Under the Knife | |
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Directed by | Susan Steinberg |
Produced by | Pamela Kleinot |
Narrated by | Alison Steadman |
Release date |
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Running time | 90 minutes |
Country | United Kingdom |
Language | English |
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disputed, Secretary of State for Health and Social Care, Matt Hancock has stated in Parliament that he considers to be outdated arguments about a split between public and private in healthcare.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.
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.
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]
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]
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]
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.
Susan Steinberg is an American television producer, writer, and director. She is sometimes credited as Sue Steinberg.
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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).
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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.
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.
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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.
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The National Health Action Party (NHA) is a political party in the United Kingdom.
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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.