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Tuesday, May 28, 2024

Labour Party (UK)

Former affiliates
Other affiliationsSocial Democratic and Labour Party (Northern Ireland)
Gibraltar Socialist Labour Party (Gibraltar)
Colours  Red
Slogan"Britain's future" /
"Let's get Britain's future back" (2024)
Anthem"The Red Flag"
Devolved or semi-autonomous branches
Parliamentary partyParliamentary Labour Party (PLP)
House of Commons
205 / 650
House of Lords
172 / 783
Scottish Parliament
22 / 129
Senedd
30 / 60
Regional mayors[nb]
11 / 12
London Assembly
11 / 25
PCCs and PFCCs
17 / 37
Directly elected mayors
10 / 16
Councillors[nb][19]
6,561 / 18,646
Website
labour.org.uk Edit this at Wikidata

^ Mayor of London and 11 combined authority mayors.
^ Councillors of local authorities in England (including 25 aldermen of the City of London) and Scotland, principal councils in Wales and local councils in Northern Ireland.

The Labour Party is a political party in the United Kingdom that has been described as an alliance of social democrats, democratic socialists, and trade unionists. The Labour Party sits on the centre-left of the political spectrum. In all general elections since 1922, Labour has been either the governing party or the Official Opposition. There have been six Labour prime ministers and thirteen Labour ministries. Since the 2010 general election, it has been the second-largest UK political party by the number of votes cast, behind the Conservative Party and ahead of the Liberal Democrats. The party holds the annual Labour Party Conference.

The party was founded in 1900, having grown out of the trade union movement and socialist parties of the 19th century. It overtook the Liberal Party to become the main opposition to the Conservative Party in the early 1920s, forming two minority governments under Ramsay MacDonald in the 1920s and early 1930s. Labour served in the wartime coalition of 1940–1945, after which Clement Attlee's Labour government established the National Health Service and expanded the welfare state from 1945 to 1951. Under Harold Wilson and James Callaghan, Labour again governed from 1964 to 1970 and 1974 to 1979. In the 1990s, Tony Blair took Labour to the centre as part of his New Labour project which governed under Blair and then Gordon Brown from 1997 to 2010.

The Labour Party currently forms the Official Opposition in the Parliament of the United Kingdom, having won the second-largest number of seats in the 2019 general election. The leader of the party and Leader of the Opposition is Keir Starmer. Labour is the largest party in the Senedd (Welsh Parliament), being the only party in the current Welsh government. The party is the third-largest in the Scottish Parliament, behind the Scottish National Party and the Scottish Conservatives. Labour is a member of the Party of European Socialists and Progressive Alliance, and holds observer status in the Socialist International. The party includes semi-autonomous London, Scottish, Welsh, and Northern Irish branches; however, it supports the Social Democratic and Labour Party (SDLP) in Northern Ireland, while still organising there. As of March 2024, Labour has around 366,604 registered members.

History

Origins and the Independent Labour Party (1860–1900)

The original Liberty logo, in use until 1983.

The Labour Party originated in the late 19th century, meeting the demand for a new political party to represent the interests and needs of the urban working class, a demographic which had increased in number, and many of whom only gained suffrage with the passage of the Representation of the People Act 1884. Some members of the trades union movement became interested in moving into the political field, and after further extensions of the voting franchise in 1867 and 1885, the Liberal Party endorsed some trade-union sponsored candidates. The first Lib–Lab candidate to stand was George Odger in the Southwark by-election of 1870. In addition, several small socialist groups had formed around this time, with the intention of linking the movement to political policies. Among these were the Independent Labour Party (ILP), the intellectual and largely middle-class Fabian Society, the Marxist Social Democratic Federation and the Scottish Labour Party.

At the 1895 general election, the ILP put up 28 candidates but won only 44,325 votes. Keir Hardie, the leader of the party, believed that to obtain success in parliamentary elections, it would be necessary to join with other left-wing groups. Hardie's roots as a lay preacher contributed to an ethos in the party which led to the comment by 1950s General Secretary Morgan Phillips that "Socialism in Britain owed more to Methodism than Marx".

Labour Representation Committee (1900–1906)

Keir Hardie, one of the Labour Party's founders and its first leader.

In 1899, a Doncaster member of the Amalgamated Society of Railway Servants, Thomas R. Steels, proposed in his union branch that the Trade Union Congress call a special conference to bring together all left-wing organisations and form them into a single body that would sponsor Parliamentary candidates. The motion was passed at all stages by the TUC, and the proposed conference was held at the Congregational Memorial Hall on Farringdon Street, London on 26 and 27 February 1900. The meeting was attended by a broad spectrum of working-class and left-wing organisations—the trades unions present represented almost half of the membership of the TUC.

After a debate, the 129 delegates passed Hardie's motion to establish "a distinct Labour group in Parliament, who shall have their own whips, and agree upon their policy, which must embrace a readiness to cooperate with any party which for the time being may be engaged in promoting legislation in the direct interests of labour." This created an association called the Labour Representation Committee (LRC), meant to co-ordinate attempts to support MPs sponsored by trade unions and represent the working-class population. It had no single leader, and in the absence of one, the Independent Labour Party nominee Ramsay MacDonald was elected as Secretary. He had the difficult task of keeping the various strands of opinions in the LRC united. The 1900 general election, also referred to as the "Khaki election", came too soon for the new party to campaign effectively and total expenses for the election only came to £33. Only 15 candidatures were sponsored, but two were successful: Keir Hardie in Merthyr Tydfil and Richard Bell in Derby.

Support for the LRC was boosted by the 1901 Taff Vale Case, a dispute between strikers and a railway company that ended with the union being ordered to pay £23,000 damages for a strike. The judgement effectively made strikes illegal, since employers could recoup the cost of lost business from the unions. The apparent acquiescence of the Conservative Government of Arthur Balfour to industrial and business interests (traditionally the allies of the Liberal Party in opposition to the Conservatives' landed interests) intensified support for the LRC against a government that appeared to have little concern for the industrial proletariat and its problems.

Labour Party plaque from Caroone House, 14 Farringdon Street.

In the 1906 general election, the LRC won 29 seats  — helped by a secret 1903 pact between Ramsay MacDonald and Liberal Chief Whip Herbert Gladstone that aimed to avoid splitting the opposition vote between Labour and Liberal candidates in the interest of removing the Conservatives from office.

In their first meeting after the election the group's members of Parliament decided to adopt the name "The Labour Party" formally (15 February 1906). Keir Hardie, who had taken a leading role in getting the party established, was elected as Chairman of the Parliamentary Labour Party (in effect, the leader), although only by one vote over David Shackleton after several ballots. In the party's early years the Independent Labour Party (ILP) provided much of its activist base as the party did not have individual membership until 1918 but operated as a conglomerate of affiliated bodies. The Fabian Society provided much of the intellectual stimulus for the party. One of the first acts of the new Liberal Government was to reverse the Taff Vale judgement.

The People's History Museum in Manchester holds the minutes of the first Labour Party meeting in 1906 and has them on display in the Main Galleries. Also within the museum is the Labour History Archive and Study Centre, which holds the collection of the Labour Party, with material ranging from 1900 to the present day.

Early years (1906–1923)

Keir Hardie a founder of the Labour Party, speaking to trade unionist workers at Trafalgar Square, 1908.

In 1907 the new party held its first annual conference in Belfast, a city in which Hardie in 1905 had served as an LRC election agent for William Walker. Despite Walker's election to the party executive, the connection with the north of Ireland was brief. At the height of the Home Rule Crisis in 1913, the party, in deference to the Irish Labour Party, decided not to stand candidates in Ireland, a policy the party maintained after partition in 1921. Labour was to be a British, not a United Kingdom, party.

The Belfast conference itself was remembered for first raising the question of whether sovereignty lay with the annual conference, as in the inherited tradition of trade union democracy, or with the PLP. Hardie shocked the delegates in the closing session by threatening to resign from the PLP over an amendment to a resolution on equal suffrage for women that would have bound MPs to oppose any compromise legislation that would extend votes to women on the basis of the existing property franchise. The PLP defused the crisis by allowing Hardie to vote as he wished on the subject. The precedent became the basis of a "conscience clause" in its standing orders, and would be invoked by party leader Michael Foot in 1981 to argue that the will of the conference should not always bind the PLP.

Political poster for the Labour Party during the December 1910 election.

The December 1910 general election saw 42 Labour MPs elected to the House of Commons, a significant victory since, a year before the election, the House of Lords had passed the Osborne judgment ruling that trade union members would have to 'opt in' to sending contributions to Labour, rather than their consent being presumed. The governing Liberals were unwilling to repeal this judicial decision with primary legislation. The height of Liberal compromise was to introduce a wage for members of Parliament to remove the need to involve the trade unions. By 1913, faced with the opposition of the largest trade unions, the Liberal government passed the Trade Disputes Act to allow unions to fund Labour MPs once more without seeking the express consent of their members.

During the First World War, the Labour Party split between supporters and opponents of the conflict; however, opposition to the war grew within the party as time went on. Ramsay MacDonald, a notable anti-war campaigner, resigned as leader of the Parliamentary Labour Party and Arthur Henderson became the main figure of authority within the party. He was soon accepted into Prime Minister H. H. Asquith's war cabinet, becoming the first Labour Party member to serve in government. Despite mainstream Labour Party's support for the coalition the Independent Labour Party was instrumental in opposing conscription through organisations such as the Non-Conscription Fellowship while a Labour Party affiliate, the British Socialist Party, organised a number of unofficial strikes. Arthur Henderson resigned from the Cabinet in 1917 amid calls for party unity to be replaced by George Barnes. The growth in Labour's local activist base and organisation was reflected in the elections following the war, the co-operative movement now providing its own resources to the Co-operative Party after the armistice. The Co-operative Party later reached an electoral agreement with the Labour Party.

At the end of the First World War, the Government was attempting to provide support for the newly re-established Poland against Soviet Russia. Henderson sent telegrams to all local Labour Party organisations to ask them to organise demonstrations against supporting Poland, later forming the Council of Action, to further organise strikes and protests. Due to the number of demonstrations and the potential industrial impact across the country, Churchill and the Government was forced to end support for the Polish war effort.

Henderson turned his attention to building a strong constituency-based support network for the Labour Party. Previously, it had little national organisation, based largely on branches of unions and socialist societies. Working with Ramsay MacDonald and Sidney Webb, Henderson established a national network of constituency organisations in 1918. They operated separately from trade unions and the National Executive Committee and were open to everyone sympathetic to the party's policies. Secondly, Henderson secured the adoption of a comprehensive statement of party policies, as drafted by Sidney Webb. Entitled "Labour and the New Social Order", it remained the basic Labour platform until 1950. It proclaimed a socialist party whose principles included a guaranteed minimum standard of living for everyone, nationalisation of industry, and heavy taxation of large incomes and of wealth. It was in 1918 that Clause IV, as drafted by Sidney Webb, was adopted into Labour's constitution, committing the party to work towards "the common ownership of the means of production, distribution and exchange". With the Representation of the People Act 1918, almost all adult men (excepting only peers, criminals and lunatics) and most women over the age of thirty were given the right to vote, almost tripling the British electorate at a stroke, from 7.7 million in 1912 to 21.4 million in 1918. This set the scene for a surge in Labour representation in parliament. The Communist Party of Great Britain was refused affiliation to the Labour Party between 1921 and 1923.

Meanwhile, the Liberal Party declined rapidly, and the party also suffered a catastrophic split which allowed the Labour Party to gain much of the Liberals' support. With the Liberals thus in disarray, Labour won 142 seats in 1922, making it the second-largest political group in the House of Commons and the official opposition to the Conservative government. After the election Ramsay MacDonald was voted the first official leader of the Labour Party.

First Labour government and period in opposition (1923–1929)

Ramsay MacDonald, first Labour prime minister (1924 and 1929–1931).

The 1923 general election was fought on the Conservatives' protectionist proposals, but although they got the most votes and remained the largest party, they lost their majority in parliament, necessitating the formation of a government supporting free trade. Thus, with the acquiescence of Asquith's Liberals, Ramsay MacDonald became the first ever Labour Prime Minister in January 1924, forming the first Labour government, despite Labour only having 191 MPs (less than a third of the House of Commons). The most significant achievement of the first Labour government was the Wheatley Housing Act, which began a building programme of 500,000 municipal houses for rental to low paid workers. Legislation on education, unemployment, social insurance and tenant protection was also passed. However, because the government had to rely on the support of the Liberals it was unable to implement many of its more contentious policies such as nationalisation of the coal industry, or a capital levy. Although no radical changes were introduced, Labour demonstrated that they were capable of governing.

While there were no major labour strikes during his term, MacDonald acted swiftly to end those that did erupt. When the Labour Party executive criticised the government, he replied that, "public doles, Poplarism local defiance of the national government, strikes for increased wages, limitation of output, not only are not Socialism, but may mislead the spirit and policy of the Socialist movement."

The government collapsed after only ten months when the Liberals voted for a Select Committee inquiry into the Campbell Case, a vote which MacDonald had declared to be a vote of confidence. The ensuing 1924 general election saw the publication, four days before polling day, of the forged Zinoviev letter, in which Moscow talked about a Communist revolution in Britain. The letter had little impact on the Labour vote—which held up. It was the collapse of the Liberal party that led to the Conservative landslide. The Conservatives were returned to power although Labour increased its vote from 30.7% to a third of the popular vote, most Conservative gains being at the expense of the Liberals. However, many Labourites blamed for years their defeat on foul play (the Zinoviev letter), thereby according to A. J. P. Taylor misunderstanding the political forces at work and delaying needed reforms in the party.

In opposition, MacDonald continued his policy of presenting the Labour Party as a moderate force. The party opposed the 1926 general strike, arguing that the best way to achieve social reforms was through the ballot box. The leaders were also fearful of Communist influence orchestrated from Moscow. The party had a distinctive and suspicious foreign policy based on pacifism. Its leaders believed that peace was impossible because of capitalism, secret diplomacy, and the trade in armaments. That is it stressed material factors that ignored the psychological memories of the Great War, and the highly emotional tensions regarding nationalism and the boundaries of the countries.

Second Labour government (1929–1931)

In the 1929 general election, the Labour Party became the largest in the House of Commons for the first time, with 287 seats and 37.1% of the popular vote. However MacDonald was still reliant on Liberal support to form a minority government. MacDonald went on to appoint Britain's first woman cabinet minister; Margaret Bondfield, who was appointed Minister of Labour. MacDonald's second government was in a stronger parliamentary position than his first, and in 1930 Labour was able to pass legislation to raise unemployment pay, improve wages and conditions in the coal industry (i.e. the issues behind the General Strike) and pass a housing act which focused on slum clearances.

The government soon found itself engulfed in crisis as the Wall Street Crash of 1929 and eventual Great Depression occurred soon after the government came to power, and the slump in global trade hit Britain hard. By the end of 1930 unemployment had doubled to over two and a half million. The government had no effective answers to the deteriorating financial situation, and by 1931 there was much fear that the budget was unbalanced, which was born out by the independent May Report which triggered a confidence crisis and a run on the pound. The cabinet deadlocked over its response, with several influential members unwilling to support the budget cuts (in particular a cut in the rate of unemployment benefit) which were pressed by the civil service and opposition parties. Chancellor of the Exchequer Philip Snowden refused to consider deficit spending or tariffs as alternative solutions. When a final vote was taken, the Cabinet was split 11–9 with a minority, including many political heavyweights such as Arthur Henderson and George Lansbury, threatening to resign rather than agree to the cuts. The unworkable split, on 24 August 1931, made the government resign. MacDonald was encouraged by King George V to form an all-party National Government to deal with the immediate crisis.

The financial crisis grew worse, and decisive government action was needed, as the leaders of both the Conservative Party and the Liberal Party met with King George V and MacDonald, at first to discuss support for the spending cuts but later to discuss the shape of the next government. The king played the central role in demanding a National government be formed. On 24 August, MacDonald agreed to form a National Government composed of men from all parties with the specific aim of balancing the Budget and restoring confidence. The new cabinet had four Labourites (who formed a National Labour group) who stood with MacDonald, plus four Conservatives (led by Baldwin, Chamberlain) and two Liberals. MacDonald's moves aroused great anger among a large majority of Labour Party activists who felt betrayed. Labour unions were strongly opposed and the Labour Party officially repudiated the new National government. It expelled MacDonald and his supporters and made Henderson the leader of the main Labour party. Henderson led it into the general election on 27 October against the three-party National coalition. It was a disaster for Labour, which was reduced to a small minority of 52 seats. The Conservative-dominated National Government, led by MacDonald, won the largest landslide in British political history.

In 1931, Labour campaigned on opposition to public spending cuts, but found it difficult to defend the record of the party's former government and the fact that most of the cuts had been agreed before it fell. Historian Andrew Thorpe argues that Labour lost credibility by 1931 as unemployment soared, especially in coal, textiles, shipbuilding, and steel. The working class increasingly lost confidence in the ability of Labour to solve the most pressing problem. The 2.5 million Irish Catholics in England and Scotland were a major factor in the Labour base in many industrial areas. The Catholic Church had previously tolerated the Labour Party, and denied that it represented true socialism. However, the bishops by 1930 had grown increasingly alarmed at Labour's policies toward Communist Russia, toward birth control and especially toward funding Catholic schools. The Catholic shift against Labour and in favour of the National government played a major role in Labour's losses.

Labour in opposition (1931–1940)

Arthur Henderson, elected in 1931 to succeed MacDonald, lost his seat in the 1931 general election. The only former Labour cabinet member who had retained his seat, the pacifist George Lansbury, accordingly became party leader.

The party experienced another split in 1932 when the Independent Labour Party, which for some years had been increasingly at odds with the Labour leadership, opted to disaffiliate from the Labour Party and embarked on a long, drawn-out decline.

Lansbury resigned as leader in 1935 after public disagreements over foreign policy. As of 2023, he is the only Labour leader to stand down from the role without contesting a general election (excluding acting leaders).[a] He was promptly replaced as leader by his deputy, Clement Attlee, who would lead the party for two decades. The party experienced a revival in the 1935 general election, winning 154 seats and 38% of the popular vote, the highest that Labour had achieved.

As the threat from Nazi Germany increased, in the late 1930s the Labour Party gradually abandoned its pacifist stance and came to support re-armament, largely due to the efforts of Ernest Bevin and Hugh Dalton, who by 1937 had also persuaded the party to oppose Neville Chamberlain's policy of appeasement.

Wartime coalition (1940–1945)

The party returned to government in 1940 as part of the wartime coalition. When Neville Chamberlain resigned in the spring of 1940, incoming Prime Minister Winston Churchill decided to bring the other main parties into a coalition similar to that of the First World War. Clement Attlee was appointed Lord Privy Seal and a member of the war cabinet, eventually becoming the United Kingdom's first Deputy Prime Minister.

A number of other senior Labour figures also took up senior positions: the trade union leader Ernest Bevin, as Minister of Labour, directed Britain's wartime economy and allocation of manpower, the veteran Labour statesman Herbert Morrison became Home Secretary, Hugh Dalton was Minister of Economic Warfare and later President of the Board of Trade, while A. V. Alexander resumed the role he had held in the previous Labour Government as First Lord of the Admiralty.

Attlee government (1945–1951)

Clement Attlee, Prime Minister (1945–1951).

At the end of the war in Europe, in May 1945, Labour resolved not to repeat the Liberals' error of 1918, promptly withdrawing from government, on trade union insistence, to contest the 1945 general election in opposition to Churchill's Conservatives. Surprising many observers, Labour won a landslide victory, winning just under 50% of the vote with a majority of 159 seats.

Attlee's government proved one of the most radical British governments of the 20th century, enacting Keynesian economic policies, presiding over a policy of nationalising major industries and utilities including the Bank of England, coal mining, the steel industry, electricity, gas, and inland transport (including railways, road haulage and canals). It developed and implemented the "cradle to grave" welfare state conceived by the economist William Beveridge. To this day, most people in the United Kingdom see the 1948 creation of Britain's National Health Service (NHS) under health minister Aneurin Bevan, which gave publicly funded medical treatment for all, as Labour's proudest achievement. Attlee's government also began the process of dismantling the British Empire when it granted independence to India and Pakistan in 1947, followed by Burma (Myanmar) and Ceylon (Sri Lanka) the following year. At a secret meeting in January 1947, Attlee and six cabinet ministers, including Foreign Secretary Ernest Bevin, decided to proceed with the development of Britain's nuclear weapons programme, in opposition to the pacifist and anti-nuclear stances of a large element inside the Labour Party.

Aneurin Bevan in 1943.

Labour went on to win the 1950 general election, but with a much-reduced majority of five seats. Soon afterwards, defence became a divisive issue within the party, especially defence spending (which reached a peak of 14% of GDP in 1951 during the Korean War), straining public finances and forcing savings elsewhere. The Chancellor of the Exchequer, Hugh Gaitskell, introduced charges for NHS dentures and spectacles, causing Bevan, along with Harold Wilson (then President of the Board of Trade), to resign over the dilution of the principle of free treatment on which the NHS had been established.

In the 1951 general election, Labour narrowly lost to Churchill's Conservatives, despite receiving the larger share of the popular vote – its highest ever vote numerically. Most of the changes introduced by the 1945–51 Labour government were accepted by the Conservatives and became part of the "post-war consensus" that lasted until the late 1970s. Food and clothing rationing, however, still in place since the war, were swiftly relaxed, then abandoned from about 1953.

Post-war consensus (1951–1964)

Following the defeat of 1951, the party spent 13 years in opposition. The party suffered an ideological split, between the party's left-wing followers of Aneurin Bevan (known as Bevanites) and the right-wing of the party following Hugh Gaitskell (known as Gaitskellites) while the postwar economic recovery and the social effects of Attlee's reforms made the public broadly content with the Conservative governments of the time. The ageing Attlee contested his final general election in 1955, which saw Labour lose ground, and he retired shortly after.

Under his replacement, Hugh Gaitskell, Labour appeared more united than before and had been widely expected to win the 1959 general election, but did not. Following this internal party infighting resumed, particularly over the issues of nuclear disarmament, Britain's entry into the European Economic Community (EEC) and Clause IV of the Labour Party Constitution, which was viewed as Labour's commitment to nationalisation which Gaitskell wanted scrapped. These issues would continue to divide the party for decades to come.

Gaitskell died suddenly in 1963, and this made way for Harold Wilson to lead the party.

Wilson government (1964–1970)

Harold Wilson, Prime Minister (1964–1970 and 1974–1976).

A downturn in the economy and a series of scandals in the early 1960s (the most notorious being the Profumo affair) had engulfed the Conservative government by 1963. The Labour Party returned to government with a 4-seat majority under Wilson in the 1964 general election but increased its majority to 96 in the 1966 general election.

Wilson's government was responsible for a number of sweeping social and educational reforms under the leadership of Home Secretary Roy Jenkins such as the abolishment of the death penalty in 1965, the legalisation of abortion and homosexuality (initially only for men aged 21 or over, and only in England and Wales) in 1967 and the abolition of theatre censorship in 1968. Wilson's government also put heavy emphasis on expanding opportunities through education, and as such, comprehensive education was expanded and the Open University created.

Wilson's first period as Prime Minister coincided with a period of relatively low unemployment and economic prosperity, it was however hindered by significant problems with a large trade deficit which it had inherited from the previous government. The first three years of the government were spent in an ultimately doomed attempt to stave off the continued devaluation of the pound. Labour went on to unexpectedly lose the 1970 general election to the Conservatives under Edward Heath.

Spell in opposition (1970–1974)

After losing the 1970 general election, Labour returned to opposition, but retained Harold Wilson as Leader. Heath's government soon ran into trouble over Northern Ireland and a dispute with miners in 1973 which led to the "three-day week". The 1970s proved a difficult time to be in government for both the Conservatives and Labour due to the 1973 oil crisis, which caused high inflation and a global recession.

The Labour Party was returned to power again under Wilson a few days after the February 1974 general election, forming a minority government with the support of the Ulster Unionists. The Conservatives were unable to form a government alone, as they had fewer seats despite receiving more votes numerically. It was the first general election since 1924 in which both main parties had received less than 40% of the popular vote and the first of six successive general elections in which Labour failed to reach 40% of the popular vote. In a bid to gain a majority, a second election was soon called for October 1974 in which Labour, still with Harold Wilson as leader, won a slim majority of three, gaining just 18 seats taking its total to 319.

Majority to minority (1974–1979)

For much of its time in office the Labour government struggled with serious economic problems and a precarious majority in the Commons, while the party's internal dissent over Britain's membership of the European Economic Community, which Britain had entered under Edward Heath in 1972, led in 1975 to a national referendum on the issue in which two thirds of the public supported continued membership. Harold Wilson's personal popularity remained reasonably high but he unexpectedly resigned as Prime Minister in 1976 citing health reasons, and was replaced by James Callaghan. The Wilson and Callaghan governments of the 1970s tried to control inflation (which reached 23.7% in 1975) by a policy of wage restraint. This was fairly successful, reducing inflation to 7.4% by 1978. However it led to increasingly strained relations between the government and the trade unions.

James Callaghan, Prime Minister (1976–1979).

Fear of advances by the nationalist parties, particularly in Scotland, led to the suppression of a report from Scottish Office economist Gavin McCrone that suggested that an independent Scotland would be "chronically in surplus". By 1977 by-election losses and defections to the breakaway Scottish Labour Party left Callaghan heading a minority government, forced to do deals with smaller parties in order to govern. An arrangement negotiated in 1977 with Liberal leader David Steel, known as the Lib–Lab pact, ended after one year. Deals were then forged with various small parties including the Scottish National Party (SNP) and the Welsh nationalist Plaid Cymru, prolonging the life of the government.

The nationalist parties, in turn, demanded devolution to their respective constituent countries in return for their supporting the government. When referendums for Scottish and Welsh devolution were held in March 1979 the Welsh devolution referendum saw a large majority vote against, while the Scottish referendum returned a narrow majority in favour without reaching the required threshold of 40% support. When the Labour government duly refused to push ahead with setting up the proposed Scottish Assembly, the SNP withdrew its support for the government: this finally brought the government down as the Conservatives triggered a vote of confidence in Callaghan's government that was lost by a single vote on 28 March 1979, necessitating a general election.

By 1978, the economy had started to show signs of recovery, with inflation falling to single digits, unemployment falling, and living standards starting to rise during the year. Labour's opinion poll ratings also improved, with most showing the party to be in the lead. Callaghan had been widely expected to call a general election in the autumn of 1978 to take advantage of the improving situation. In the event, he decided to gamble that extending the wage restraint policy for another year would allow the economy to be in better shape for a 1979 election. However this proved unpopular with the trade unions, and during the winter of 1978–79 there were widespread strikes among lorry drivers, railway workers, car workers and local government and hospital workers in favour of higher pay-rises that caused significant disruption to everyday life. These events came to be dubbed the "Winter of Discontent".

These industrial disputes sent the Conservatives now led by Margaret Thatcher into the lead in the polls, which led to Labour's defeat in the 1979 general election. The Labour vote held up in the election, with the party receiving nearly the same number of votes than in 1974. However, the Conservative Party achieved big increases in support in the Midlands and South of England, benefiting from both a surge in turnout and votes lost by the ailing Liberals.

Opposition and internal conflict (1979–1994)

Michael Foot, Leader of the Opposition (1980–1983).

After its defeat in the 1979 general election the Labour Party underwent a period of internal rivalry between the left represented by Tony Benn, and the right represented by Denis Healey. The election of Michael Foot as leader in 1980, and the leftist policies he espoused, such as unilateral nuclear disarmament, leaving the European Economic Community and NATO, closer governmental influence in the banking system, the creation of a national minimum wage and a ban on fox hunting led in 1981 to four former cabinet ministers from the right of the Labour Party (Shirley Williams, Bill Rodgers, Roy Jenkins and David Owen) forming the Social Democratic Party. Benn was only narrowly defeated by Healey in a bitterly fought deputy leadership election in 1981 after the introduction of an electoral college intended to widen the voting franchise to elect the leader and their deputy. By 1982, the National Executive Committee had concluded that the entryist Militant tendency group were in contravention of the party's constitution.

The Labour Party was defeated heavily in the 1983 general election, winning only 27.6% of the vote, its lowest share since 1918, and receiving only half a million votes more than the SDP-Liberal Alliance, which leader Michael Foot condemned for "siphoning" Labour support and enabling the Conservatives to greatly increase their majority of parliamentary seats. The party manifesto for this election was termed by critics as "the longest suicide note in history".

Neil Kinnock, Leader of the Opposition (1983–1992).
The Labour Party logo under the Foot leadership.

Foot resigned and was replaced as leader by Neil Kinnock, with Roy Hattersley as his deputy. The new leadership progressively dropped unpopular policies. The miners' strike of 1984–85 over coal mine closures, which divided the National Union of Mineworkers (NUM) as well as the Labour Party, and the Wapping dispute led to clashes with the left of the party, and negative coverage in most of the press.

The alliances which campaigns such as Lesbians and Gays Support the Miners forged between lesbian, gay, bisexual, and transgender (LGBT) and labour groups, as well as the Labour Party itself, also proved to be an important turning point in the progression of LGBT issues in the UK. At the 1985 Labour Party conference in Bournemouth, a resolution committing the party to support LGBT equality rights passed for the first time with block voting support from the NUM.

Labour improved its performance in 1987, gaining 20 seats and so reducing the Conservative majority from 143 to 102. They were now firmly re-established as the second political party in Britain as the Alliance had once again failed to make a breakthrough with seats. A merger of the SDP and Liberals formed the Liberal Democrats. Following the 1987 election, the National Executive Committee resumed disciplinary action against members of Militant, who remained in the party, leading to further expulsions of their activists and the two MPs who supported the group. During the 1980s radically socialist members of the party were often described as the "loony left", particularly in the print media. The print media in the 1980s also began using the pejorative "hard left" to sometimes describe Trotskyist groups such as the Militant tendency, Socialist Organiser and Socialist Action. In 1988, Kinnock was challenged by Tony Benn for the party leadership. Based on the percentages, 183 members of parliament supported Kinnock, while Benn was backed by 37. With a clear majority, Kinnock remained leader of the Labour Party.

The Labour Party logo under Kinnock, Smith and Blair's leaderships.

In November 1990 following a contested leadership election, Margaret Thatcher resigned as leader of the Conservative Party and was succeeded as leader and Prime Minister by John Major. Most opinion polls had shown Labour comfortably ahead of the Tories for more than a year before Thatcher's resignation, with the fall in Tory support blamed largely on her introduction of the unpopular poll tax, combined with the fact that the economy was sliding into recession at the time. The change of leader in the Tory government saw a turnaround in support for the Tories, who regularly topped the opinion polls throughout 1991 although Labour regained the lead more than once.

The "yo-yo" in the opinion polls continued into 1992, though after November 1990 any Labour lead in the polls was rarely sufficient for a majority. Major resisted Kinnock's calls for a general election throughout 1991. Kinnock campaigned on the theme "It's Time for a Change", urging voters to elect a new government after more than a decade of unbroken Conservative rule. However, the Conservatives themselves had undergone a change of leader from Thatcher to Major and replaced the Community Charge.

The 1992 general election was widely tipped to result in a hung parliament or a narrow Labour majority, but in the event, the Conservatives were returned to power, though with a much-reduced majority of 21. Despite the increased number of seats and votes, it was a disappointing result for the Labour party. For the first time in over 30 years there was serious doubt among the public and the media as to whether Labour could ever return to government.

Kinnock then resigned as leader and was succeeded by John Smith. Once again the battle erupted between the old guard on the party's left and those identified as "modernisers". The old guard argued that trends showed they were regaining strength under Smith's strong leadership. Meanwhile, the breakaway SDP merged with the Liberal Party. The new Liberal Democrats seemed to pose a major threat to the Labour base. Tony Blair (the Shadow Home Secretary) had a different vision to traditional Labour politics. Blair, the leader of the "modernising" faction, argued that the long-term trends had to be reversed, arguing that the party was too locked into a base that was shrinking, since it was based on the working-class, on trade unions, and on residents of subsidised council housing. Blair argued that the rapidly growing middle class was largely ignored, as well as more ambitious working-class families. Blair said that they aspired to become middle-class and accepted the Conservative argument that traditional Labour was holding ambitious people back to some extent with higher tax policies. To present a fresh face and new policies to the electorate, New Labour needed more than fresh leaders; it had to jettison outdated policies, argued the modernisers. The first step was procedural, but essential. Calling on the slogan, "One Member, One Vote" Blair (with some help from Smith) defeated the union element and ended block voting by leaders of labour unions. Blair and the modernisers called for radical adjustment of Party goals by repealing "Clause IV", the historic commitment to nationalisation of industry. This was achieved in 1995.

Black Wednesday in September 1992 damaged the Conservative government's reputation for economic competence, and by the end of that year, Labour had a comfortable lead over the Tories in the opinion polls. Although the recession was declared over in April 1993 and a period of strong and sustained economic growth followed, coupled with a relatively swift fall in unemployment, the Labour lead in the opinion polls remained strong. However, Smith died from a heart attack in May 1994. As of 2023, he is the last Labour leader not to have contested a general election (excluding acting leaders and the incumbent, whose tenure is ongoing).

New Labour (1994–2010)

Tony Blair, Prime Minister (1997–2007).

Tony Blair continued to move the party further to the centre, abandoning the largely symbolic Clause Four at the 1995 mini-conference in a strategy to increase the party's appeal to "middle England". More than a simple re-branding, however, the project would draw upon the Third Way strategy, informed by the thoughts of the British sociologist Anthony Giddens.

New Labour was first termed as an alternative branding for the Labour Party, dating from a conference slogan first used by the Labour Party in 1994, which was later seen in a draft manifesto published by the party in 1996, called New Labour, New Life For Britain. It was a continuation of the trend that had begun under the leadership of Neil Kinnock. New Labour as a name has no official status, but remains in common use to distinguish modernisers from those holding to more traditional positions, normally referred to as "Old Labour".

New Labour is a party of ideas and ideals but not of outdated ideology. What counts is what works. The objectives are radical. The means will be modern.

The Labour Party won the 1997 general election in a landslide victory with a parliamentary majority of 179; it was the largest ever Labour majority, and at the time the largest swing to a political party achieved since 1945. Over the next decade, a wide range of progressive social reforms were enacted, with millions lifted out of poverty during Labour's time in office largely as a result of various tax and benefit reforms.

New Labour logo.

Among the early acts of Blair's government were the establishment of the national minimum wage, the devolution of power to Scotland, Wales and Northern Ireland, major changes to the regulation of the banking system, and the re-creation of a citywide government body for London, the Greater London Authority, with its own elected-Mayor. Combined with a Conservative opposition that had yet to organise effectively under William Hague, and the continuing popularity of Blair, Labour went on to win the 2001 election with a similar majority, dubbed the "quiet landslide" by the media. In 2003 Labour introduced tax credits, government top-ups to the pay of low-wage workers. A perceived turning point was when Blair controversially allied himself with US President George W. Bush in supporting the Iraq War, which caused him to lose much of his political support. The UN Secretary-General, among many, considered the war illegal and a violation of the UN Charter. The Iraq War was deeply unpopular in most western countries, with Western governments divided in their support and under pressure from worldwide popular protests. The decisions that led up to the Iraq war and its subsequent conduct were the subject of Sir John Chilcot's Iraq Inquiry (commonly referred to as the "Chilcot report").

In the 2005 general election, Labour was re-elected for a third term, but with a reduced majority of 66 and popular vote of only 35.2%, the lowest percentage of any majority government in British history. During this election, proposed controversial posters by Alastair Campbell where opposition leader Michael Howard and shadow chancellor Oliver Letwin, who are both Jewish, were depicted as flying pigs were criticised as being anti-Semitic. The posters were referring to the expression 'when pigs fly', to suggest that Tory election promises were unrealistic. In response, Campbell said that the posters were not in "any way shape or form" intended to be anti-Semitic.

Gordon Brown, Prime Minister (2007–2010).

Blair announced in September 2006 that he would quit as leader within the year, though he had been under pressure to quit earlier than May 2007 in order to get a new leader in place before the May elections which were expected to be disastrous for Labour. In the event, the party did lose power in Scotland to a minority Scottish National Party government at the 2007 elections and, shortly after this, Blair resigned as Prime Minister and was replaced by the Chancellor, Gordon Brown. Although the party experienced a brief rise in the polls after this, its popularity soon slumped to its lowest level since the days of Michael Foot. During May 2008, Labour suffered heavy defeats in the London mayoral election, local elections and the loss in the Crewe and Nantwich by-election, culminating in the party registering its worst ever opinion poll result since records began in 1943, of 23%, with many citing Brown's leadership as a key factor. Brown coordinated the UK's response to the 2007–2008 financial crisis. Membership of the party also reached a low ebb, falling to 156,205 by the end of 2009: over 40 per cent of the 405,000 peak reached in 1997 and thought to be the lowest total since the party was founded.

Finance proved a major problem for the Labour Party during this period; a "cash for peerages" scandal under Blair resulted in the drying up of many major sources of donations. Between January and March 2008, the Labour Party received just over £3 million in donations and were £17 million in debt, compared to the Conservatives' £6 million in donations and £12 million in debt. These debts eventually mounted to £24.5 million, and were finally fully repaid in 2015.

In the 2010 general election on 6 May that year, Labour with 29.0% of the vote won the second largest number of seats (258). The Conservatives with 36.5% of the vote won the largest number of seats (307), but no party had an overall majority, meaning that Labour could still remain in power if they managed to form a coalition with at least one smaller party. However, the Labour Party would have had to form a coalition with more than one other smaller party to gain an overall majority; anything less would result in a minority government. On 10 May 2010, after talks to form a coalition with the Liberal Democrats broke down, Brown announced his intention to stand down as Leader before the Labour Party Conference but a day later resigned as both Prime Minister and party leader.

Opposition and internal conflict (2010–present)

Ed Miliband era (2010–2015)

Ed Miliband, Leader of the Opposition (2010–2015).

Harriet Harman became the Leader of the Opposition and interim Leader of the Labour Party following the resignation of Gordon Brown on 11 May 2010, pending a leadership election subsequently won by Ed Miliband. Miliband emphasised "responsible capitalism" and greater state intervention to rebalance the economy away from financial services. He advocated for more regulation of banks and energy companies and often addressed the need to challenge vested interests and increase inclusivity in British society. He adopted the "One Nation Labour" branding in 2012. The Parliamentary Labour Party voted to abolish Shadow Cabinet elections in 2011, ratified by the National Executive Committee and Party Conference. Henceforth the leader of the party chose the Shadow Cabinet members.

The party's performance held up in the 2012 local elections, with Labour consolidating its position in the North and Midlands while also regaining some ground in Southern England. In Wales the party enjoyed good successes, regaining control of most Welsh councils lost in 2008, including Cardiff. In Scotland, Labour enjoyed a +3.26 swing. Results in London were mixed as Ken Livingstone lost the election for Mayor of London, but the party gained its highest ever representation in the Greater London Authority in the concurrent assembly election.

In March 2014, the party reformed internal election procedures, including replacing the electoral college system with "one member, one vote". Mass membership was encouraged by creating a class of "registered supporters" as an alternative to full membership. Trade union members would also have to explicitly opt in rather than opt out of paying a political levy to the party.

The party won 20 seats in the 2014 European parliamentary election, to the UK Independence Party's 24 and the Conservatives' 19. Labour also gained 324 councillors in the 2014 local elections. In September 2014, Labour outlined plans to cut the government's current account deficit and balance the budget by 2020, excluding investment. The party carried these plans into the 2015 general election, which Labour lost. Its representation fell to 232 seats in the House of Commons. The party lost 40 of its 41 seats in Scotland to the Scottish National Party. Although Labour gained more than 20 seats in England and Wales, it lost more seats to the Conservatives, for net losses overall.

Jeremy Corbyn, Leader of the Opposition (2015–2020).

Jeremy Corbyn era (2015–2020)

After the 2015 general election, Miliband resigned as party leader and Harriet Harman again became interim leader. Labour held a leadership election in which Jeremy Corbyn, then a member of the Socialist Campaign Group, was considered a fringe candidate when the contest began, receiving nominations from just 36 MPs, one more than the minimum required to stand, and the support of just 16 MPs. The Labour Party saw a flood of membership applications during the leadership election, with most of the new members thought to be Corbyn supporters. Corbyn was elected leader with 60% of the vote. Membership continued to climb after his victory; one year later it had grown to more than 500,000, making it the largest political party in Western Europe.

Brexit referendum

Tensions soon developed in the parliamentary party over Corbyn's leadership, particularly after the 2016 Brexit referendum. Many in the party were angered that Corbyn did not campaign strongly against Brexit; he had been only a "lukewarm" supporter of remaining in the European Union and refused to join David Cameron in campaigning for the Remain side. 21 members of the Shadow Cabinet resigned after the referendum. Corbyn lost a no-confidence vote among Labour MPs by 172–40, triggering a leadership election, which he won decisively with 62% support among Labour party members. The following year in 2017, the party faced further chaos when its leadership decided to support the European Union Notification of Withdrawal Bill, which formally declared the UK's intention to leave the European Union. 47 of 229 Labour MPs voted against the bill in defiance of the party's three-line whip. Unusually, the rebel frontbenchers did not face immediate dismissal. In 2018, following pressure from members to call for a referendum on the Brexit deal, Corbyn said that while he opposed the idea, he would abide by the decision of members at the 2018 party conference. The party conference adopted a compromise wording, saying that the party should "keep the option open.

2017 general election

In April 2017, Prime Minister Theresa May called a snap election for June 2017. Corbyn resisted pressure from within the Labour Party to call for a referendum on the eventual Brexit deal, instead focusing on health care, education and ending austerity. Although Labour started the campaign as far as 20 points behind, it defied expectations by gaining 40% of the vote, its greatest share since 2001 and the biggest increase in vote share in a single general election since 1945. The party gained a net 30 seats.

Accusations of anti-semitism

From 2016, the Labour Party has faced criticism for failing to deal with antisemitism. Criticism was also levelled at Corbyn. The Chakrabarti Inquiry cleared the party of widespread antisemitism but identified an "occasionally toxic atmosphere". High-profile party members, including Ken Livingstone, Peter Willsman and Chris Williamson, left the party or were suspended over antisemitism-related incidents. In 2018, internal divisions emerged over adopting the IHRA Working Definition of Antisemitism, with 68 rabbis criticising the leadership. The issue was cited by a number of MPs who left the party to set up Change UK. During the 2019 general election, Chief Rabbi Ephraim Mirvis accused Labour of tolerating antisemitism "sanctioned from the top." An investigation by the Equalities and Human Rights Commission found the party responsible for three Equality Act breaches, including harassment political interference in antisemitism complaints.

2019 general election

A week after seven Labour MPs left the party in February 2019 to form The Independent Group (later rebranded as Change UK, partly in protest over Labour's Brexit position, the Labour leadership said it would support another referendum "as a final resort in order to stop a damaging Tory Brexit being forced on the country".

During the 2019 general election, Labour campaigned on a manifesto widely considered the most radical in decades, more closely resembling Labour's politics of the 1970s than subsequent decades. These included plans to nationalise the country's biggest energy firms, the National Grid, the water industry, Royal Mail, the railways and the broadband arm of BT. Labour's spending plans were endorsed by more than 160 economists and academics and characterised as a "serious programme" to deal with internal problems.

The election saw Labour win its lowest number of seats since 1935. In a post-election review featuring Labour MPs, trade union officials and activists one of several reasons attributed to the electoral defeat was due to the declining popularity of Jeremy Corbyn in relation to the Brexit position and allegations of party antisemitism. The review projected that Labour would have retained 38% of the vote had Corbyn’s popularity levels retained at its peak level in 2017.

Keir Starmer era (2020–present)

Keir Starmer, Leader of the Opposition (2020–present).

Following Labour's defeat in the 2019 general election, Jeremy Corbyn announced that he would stand down as Leader of the Labour Party. On 4 April 2020, Keir Starmer was elected as Leader of the Labour Party amidst the COVID-19 pandemic.

One of Starmer's early priorities was dealing with accusations of systemic antisemitism within the Labour Party. In 2020, the Equalities and Human Rights Commission (EHRC) found the Labour Party guilty of three breaches of the Equality Act. The party temporarily suspended former leader Jeremy Corbyn after he stated that "the scale of the problem was also dramatically overstated for political reasons". The party reinstated his membership, but in 2023 barred him from seeking office again as a Labour candidate. In February 2023, the party's antisemitism reforms resulted in the party no longer being monitored by the EHRC.

Starmer's tenure has seen the party move closer towards the political centre.  Starmer has faced claims that he has carried out a purge against potential left-wing candidates and by suspending 2 left-wing MPs amidst this move towards the centre. He has been accused by some of being authoritarian during his leadership of the Labour Party, by not committing to overturn the Conservative Party's anti-protest bill and via intolerance for dissent within the Labour Party; the latter of which has also been described as "anti-democratic and above all illiberal". Since the end of 2021, Labour have maintained a poll lead over the Conservatives, including the highest poll lead of any party in over 20 years amid the government crisis during the Premiership of Liz Truss.

Ideology

In 2015, Labour was considered to be a centre-left party. It was formed to provide political representation for the trade union movement at Westminster. The Labour Party gained a socialist commitment with the party constitution of 1918, Clause IV of which called for the "common ownership", or nationalisation, of the "means of production, distribution and exchange". Although about a third of British industry was taken into public ownership after the Second World War and remained so until the 1980s, the right of the party were questioning the validity of expanding on this by the late 1950s. Influenced by Anthony Crosland's book The Future of Socialism (1956), the circle around party leader Hugh Gaitskell felt that the commitment was no longer necessary. An attempt to remove Clause IV from the party constitution in 1959 failed, Tony Blair and New Labour "modernisers" were successful in doing so 35 years later.

Historically influenced by Keynesian economics, the party favoured government intervention in the economy, and the redistribution of wealth. Taxation was seen as a means to achieve a "major redistribution of wealth and income" in the October 1974 election manifesto. The party also desired increased rights for workers, and a welfare state including publicly funded healthcare. From the late-1980s onwards, the party adopted free market policies, leading many observers to describe the Labour Party as social democratic or the Third Way, rather than democratic socialist. Other commentators go further and argue that traditional social democratic parties across Europe, including the British Labour Party, have been so deeply transformed in recent years that it is no longer possible to describe them ideologically as "social democratic", and that this ideological shift has put new strains on the Labour Party's traditional relationship with the trade unions. Within the party, differentiation was made between the social democratic and the socialist wings of the party, the latter often subscribed to a radical socialist, even Marxist, ideology.

While affirming a commitment to democratic socialism, the new version of Clause IV no longer definitely commits the party to public ownership of industry and in its place advocates "the enterprise of the market and the rigour of competition" along with "high quality public services [...] either owned by the public or accountable to them". MPs in the Socialist Campaign Group and the Labour Representation Committee see themselves as standard bearers for the radical socialist tradition in contrast to the democratic socialist tradition represented by organisations such as Compass and the magazine Tribune. The group Progress, founded in 1996, represents the centrist position in the party and was opposed to the Corbyn leadership. In 2015, Momentum was created by Jon Lansman as a grass-roots left-wing organisation following Jeremy Corbyn's election as party leader. Rather than organising among the PLP, Momentum is a rank and file grouping with an estimated 40,000 members. The party also has a Christian socialist faction, the Christians on the Left society.

Symbols

Labour has long been identified with red, a political colour traditionally affiliated with socialism and the labour movement. Prior to the red flag logo, the party had used a modified version of the classic 1924 shovel, torch, and quill emblem. In 1924 a brand conscious Labour leadership had devised a competition, inviting supporters to design a logo to replace the 'polo mint' like motif that had previously appeared on party literature. The winning entry, emblazoned with the word "Liberty" over a design incorporating a torch, shovel and quill symbol, was popularised through its sale, in badge form, for a shilling. The party conference in 1931 passed a motion "That this conference adopts Party Colours, which should be uniform throughout the country, colours to be red and gold". During the New Labour period, the colour purple was also used, and the party has used other colours in certain areas according to local tradition.

The red flag, originally the official flag and symbol of the Labour Party.

Since the party's inception, the red flag has been Labour's official symbol; the flag has been associated with socialism and revolution ever since the 1789 French Revolution and the revolutions of 1848. The red rose, a symbol of socialism and social democracy, was adopted as the party symbol in 1986 as part of a rebranding exercise and is now incorporated into the party logo.

The red flag became an inspiration which resulted in the composition of "The Red Flag", the official party anthem since its inception, being sung at the end of party conferences and on various occasions such as in Parliament in February 2006 to mark the centenary of the Labour Party's founding. It still remains in use, although attempts were made to play down the role of the song during New Labour. The song "Jerusalem", based on a William Blake poem, is also traditionally sung at the end of party conferences with The Red Flag.

Constitution and structure

Clause IV (1995)

The Labour Party is a democratic socialist party. It believes that by the strength of our common endeavour we achieve more than we achieve alone, so as to create for each of us the means to realise our true potential and for all of us a community in which power, wealth and opportunity are in the hands of the many, not the few, where the rights we enjoy reflect the duties we owe, and where we live together, freely, in a spirit of solidarity, tolerance and respect.

Party Constitution, Labour Party Rule Book

The Labour Party is a membership organisation consisting of individual members and constituency Labour parties, affiliated trade unions, socialist societies and the Co-operative Party, with which it has an electoral agreement. Members who are elected to parliamentary positions take part in the Parliamentary Labour Party (PLP). Prior to Brexit in January 2020, members also took part in the European Parliamentary Labour Party (EPLP).

The party's decision-making bodies on a national level formally include the National Executive Committee (NEC), Labour Party Conference and National Policy Forum (NPF)—although in practice the Parliamentary leadership has the final say on policy. The 2008 Labour Party Conference was the first at which affiliated trade unions and Constituency Labour Parties did not have the right to submit motions on contemporary issues that would previously have been debated. Labour Party conferences now include more "keynote" addresses, guest speakers and question-and-answer sessions, while specific discussion of policy now takes place in the National Policy Forum.

The Labour Party is an unincorporated association without a separate legal personality, and the Labour Party Rule Book legally regulates the organisation and the relationship with members. The General Secretary represents the party on behalf of the other members of the Labour Party in any legal matters or actions.

Membership and registered supporters

A graph showing Labour Party individual membership, excluding affiliated members and supporters.

As of 31 December 2010, under Leader Ed Miliband, individual membership of the party was 193,261; a historical low for the Party since the 1930s. Membership remained relatively unchanged in the following years. In August 2015, prior to the 2015 leadership election, the Labour Party reported 292,505 full members, 147,134 affiliated supporters (mostly from affiliated trade unions and socialist societies) and 110,827 registered supporters; a total of about 550,000 members and supporters.

Following the election of Jeremy Corbyn as leader, individual membership almost doubled to 388,262 in December 2015; and rose significantly again the following year to 543,645 in December 2016. As of December 2017, the party had 564,443 full members, a peak since 1980 making it the largest political party in Western Europe. Consequently, membership fees became the largest component of the party's income, overtaking trade unions donations which were previously of most financial importance, making Labour the most financially well-off British political party in 2017.[245] As of December 2019, the party had 532,046 full members.

In the 2020 leadership election 490,731 people voted, of which 401,564 (81.8%) were members, 76,161 (15.5%) had affiliated membership and 13,006 (2.6%) were registered supporters. The registered supporter class was abolished in 2021. By July 2023, the party's membership was reported to have fallen to 399,195 members. In March 2024, it was reported that the Labour Party's membership had fallen to 366,604.

Northern Ireland

For many years, Labour held to a policy of not allowing residents of Northern Ireland to apply for membership, instead supporting the Social Democratic and Labour Party (SDLP) which informally takes the Labour whip in the House of Commons. The 2003 Labour Party Conference accepted legal advice that the party could not continue to prohibit residents of the province joining, and whilst the National Executive has established a regional constituency party it has not yet agreed to contest elections there. In December 2015 a meeting of the members of the Labour Party in Northern Ireland decided unanimously to contest the elections for the Northern Ireland Assembly held in May 2016. The Labour Party in Northern Ireland moved a model motion, in July 2020, for Labour's NEC to allow them a "Right to Stand". The motion noted how the SDLP's alliance with Fianna Fáil, a member-party of the Liberal International in the Republic of Ireland, had meant that it was campaigning against the Irish Labour Party, which it saw as questioning "the legitimacy of Labour's sister party relationship".

Trade union link

Unite the Union showing their support for the Labour party on their Leeds offices during the 2015 general election.

The Trade Union and Labour Party Liaison Organisation is the co-ordinating structure that supports the policy and campaign activities of affiliated union members within the Labour Party at the national, regional and local level.

As it was founded by the unions to represent the interests of working-class people, Labour's link with the unions has always been a defining characteristic of the party. In recent years this link has come under increasing strain, with the RMT being expelled from the party in 2004 for allowing its branches in Scotland to affiliate to the left-wing Scottish Socialist Party. Other unions have also faced calls from members to reduce financial support for the Party and seek more effective political representation for their views on privatisation, public spending cuts and the anti-trade union laws. Unison and GMB have both threatened to withdraw funding from constituency MPs and Dave Prentis of UNISON has warned that the union will write "no more blank cheques" and is dissatisfied with "feeding the hand that bites us". Union funding was redesigned in 2013 after the Falkirk candidate-selection controversy. The Fire Brigades Union, which "severed links" with Labour in 2004, re-joined the party under Corbyn's leadership in 2015.

European and international affiliation

The Labour Party was a founder member of the Party of European Socialists (PES). The European Parliamentary Labour Party's 10 MEPs were part of the Socialists and Democrats (S&D), the second largest group in the European Parliament. The Labour Party was represented by Emma Reynolds in the PES presidency.

The party was a member of the Labour and Socialist International between 1923 and 1940. Since 1951, the party has been a member of the Socialist International, which was founded thanks to the efforts of the Clement Attlee leadership. In February 2013, the Labour Party NEC decided to downgrade participation to observer membership status, "in view of ethical concerns, and to develop international co-operation through new networks". Labour was a founding member of the Progressive Alliance international founded in co-operation with the Social Democratic Party of Germany and other social-democratic parties on 22 May 2013.

Electoral performance

For all detailed election results involving the Labour Party including: general elections, devolved national elections, London Assembly, London Mayoral, combined authority and European Parliament elections see: Electoral history of the Labour Party (UK).

In all general elections since 1922, Labour has been either the governing party or the Official Opposition.

UK general election results

Following the 1918 general election, Labour became the Official Opposition after the Conservatives went into coalition with the Liberal Party. Labour's first minority governments came following the 1923 and 1929 general elections, the latter being the first time Labour were the largest party in the country by seats won. They formed their first majority government following the 1945 general election. However, after winning the 1950 general election, Labour would lose the following election in 1951 to the Conservatives despite gaining the highest share of votes to date at 48.8%. During the 1983 election, Labour posted their worst vote share in the post-war period at 27.6%. In 1997, a party record of 418 Labour MPs were elected. At the 2019 general election, 202 Labour MPs were elected, the lowest for the party since 1935. Since the 2010 general election, Labour have lost four consecutive general elections. The next general election is due to be held on 4 July 2024.

Trigeminal neuralgia

From Wikipedia, the free encyclopedia
 
Trigeminal neuralgia
Other namesTic douloureux, prosopalgia, Fothergill's disease, suicide disease
The trigeminal nerve and its three major divisions (shown in yellow): the ophthalmic nerve (V1), the maxillary nerve (V2), and the mandibular nerve (V3)
SpecialtyNeurology
SymptomsTypical: episodes of severe, sudden, shock-like pain in one side of the face that lasts for seconds to minutes
Atypical: constant burning pain
ComplicationsDepression
Usual onset> 50 years old
TypesTypical and atypical trigeminal neuralgia
CausesBelieved to be due to problems with myelin of trigeminal nerve
Diagnostic methodBased on symptoms
Differential diagnosisPostherpetic neuralgia
TreatmentMedication, surgery
MedicationCarbamazepine, oxcarbazepine
Prognosis80% improve with initial treatment
Frequency1 in 8,000 people per year

Trigeminal neuralgia (TN or TGN), also called Fothergill disease, tic douloureux, trifacial neuralgia, or suicide disease, is a long-term pain disorder that affects the trigeminal nerve, the nerve responsible for sensation in the face and motor functions such as biting and chewing. It is a form of neuropathic pain. There are two main types: typical and atypical trigeminal neuralgia. The typical form results in episodes of severe, sudden, shock-like pain in one side of the face that lasts for seconds to a few minutes. Groups of these episodes can occur over a few hours. The atypical form results in a constant burning pain that is less severe. Episodes may be triggered by any touch to the face. Both forms may occur in the same person. It is regarded as one of the most painful disorders known to medicine, and often results in depression and suicide.

The exact cause is unknown, but believed to involve loss of the myelin of the trigeminal nerve. This might occur due to compression from a blood vessel as the nerve exits the brain stem, multiple sclerosis, stroke, or trauma. Less common causes include a tumor or arteriovenous malformation. It is a type of nerve pain. Diagnosis is typically based on the symptoms, after ruling out other possible causes such as postherpetic neuralgia.

Treatment includes medication or surgery. The anticonvulsant carbamazepine or oxcarbazepine is usually the initial treatment, and is effective in about 90% of people. Side effects are frequently experienced that necessitate drug withdrawal in as many as 23% of patients. Other options include lamotrigine, baclofen, gabapentin, amitriptyline and pimozide. Opioids are not usually effective in the typical form. In those who do not improve or become resistant to other measures, a number of types of surgery may be tried.

It is estimated that trigeminal neuralgia affects around 0.03% to 0.3% of people around the world with a female over-representation around a 3:1 ratio between women and men. It usually begins in people over 50 years old, but can occur at any age. The condition was first described in detail in 1773 by John Fothergill.

Signs and symptoms

Trigeminal neuralgia

This disorder is characterized by episodes of severe facial pain along the trigeminal nerve divisions. The trigeminal nerve is a paired cranial nerve that has three major branches: the ophthalmic nerve (V1), the maxillary nerve (V2), and the mandibular nerve (V3). One, two, or all three branches of the nerve may be affected. Trigeminal neuralgia most commonly involves the middle branch (the maxillary nerve or V2) and lower branch (mandibular nerve or V3) of the trigeminal nerve.

An individual attack usually lasts from a few seconds to several minutes or hours, but these can repeat for hours with very short intervals between attacks. In other instances, only 4–10 attacks are experienced daily. The episodes of intense pain may occur paroxysmally. To describe the pain sensation, people often describe a trigger area on the face so sensitive that touching or even air currents can trigger an episode; however, in many people, the pain is generated spontaneously without any apparent stimulation. It affects lifestyle as it can be triggered by common activities such as eating, talking, shaving and brushing teeth. The wind, chewing, and talking can aggravate the condition in many patients. The attacks are said, by those affected, to feel like stabbing electric shocks, burning, sharp, pressing, crushing, exploding or shooting pain that becomes intractable.

The pain also tends to occur in cycles with remissions lasting months or even years. Pain attacks are known to worsen in frequency or severity over time, in some people. Pain may migrate to other branches over time but in some people remains very stable.

Bilateral (occurring on both sides) trigeminal neuralgia is very rare except for trigeminal neuralgia caused by multiple sclerosis (MS). This normally indicates problems with both trigeminal nerves, since one nerve serves the left side of the face and the other serves the right side. Occasional reports of bilateral trigeminal neuralgia reflect successive episodes of unilateral (only one side) pain switching the side of the face rather than pain occurring simultaneously on both sides.

Rapid spreading of the pain, bilateral involvement or simultaneous participation with other major nerve trunks (such as Painful Tic Convulsif of nerves V & VII or occurrence of symptoms in the V and IX nerves) may suggest a systemic cause. Systemic causes could include multiple sclerosis or expanding cranial tumors.

The severity of the pain makes it difficult to wash the face, shave, and perform good oral hygiene. The pain has a significant impact on activities of daily living especially as those affected live in fear of when they are going to get their next attack of pain and how severe it will be. It can lead to severe depression and anxiety.

However, not all people will have the symptoms described above; there are variants of TN, one of which is atypical trigeminal neuralgia ("trigeminal neuralgia, type 2" or trigeminal neuralgia with concomitant pain), based on a recent classification of facial pain. In these instances there is also a more prolonged lower severity background pain that can be present for over 50% of the time and is described more as a burning or prickling, rather than a shock.

Trigeminal pain can also occur after an attack of herpes zoster. Post-herpetic neuralgia has the same manifestations as in other parts of the body. Herpes zoster oticus typically presents with inability to move many facial muscles, pain in the ear, taste loss on the front of the tongue, dry eyes and mouth, and a vesicular rash. Less than 1% of varicella zoster infections involve the facial nerve and result in this occurring.

Trigeminal deafferentation pain (TDP), also termed anesthesia dolorosa, or colloquially as phantom face pain, is from unintentional damage to a trigeminal nerve following attempts to fix a nerve problem surgically. This pain is usually constant with a burning sensation and numbness. TDP is very difficult to treat as further surgeries are usually ineffective and possibly detrimental to the person.

Causes

The trigeminal nerve is a mixed cranial nerve responsible for sensory data such as tactition (pressure), thermoception (temperature), and nociception (pain) originating from the face above the jawline; it is also responsible for the motor function of the muscles of mastication, the muscles involved in chewing but not facial expression.

Several theories exist to explain the possible causes of this pain syndrome. It was once believed that the nerve was compressed in the opening from the inside to the outside of the skull; but leading research indicates that it is an enlarged or lengthened blood vessel – most commonly the superior cerebellar artery – compressing or throbbing against the microvasculature of the trigeminal nerve near its connection with the pons. Such a compression can injure the nerve's protective myelin sheath and cause erratic and hyperactive functioning of the nerve. This can lead to pain attacks at the slightest stimulation of any area served by the nerve as well as hinder the nerve's ability to shut off the pain signals after the stimulation ends. This type of injury may rarely be caused by an aneurysm (an outpouching of a blood vessel); by an AVM (arteriovenous malformation); by a tumor; such as an arachnoid cyst or meningioma in the cerebellopontine angle; or by a traumatic event, such as a car accident.

Short-term peripheral compression is often painless. Persistent compression results in local demyelination with no loss of axon potential continuity. Chronic nerve entrapment results in demyelination primarily, with progressive axonal degeneration subsequently. It is, "therefore widely accepted that trigeminal neuralgia is associated with demyelination of axons in the Gasserian ganglion, the dorsal root, or both." It has been suggested that this compression may be related to an aberrant branch of the superior cerebellar artery that lies on the trigeminal nerve. Further causes, besides an aneurysm, multiple sclerosis or cerebellopontine angle tumor, include: a posterior fossa tumor, any other expanding lesion or even brainstem diseases from strokes.

Trigeminal neuralgia is found in 3–4% of people with multiple sclerosis, according to data from seven studies. It has been theorized that this is due to damage to the spinal trigeminal complex. Trigeminal pain has a similar presentation in patients with and without MS.

Postherpetic neuralgia, which occurs after shingles, may cause similar symptoms if the trigeminal nerve is damaged, called Ramsay Hunt syndrome type 2.

When there is no apparent structural cause, the syndrome is called idiopathic.

Diagnosis

Trigeminal neuralgia is diagnosed via the result of neurological and physical tests, as well as the individual's medical history.[1] Magnetic resonance angiography can be used to detect vascular compression of the trigeminal nerve and refer patients to surgery.[30]

As with many conditions without clear physical or laboratory diagnosis, TN is often misdiagnosed, and other conditions are also frequently misdiagnosed as TN.[31][32] A person with TN may see three or four clinicians before a firm diagnosis is made.[31]

Temporomandibular disorder (TMD) can present similarly to TN, and differentiating between these conditions can be difficult.[33] Even suspected TN patients who experience brief attacks of sharp pain have had their symptoms resolve after being treated for TMD.[34] TMD pain can also be triggered by movements of the tongue or facial muscles, so TN must be differentiated from masticatory pain by differentiating between the clinical characteristics of deep somatic pain and neuropathic pain. Masticatory pain will not be arrested by a conventional mandibular local anesthetic block.[14] One quick test a dentist might perform is a conventional inferior dental local anesthetic block. If the pain is in the treated branch, the block will not arrest masticatory pain but will alleviate TN pain.[35]

Management

There is evidence that points towards the need to quickly treat and diagnose TN. It is thought that the longer a patient has TN, the harder it may be to reverse the neural pathways associated with the pain.[citation needed]

Medical

  • The anticonvulsant carbamazepine is the first line treatment; second line medications include baclofen, lamotrigine, oxcarbazepine, phenytoin, topiramate, gabapentin and pregabalin. Uncontrolled trials have suggested that clonazepam and lidocaine may be effective.[36]
  • Antidepressant medications, such as amitriptyline have shown good efficacy in treating trigeminal neuralgia, especially if combined with an anti-convulsant drug such as pregabalin.[37]
  • There is some evidence that duloxetine can also be used in some cases of neuropathic pain, especially in patients with major depressive disorder[38] as it is an antidepressant. However, it should, by no means, be considered a first line therapy and should only be tried by specialist advice.[39]
  • There is controversy around opiate use such as morphine and oxycodone for treatment of TN, with varying evidence on its effectiveness for neuropathic pain. Generally, opioids are considered ineffective against TN and thus should not be prescribed.[40]

Surgical

Microvascular decompression provides freedom from pain in about 75% of patients presenting with drug-resistant trigeminal neuralgia.[41][42][43] While there may be pain relief after surgery, there is also a risk of adverse effects, such as facial numbness. Percutaneous radiofrequency thermorhizotomy may also be effective[44] as may stereotactic radiosurgery; however the effectiveness decreases with time.[45]

Surgical procedures can be separated into non-destructive and destructive:

Non-destructive

  • Microvascular decompression – this involves a small incision behind the ear and some bone removal from the area. An incision through the meninges is made to expose the nerve. Any vascular compressions of the nerve are carefully moved and a sponge-like pad is placed between the compression and nerve, stopping unwanted pulsation and allowing myelin sheath healing.[citation needed]

Destructive

All destructive procedures will cause facial numbness, post relief, as well as pain relief.[42]

  • Percutaneous techniques which all involve a needle or catheter entering the face up to the origin where the nerve splits into three divisions and then damaging this area, purposely, to produce numbness but also stop pain signals. These techniques are proven effective[44] especially in those where other interventions have failed or in those who are medically unfit for surgery such as the elderly.
  • Balloon compression – inflation of a balloon at this point causing damage and stopping pain signals.
  • Glycerol injection – deposition of a corrosive liquid called glycerol at this point causes damage to the nerve to hinder pain signals.
  • Radiofrequency thermocoagulation rhizotomy – application of a heated needle to damage the nerve at this point.
  • Stereotactic radiosurgery is a form of radiation therapy that focuses high-power energy on a small area of the body[46]

Support

Psychological and social support has found to play a key role in the management of chronic illnesses and chronic pain conditions, such as trigeminal neuralgia. Chronic pain can cause constant frustration to an individual as well as to those around them.[47]

History

Edvard Munch's The Scream has been used as a symbol of facial pain generally,[48] and also specifically of trigeminal neuralgia.[49]

Trigeminal neuralgia was first described by physician John Fothergill and treated surgically by John Murray Carnochan, both of whom were graduates of the University of Edinburgh Medical School. Historically TN has been called "suicide disease" due to studies by the pioneering forefather in neurosurgery Harvey Cushing involving 123 cases of TN during 1896 and 1912. In those studies it produced intense pain, higher rates of suicidal ideation in patients with severe migraines, and links to higher rates of depression, anxiety, and sleep disorders.[4][50][51]

Society and culture

Some individuals of note with TN include:

  • Four-time British Prime Minister William Gladstone is believed to have had the disease.[52]
  • Entrepreneur and author Melissa Seymour was diagnosed with TN in 2009 and underwent microvascular decompression surgery in a well documented case covered by magazines and newspapers which helped to raise public awareness of the illness in Australia. Seymour was subsequently made a Patron of the Trigeminal Neuralgia Association of Australia.[53]
  • Salman Khan, an Indian film star, was diagnosed with TN in 2011. He underwent surgery in the US.[54]
  • All-Ireland winning Gaelic footballer Christy Toye was diagnosed with the condition in 2013. He spent five months in his bedroom at home, returned for the 2014 season and lined out in another All-Ireland final with his team.[55]
  • Jim Fitzpatrick – former Member of Parliament (MP) for Poplar and Limehouse – disclosed he had trigeminal neuralgia before undergoing neurosurgery. He has openly discussed his condition at parliamentary meetings and is a prominent figure in the TNA UK charity.[56]
  • Jefferson Davis – President of the Confederate States of America[57]
  • Charles Sanders Peirce – American philosopher, scientist and father of pragmatism.[58]
  • Gloria Steinem – American feminist, journalist, and social and political activist[59]
  • Anneli van Rooyen, Afrikaans singer-songwriter popular during the 1980s and 1990s, was diagnosed with atypical trigeminal neuralgia in 2004. During surgical therapy directed at alleviating the condition performed in 2007, Van Rooyen had permanent nerve damage, resulting in her near-complete retirement from performing.[60]
  • H.R., singer of hardcore punk band Bad Brains[61]
  • Aneeta Prem, British author, human rights campaigner, magistrate and the founder and president of Freedom Charity. Aneeta's experience of bilateral TN began in 2010, with severe pain and resulting sleep deprivation. Her condition remained undiagnosed until 2017. MVD Surgery to ameliorate the pain on the right-hand side was performed at UCHL in December 2019.[62]
  • Travis Barker, drummer of rock band Blink-182[63]

Monday, May 27, 2024

Compassion fatigue

From Wikipedia, the free encyclopedia

Compassion fatigue is an evolving concept in the field of traumatology. The term has been used interchangeably with secondary traumatic stress (STS), which is sometimes simply described as the negative cost of caring. Secondary traumatic stress is the term commonly employed in academic literature, although recent assessments have identified certain distinctions between compassion fatigue and secondary traumatic stress (STS).

Compassion fatigue is a form of traumatic stress resulting from repeated exposure to traumatized individuals or aversive details of traumatic events while working in a helping or protecting profession. This indirect form of trauma exposure differs from experiencing trauma oneself.

Compassion fatigue is considered to be the result of working directly with victims of disasters, trauma, or illness, especially in the health care industry. Individuals working in other helping professions are also at risk for experiencing compassion fatigue. These include child protection workers, veterinarians, clergy, teachers, social workers, palliative care workers, journalists, police officers, firefighters, paramedics, animal welfare workers, public librarians, health unit coordinators, and student affairs professionals. Non-professionals, such as family members and other informal caregivers of people who have a chronic illness, may also experience compassion fatigue. The term was first coined in 1992 by Carla Joinson to describe the negative impact hospital nurses were experiencing as a result of their repeated, daily exposure to patient emergencies.

Symptoms

People who experience compassion fatigue may exhibit a variety of symptoms including, but not limited to, lowered concentration, numbness or feelings of helplessness, irritability, lack of self-satisfaction, withdrawal, aches and pains, exhaustion, anger, or a reduced ability to feel empathy. Those affected may experience an increase in negative coping behaviors such as alcohol and drug usage. Professionals who work in trauma-exposed roles may begin requesting more time off and consider leaving their profession.

Significant symptom overlap exists between compassion fatigue and other manifestations, such as posttraumatic stress disorder (PTSD). One distinguishing factor lies in the origin of these conditions, with PTSD stemming from primary or direct trauma, while compassion fatigue arises from secondary or indirect trauma.

History

Compassion fatigue has been studied by the field of traumatology, with Charles Figley playing a pivotal role by characterizing it as the "cost of caring" experienced by individuals in helping professions. The term was introduced to the literature in 1992 by Carla Joinson to describe the negative impact hospital nurses were experiencing as a result of their repeated, daily exposure to patient emergencies. However, the phrase had been in use as early as 1961, and was popularized in 1985 when Bob Geldof cited it as his reasoning for ending his charity work after Live Aid.

To a certain extent, the term "compassion fatigue" is considered somewhat euphemistic and is used as a substitute for its academic counterpart, secondary traumatic stress.

Compassion fatigue has also been called secondary victimization, secondary traumatic stress, vicarious traumatization, and secondary survivor. Other related conditions are rape-related family crisis and "proximity" effects on female partners of war veterans.

Measuring and assessments

Some of the earliest and most commonly used assessment are Compassion Fatigue Self Test (CFST), Compassion Satisfaction and Fatigue Test (CSFT) and Compassion Fatigue Scale—Revised.

The self-assessment ProQOL (or Professional Quality of Life Scale) contains three sub-scales: compassion satisfaction, burnout, compassion fatigue / secondary traumatic stress.

The Secondary Traumatic Stress Scale (STSS) assess the frequency of intrusion, avoidance, and arousal symptoms associated with indirect exposure to traumatic events through clinical work with traumatized populations.

Risk factors

Many organizational attributes in the fields where STS is most common contribute to compassion fatigue among the workers, such as in healthcare where a “culture of silence” is normalized by not discussing stressful events, such as deaths in an intensive-care unit, after the event increase rates of CF. Additional contributing organizational factors can result from conditions such as long work hours, short-staffing, workplace incivility, and feelings of dismissal or invalidation by their managers.

Lack of awareness of symptoms and poor training in the risks associated with their trauma-exposed profession results in higher rates of STS.

Traumatization symptom levels usually depend on three criteria: proximity, intensity, and duration. Proximity refers to how close the provider is to the traumatic event, intensity is defined by how extensive and extreme the traumatic event is, and duration refers to how long the provider is involved with the traumatic event.

Compassion fatigue increases in intensity with increased interactions among the needy. Because of this, people living in urban cities are more likely to experience compassion fatigue. People in large cities interact with more people in general, and because of this, they become desensitized towards people's problems. Homeless people often make their way to larger cities. Ordinary people often become indifferent to homelessness when they see it regularly.

Family

Recent studies reveal that the "overall compassion fatigue and compassion satisfaction levels were moderate, thus highlighting the potential risk of compassion fatigue for family caregivers", indicating that primary family caregivers of patients could also experience compassion fatigue or STS.

In healthcare professionals

Between 16% and 85% of health care workers in various fields develop compassion fatigue. In one study, 86% of emergency room nurses met the criteria for compassion fatigue. In another study, more than 25% of ambulance paramedics were identified as having severe ranges of post-traumatic symptoms. In addition, 34% of hospice nurses in another study met the criteria for secondary traumatic stress/compassion fatigue.

There is a strong relationship between work-related stress and compassion fatigue which include factors such as: attitude to life, work-related stress, how one works, amount of time working at a single occupation, type of work, and gender all play a role

Compassion fatigue is the emotional and physical distress caused by treating and helping patients that are deeply in need. This can desensitize healthcare professionals to others' needs, causing them to develop a lack of empathy for future patients. There are three important components of Compassion Fatigue: Compassion satisfaction, secondary stress, and burnout. It is important to note that burnout is not the same as Compassion Fatigue; Burnout is the stress and mental exhaustion caused by the inability to cope with the environment and continuous physical and mental demands.

Healthcare professionals experiencing compassion fatigue may find it difficult to continue doing their jobs. While many believe that these diagnoses affect workers who have been practicing in the field the longest, the opposite proves true. Young physicians and nurses are at an increased risk for both burnout and compassion fatigue. A study published in the Western Journal of Emergency Medicine revealed that medical residents who work overnight shifts or work more than eighty hours a week are at higher risk of developing Compassion Fatigue. Burnout was another major contributor to these professionals who had a higher risk of suffering from Compassion Fatigue. Burnout is a prevalent and critical contemporary problem that can be categorized as suffering from emotional exhaustion, de-personalization, and a low sense of personal accomplishment. They can be exposed to trauma while trying to deal with compassion fatigue, potentially pushing them out of their career field. If they decide to stay, it can negatively affect the therapeutic relationship they have with patients because it depends on forming an empathetic, trusting relationship that could be difficult to make amid compassion fatigue. Because of this, healthcare institutions are placing increased importance on supporting their employee's emotional needs so they can better care for patients.

Studies compiled in 2018 by Zang et al. indicate that the level of education one obtains in the field of healthcare has an effect on levels of burnout, compassion satisfaction, and compassion fatigue. Studies show, it is indicated that those with higher levels of education in their respective field will experience lower rates of burnout and compassion fatigue, while also having increased levels of compassion satisfaction.

Another name and concept directly tied to compassion fatigue is moral injury. Moral injury in the context of healthcare was directly named in the Stat News article by Drs. Wendy Dean and Simon Talbot, entitled "Physicians aren’t ‘burning out.’ They're suffering from moral injury." The article and concept go on to explain that physicians (in the United States) are caught in double and triple and quadruple binds between their obligations of electronic health records, their student loans, the requirements for patient load through the hospital, and procedures performed – all while working towards the goal of trying to provide the best care and healing to patients possible. However, the systemic issues facing physicians often cause deep distress because the patients are suffering despite the physician's best efforts. This concept of moral injury in healthcare is the expansion of the discussion around compassion fatigue and burnout.

C.N.A.s/caregivers

Caregivers for dependent people can also experience compassion fatigue, which can become a cause of abusive behavior in caring professions. It results from the taxing nature of showing compassion for someone whose suffering is continuous and unresolvable. One may still care for the person as required by policy, however, the natural human desire to help them is significantly diminished, causing desensitization and lack of enthusiasm for patient care. This phenomenon also occurs among professionals involved in long-term health care, and for those who have institutionalized family members. These people may develop symptoms of depression, stress, and trauma. Those who are primary care providers for patients with terminal illnesses are at a higher risk of developing these symptoms. In the medical profession, this is often described as "burnout": the more specific terms secondary traumatic stress and vicarious trauma are also used.

Mental health professionals

Many that work in fields that require great amounts of empathy and compassion are exposed to these stressful experiences in their day-today work activities. These fields mentioned include: social workers, psychologists, oncologists, pediatrics, HIV/AIDs workers, EMS, law enforcement, and of course, and general healthcare workers like nurses, etc. Social workers are one group that can experience compassion fatigue or STS from experiencing a singular trauma or it can be from traumatic experiences building up over the years. This can also occur because of a connection with a client and a shared similar traumatic experience. Overall, healthcare professionals in general are finding that they are burnt out with the price of empathy and compassion, otherwise known as, Compassion Fatigue. Most often describe feelings of “running on empty”. The importance of the contribution of education and recognition cannot be negated in its import  of counter of compassion fatigue. Other evidences support theories that meditation and reflection techniques such as Mindful-Based Stress Reduction Training and Compassion Cultivation Training, along with the support of administrators helps to fight and reduce STS.

Critical care personnel

Critical care personnel have the highest reported rates of burnout, a syndrome associated with progression to compassion fatigue. These providers witness high rates of patient disease and death, leaving them to question whether their work is truly meaningful. Additionally, top-tier providers are expected to know an increasing amount of medical information along with experienced high ethical dilemmas/medical demands. This has created a workload-reward imbalance—or decreased compassion satisfaction. Compassion satisfaction relates to the “positive payment” that comes from caring. With little compassion satisfaction, both critical care physicians and nurses have reported the above examples as leading factors for developing burnout and compassion fatigue. Those caring for people who have experienced trauma can experience a change in how they view the world; they see it more negatively. It can negatively affect the worker's sense of self, safety, and control. In ICU personnel, burnout and compassion fatigue has been associated with decreased quality of care and patient satisfaction, as well as increased medical errors, infection rates, and death rates, making this issue one of concern not only for providers but patients. These outcomes also impact organization finances. According to the Institute of Medicine, preventable adverse drug events or harmful medication errors (associated with compassion fatigue/burnout) occur in 1% to 10% of hospital admissions and account for a $3.5 billion cost.

There are a total of four factors that are used to describe the underlying reasons for burnout, STS, and compassion fatigue: depressive mood, primary traumatic stress symptoms, responses to their patients' trauma, and sleep disturbances.

Those with a better ability to empathize and be compassionate are at a higher risk of developing compassion fatigue. Because of that, healthcare professionals—especially those who work in critical care—who are regularly exposed to death, trauma, high stress environments, long work days, difficult patients, pressure from a patient's family, and conflicts with other staff members- are at higher risk. These exposures increase the risk for developing compassion fatigue and burnout, which often makes it hard for professionals to stay in the healthcare career field. Those who stay in the healthcare field after developing compassion fatigue or burnout are likely to experience a lack of energy, difficulty concentrating, unwanted images or thoughts, insomnia, stress, desensitization and irritability. As a result, these healthcare professionals may later develop substance abuse, depression, or commit suicide. A 2018 study that examined differences in compassion fatigue in nurses based on their substance use found significant increases for those who used cigarettes, sleeping pills, energy drinks, antidepressants, and anti-anxiety drugs. Unfortunately, despite recent, targeted efforts being made to reduce burnout, it appears that the problem is increasing. In 2011, a study conducted by the Department of Medicine Program on Physician Well-Being at Mayo Clinic reported that 45% of physicians in the United States had one or more symptoms of burnout. In 2014, that number had increased to 54%.

In student affairs professionals

In response to the changing landscape of post-secondary institutions, sometimes as a result of having a more diverse and marginalized student population, both campus services and the roles of student affairs professionals have evolved. These changes are efforts to manage the increases in traumatic events and crises.

Due to the exposure to student crises and traumatic events, student affairs professionals, as front line workers, are at risk for developing compassion fatigue. Such crises may include sexual violence, suicidal ideation, severe mental health episodes, and hate crimes/discrimination.

Some research shows that almost half of all university staff named psychological distress as a factor contributing to overall occupational stress. This group also demonstrated emotional exhaustion, job dissatisfaction, and intention to quit their jobs within the next year, symptoms associated with compassion fatigue.

Factors contributing to compassion fatigue in student affairs professionals

Student affairs professionals who are more emotionally connected to the students with whom they work and who display an internal locus of control are found to be more likely to develop compassion fatigue as compared to individuals who have an external locus of control and are able to maintain boundaries between themselves and those with whom they work.

In lawyers

Burnout and compassion fatigue can occur in the profession of law; it may occur because of "a discrepancy between expectations and outcomes," or thinking one may have a larger task to achieve than provided resources and support.

Recent research shows that a growing number of attorneys who work with victims of trauma are exhibiting a high rate of compassion fatigue symptoms. In fact, lawyers are four times more likely to suffer from depression than the general public. They also have a higher rate of suicide and substance abuse. Most attorneys, when asked, stated that their formal education lacked adequate training in dealing with trauma. Besides working directly with trauma victims, one of the main reasons attorneys can develop compassion fatigue is because of the demanding case loads, and long hours that are typical to this profession.

In media and journalism

Compassion fatigue also carries sociological connotations, especially when used to analyze behavior in response to media coverage of disasters. Journalism analysts argue that news media have caused widespread compassion fatigue in society by saturating newspapers and news shows with decontextualized images and stories of tragedy and suffering, which would more accurately be described as compassion fade. This, they claim, has caused the public to become desensitized or resistant to helping people who are suffering.

Prevention and mitigation

In an effort to prepare and combat compassion fatigue, many organizations have been implementing compassion fatigue and secondary traumatic stress prevention training which educate workers on the occupational risk in helping and protecting professions, raise awareness about symptoms, and teach skills such as coping tools to apply before and after stressful situations, working with integrity, and creating a support system that includes individuals and resources that can provide understanding and are sensitive to the risks of compassion fatigue. Workers also learn how to decompress and destress, utilizing self-care, and traumatic stress reduction tools.

Staff education and training

Significant improvements in awareness of compassion fatigue and identification of strategies to handle the different stressors are associated with a reduction in symptoms such as feeling significantly less tense, jittery, or overwhelmed, while having increased feelings of being calm and peaceful.

Leadership and supervisory training

Leaders, managers, and supervisors who possess skills in leading teams exposed to trauma, can mitigate the impact of indirect trauma exposure through such strategies as awareness training, peer support training, applying psychologically safe debriefing methods after potentially traumatizing events, monitoring employee exposure levels, developing incentives, and providing flexibility.

Peer support training

One-on-one peer support can be applied formally or informally after emotionally challenging or stressful events to lessen the risk of developing compassion fatigue and secondary traumatic stress in team members.

Peer support groups

Peer support groups have led to participants feeling "less alone" and demonstrating increased interest in learning how to support each other. Participating peers reported feeling more supported, performing better, being healthier, and having a greater likelihood of enjoying extended professional careers.

Workplace culture

Having a work culture that supports the physical and emotional health of professionals in trauma-exposed roles is critical. Some cited effective workplace changes include encouraging professionals to take some time off, ensuring that professionals eat during their shift, and promoting self achievements to minimize the likelihood of developing compassion fatigue.

Social support

Social support and emotional support can help practitioners maintain a balance in their worldview. Maintaining a diverse network of social support, from colleagues to pets, promotes a positive psychological state and can protect against STS. Some problems with compassion fatigue stem from a lack of fundamental communication skills; counseling and additional support can be beneficial to practitioners struggling with STS.

Therapeutic interventions

Various therapeutic interventions are available to address and alleviate symptoms of compassion fatigue including various forms of psychotherapy such as Dialectical Behavior Therapy (DBT) which is commonly used to treat trauma, Eye movement desensitization and reprocessing therapy (EMDR), Cognitive Behavioral Therapy (CBT), somatic or body-based therapy and group support programs.

Self-care

Stress reduction and anxiety management practices have been shown to be effective in preventing and treating STS. Taking a break from work, participating in breathing exercises, exercising, and other recreational activities all help reduce the stress associated with STS. There is evidence that journaling and meditation can also mediate the effects of STS. Conceptualizing one's own ability with self-integration from a theoretical and practice perspective helps to combat criticized or devalued phase of STS. In addition, establishing clear professional boundaries and accepting the fact that successful outcomes are not always achievable can limit the effects of STS.

Self-compassion

In order to be the best benefit for clients, practitioners must maintain a state of psychological well-being. Unaddressed compassion fatigue may decrease a practitioners ability to effectively help their clients. Some counselors who use self-compassion as part of their self-care regime have had higher instances of psychological functioning. The counselors use of self-compassion may lessen experiences of vicarious trauma that the counselor might experience through hearing clients stories. Self-compassion as a self-care method is beneficial for both clients and counselors.

Mindfulness

Self-awareness as a method of self-care might help to alleviate the impact of vicarious trauma (compassion fatigue). Students who took a 15-week course that emphasized stress reduction techniques and the use of mindfulness in clinical practice had significant improvements in therapeutic relationships and counseling skills.

Scales Used for Assessment Administration Measure Accessible
Professional Quality of Life Measure ProQOL self-test compassion satisfaction, burnout, and secondary traumatic stress online, available
Compassion Fatigue and/Satisfaction Self Test for Helpers self-test compassion fatigue online, available
Maslach Burnout Inventory administered burnout available for purchase

Compassion fade

Compassion fatigue is defined as “the physical and mental exhaustion and emotional withdrawal experienced by those who care for sick or traumatized people over an extended period of time”. Compassion fatigue usually occurs with those whom we know; whether that is because of a personal relationship or professional relationship. Compassion fade is defined as terminology to describe the way in which an individual's compassion and empathy are reduced due to the amount or intricacy of the issue. This also includes when the need and tragedy in of the world goes up and the amount of desire to help goes down (similar to a see-saw). For example, an individual is more likely to donate more money, time, or other types of assistance to a single person suffering, than to disaster aid or when the population suffering is larger. It is a type of cognitive bias that helps people make their decision to help.

Jean-Jacques Rousseau

From Wikipedia, the free encyclopedia https://en.wikipedia.org/wiki/Jean-Jacques_Rousseau   Jean-Jacques Rousseau Portrait by Maurice...