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From The Socialist newspaper, 27 February 2019

Non-fiction: 'Unhealthy Profits: PFI in the NHS - its real costs and consequences'

Unison NHS workers on strike against huge cuts in the Mid-Yorkshire Trust hospitals, photo Iain Dalton

Unison NHS workers on strike against huge cuts in the Mid-Yorkshire Trust hospitals, photo Iain Dalton   (Click to enlarge)

Iain Dalton, Leeds Socialist Party

Over the last 25 years and more, what is now Mid Yorkshire Unison branch, led by Socialist Party members, has been at the forefront of the fight against attacks on the NHS and its workforce.

This book is a product of that fight, written to chronicle their struggle, show what a fighting trade union leadership in the NHS can achieve, as well as provide a wealth of evidence around the disaster that is the Private Finance Initiative (PFI).

While PFI was first dreamt up by the Tories, it was implemented with gusto by Tony Blair's New Labour government. By using financing from the private sector, rather than cheaper public sector borrowing, these costs appeared off the state finances.

While the spiralling costs of PFI contracts have provided bumper profits for the companies involved it has drained NHS finances, leading to cuts, mergers, downgrading of services and attacks on the pay, terms and conditions of NHS staff.

The book is at its liveliest when discussing the battle against the PFI-financing of a new hospital, first at Pinderfields in Wakefield, and later additionally in Pontefract. And flowing from this, the fight to defend jobs and services across the Mid Yorkshire NHS trust, including the battle against down-banding of the pay of medical secretaries in 2013 and the victory against plans to transfer some staff into a 'wholly owned subsidiary' last year.

Reading some of these accounts you sometimes want more detail of these struggles, which can be found in back issues of the Socialist.

One example of the problems caused directly by the new PFI hospital projects was at Pontefract. The new hospital opened in 2010 with inadequate rest facilities and staff told that their departmental fridges and kettles couldn't be brought in because they were 'health and safety risks'!

The book chronicles the reluctance of most local Labour politicians to rock the boat against the PFI proposals in Wakefield. Therefore it's welcome to hear from shadow chancellor John McDonnell that a future Labour government would seek to bring PFI contracts back in-house.

While this proposal hasn't been developed further, the final chapter of the book explores how this could possibly be done, coming down in favour of measures that would renationalise those contracts, suggesting this could be done via an act of parliament which could also decide on compensation. (The Socialist Party argues that compensation should be paid only on the basis of proven need - with none paid to the fat cats who made big money from PFI deals.)

But this is posed in a largely legalistic framework which doesn't go beyond the immediate issue of the PFI projects. But the question of public ownership of the banks seems to be posed as well, considering the Mid Yorkshire PFI contract was previously largely owned by RBS and now by an offshore arm of HSBC.

But linked to this is the question of mobilising throughout the trade union movement to make this a reality which, unfortunately, is not discussed - although undoubtedly Mid Yorkshire Unison will be at the forefront of taking this forward.

Nonetheless, this is a useful book for any NHS campaigner or trade unionist, particularly those fighting against the consequences of their own local PFI scheme.

Mid Yorkshire Unison branch should be commended for producing this resource.

Why not click here to join the Socialist Party, or click here to donate to the Socialist Party.

In The Socialist 27 February 2019:

What we think

Honda closure threatened

From anger to action to save Honda plant

Socialist Party feature

Defending the city that dared to fight

Council cuts

Kirklees: Labour and Green councillors refuse to fight the cuts

Leicester: cuts passed in record time - use the 100m reserves!

Worcestershire: save the nine libraries

Socialist Party news and analysis

Kick out austerity politicians

Socialist change, not climate change!

Tory education 'reforms'

Blairite traitor Ian Austin - byelection now!

Cuts councils massage homelessness figures

US: "Launch a mass, working-class fightback"

Workplace news and analysis

Supermarket giants merger: protect jobs and fight price hikes

Birmingham Bin workers and home carers strike on same day

University and College Union: anti-union laws frustrate strike ballot again

Manchester posties strike against bullying

Liverpool Women's Hospital

PCS union: help us win the elections and pay campaign

South East Unison annual general meeting votes for no-cuts budgets

Socialist Party reports and campaigns

E-subscribe to the Socialist today!

Tommy Robinson BBC demo: socialist fightback needed to undermine far right

Nottingham Labour Corbyn rally

PCS union branch opposes cuts to women's services

International Women's Day meetings and other events

Five years on - and still no justice for Zane


Non-fiction: 'Unhealthy Profits: PFI in the NHS'

Art exhibition: 'Unobtania' by Peter Robson

The Socialist inbox


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Related links:


triangleFight the closure of Royal Glamorgan A&E

triangleEnd health and wealth divide - Fight for our NHS

triangleCapitalism fails NHS services in Liverpool: scrap PFI!

triangleCardiff East Socialist Party: NHS in crisis

triangleBuild for strikes to save NHS


triangleNorthern Ireland: strike action by NHS workers

triangle300 NHS nurse suicides in seven years - fully fund our health service now!

triangleWorcestershire: save the libraries, reverse all the cuts

triangleEnd Runcorn school PFI rip off


triangleMajor funding for flood risk management needed

triangleSouth Yorkshire defeats fire cuts

triangleSouth Yorkshire FBU celebrates halt to cuts


triangleMake a stand: set legal no-cuts council budgets

triangleReverse Unison's undemocratic nomination of Blairite Starmer

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