not been to many United games and my Dad’s stories of how he and my Granddad used to go to have season tickets seems plainly absurd, with the cheapest United season ticket setting you back £532. Like me, my Dad and Granddad must have been to less than a game a season since the inception of the Premier League, and the perpetual gargantuan leaps in ticket prices that have come with it. On Thursday, around one hundred and fifty football fans, some traveling from as far as Newcastle, gathered at Marble Arch for the ‘Affordable Football for All March’ to the Premier League Headquarters to protest the seemingly never ending rise in ticket prices that threaten to lock working class people out of the game they hold so dear.

As the rain fell hard, the mood was buoyant. Putting club allegiances aside, it was the Liverpool fans (closely followed by the Geordies) who provided the largest turnout, something which stands as a testament to how they, in spite of their various owners’ mismanagement of the club, have retained some semblance of a much eulogised ‘club community’. The march was overwhelmingly male, white, and middle aged, and as far as I could tell, I was the youngest person there who wasn’t with their parents. While all speeches paid testament to the increasing diversification of football supporters, this just didn’t manifest itself on the march, something the supporter’s clubs really need to work on.

On the march I encountered the same ‘Football Against Apartheid’ banners I’d seen on previous Gaza demonstrations. I spoke to John, an Arsenal fan and the founder of the initiative, and asked him why it was that he felt there needed to be a pro-Palestinian group that’s linked specifically to football. ‘Apartheid racism is the worst form of racism, and we get all this talk about silencing racism from fans, while at the same time the people implementing this are actively promoting the normalisation of an apartheid state.’ Football Against Apartheid is looking for people to help them on match days and in any other ways, they can be found here.

As many of the speakers pointed out, there is something unique about supporting football that makes its increasing inaccessibility unique. As football clubs become increasingly commercialised there is no such thing as a ‘competitor product’. Our clubs are part of our identities, with a football club owner inheriting a virtual monopoly on purchasing the club. One fan told of how increasing season ticket prices at Anfield meant he had to remortgage his house. These are the lengths working class people will go to to preserve one of the few aspects of their identity that remain after decades of neoliberal onslaught. The Premier League and its constituents’ indifference to the needs of their fans shows no sign of swaying and it falls to football supporters and their allies to stand up and be counted.

The march was organised by the Football Supporters’ Federation who can be found at


Sam Doherty blogs at Red All Over where this report first appeared.

Add a comment

How can we save the NHS?

How can we save the NHS?

What will it take to save the NHS? Almost all avenues have been tried in one way or another. This pamphlet attempts to advance a strategy for uniting the different forces involved in NHS campaigns into a movement which can mobilize the great mass of NHS staff and our patients, the public, in the mass social movement that is needed to halt the programme of cuts and privatisation dismantling the NHS. It does not focus on the attacks, by successive Tory and Labour governments, but rather the response of unions, professional bodies and grassroots activists.

Nothing about the destruction of the NHS is inevitable. The NHS is one of the largest organisations on the planet, and the largest healthcare organisation in the world. It employs 1.2 million people directly, and an estimated 6 million indirectly. Its dismantling is a long term political project which has taken over 30 years.

The process, started under Thatcher and maintained by Labour, has now been brought to its final heightened frenzy by the Tory-Liberal coalition. It has been driven by the needs of the market, had its way greased with lobbyist money, and enabled by politicians and political parties having abandoned principles in favour of corporate careers and the revolving door between ministerial posts and the private sector. They have enabled a massive transfer of wealth from the public to the private sector, at the price of massive suffering for patients, their families and staff.

The attacks on the NHS have been resisted, but nothing has been able to halt them. Partly this is due to the determination of government and their corporate health backers, but has also been assisted by compliance and collusion from those organisations which are tasked with protecting and improving the NHS for its workers and the public.

The NHS under Labour

When Labour was elected they pumped huge amounts of funding into the NHS, rescuing it from the decades of underfunding under the previous Tory government. They also committed to funnelling large chunks of this money to the private sector through allowing the commissioning of services by the NHS, and instruments like the Private Finance Initiative (PFI). The private healthcare market, which was tiny at the turn of the century, was given much needed support and funds in the form of lucrative contracts for NHS work.

The NHS budget was increased, but rather than increasing NHS capacity, independent sector treatment centres (ISTCs) were contracted to reduce NHS waiting lists. Private companies began to cherry pick “easy” operations and function as parasites on the NHS budget, absorbing huge sums for work that was incomplete, poorly done and even dangerous. Nevertheless the funds grew the private sector and set them up for taking over larger contracts in the future. During this time there was a revolving door between the Department of Health (DH) and the private sector as health ministers and DH bureaucrats moved between government positions and private healthcare companies or management consultants.

During the 13 years of the Labour government, pro-Labour trade union officials sat on every attempt to organise resistance to Labour's privatisations. Where action was organised, it was limited, tokenistic and ineffectual. An example of this is the case of NHS Logistics. This highly profitable department was contracted out to DHL with only two days of strike action organised by UNISON, barely a week before the contract with DHL was due to start. The last minute action without any attempt to mobilise the public or other sections of the NHS workforce failed. It was emblematic of much of the union leadership’s response to NHS cuts and privatisation. Last minute, disorganised and tokenistic actions, which inevitably ended in defeat and demoralisations.

Those health worker activists at the grassroots level who organised effective action to stop cuts and privatisation were marginalized and bullied when they attempted to stand up to Labour policy, and where they wouldn't back down or shut up were witchhunted out of their unions and their jobs. Union militants were forced out, and entire branches smashed up in order to allow Labour government policy to be enforced.

Campaigns like “NHS Together” and “Keep the NHS working” were launched by the union leaderships, claiming to unite all the health unions in opposition to growing commercialisation in the NHS. But these were top down, bureaucratically controlled campaigns. Union members had no say in how these campaigns were run, and were just wheeled out for rallies and meetings occasionally. Neither NHS Together nor Keep the NHS working never organised any concrete action to oppose Labour's policies. When the union leaderships couldn't contain anger at cut backs any longer, as in the 2006-2007 period when 20,000 NHS workers lost their jobs, they organised a toothless demonstration in November 2007 of just 7,000 people under the depoliticised slogan “I <3 NHS”. The demonstration served to blow off steam for the workforce but didn't challenge government policy.

Due to its continued agitation about Labour's detrimental policy towards the NHS, Keep Our NHS Public was unofficially made a proscribed organisation by UNISON's leadership, and branches were told they could not organise events with KONP, affiliate to it or donate money to it. In 2009 a motion went to UNISON conference to overturn this unofficial rule and was passed, but UNISON nationally still does not sponsor KONP, although individual branches can and do support them.

The end result was that, even though under Labour there was widespread opposition to NHS privatisation in the general public and among NHS staff, this was never able to cohere into a national movement which could stop or reverse Labour's policies. The process Labour started was to be accelerated under the Tories, until we faced the prospect of the destruction of the entire NHS as we knew it. Unfortunately despite Labour being out of power, the same inaction, corruption and political compromise plagued the unions under the Tory-Liberal government.


  1. Kings Fund Briefing, “Independent Sector Treatment Centres” October 2009
  2. A Pollock, G Kirkwood, “Independent sector treatment centres: the first independent evaluation, a Scottish case study” Journal of the Royal Society of Medicine 2009
  3. Thompsons Solicitors, 2012, The hidden cost of independent sector treatment centres
  4. W Wallace, “Independent sector treatment centres: how the NHS is left to pick up the pieces” British Medical Journal March 2006
  5. UNISON Bargaining Support Centre, “Private sector in NHS health care” August 2005 via Keep Our NHS Public
  6. Socialist Worker “NHS Logistic Strike Ballot” 12 August 2006
  7. BBC “NHS Staff out in national strike” 22 September 2006
  8. BBC “Union finalises second NHS strike” 18 September 2006
  9. MedicalHarm “Karen Reissman and Manchester Mental Health” July 2011
  10. Socialist Worker “Union betrays UCLH hospitals strikers” 3 April 1999
  11. Socialist Worker “Leading defenders of NHS under attack” 5 Feb 2000
  12. Socialist Worker “Yunus Baksh: The fighter who refused to go down” 6 November 2012
  13. Wikipedia “NHS Together”
  14. The Times “20,000 job cuts forecast as more NHS hospitals join critical list” 24 March 2006
  15. BBC “NHS staff protest against reforms” 3 November 2007

The NHS under the Tories

The methods utilised under Labour to ensure acquiescence to government policy were used again under the Tories. Despite the worst attack on NHS funding, the 20% budget cut nicknamed the “Nicholson Challenge”, and legislation designed to dismantle the entire NHS, not a single national demonstration has been organised in defence of the NHS.

Although Andrew Lansley presented his White Paper “Equity and Excellence: Liberating the NHS” in 2010. Little opposition was organised to it initially.

In September UNISON produced a pamphlet, “More than just a brand” which accurately laid out the effect the White Paper would have on the NHS. UNISON then mounted a legal challenge to the White Paper in October 2010. When that failed UNISON did little further. This document is UNISON's account of its campaign against the bill. It is largely a series of media campaigns, with “victories” from these campaigns such as “there will be a longer transition for hospitals becoming foundation trusts; separate accounts are announced for private and NHS income.”

None of the core of the Bill was affected by UNISON's actions. Throughout the 18 months of the bill’s passage, no attempts were made to mobilize members or organise protests on the streets or at NHS hospitals against the bill. This is despite the fact that one third of the NHS workforce, 437,000 people, are UNISON members and are directly affected by the reforms.

The leaderships of the Royal College of Nursing (RCN) and British Medical Association (BMA) both adopted a policy of critical engagement with the government rather than opposing the Health and Social Care Bill.

The BMA did this for a mixture of conservatism and naked material interest; their members in the private sector and in some GP practices stood to benefit immensely from being given responsibility for allocating NHS funding. Doctors and other health workers repeatedly lobbied the BMA to change their stance. Eventually BMA members managed at their annual conference in June 2011 to change BMA policy to call for withdrawal of the Bill, but the BMA leadership under Hamish Meldrum continued to engage with the government against the democratically agreed policy of the BMA membership. The BMA Council finally adopted a policy of full opposition to the Bill in November 2011 when the full reality of the effects of the bill were revealed to GPs, but the BMA leadership refused to implement this and no campaign was organised.

The RCN engaged with the bill from a sectional standpoint; believing that they could influence the bill and obtain a better deal for nurses and more say in how the NHS was run by participating in the process. Although the RCN passed a motion of no confidence in Andrew Lansley at their national Congress in April 2011, this measure was done at the expense of more political motions which would have committed the RCN to outright opposition to the HASC Bill. Though they engaged with the bill, nurses ended up with next to nothing. The RCN eventually came out against the bill in January 2012, but it was too little too late.

UNITE supported several demonstrations organised by grassroots campaigns against the HASC bill, and has shown a willingness to back struggles like the Save Lewisham Hospital Campaign. However it has used its status as a "minority" union in the NHS (despite being the largest union in the UK) as an excuse for not trying to spearhead the defence of the NHS when all other unions capitulated. Its strategy at present is to support community campaigns to defend services, but UNITE has shied away from using its organised membership to oppose government policy through protests and strike action.

The Trade Union Congress finally organised a rally against the HASC Bill on March 7th 2012. The rally was indoors in Westminster Central Hall, with a maximum capacity of 2000, a carefully managed array of speakers, and no plan of action for the weeks and months after the rally. The leaders of all the main health unions who had barely lifted a finger in the previous 24 months to stop the HASC Bill, all paraded on stage to issue loud denunciations of the government and expressed their commitment to defending the NHS. Their real contempt for grassroots activists was shown when the doors of Westminster Central Hall were closed in the face of 500 students who had marched down to the rally from their universities. The last thing the union leaders wanted was anyone attending who might have demanded they actually act to stop the destruction of the NHS. (You can watch the speeches from the rally here).

The bill was eventually passed into law on 1st April. UNISON held a minutes silence outside of parliament to protest the passing of the bill.


  1. UNISON “More than just a brand” September 2010, via Socialist Health Association
  2. BBC “Union challenges NHS 'shake up' 24 August 2010
  3. Dave Prentis “The case for the NHS” 13 October 2013, The Guardian
  4. Ehealth Insider “UNISON legal challenge rejected” 19 October 2010
  5. UNISON “How UNISON changed the Health and Social Care Bill” April 2012
  6. The Independent “Nurses pass vote of no confidence in Lansley” 13 April 2012
  7. RCN “Royal College of Nursing Health and Social Care Bill briefing to the House of Lords (Report Stage)” RCN Briefing February 2012
  8. RCN “Why the RCN is opposing the Health and Social Care Bill” RCN Briefing January 2012
  9. Right to Work “Day X for the NHS – 1,000 march through the City of London” 10 March 2011
  10. Indymedia “Kill Lansleys Bill - NHS protest Tues 17 May, Gower Street, London, 5.30pm”
  11. TUC “All together for the NHS” TUC Youtube“Rally To Save Our NHS”
  12. Youtube “TUC Save Our NHS rally - BMA feeder march - 7th March 2012”

Organising from Below

As union after union has reneged on its responsibility to protect the NHS, activists have taken it upon themselves to do so.

In 2011 myself and other health activists formed the Healthworker Network to coordinate opposition among NHS workers to the Bill and the effects of the 20% budget cuts. We organised demonstrations and protests in London to rally NHS staff and students against the bill and try and pressure the unions into action.

NHS workers formed the National Health Action Party to organise and give expression to their desire to defend the NHS on the electoral field.

UK Uncut called days of action against the cuts to the NHS. They called for and organised the Block the Bridge action where 2,000 people came from around the country to symbolically block Westminster Bridge and stop the passage of the bill.

Whistleblowers let down by the health unions unwilling to stand up to management and expose the cover-ups and victimizations which plague the NHS formed Patients First to support each other and campaign for whistleblowers' rights and the protection of patients in the NHS.

Gloucester Keep Our NHS Public combined public campaigning with a legal challenge which went all the way to the High Court, to successfully stop the transfer of community services and 8 community hospitals to a social enterprise. The decision at the High Court forced the Primary Care Trust to create a new NHS Trust for the services, and campaigners created a guide for how others could replicate their victory.

Nurses formed the 4:1 Campaign to pressure the government to introduce mandatory minimum staffing levels for the NHS to safeguard patients and staff.

Keep Our NHS Public has tirelessly campaigned to defend the NHS, organising protests and leading many smaller local campaigns to defend hospitals and services. They organised a march of 8,000 people through central London in May 2013.

The Save Lewisham Hospital campaign was founded and lead by the community and local health workers, with almost no support from the local UNISON hospital branch. The leadership of the UNISON branch denounced activists leafleting the hospital and publicly criticised the campaign to all hospital staff.

Mothers opposed to the destruction of the NHS have launched the 999 call for the NHS campaign which is organising a march from Jarrow to London in protest at the attacks on the NHS. The march is being organised in the spirit of the 1936 “Jarrow Crusade”, a march by unemployed workers from Jarrow to London in protest at the conditions they were made to endure during the Great Depression.

Mental health service users in Cambridge occupied the Lifeworks clinic for four months and eventually stopped its closure at the hands of the local NHS management.

While no union has organised coordinated resistance to the cuts, individual branches have taken action themselves. They have often been supported but left isolated. Admin workers in UNISON at Mid-Yorkshire NHS trust waged a hard battle against down-banding, but UNISON refused to generalise the fight or bring out other branches in support, despite down-banding happening right across the NHS.

The Unite Yorkshire Ambulance Service has a long running dispute against cuts, shift changes and de-recognition. The strike action has been strong, but the UNISON ambulance branch at YAS refused to come out in support, and told its members to keep working, undermining the dispute. The UNITE branch took further action this month (July).

Many NHS pathology labs are coming under increasing pressure from cuts and privatisation. Labs at my hospital have been privatised, and have had to be bailed out by the trust due to inefficiency and mismanagement. Recently Northampton Hospital has locked out a group of pathology workers who have refused to sign no-strike contracts. This follows other long running disputes at other path labs around the country in Chorley, Leeds, Salford and Reading. Despite these attacks taking place everywhere, UNITE is not trying to coordinate a national campaign to protect pathology services in the NHS.

GMB branches have lead many strong local campaigns in defence of cleaning staff, and lead a strong campaign against racist bullying at Swindon Hospital by private contractor Carillion.

Doncaster Care workers are currently fighting against huge cuts to their pay, and have had several weeks of continuous strike action, levels of action almost unheard of in the care sector.

Despite the wholesale destruction of the NHS, there has still been no national demonstration in its defence. The TUC eventually called for a demonstration in September 2013 in Manchester. This was termed a national demo, but it wasn't in London and was only targeting the Tory Party conference, not Parliament and the Department of Health. No action by healthworkers was planned to try and put pressure on the government after this show of opposition to government policy.



  1. Right to Work “Day X for the NHS – 1,000 march through the City of London” 10 March 2011
  2. Indymedia “Kill Lansleys Bill - NHS protest Tues 17 May, Gower Street, London, 5.30pm”
  3. National Health Action Party
  4. “Anticuts groups descend on banks in NHS protest” The Guardian 28 May 2011
  5. UK Uncut “Press release: UK Uncut to shut down Westminster Bridge in protest over NHS bill” 21 September 2011
  6. The Guardian “Protestors against NHS reforms occupy Westminster Bridge” 9 October 2011
  7. UK Uncut “Block the Bridge, Block the Bill” 21 September 2011
  8. Patients First
  9. False Economy Blog “How Gloucestershire Campaigners stopped NHS privatisation” 12 November 2012
  10. False Economy Blog “A glimmer of hope: we can stop the privatisation of the NHS” 1 May 2012
  11. False Economy Blog “Keep our NHS Public Gloucestershire campaign guides” 1 May 2012
  12. 4:1 Campaign for Mandatory Minimum Staffing Levels
  13. Keep Our NHS Public
  14. Occupy London “Defend London's NHS Demonstration 18 May”
  15. Save Lewisham Hospital Campaign
  16. 999 Call for the NHS
  17. 999 Call for the NHS “The peoples march for the NHS”
  18. OpenDemocracy/OurNHS “Patients occupy threatened mental health clinic, some signs of victory?” 23 April 2014
  19. Cambridge News “Mental health drop-in centre Lifeworks saved from closure after four-month sit-in by Cambridge patients” 28 june 2014
  20. Press Association “Ambulance staff strike in care row” 2 April 2013
  21. NHS Fightback “Yorkshire: Unions sabotage strike by ambulance staff” 9 April 2013
  22. ITV “Yorkshire ambulance staff to walk out in Grand Depart week” 4 July 2014
  23. The Guardian “NHS lab failings follow SERCO-led takeover” 30 September 2012
  24. Northampton Chronicle & Echo “Northampton pathologists forced to strike as hospital refuses them entry to the building” 26 June 2014
  25. Lancashire Telegraph “Chorley Hospital staff in threat to strike” 20 April 2013
  26. Yorkshire Evening Post “Leeds Pathology Workers Strike Threat” 1 July 2013
  27. Wigan Today “Strike is avoided” 1 March 2013
  28. World Socialist Website “UK: Unite union imposes Salford NHS Trust’s attacks on workers” 3 June 2013
  29. Union News “Managers make pathologists' blood boil over patient safety” 27 March 2014

NHS employers on the offensive

NHS Employers, seeing the inaction and unpreparedness of the unions, have not sat idly by. In May 2012 16 NHS trusts formed the South-West Pay Cartel. They openly argued for breaking away from national pay bargaining organised through the Agenda for Change pay scale, and imposing regional pay agreements on NHS workers in the South-West.

While regional pay deals have been raised repeatedly by governments and health ministers as “the answer” to the supposed inability of the government to afford the NHS, this was the first time that trusts had lead the way in trying to implement a regional pay deal.

They met stiff resistance from local unions, with 27,000 people signing a petition against the pay cartel, and everyone from local trade NHS union branches to the South-West TUC coming out against the proposals. Rallies and protests were held outside hospitals across the South-West, and a march organised by NHS union branches drew over 1400 NHS workers to Bristol. Local protests and lobbying knocked Trusts out of the Pay Cartel one by one, reducing it from 20 to 13 until eventually it dissolved in April 2013.

Its purpose had been fulfilled by then though. With the South-West Pay Cartel in existence, NHS Employers leaned heavily on NHS unions throughout 2012 to accept changes to Agenda for Change at the national level, with the threat that if they didn't, other trusts inspired by the South-West Pay Cartel would be let off the leash. Staff were already facing severe attacks, with North Tees and Hartlepool NHS Foundation Trust threatening to sack all 5,500 staff and re-employ them on new contracts if they did not agree to changes.

Rather than call their bluff and organise to fight as the union branches in the South-West had done, the RCN and UNISON accepted this concession bargaining and signed up to revisions to Agenda for Change in January and February 2013.

Both RCN and UNISON claim they agreed to give these concessions in exchange for maintaining national pay bargaining. But these concessions involved an agreement to implement performance related pay, a divisive measure which hands more power to management to discipline the workforce, and they include the loss of out-of-hours sick pay, and loss of pay increases for newly qualified nurses. And the agreement does nothing to prevent employers trying the same tactic again. UNISON states its reason for agreeing to the concessions, that it was “in response to a number of NHS trusts attempting to ‘break away’ from the national agenda for change agreement.” and continues “Members in these trusts had to organise, campaign and take industrial action to try and stop the employers reducing terms and conditions and moving to local contracts.”

Given that this is exactly what a union is supposed to do when its members are attacked, and its members were already doing this in the South-West, it should have been possible for UNISON to role out this action across the NHS in response to the employers threats. Campaigning could have improved morale, defended tems and conditions and been a chance to organise and politicise the workforce.

UNISON's reason for not doing so was a “consultation” they held with branches over their willingness to take action to defend Agenda for Change. This “consultation” never went beyond branch committee level in most branches, and its result were never released to the branch committees or the wider membership. We were never able to judge whether members were willing to fight, and were not even balloted over whether we would be wiling to fight. The democratic method would have been to ballot members over their willingness to take action. Being democratic has never been high on UNISON's leaderships' priorities.

Even if members weren't up for a fight, and they had already shown their willing to fight in the South-West, its the role of the union leadership to lead, not just sit meekly by and accept their members pay and conditions being trashed, forcing them into poverty and allowing the undermining of NHS' ability to recruit and retain staff and pushing the burden of austerity onto NHS staff and patients.


  1. Nursing Times “South West Trusts set up regional 'pay cartel'” 25 May 2012
  2. The Guardian “NHS Employers warn George Osborne against imposing local pay rates” 22 March 2012
  4. BBC News Cornwall “Unions angry at health consortium's ideas for South West” 23 August 2012
  5. HM Government E-petition “No to postcode pay”
  6. Express & Echo “Protest against NHS Pay Cartel deepens” 6 December 2012
  7. BBC News Dorset “NHS hospitals trust leaves South West pay consortium” 13 November 2012
  8. Blackmorevale Magazine “Health unions jubilant as Dorset County Hospital trust quits pay ‘cartel’” 16 March 2013
  9. UNISON South-West “South West Pay cartel Now Down to Thirteen Trusts” 5 April 2013
  10. British Medical Association “Regional Pay Consortium disbands” 18 April 2013
  11. The Mirror “5,500 could face axe at just ONE NHS Trust if they don't sign new pay deal” 5 October 2012
  13. Nursing Times “Unison accepts Agenda for Change proposals” 6 February 2013
  14. Health Service Journal “Unison accepts Agenda for Change proposals” 6 February
  15. UNISON “Defending Agenda for Change”
  16. Nursing Times “Trusts desire fresh Squeeze on Agenda for Change” 3 June 2013

The NHS will only be saved by massive social protest

Labour's Shadow Health Minister Andy Burnham has promised to repeal the bill, but promises are cheap, and we've heard plenty before. Labour still have to win the election, and how they can repeal the bill, stop privatisation and still meet Tory spending plans is not clear. Repealing the bill will mean cancelling contracts for the services privatized. Unless Labour commits to cancelling them without compensation (which I would support, but the private health corporations would not) this will be a costly exercise which will eat up the NHS budget. Much like the promises to renationalise the railways pre-1997, I expect these words to not amount to much.

Instead we need to look to Spain where massive protests by healthworkers and the public, and strikes by hospital workers halted plans to privatize the health system.

Strikes and protests by NHS staff and communities can terrify politicians, and scare off private companies looking to make a quick buck on the NHS. The last thing these private companies want is a workforce that will stand up to their greed and attempts to gouge profit from the NHS by intensifying work, slashing staff and rationing care.

The forces are there, what the situation needs is a group of radical healthworkers and community activists with the connections and social weight to initiate a campaign and draw the great mass of supportive but inactive NHS workers and patients into it.

The grassroots organisations exist which could lay the basis for a national staff and community-led campaign to defend the NHS. Keep Our NHS Public has dozens of local groups, there are several local Save A&E campaigns, the most well-known being the Save Lewisham Hospital Campaign. Alongside this is the growing Save Our Surgeries campaign of East London GPs, and the National Health Action Party which has thousands of healthworkers as members. There is also Medsin, the radical student medical society, with hundreds of members in universities around the country. As well there are many union branches who have resisted NHS cuts, like Mid Yorks Hospital fighting down-banding, Yorkshire Ambulance Service, GMB Carillion standing up to racist bullying and Brighton GMB opposing cuts by Kershaw, the Trust Special Administrator who tried to close Lewisham Hospital.

Organising a national coalition of these forces to defend the NHS could begin to assemble the critical mass of activists and organisations which is needed, and start to develop the organisation in the NHS workforce that must exist for the sorts of strikes and direct action needed to cripple the government’s plans.

Several opportunities have already been missed to construct such a campaign. As the HASC Bill went through parliament in 2011, the grassroots activists who spearheaded the campaign against the Bill could have organised themselves into a national campaign aimed at coordinating action and providing a lead for all the tens of thousands of people opposed to the Bill, but who were left disorganised by the health unions do-nothing or openly collaborationist approach. This was not done, and following the calling off of the national public sector strike against pensions in January 2012, the movement was demobilised, demoralised and petered out.

As the A&E crisis grew through 2012-2013, the government proceeded to target A&Es up and down the country for closure and the Save Lewisham Hospital Campaign received national press coverage, a national Save A&E campaign could have been launched to unite all the local campaigns into a national movement to halt the governments closure programme. This could have overcome the unevenness between the campaigns, given a national perspective and coverage to the issue, and forced the health unions to act on the issue, rather than leaving the campaigns isolated as supposed “local” issues, when they were the result of national government policy. Unfortunately this did not happen. The Labour Party played a pernicious role in this respect, opposing attempts in local campaigns, primarily Lewisham, to link up with other campaigns and raise the issue to a national level. This would have forced the Labour Party nationally to openly oppose government policy, which they were unwilling to do, so local Labour Party activists did what they could to keep campaigns localised.

Labour activists have made clear their opposition to anyone trying to oppose them on NHS policy, or trying to build an organisation independent of their control. This article by a Labour activist argues that the NHS Action Party should be “strangled at birth” as they may take votes away from “the only truly NHS party – the Labour Party”.

It’s not the fault of NHAP or other campaigners that Labour may lose votes or support to other parties. It’s the fault of Labour's policies during their time in office, and the fact that many of us having memories longer than a few months. Labour needs to come out wholeheartedly against the government's plans for the NHS, and help, rather than hinder, attempts to construct organised opposition to it. Until they do, voters and activists have every right to look elsewhere and support other groups who have maintained a principled opposition to all attacks on the NHS.

A conference called Reclaiming the NHS was eventually organised in June 2012 to oppose the government’s attacks. This was called by the NHS Support Federation, a trade union supported organisation which carries out research on reforms to the NHS and opposes cuts and privatisations. The possibility of uniting the different campaigns was discussed prior to the conference, but the conference itself was not organised to do so. There were mostly top table heavy sessions with academics, journalists and union leaders giving their thoughts on the NHS reforms, with no forums for discussing and democratically deciding how to unite all the different campaigns into a working coalition. Workshops were held on different areas of campaigning, but these just reported to the main conference, and no decisions or votes were taken on any matters. The conference was a talking shop, which produced little in the way of action.

Given the future we face if the reforms continue unopposed, it’s an absolute necessity that grassroots activists in the health service and communities effected try and unite their various campaigns into a national movement to save the NHS. The unions have abdicated their responsibility to do this, Labour are largely opposed to doing so, so it’s up to us to do it ourselves.

Why aren't we choosing one Saturday a month and designating it an NHS action day and targeting the banks and corporations involved in NHS privatisation?

If no one feels they have the authority to call actions (what authority did UK Uncut have? It just did it!), let's create an authority that does by combining all the different campaigns into a national save the NHS campaign, under the democratic control of NHS workers, patients and communities. Such a campaign could overcome the conservatism and bureaucratic inertia of the unions, and force the NHS onto the political agenda in an active way, forcing politicians and parties to take our demands seriously, and cease treating the NHS as a chance for political point scoring while behind the scenes they do deals to hand it over to their private sector donors.

We have spent 4 years fighting the reforms as a fragmented mess of local campaigns and individuals. Its time we united our forces into the mass social movement that the NHS needs and deserves. Anything less will not do, and we will continue to lose important battles, the state of the NHS will deteriorate to the point we can no longer mobilise people in its defence. Once this happens then it will be the end, but it’s not happening yet, so if we act now we can still save the NHS.

If we organise a conference to launch a Save the NHS campaign in the autumn, we can begin to coordinate action in the run up to the election. We could set a NHS day of action each month to keep up the pressure on the government, and galvanise more widespread action and coverage.

We could launch a monthly bulletin for NHS staff, informing them what is happening and how they can fight cuts and privatisation in the workplace. Ignorance of the effects of the reforms and a fatalistic belief that nothing can be done lies heavily on the NHS workforce. A source of knowledge and grassroots networks of staff committed to fighting and organising direct action in the workplace could begin to turn this around.

We could call a national Save the NHS demo for the Spring and ensure the election is all about the NHS, so the Tories definitely lose. And we can set the groundwork among NHS workers, community campaigners and NHS activists to ensure what whoever wins the 2015 election, we have a strong united movement capable of defending the NHS against further attacks.


  1. Portside “Spanish doctors and nurses protest privatisation” 17 February 2013
  2. Russia Today “Spain: Waves of health workers descend on Madrid protesting privatisation” 17 February 2013
  3. Revolting Europe “Spanish unions call fresh wave of strikes over healthcare privatisation” 25 April 2013
  4. El Pais “Madrid abruptly cancels plans to outsource management at public hospitals” 27 Jan 2014
  5. Bloomberg “Madrid Hospital Privatization Frozen Amid Legal Challenge” 12 September 2013
  6. BBC “Mid Yorkshire NHS Trust staff union vote for new strike” 29 May 2013
  7. BBC “Further strike action in Yorkshire Ambulance Service dispute” 17 May 2014
  8. Labournet “Swindon hospital strike against Carillion” 28 February 2012
  9. Union News “Blacklisting scandal widens with link to “racist bullying” hospital dispute” 12 March 2012
  10. Nurse Boothroyd Blog “Brighton Defend the NHS Demo” 7 April 2013
  11. The Telegraph “NHS opens door on widespread A&E closures” 18 Jan 2013
  12. BBC “London A&E closure plan published” 21 June 2012
  13. The Telegraph “Mass closure of NHS walk-in centres fueling A&E crisis” 10 November 2013
  14. Labourlist “The National Health Action Party must be strangled at birth” 18 October 2012
  15. Red Pepper “Reclaiming our NHS” 22 June 2012
  16. NHS Support Federation “How to reclaim our NHS”

What kind of NHS do we want?

What sort of NHS we want is a crucial question, because what we want the NHS to become determines what we are prepared to do to defend it, and how we go about that.

Most supporters of the NHS are in favour of a publicly owned, universally accessible and free at the point of use NHS funded by general taxation. This is what the NHS was at its inception, and the socialist principles it embodied have imprinted themselves on our consciousness. The vast majority of people in Britain strongly oppose the idea that people can or should be made to pay for healthcare, and instead view it as a right.

Millions understand the NHS as a massive progressive gain which should never be allowed to be rolled back. However the NHS was not without faults. Created in a capitalist society, it was subject to the problems of hierarchy and exploitation which are central to that system.

While providing excellent treatment to many, its unaccountable bureaucracy was party to a great many cover-ups and scandals, and many NHS workers sacrificed their livelihoods and careers to blow the whistle on dangerous practices, corruption or incompetent practitioners. Patients suffered devastating medical errors, and lacked control and autonomy within the system, and despite recent government rhetoric, still have little say in how the NHS functions.

While massively more efficient than any market mechanism, the NHS bureaucracy still committed errors, and its plans and allocation of resources was distorted by governments political priorities, the influence of the medical hierarchy, and for many years, too little input from patients and service users.

The NHS still operates in a parasitic way on many countries health systems. Chronic underfunding of nursing schools, and a constant shortage of doctors forced the NHS to recruit staff overseas, effectively stealing highly trained professionals from the poor nations who had done the costly work of training them. This has robbed those nations of staff they desperately need, while allowing successive British governments to reduce training budgets and close nursing schools in Britain.

Bearing these issues in mind, is it enough to want to go back to the way the NHS was, with all these faults? Shouldn't we be projecting a vision of an NHS fit for the 21st century, taking the best bits of the NHS from the 20th century; its socialist universalism, healthcare as a right, free to access with the cost borne by the whole of society, and combine that with best of the 21st century rejection of hierarchy and authoritarianism, respect for the individual and their autonomy, and a grassroots, democratic approach to organising and providing healthcare?

A democratically controlled NHS, with budgets under the control of NHS staff and patients, with elections for all managerial positions, and with representation at all levels for patients and local communities, would create a truly accountable and open health system.

An egalitarian NHS with a greatly reduced hierarchy, which acknowledges the collective nature of all healthcare work, and values the work of all NHS workers, from cleaners and porters up to clinical nurse specialist and neurosurgeons, and gives them all an equal say in how it is run. Nationalising the pharmaceutical and medical science companies and incorporating them into the NHS in order to eliminate costly interactions with the private sector which drain the NHS budget. With pharmaceutical and technological development incorporated into it, the NHS could become the centre of advancement for medical science, able to develop and share its discoveries and knowledge internationally without recourse to the profit motive and its distorting and exclusionary effects.

Re-nationalising the care home system, and properly integrating health and social care so the NHS once again provides care from cradle to grave, providing well-resourced and staffed nursing homes for older people with properly trained NHS staff, where older people can receive the support they need to lead dignified and stimulating lives, free from the poverty and social isolation that at present affects millions of them.

Making the struggle for the NHS part of a struggle for a new social system which seeks to eliminate the causes of illness, not just the symptoms; working to eradicate poverty, inequality, exploitation, hierarchy and guarantee everyone housing, education, fulfilling work and plenty of leisure time.

This is a vision of an NHS worth fighting for, and one which we can create, if we organise to make it so.

Add a comment

A community united

Rich T from Bristol reports on Acorn, a grassroots community campaign currently taking on private landlords and letting agents.

You often hear it said how things aren't the way they used to be, back when communities really were communities, where you knew everyone on your street by their first name and you had no qualms about leaving your door unlocked when you went to the shop. For residents in the area of Easton in Bristol it's time to reclaim that sense of community.

Easton has recently become the location of the latest chapter of Acorn International, an organisation that builds grassroots community unions that seek to bring communities together in solidarity as they campaign in their local areas around issues that matter to them. Armed with a will for change a group of local residents hit the streets of Easton going from door to door talking to the people they met about their experiences and concerns and asking one simple question: If 100 of their neighbours would agree to the same, would they commit to attending a local forum hosted by Acorn? And they said yes!

On Friday 16th May, 70 residents gathered in a local social centre where they spoke of their concerns around local schools to properties left as junkyards by absentee landlords, and from rip off tenancy fees to zero hours contracts. Through this discussion the first campaign was launched. The campaign has three clear goals:

    1. Eliminate tenancy fees
    2. Stop monthly rolling contracts for renters
    3. Have letting agents and landlords give tenants the option for 3/5 year tenancies

Since that meeting ACORN members have been back out on the streets canvassing residents for support for their campaign to fight exploitative tenancy fees in the BS5 area. These fees, which are already illegal in Scotland, are used to fleece those already most vulnerable to the present housing crisis for work that would have to be provided anyway. Elsewhere in Europe the cost of paperwork is covered by the landlords who are able to make the money out of the transactions, but increasingly agencies are using gaps in the legislation to squeeze tenants for everything they can get.

Easton has nearly twice as many privately rented homes than other parts of the city, and in 2012 more than ¼ of complaints to the council about privately rented homes came from Easton. But with only 6 months security and rip-off letting agent fees of up to £500, many tenants are intimidated out of complaining or campaigning by the threat of eviction.

Letting agents are key to this problem. Over 60% of tenancies involve a letting agent and 1-in-4 people in England feel they have been charged an unfair fee. In Easton fees are often £250-400 and some agents charge new fees of around £30 every 6 months. Not only that, but some letting agents encourage landlords to only sign contracts for 6 months to make it easier to evict tenants or hike-up rent at the drop of a hat. It also means that the agencies are able to charge a new batch of fees whenever a contract needs signing or renewing. Only having housing security for 6 months is not a decent way to live. Across Europe standard tenancies are 5 years long! Shorter tenancies lead to people moving house often and not being able to put down roots in their community.

The timing for this campaign couldn't be better. The issues it raises are currently all over the national media. The Labour Party are putting an abolition of tenancy fees and 3 year fixed-term tenancy agreements in their manifesto. The current government have drafted a tenants' charter aimed at increasing the rights of all renters. Shelter are running national, high publicity campaigns on exactly the same issues and Bristol Mayor George Ferguson has publicly backed them saying "Bristol City Council is serious about tackling poor standards of accommodation and poorly managed properties in Bristol’s private rented sector."

Things are already looking positive in Easton too, one local agent already does not charge fees and another has suggested that they are receptive to it. As part of the campaign to fight exploitative tenancy fees a petition has been launched which campaigners hope will reach 1000 signatures. This petition will be presented to local agencies inviting them to scrap fees and drop the exploitative 6 month contracts. They will also be invited to explain themselves to residents at a public meeting. ACORN members and other residents will also be invited to give testimonies explaining how they have been exploited by agencies in the past. Campaigners are confident that the meeting will lead to a deal that works for the community not for private profits, but are committed to continuing to apply community pressure on those agencies that refuse to work with them.

Add a comment

Report: Palestine solidarity protesters hold 'die-in' outside Israeli embassy

The Palestine Solidarity Campaign (PCS) mobilised 1000 people outside the Israeli embassy in London yesterday (5th July 2014) to protest against continued Israeli air strikes on Gaza and military operations in the West Bank. One group of activists took direct action and blocked the road to stage a symbolic die-in where they were joined by other protestors.

The Israeli Occupying Force (IDF/IOF) has been conducting military operations in the West Bank and carrying out airstrikes on Gaza since 3 Israeli teenagers were abducted and killed on the 12th June in Al Khalil (Hebron) in the West Bank.

The IOF demolished the homes of ‘suspects’ the Israeli government claim were involved in the kidnapping of the 3 Israeli teenagers. Family members of the suspects were removed from their homes before they were destroyed by the military and made homeless. The suspects have not been charged or tried for the abduction and murder of the Israeli teens.Hundreds of Palestinians have been arrested in the West Bank since the abduction, because of their supposed support for the democratically elected leaders in Gaza, Hamas. Hamas has denied responsibility for the abduction and murder of the 3 teens.

Israel is using collective punishment, including punitive home demolitions, which has been ruled as lawful deterrence by Israel’s Supreme Court. Collective punishment is prohibited by international law, but Israel runs roughshod over its international obligations. Israel are also conducting air-strikes on Gaza and have been since the 12th June.

The IOF have carried out raids throughout the West Bank, arresting over 700 Palestinians and detaining over 150 under administrative law, which means they can hold Palestinian people, including minors, for up to 6 months without charge or trial. The IOF is responsible for killing at least 5 Palestinians and injuring countless others, according to Human Rights Watch (HRW). Children are also being targeted by Israeli settlers, one Palestinian girl of 9 was hit by a car and injured in a reprisal attack by Israeli settlers in Bethlehem. Settlers also ran over a man of 28 close to Hebron in another reprisal attack.

Palestinians are dehumanised throughout Israeli society, so when leaders such as the Israeli Prime Minister Benjamin Netanyahu calls the teens’ killers ‘human animals’ and demand ‘revenge’, or when lawmaker Michael Ben-Ari demands ‘to transfer the pain to the cruel enemy... make Ramadan into a month of darkness for them!’ or calls Palestinian children ‘little terrorists’, it is no wonder the IOF shoot unarmed Palestinians without a second thought and settlers run cars in to a child. The reprisal attack on the 17 year-old Palestinian teenager Mohammed Abu Khudair, who was burnt alive, has been reported in western media, but only because the 3 Israeli teens were killed. It is unusual for western media to report on the killing of Palestinian children. Since 2000, 1,518 Palestinian children have been killed (according to figures from the Ministry of Information in Ramallah) compared to 132 Israeli children in the same period.

Netanyahu has said that he is against Israelis taking the law in to their own hands by committing revenge attacks on Palestinians, yet he has not issued an investigation into the murder of Khudair, even though his killers were captured by security cameras. It is rare that justice is served for the Palestinian people. A man of 21, called Mustafa Aslan, was killed by the IOF in Qalandia refugee camp when he went up on to the roof to check on his father’s car; he posed no lethal threat to the occupying forces. According to HRW, 3,000 Palestinians who were not involved in any conflict have been killed since September 2000, but only 6 Israeli soldiers have ever been convicted for these crimes and the longest sentence served by an Israeli soldier was 7½ months.

The Palestinians in the West Bank live under military occupation, their freedom of movement is restricted and the whole of the West Bank can be closed down in an instant by the IOF. The settlers enjoy freedom of movement in and out of the West Bank and are ruled by civilian law and not military law.

Add a comment