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''Under the Knife'' is a 2019 feature-length
documentary film A documentary film or documentary is a non-fictional film, motion-picture intended to "document reality, primarily for the purposes of instruction, education or maintaining a Recorded history, historical record". Bill Nichols (film critic), Bil ...
directed by Susan Steinberg, produced by Pamela Kleinot and narrated by actor
Alison Steadman Alison Steadman (born 26 August 1946) is an English actress. She received the 1991 National Society of Film Critics Award for Best Actress for the Mike Leigh film '' Life Is Sweet'' and the 1993 Olivier Award for Best Actress for her role as Ma ...
. 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 The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the " ...
(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disputed, Secretary of State for Health and Social Care, Matt Hancock has stated in Parliament that he considers to be outdated arguments about a split between public and private in healthcare. NHS funding going to private firms escalated during the 2020-21 COVID-19 pandemic.
/sup> 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 The private finance initiative (PFI) was a United Kingdom government procurement policy aimed at creating "public–private partnerships" (PPPs) where private firms are contracted to complete and manage public projects. Initially launched in 199 ...
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 A documentary film or documentary is a non-fictional film, motion-picture intended to "document reality, primarily for the purposes of instruction, education or maintaining a Recorded history, historical record". Bill Nichols (film critic), Bil ...
directed by Susan Steinberg, produced by Pamela Kleinot and narrated by actor
Alison Steadman Alison Steadman (born 26 August 1946) is an English actress. She received the 1991 National Society of Film Critics Award for Best Actress for the Mike Leigh film '' Life Is Sweet'' and the 1993 Olivier Award for Best Actress for her role as Ma ...
. The film looks at historical archives to show the history of healthcare before the UK's
National Health Service The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the " ...
(NHS) and how the NHS came to be. '' GP Online'' It goes through the subsequent seventy years, explaining the effects of the
private finance initiative The private finance initiative (PFI) was a United Kingdom government procurement policy aimed at creating "public–private partnerships" (PPPs) where private firms are contracted to complete and manage public projects. Initially launched in 199 ...
and presenting arguments that the NHS is being intentionally privatised and underfunded. It then focuses on the impact of the Health and Social Care Act, implemented by
Andrew Lansley Andrew David Lansley, Baron Lansley, (born 11 December 1956) is a British Conservative Party (UK), Conservative politician who previously served as Secretary of State for Health and Social Care, Secretary of State for Health and Leader of the H ...
in 2012. In addition, the film reports on a number of campaigns, including the legal challenge against funding cuts to Lewisham Hospital in 2012. More than 60 people, comprising a number of patients, nurses, politicians and frontline doctors, were interviewed for the film, including: *
Phil Hammond Philip James Hammond (born 1 January 1962) is a British physician, broadcaster, comedian and commentator on health issues in the United Kingdom. He is best known for his humorous commentary on the National Health Service. He first came into t ...
*
Michael Mansfield Michael Mansfield (born 12 October 1941) is an English barrister and head of chambers at Nexus Chambers. He was recently described as "The king of human rights work" by The Legal 500 and as a Leading Silk in civil liberties and human rights ( ...
*
Tony Blair Sir Anthony Charles Lynton Blair (born 6 May 1953) is a British former politician who served as Prime Minister of the United Kingdom from 1997 to 2007 and Leader of the Labour Party from 1994 to 2007. He previously served as Leader of th ...
*
Gina Miller Gina Nadira Miller (' Singh; born 19 April 1965) is a Guyanese-British business owner and activist who initiated the 2016 ''R (Miller) v Secretary of State for Exiting the European Union'' court case against the British government over its aut ...
*
George Monbiot George Joshua Richard Monbiot ( ; born 27 January 1963) is a British writer known for his environmental and political activism. He writes a regular column for ''The Guardian'' and is the author of a number of books. Monbiot grew up in Oxfordsh ...
*
Jacky Davis Dr Jacky Davis has been a consultant radiologist at Whittington Hospital London since 1981 with special interests in paediatrics, ultrasound and breast imaging. She is a member of the British Medical Association council, and is a founder member ...
*
John McDonnell John Martin McDonnell (born 8 September 1951) is a British politician who served as Shadow Chancellor of the Exchequer from 2015 to 2020. A member of the Labour Party, he has been Member of Parliament (MP) for Hayes and Harlington since 1997. ...
*
Clare Gerada Dame Clare Mary Louise Francis Gerada, Lady Wessely, (born November 1959) is a London-based general practitioner who is President of the Royal College of General Practitioners (RCGP) and a former chairperson of the RCGP Council (2010–2013). ...
*
Lord Owen David Anthony Llewellyn Owen, Baron Owen, (born 2 July 1938) is a British politician and physician who served as Secretary of State for Foreign and Commonwealth Affairs as a Labour Party MP under James Callaghan from 1977 to 1979, and later ...
*
Frank Dobson Frank Gordon Dobson (15 March 1940 – 11 November 2019) was a British Labour Party politician. As Member of Parliament (MP) for Holborn and St. Pancras from 1979 to 2015, he served in the Cabinet as Secretary of State for Health from 1997 ...
*
Allyson Pollock Allyson Pollock is a consultant in public health medicine and was the Director of the Institute of Health and Society, Newcastle University. She is an academic who is known for her research into, and opposition to, part privatisation of the UK ...
*Colin Hutchinson


Endorsements and funding

The film is endorsed by director
Ken Loach Kenneth Charles Loach (born 17 June 1936) is a British film director and screenwriter. His socially critical directing style and socialist ideals are evident in his film treatment of social issues such as poverty (''Poor Cow'', 1967), homelessne ...
and a number of Labour Party supporters and celebrities. To produce the film, Pamela Kleinot created a company called Pam K Productions Limited and remortgaged her home to raise funds. The showings, free to NHS staff, at more than 50 different venues in October 2019 have been hosted by Pam K. Productions, the campaign group
Keep Our NHS Public Keep Our NHS Public is a campaigning organisation, with local groups across England, committed to reversing what it describes as the ongoing privatisation of the NHS and its services. History The group was founded in 2005 by the NHS Consul ...
and the ''
Daily Mirror The ''Daily Mirror'' is a British national daily tabloid. Founded in 1903, it is owned by parent company Reach plc. From 1985 to 1987, and from 1997 to 2002, the title on its masthead was simply ''The Mirror''. It had an average daily print ...
'', with additional funds from
crowdfunding Crowdfunding is the practice of funding a project or venture by raising money from a large number of people, typically via the internet. Crowdfunding is a form of crowdsourcing and alternative finance. In 2015, over was raised worldwide by crow ...
, the trade union
Unison In music, unison is two or more musical parts that sound either the same pitch or pitches separated by intervals of one or more octaves, usually at the same time. ''Rhythmic unison'' is another term for homorhythm. Definition Unison or per ...
and others.


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 The British Psychoanalytical Society was founded by the British neurologist Ernest Jones as the London Psychoanalytical Society on 30 October 1913. It is one of two organizations in Britain training psychoanalysts, the other being the British P ...
. In September 2019, a review of the film by Andy Cowper in the ''
Health Service Journal ''Health Service Journal'' (''HSJ'') is a news service that covers policy and management in the National Health Service (NHS) in England. History The '' Poor Law Officers' Journal'' was established in 1892. In 1930, it changed its name after ...
'' 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." 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.


References


External links


Official website: ''Under the Knife''
2019 {{DEFAULTSORT:Under the Knife 2019 films 2019 documentary films Documentary films about health care 2010s English-language films 2010s British films English-language documentary films