Tag: NHS

Rise in authoritarianism


Worrying increase in authoritarianism both sides of the Atlantic. Talk at the Exeter conference

March 2026

Our rights are hard won. Britain still has elements of its feudal past. We think of ourselves as a democracy and great fuss is made of elections and polls but in many respects power is not with the majority or the people. Governments have steadily attempted to reduce the ability to protest and have passed legislation to make demonstrations harder and harder. At the Exeter conference there were two presentations on the rise in authoritarianism on both sides of the Atlantic. In the US, President Trump has carried out a large number of attacks on the press, the judiciary, universities, opposition politicians and more or less anyone who disagrees with him.

What happens in America quickly crosses the pond and so it is with the rise of authoritarianism in the UK. The form may be different and it is less raucous but the erosion of rights continues steadily. The presentation gave some examples. A report by US Amnesty goes into a lot more detail.

Legislation is passed which is vague and allows for considerable interpretation by the police and others. There is an increased reliance on secondary legislation. This means important measures are placed in statutory instruments not in the acts themselves thus permitting unscrutinised measures to become law. Surveillance powers have increased. This has included the use of facial recognition technology now being introduced more widely. Failure to properly fund agencies meant to control corporations. An extreme example is the almost complete failure to control the water companies which have neglected to invest in infrastructure, have extracted billions in dividends which were offshored and have allowed rivers to become seriously polluted and open sewers.

Anti-protest

Governments do not like protest and never have throughout our history. Reforms have seldom come from the power holders but wrested from them by protest. Witness enfranchisement which has had a long and troubled history. One of the more fearful examples was the 1819 Peterloo massacre in Manchester at which 14 were killed and hundreds injured when they were attacked. There has been a succession of Reform Acts – in 1832, 1867 and 1884 for example – after long periods of unrest, marches and mass protests. Each reform gave more people the vote. After decades of campaigning and violent protest, women achieved the vote in the late 1920s.

In modern times the growth of the ‘think tanks’ has become a major issue. Millions are spent by them on lobbying ministers and MPs. David Cameron recognised this was a growing problem when he was prime minister. He subsequently became ensnared in a lobbying scandal. Often opaquely financed they are able to suggest legislation and argue against better climate legislation for example. The biggest and best funded of the lobby organisations are the Friends of Israel groupings to ensure Israel’s position is powerfully put.

Key to the rise in authoritarianism is the need to denigrate and stigmatise those who question it or government policies. They are called ‘woke’, ‘lefty lawyers’, ‘disruptors’ or ‘extremists’ and large parts of the media are happy to promote these assaults.

Control of information is key and the secretive company Palantir was mentioned which is almost by the day, increasing its reach into the British state with few effective controls. We shall be commenting on this dangerous organisation in a subsequent post. UPDATE, 24 March. Warnings about Palantir and a contract with the Financial Conduct Authority. Later post on Palantir.

What can done?

Such is the power and reach of the various organisations, from government down through well-funded lobby organisations, American platforms including AI, and large elements of the media, that opposition is difficult. Even raising awareness is a challenge. Another problem is apathy. Many are simply unaware of the creeping authoritarianism around them. Some approve of curbs on protests. A number of people at Exeter had never heard of Palantir for example. The emotional power of the right wing is not to be overlooked.

As we learned from the Brexit campaign, simple slogans and emotional appeals are what cut through not factual presentations. Creeping authoritarianism and the steady loss of power will need to make emotional connections with people, to point out in simple language and images, the steady risks of allowing these powerful organisations, most of whom are based in America, to gain more and more influence and control over our organisations such as the NHS.

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Palantir and the NHS


Human rights concerns with the use of Palantir software in the NHS

February 2024

The current issue of the Amnesty magazine (Spring 2024) poses some human rights questions concerning the use by the NHS of the American firm Palantir to create a data platform. With recent revelations surrounding Fujitsu’s Horizon program used by the Post Office and which destroyed the lives and livings of nearly a thousand sub postmasters, we should take a careful look at the firms being used to do this IT and data work. 

And looking at Palantir is not a pretty sight. Founded by the CIA, its primary interest is treating people as suspects or targets. Its software is used by both NSA and GCHQ and is designed as a surveillance tool. It is used by some police forces in the US in what is called ‘predictive policing’ which has a dubious history. It was used for workplace deportation raids also in the US as part of Donald Trump’s actions against immigrants. Another troubling use is by the Israeli military to ‘help the country’s war effort’. 

A key investor is Peter Thiel, founder of PayPal who is, paradoxically, hostile to the notion of an NHS and to government aid programmes generally. He is a funder and supporter of Donald Trump.

The Amnesty article says ‘Any company linked to serious human rights abuses should be excluded from tendering for NHS contracts on grounds of ‘professional misconduct”. Essentially, the British public needs to be reassured that information gathered by Palantir won’t be harvested by them for other purposes. 

American companies have had their eyes on the NHS for many years and have spent considerable sums trying to get contracts. It was likely to be a key issue in the UK/US trade deal negotiations post Brexit, now a lost cause. Palantir offered to assist the Covid-19 response for a fee of £1 (not one million) because it gave them an ‘in’ and the ability to build a datastore. 

As we have learned from Horizon and the Post Office, as well as other IT disasters, there are many concerns about IT firms, their actual ability to do what they claim they will do, their integrity and the security of the data they collect. Major firms like X, Facebook, WhatsApp and others have shown a cavalier attitude to online safety for the young and other vulnerable individuals. We also have British politicians and ministers openly hostile to human rights issues and some would like to see the Human Rights Act abolished. This is a toxic mix. We will have the usual platitudes and reassurances about ‘online safety is our number one concern’ and other bromides, the reality being that it is way down their lists of priorities. 

The people organising these contracts, the civil servants and the various ministers, have next to no experience of placing contracts or having anything like the expertise needed to keep an eye on this as was explained in Ian Dunt’s book How Westminster Works: and Why it Doesn’t. Twenty ministers came and went during the Post Office, Horizon scandal and did – or were able to do – nothing. 

To use a firm with the history that Palantir has, with the history of blunders surrounding IT contracts and with ministerial oversight feeble or missing altogether is to court disaster and is a huge risk for the confidentiality and security of our private medical information. 

The Salisbury and South Wiltshire group is 50 this year

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