From the ground up: Examining Political Participation in the ‘Save our NHS’ Movement.

The National Health Service (NHS,) “when founded in 1948 post-war Britain, was a testament of the Government’s Social Contract with its population.” (Leatherman, S. and Sutherland, K., 2003, p.3.) Providing Universal healthcare to citizens regardless of their socioeconomic status, the NHS is a beacon of the United Kingdom’s social fabric. However, since its establishment, there have been many challenges, which have threatened the NHS. As a result, grassroots movements, such as; ‘Save our NHS,’ have emerged to preserve and change these threats. With a heavy social media presence, and use of political participation, these grassroots movements, have become a means of change for healthcare policy, tackling political challenges in the hope to save the NHS.

Mobilising The Grassroots Movement

 ‘Save Our NHS,’ was activated by a grassroots movement, aiming to address the challenges faced by the NHS. These grievances, include, budget cuts, shifting demographic structures, and threats of privatisation. (Moskovitz, L. and Garcia-Lorenzo, L., 2016.) Public support for the Movement has manifested through campaigners and voluntary groups (Crane, J., 2019,) as well as protests, petitions and the use of social media.

The Covid- 19 pandemic and its effect on the NHS  exemplified the importance of a Grassroots movement, for eliciting change in UK healthcare and its policies. Hospital staff were overworked in unsafe environments without the correct PPE. (Azam, Rehana, 2021.) Public support grew, rallying in support for effective change for the NHS.

Difficulties in Policy Engagement

Despite the abundance of support for the movement, difficulties in engaging with policymakers have prevented influencing effective healthcare policies. “The job of the Government is to provide the resources and reforms that will enable the NHS to harness them for the common good.” (Siddique, Haroon, 2018.) However, The complex nature of Healthcare policies creates challenges for grassroots activists, by limiting their ability to engage in policy debates, due to a lack of expert knowledge. Furthermore, implementing National healthcare policies has proved difficult due to partisan divides whereby internal party divides as well as; political opposition have made it difficult for grassroots movements to succeed.

A report by The Kings Fund 2023 found;

  • 48% of the public would support the government increasing taxes and spending more on the NHS.
  • The 2023 survey recorded the lowest levels of satisfaction since the survey began in 1983 – only 24% of the public are satisfied with the NHS, and only 13% are satisfied with social care.
  • Despite low levels of public satisfaction, a large majority of the public still support the principles of the NHS.

Successes of the Grassroots Movement

However, while challenges to legislation remain prevalent, the ‘Save our NHS,’ campaign has had enormous success in spreading public awareness of the imminent threats to the NHS and fostering support within communities, most notably the online success of the movement.  “The Keep Our NHS Public website includes multiple petitions to Parliament: one, on COVID mitigations and access to testing, signed by over 425,000 people, and another, calling for the Health Secretary to Rebuild the NHS (#endthecrisis), signed by 22,836.” (Stewart, E.A, 2023.) Governments have been compelled by the movement’s efforts to reevaluate plans for cuts, privatisation, and austerity measures that might jeopardise the stability of the healthcare system.

The future of the NHS and Grassroots movements

Moving forward, by harnessing the power of political participation, grassroots activism within the ‘Save Our NHS’ movement can continue to drive meaningful impact. Public health and prevention should also be given far higher attention. The intricate array of factors influencing population health necessitates cooperation between the NHS, local authorities, non-profit organisations, employers, and other stakeholders. Additionally, government action will be necessary. (The Kings Fund, 2016.) The Save Our NHS movement’s grassroots activity can continue to propel significant change and guarantee that the NHS is a shining example of social justice and healthcare equity for future generations

To Conclude

As the fifth largest organisation, and the largest health care system in the world, the NHS plays a key role in shaping both health and social care in the UK.” Faced by imminent threats and at risk of privatisation, it is evident that the use of grassroots movements, such as ‘Save our NHS,’ is vital to the future of the NHS. Public support and engagement will continue to spread awareness and put pressure on Policy-makers in order to access better funding, for safe Universal Healthcare.

Reference List

  • Azam, R. and Azam, R. (2021) We need a grassroots campaign to save the NHS, Tribune. Available at: https://tribunemag.co.uk/2021/02/we-need-a-grassroots-campaign-to-save-the-nhs/.
  • Crane, J., 2019. ‘Save our NHS’: activism, information-based expertise and the ‘new times’ of the 1980s. Contemporary British History33(1), pp.52-74
  • Leatherman, S. and Sutherland, K., 2003. The quest for quality in the NHS. A mid-term evaluation of the ten-year quality agenda. The Nuffield Trust. London.
  • Moskovitz, L. and Garcia-Lorenzo, L., 2016. Changing the NHS a Day at a Time: The Role of Enactment in the Mobilisation and Prefiguration of Change. Journal of Social and Political Psychology4(1), pp.196-219
  • 2023, Public satisfaction with the NHS and Social Care in 2023. Available at: https://www.kingsfund.org.uk/insight-and-analysis/reports/public-satisfaction-nhs-social-care-2023.
  • Stewart, E. A. (2023). Campaigning for the NHS. In How Britain Loves the NHS: Practices of Care and Contestation (1st ed., pp. 70–86). Bristol University Press.
  • 2016, Tackling the growing crisis in the NHS | The King’s Fund. Available at: https://www.kingsfund.org.uk/insight-and-analysis/long-reads/crisis-nhs-agenda-for-action.