Under the Knife (film)

Last updated
Under the Knife
Under the Knife poster.jpg
Film poster
Directed by Susan Steinberg
Produced byPamela Kleinot
Narrated by Alison Steadman
Release date
  • October 2019 (2019-10)
Running time
90 minutes
CountryUnited Kingdom
LanguageEnglish

Under the Knife is a 2019 feature-length documentary film directed by Susan Steinberg, produced by Pamela Kleinot and narrated by actor Alison Steadman. Supported by Britain's Labour Party, health trade unions, and the campaign group Keep Our NHS Public, it argues that England's state-run National Health Service (NHS) is being intentionally privatised and underfunded. Though its premise and conclusions have been disputed, Secretary of State for Health and Social Care, Matt Hancock has stated in Parliament that he considers to be outdated arguments about a split between public and private in healthcare. [1] NHS funding going to private firms escalated during the 2020-21 COVID-19 pandemic.

Contents

The film looks at healthcare before the NHS and how this service came to be, followed by what happened over the subsequent seven decades, before presenting its arguments on privatisation, underfunding, the private finance initiative and the impact of the 2012 Health and Social Care Act. More than 60 people are interviewed in the film.

Synopsis

Under the Knife is a 2019 feature-length (90 minutes) documentary film directed by Susan Steinberg, produced by Pamela Kleinot and narrated by actor Alison Steadman. [2] [3]

The film looks at historical archives to show the history of healthcare before the UK's National Health Service (NHS) and how the NHS came to be. [4] It goes through the subsequent seventy years, [4] explaining the effects of the private finance initiative and presenting arguments that the NHS is being intentionally privatised and underfunded. [5] It then focuses on the impact of the Health and Social Care Act, implemented by Andrew Lansley in 2012. [4] [6] In addition, the film reports on a number of campaigns, including the legal challenge against funding cuts to Lewisham Hospital in 2012. [4]

More than 60 people, comprising a number of patients, nurses, politicians and frontline doctors, were interviewed for the film, including: [6]

Endorsements and funding

The film is endorsed by director Ken Loach and a number of Labour Party supporters and celebrities. [6]

To produce the film, Pamela Kleinot created a company called Pam K Productions Limited [8] and remortgaged her home to raise funds. [9]

The showings, free to NHS staff, at more than 50 different venues in October 2019 [2] have been hosted by Pam K. Productions, the campaign group Keep Our NHS Public and the Daily Mirror , with additional funds from crowdfunding, the trade union Unison and others. [3] [6] [8]

Reception

In July 2019, a discussion on the film was held with the producer, director and a number of doctors at the Institute of Psychoanalysis. [10]

In September 2019, a review of the film by Andy Cowper in the Health Service Journal described the film as convincing about under-resourcing, citing large staff shortages and a bullying culture from management, but disputed the evidence on privatisation, saying "The NHS has used the private sector to deliver healthcare since its inception. GP services have always been supplied by independent contractors. High street dentistry, pharmacy and ophthalmology are all privately provided, as is much higher-tier mental health provision." [5]

Cowper also commented that "privatisation of NHS-funded healthcare is neither a big problem, nor is it a real one. But it is the central charge of Under the Knife" and argued that the film's claim that private interests wish to take over the NHS, particularly "giant US healthcare companies", is undermined by "extremely questionable assertions" and a lack of knowledge of how the private sector actually works. [5]

Related Research Articles

<span class="mw-page-title-main">Queen Elizabeth Hospital, London</span> Hospital in London, England

Queen Elizabeth Hospital is a hospital in Woolwich in the Royal Borough of Greenwich. It was opened in March 2001 and serves patients from the Royal Borough of Greenwich and the London Borough of Bexley. The hospital was built to accommodate the services previously provided at Greenwich District Hospital and Brook General Hospital, and is a Private Finance Initiative hospital. It is managed by the Lewisham and Greenwich NHS Trust.

<span class="mw-page-title-main">Susan Steinberg (producer)</span>

Susan Steinberg is an American television producer, writer, and director. She is sometimes credited as Sue Steinberg.

<span class="mw-page-title-main">Healthcare in the United Kingdom</span> Overview of healthcare in the United Kingdom

Healthcare in the United Kingdom is a devolved matter, with England, Northern Ireland, Scotland and Wales each having their own systems of publicly funded healthcare, funded by and accountable to separate governments and parliaments, together with smaller private sector and voluntary provision. As a result of each country having different policies and priorities, a variety of differences have developed between these systems since devolution.

<span class="mw-page-title-main">National Health Service (England)</span> Publicly-funded healthcare system in England

The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from general taxation, and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR).

<span class="mw-page-title-main">Healthcare in Wales</span> Overview of the health care system in Wales

Healthcare in Wales is mainly provided by the Welsh public health service, NHS Wales. NHS Wales provides healthcare to all permanent residents that is free at the point of need and paid for from general taxation. Health is a matter that is devolved, and considerable differences are now developing between the public healthcare systems in the different countries of the United Kingdom, collectively the National Health Service (NHS). Though the public system dominates healthcare provision, private health care and a wide variety of alternative and complementary treatments are available for those willing to pay.

<span class="mw-page-title-main">National Health Service</span> Publicly-funded healthcare systems in the United Kingdom

The National Health Service (NHS) is the conglomerate name for the publicly funded healthcare systems of the United Kingdom, comprising NHS England, NHS Scotland and NHS Wales. Health and Social Care in Northern Ireland was created separately and is often locally referred to as "the NHS". The original three systems were established in 1948 as part of major social reforms following the Second World War. The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, provided without charge for people ordinarily resident in the United Kingdom apart from dental treatment and optical care. In England, NHS patients have to pay prescription charges; some, such as those aged over 60, or those on certain state benefits, are exempt.

<span class="mw-page-title-main">History of the National Health Service (England)</span>

The National Health Service in England was created by the National Health Service Act 1946. Responsibility for the NHS in Wales was passed to the Secretary of State for Wales in 1969, leaving the Secretary of State for Social Services responsible for the NHS in England by itself.

<span class="mw-page-title-main">Hinchingbrooke Hospital</span> Hospital in England

Hinchingbrooke Hospital is a small district general hospital in Hinchingbrooke near Huntingdon, Cambridgeshire. Opened in 1983, it serves the Huntingdonshire area, and has a range of specialities as well as an emergency department and a maternity unit. The hospital is managed by the North West Anglia NHS Foundation Trust.

<span class="mw-page-title-main">Health and Social Care Act 2012</span> United Kingdom legislation

The Health and Social Care Act 2012 is an act of the Parliament of the United Kingdom. It provided for the most extensive reorganisation of the structure of the National Health Service in England to date. It removed responsibility for the health of citizens from the Secretary of State for Health, which the post had carried since the inception of the NHS in 1948. It abolished primary care trusts (PCTs) and strategic health authorities (SHAs) and transferred between £60 billion and £80 billion of "commissioning", or healthcare funds, from the abolished PCTs to several hundred clinical commissioning groups, partly run by the general practitioners (GPs) in England. A new executive agency of the Department of Health, Public Health England, was established under the act on 1 April 2013.

Circle Health Group is a private healthcare provider in the United Kingdom, and is the country's biggest private hospital provider. The company was founded in 2004 and rebranded as Circle Health Group in 2019 after acquiring a rival, BMI Healthcare; in the same year it began an expansion in China. In 2023 the company was acquired by the Abu Dhabi-based holding company PureHealth.

<span class="mw-page-title-main">National Health Action Party</span> Political party in the UK

The National Health Action Party (NHA) is a political party in the United Kingdom.

<span class="mw-page-title-main">Virgin Care</span>

Virgin Care was a private provider of community health and social services in parts of the UK, commissioned by the National Health Service and by local authorities in England. From 2010 the company was known as Virgin Care and was part of Virgin Group. In December 2021, it was acquired by Twenty20 Capital and rebranded as HCRG Care Group.

<span class="mw-page-title-main">Homerton University Hospital</span> Hospital in Homerton, London

Homerton University Hospital is a teaching hospital in Homerton in the London Borough of Hackney. It is managed by Homerton University Hospital NHS Foundation Trust.

<span class="mw-page-title-main">Great Western Hospital</span> Hospital in England

The Great Western Hospital is a large hospital in Swindon, Wiltshire, England, near junction 15 of the M4 motorway. It opened in 2002 and is run by the Great Western Hospitals NHS Foundation Trust.

<span class="mw-page-title-main">Private healthcare in the United Kingdom</span>

Private healthcare in the UK, where universal state-funded healthcare is provided by the National Health Service, is a niche market.

Healthcare in Wiltshire, England, is the responsibility of the integrated care board (ICB) for Bath and North East Somerset, Swindon and Wiltshire.

The Centre for Health and the Public Interest (CHPI) is a London think tank founded in 2012 to defend "the founding principles of the NHS". It is a registered charity.

The NHS Long Term Plan, also known as the NHS 10-Year Plan is a document published by NHS England on 7 January 2019, which sets out its priorities for healthcare over the next 10 years and shows how the NHS funding settlement will be used. It was published by NHS England chief executive Simon Stevens and Prime Minister Theresa May. The plan marked the official abandonment of the policy of competition in the English NHS, which was established by the Health and Social Care Act 2012. Integrated care systems are to be created across England by 2021, Clinical Commissioning Groups are to be merged and NHS England with NHS Improvement appear to be merging, unofficially, though this is all to happen without actually repealing the legislation.

Alex Scott-Samuel is a British retired lecturer in public health at the University of Liverpool, where he was the director of the International Health Impact Assessment Consortium. He is the chair of Wavertree Constituency Labour Party and has a seat on the Labour Party regional board for the northwest. He was the chair of the Socialist Health Association between 2017 and 2020 and is involved in the Keep Our NHS Public movement.

The private provision of NHS services has been considered a controversial topic since the early 1990s. Keep Our NHS Public, NHS Support Federation and other groups have campaigned against the threat of privatisation, largely in England.

References

  1. "That is an incredibly important..." TheyWorkForYou. Retrieved 2021-08-13.
  2. 1 2 Thomas, Aled (4 October 2019). "NHS documentary set for free Swindon screening". Swindon Advertiser . Retrieved 6 October 2019.
  3. 1 2 "Under The Knife film screening + Q&A". YorkMix. Retrieved 10 October 2019.
  4. 1 2 3 4 5 6 7 Bostock, Nick. "NHS documentary spells out threat to future of the health service". www.gponline.com. Retrieved 6 October 2019. GP Online (subscription required)
  5. 1 2 3 Cowper, Andy (27 September 2019). "The Bedpan: 'Under the Knife'? Not really". Health Service Journal . Retrieved 6 October 2019.
  6. 1 2 3 4 5 6 7 "Register for free Hackney screening of powerful NHS film". Healthwatch Hackney. Retrieved 7 October 2019.
  7. 1 2 3 4 5 6 "Getting the Bigger Picture: Donate Now". Doctors For the NHS - nhsca. 15 August 2019. Retrieved 10 October 2019.
  8. 1 2 Kleinot, Pamela (8 October 2019). "'Under the Knife' – so just how do we save our NHS?". openDemocracy. Retrieved 10 October 2019.
  9. Mahase, Elisabeth (30 September 2019). "Fighting for the NHS: five minutes with . . . Pamela Kleinot" (PDF). British Medical Journal . 366: l5782. doi:10.1136/bmj.l5782. ISSN   0959-8138. PMID   31570372. S2CID   203622956.
  10. "The Political Mind presents 'Under the Knife' | British Institute of Psychoanalysis" . psychoanalysis.org.uk. Retrieved 6 October 2019.