VISUAL STORY

From Cradle to Grave

your life is shaped by who owns Britain.
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The water you drink, the house you live in, the buses you ride, the energy that powers your home — behind these everyday essentials are companies extracting profit.

Every time you...

turn on a tap
flip a light switch
step onto a train
catch a bus
post a letter
drop your child at nursery

... you take part in a system designed to extract wealth and concentrate power, all made possible by a failed experiment in privatisation.

We were told that privatisation would lead to efficiency, innovation and low costs — but after 40 years, those promises have collapsed, leaving communities ripped off, costs soaring and public trust in tatters.

Wealthy corporations, investors, asset managers and even foreign governments have been allowed to make ever larger profits from our public services while bills skyrocket and services crumble. These profits often flow out to shareholders as dividends — regular payments made by companies to their investors out of their post-tax profits.

In this visual essay, we tell the story of life on our privatised island. We follow the Williams family from cradle to grave, revealing an invisible web of ownership and extraction.

At each stage, we’ll reveal who profits from the services we all depend on — and imagine how things could be better.

It doesn’t have to be this way.

In our own history and around the world, there are many successful alternatives where high quality and innovative public services are in public hands.

Public ownership is a tried and tested route to upgrading our services and bringing an end to profiteering.

Together, we can repair what’s broken, giving us all security for the future.

Want to explore more?
Our interactive Data Dashboard reveals who owns Britain’s essential services and how much they’re profiting from them.
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Jessica is born on a rainy Tuesday in Manchester at Wythenshawe Hospital.

Jessica’s healthcare needs will be covered by the NHS for the duration of her life, regardless of her ability to pay. However, aspects of the care provided by the NHS are increasingly outsourced to private companies, which are inherently motivated by profit rather than serving the public good.

The ward where Jessica takes her first breath was built under a Private Finance Initiative (PFI) deal. PFI was a method of funding the construction and maintenance of public infrastructure projects whereby private companies paid the upfront costs, and the NHS or another public body pays back these costs over many years, usually at very high rates of interest.

Of the £2.3 billion spent in payments to private companies for legacy PFI projects in 2020-2021, nearly 20 per cent went solely towards paying off interest charges. Over 30 years, PFI hospital contracts will have cost the public about six times as much as it would have cost to build those hospitals from public funds in the first place.

The UK is the third-most expensive country in the world for childcare. At age four, Jessica’s older brother, Daniel, attends a nursery run by the largest nursery chain in the UK, which is majority owned by one of the world’s largest institutional investors. Even with their entitlement to 30 free hours of childcare a week, the nursery charges nearly one third of Ava’s take-home pay.

As of 2021, 70 per cent of group-based day nursery places in England were run for profit, with those backed by large investment firms yielding especially high gains. In the same year, nearly one-fifth (18 per cent) of group-based nursery staff in the UK aged 23 and over earned below the National Living Wage.

According to experts, the result of the increasing financialisation of childcare is a system that funnels public money and family payments to institutional investors and private equity firms. These companies are known to operate without transparency about their use of public funds, and avoid serving poorer areas as these are less profitable.

Who profits?
NHS trusts spend on outsourcing to independent service providers increased from over £220 million to £1.7 billion from 2012 to 2013 to 2020 to 2021, an increase of 659 per cent.
Between 2004 and 2021, 99 NHS PFI companies made £1.9 billion from NHS Trusts in pre-tax profits.
Nursery companies backed by private equity or investment firms reported average profits equivalent to 22 per cent of turnover between 2018 and 2022, twice that of private providers not backed by these large investors (11 per cent) and more than seven times that of non-profit companies (three per cent).
The NHS paid £140 million to management consultants from 2019 to 2023.
Hospital PFI investors earn as much as 40-70 per cent in annual returns.
What's the alternative?
A robustly publicly funded NHS which maintains direct public ownership and control of healthcare infrastructure. Rather than selling off public assets and services piecemeal to private companies through expensive contracts, the Government invests directly in service provision, infrastructure construction and maintenance using public funds. We keep healthcare infrastructure in public hands, eliminating opportunities for private profit extraction and ensuring democratic accountability over our health service.
Early years education is treated as essential infrastructure, free at the point of use and with high industry standards — like schools, healthcare or roads — rather than as an opportunity to extract profit from public funds and working parents. This includes a mix of public, not-for-profit and cooperative childcare providers.
We have already seen how Sure Start centres, introduced in 1998 as publicly funded integrated support for parents, have had significant and long-lasting positive impacts on children’s health and educational achievement. Families deserve ambitious, integrated public programmes that give children the best possible start in life, rather than being forced to line shareholders’ pockets in exchange for more expensive, lower quality services.
School Years

The local primary school that Daniel will start attending next year was once run by the local education authority. Now, it’s part of the largest multi-academy trust (MAT) in the UK, which runs more than a dozen schools across the North West.

MATs are not-for-profit companies that receive public funding to operate numerous academy schools in England but are run independently of local authority control.

While MATs represent a different form of privatisation than the profit-extracting models seen elsewhere across our public services, they have nevertheless fundamentally transformed England’s education system.

Despite pressure from the Government for schools to convert to MATs, research has shown mixed outcomes on student attainment and progress, particularly for large MATs (with 16 or more schools), where pupils tend to perform worse than in maintained schools. Teachers are paid less and leave their jobs at much higher rates in MATs compared to local authority-maintained schools. MATs are also less accountable to parents and communities — they are not required to have elected parent governors or even to have local governing bodies at all. There have also been questions raised about conflicts of interest when wealthy academy sponsors own companies providing services to their schools.

Our education system, which was once owned and controlled by local authorities and answerable to local communities, has been transferred to corporate structures with less democratic accountability, delivering worse outcomes for both educators and students.

As one of the one in four children in England who need social care services at some point, one of Daniel’s friends who is in foster care, George, has had to change primary schools. The management of his placement has been outsourced by the council to an independent fostering agency. Private equity firms control the four largest independent fostering agencies, together accounting for 23 per cent of England’s fostering placements (16,365 places).

Analysis has shown that one of these independent agencies, which manages approximately 5,000 fostering placements, generated an estimated £1,500 in EBITDA (earnings before interest, taxes, depreciation and amortisation, a widely-used measurement of a company’s overall performance) profit per placement during 2023. This has contributed to its parent company’s overall EBITDA of £49.1 million that year.

The Williams’ eldest child, Zara, has a learning disability and needs to attend a Special Educational Needs and Disabilities (SEND) school. There is no capacity for her at the local authority-maintained SEND school, so the council places her in a private school.

Placements in independent special schools cost councils nearly three times (2.6x) as much as local authority schools and many independent special schools are owned by offshore companies, private equity, and, in at least one case, by an Abu Dhabi sovereign wealth fund.

Who profits?
Average profit margins of 19-20 per cent are common among large independent fostering agencies.
Councils spent £1.3 billion on independent and non-maintained special schools in 2021-2022 (up from £576 million in 2015-2016), including those backed by private equity.
What's the alternative?
Children receive coordinated support and education within their communities and public resources benefit them directly, without any money being redirected to corporate profits. Public funds are directly invested into building a resilient and high-quality education system which has the capacity to provide not only this generation with the support and knowledge they need for the best start in life, but future generations to come.
Young Adulthood

Jessica’s cousin Rachel is in her final year of university in London where she faces university tuition fees of £9,535 per year — among the highest in Europe.

With 40 per cent of universities facing budget deficits and the increasing marketisation of higher education, we have a system where universities must increasingly compete like businesses. In this context, students like Rachel face challenges including grade inflation, expanding student numbers, staff cuts and the closure of less commercially viable departments. Marketised universities divert resources from teaching and research into marketing and property development.  

Rachel’s student accommodation isn’t owned by the university but by a FTSE 100 company which reported £213.8 million in earnings last year, while Rachel’s rent (which was already greater than the maintenance loan available to her), rose by 8.2 per cent.

At 22 years old, Rachel graduates with a degree in architecture and £43,700 of student debt. She moves back to Manchester, where her first job pays £25,000 per year. Rachel moves into a room in a former council house, which was purchased from the council in 1991 at a discounted rate of 52 per cent of market value.

Due to Right To Buy, one in six private tenants in England now rents a former council home, paying substantially higher rents for the same homes. Since 1980, about 780,000 former council homes worth an estimated £176 billion have now entered the private rental sector through Right To Buy.

Rachel commutes on buses run by the Bee Network, Manchester’s transport network of buses, trains and trams which was brought back into local control in 2023. In its first year of operation, the Bee Network has seen increased passenger numbers, more reliable services and fares capped at £2 per journey.

The Bee Network’s success as a public transport network stands in sharp contrast to the vast majority of communities across the UK with privatised and heavily deregulated bus services, which have seen bus fares more than double in real terms since privatisation in 1987.

When Rachel wants to visit her university friends back in London, however, she has to pay rail fares that have risen by 40 per cent on average across the UK in real terms since privatisation. Overall, privatised rail costs British taxpayers at least £31 billion more in profits and other costs than public ownership would.  

Between 2017 and 2024, 103 per cent of train operating companies’ post-tax profits were paid out in dividends to shareholders. In 2022-2023, the rolling stock companies (which lease trains and carriages to operators) saw their profits treble, with more than £400 million paid to shareholders and profit margins rising to a massive 41.6 per cent.

Who profits?
Private equity firm Blackstone acquired student housing firm iQ for £4.7 billion in 2020 — the largest private property deal ever agreed in the UK.
Bus firms have paid shareholders £1.78 billion since 2007, while fares skyrocketed, routes were cut and services became less reliable.
Between 2016 and 2024 train operating companies paid out more in dividends than the £1.9 billion they made in post-tax profits — profits that were backstopped by a cumulative £29 billion in franchise subsidies.
During 2019-2024, rolling stock companies spent 19 per cent of revenue on dividends and another 27 per cent in finance costs paid to related parties.
Across England, the 1.9 million council homes sold off since 1980 are now worth £430 billion. Of this sum, £194 billion represents equity that was effectively given away through discounts that averaged 44 per cent from 1980/81 to 2023/24.
Between 2019 and 2024, rolling stock companies spent 19 per cent of revenue on dividends and another 27 per cent in finance costs paid to related parties.
What's the alternative?
Higher education is funded as a public good rather than burdening young people with debt. Houses are treated as homes rather than financial assets. Rent controls and public housing that is both abundant and equally distributed end the housing crisis and ensure that everyone has access to secure and affordable housing whether they rent or own. Public transport is run for passengers rather than shareholders, meaning that services across the country are coherent, affordable, reliable and run on clean energy.
Working life
UNAFFORDABLE BASICS

Jessica’s parents, Ava and James, live in Rusholme, a suburb of Manchester, and are in stable employment. Despite this, they struggle to afford life’s essentials.  Their water comes from United Utilities, who paid out £1.5 billion in dividends to shareholders over the last five years while announcing that they will be increasing bills by 32 per cent over the next five years. It is a similar story across the UK — £85.2 billion has been paid out in dividends since the privatisation of England and Wales’ water system in 1989, all while not one new major reservoir has been built.  

United Utilities alone lost more than 175 billion litres of water to leaks in 2023-2024 and dumped more than 140 million litres of untreated sewage into Lake Windermere between 2021-2023.

The Williams’ electricity and gas come from British Gas, owned by Centrica, who have made £8.5 billion in profits since 2020, while energy bills soared by 278 per cent between 2020-2023 (the height of the energy crisis). Even though the acute energy crisis of 2021-2023 has ended, there is still a crisis of affordability: average bills are still 65 per cent higher than they were pre-crisis and almost a quarter of the typical 2024 energy bill was taken as pure profit.  

The energy networks — which transfer gas and electricity from generators to homes and were once publicly owned — operating in the North West have made a combined profit of £14.6 billion since 2020:

Network profits since the energy crisis (financial year ending 2020)
Network North West Supplier Profits 2020-2025
Electricity Transmission National Grid Electricity Transmission £6,008,000,000
Electricity Distribution Electricity North West £1,269,300,000
Gas Transmission National Gas £2,985,000,000
Gas Distribution Cadent £4,348,000,000
Total £14,610,300,000

Like many families across Britain, of all the rising costs that the Williams family faces, their shopping bill is one of the most difficult to manage. The overall price of food and non-alcoholic beverages rose by 25 per cent between 2022 and 2024, compared to only nine per cent over the ten years prior, while household income decreased between 2022 and 2023.

In July 2025, 59 per cent of adults in the UK reported that their cost of living increased compared with the previous month. Of those whose cost of living has gone up, 95 per cent said it was because the cost of food shopping had risen (and 57 per cent said it was because their energy bills had increased).

While families up and down the country struggled with high food prices, the two largest supermarket chains, Tesco and Sainsbury’s, paid out £1.2 billion in dividends to shareholders in 2023.

Who profits?
Water companies have paid out £85.2 billion in dividends since privatisation, which was nearly half of the £190 billion spent on infrastructure.
Just six companies control over 80 per cent of the UK supermarket sector, and they have profited from rising prices. The combined net profits of Sainsbury’s and Tesco in 2021-2022 were £3.2 billion: double the £1.6 billion they made in 2019.
Nearly a quarter (24.2 per cent) of the typical 2024 energy bill was pure profit for energy companies.
Water company profit margins are 2.5 times higher than the FTSE 350 average.
What's the alternative?
Utilities like water and energy are returned to public hands and run to provide life’s essentials rather than to extract maximum profit. They’re treated as essential services that prioritise resilience, affordability and sustainability for all. Our bills are used to fund the construction of important, future-fit infrastructure, rather than paying off mountains of debt and distributing shareholder dividends.
Alternative routes to how food is grown and distributed — including food cooperatives, community-supported agriculture schemes and local food networks — can and already do provide affordable, quality groceries while supporting local economies.
MODERN WORK

In order to pay all these bills, Ava and James both work full-time. While they both find meaning in their work, they, like the majority of workers across the country, have little control over their working conditions in Britain’s demanding labour market.

Like millions of other workers across the UK, they face the pressures of stagnant wages, job insecurity and intensified work pace, while their bosses and shareholders accumulate ever more wealth.

From 1988 to 2019, dividend payments to shareholders grew 2.5 times faster than employee compensation, and from 2000-2019, an even more dramatic 5.5 times faster.

If worker pay had kept up with shareholder gains over these three decades, Ava and James would earn nearly nine per cent more per hour by 2020. This shows how successive policy choices have reshaped the British economy, tilting wealth away from labour and toward capital since the 1980s.

What's the alternative?
We reform the rules governing work and the company — from worker representation on boards to strengthening labour rights to encouraging greater investment in innovation, ensuring everyone can enjoy secure, well-paid, high-quality work.
Everyone enjoys sectoral bargaining powers and modern worker rights from day one — giving workers a collective say in the wages and conditions of sectors like construction, hospitality, logistics and retail — boosting pay and work quality.

COMMUNITY

Beyond the squeezing of cash from public services through privatisation and worsening labour market conditions, the extraction of profit by large corporations and investors touches nearly every aspect of daily life and leisure for the Williams family: from the high street to the football pitch to the vet.

This section explores these areas and shows how profiteering has been placed above community and collective life.

Despite a terrible year on the pitch, the Williams renewed their season tickets to Manchester United — which Jim Ratcliffe, Britain’s richest billionaire, recently took a 27.7 per cent controlling stake in.

The club tells a story of how ownership can radically change an institution. In 2005, the Glazer family took over the Manchester United through a leveraged buyout — when a company is purchased using primarily borrowed money, typically using the company’s assets as collateral.  This transformed the club’s financial structure in ways that burdened supporters and destabilised operations. The club was saddled with £660 million in debt secured against its assets, with annual loan repayments exceeding £60 million — money paid for out of ticket prices that could have gone to improving the club.

The leveraged ownership model transformed fan payments into debt servicing to fund the owners’ acquisition, while simultaneously contributing to the pricing out of traditional supporters through rising costs.

The Williams family also includes their cat, Lavender, who showed up at their house as a stray, and has never left since. When Lavender needs emergency surgery, the Williams family are charged thousands of pounds by their local veterinary practice.  

Their vet was once independently owned but is now part of Medivet, one of six large chains that have bought 1,500 of the 5,000 UK veterinary practices in the last decade. Medivet is backed by private equity firms including LGT Capital Partners, the $100 billion investment fund of “the Princely Family of Liechtenstein”.

The transformation of the ownership structures of veterinary clinics is another example of how changes in ownership can lead to significant changes in the cost of service provision. A Competition and Markets Authority (CMA) investigation into the veterinary market identified many issues, including practices charging up to £36 just to write a prescription and marking up medicines by up to 400 per cent. It also found that vet treatment prices across the UK have risen by more than 60 per cent since 2015 — nearly double the rate of general inflation (35 per cent).

Ava and James face a difficult choice: taking on debt or saying goodbye to a beloved pet.

Because of competition from online shopping and out-of-town retail parks, their local high street suffers from empty shops. The bank closed some time ago and although there are good hairdressers, charity shops and takeaways, it is hard to avoid the feeling that things have steadily gotten a little worse. Meanwhile, what remains of the big high street brands is falling into ever fewer hands, as companies such as Frasers consolidate their high street empire.

But a different model is thriving locally. Nearby, the Fallowfield Library and Community Resource Centre was transferred to community ownership in 2016 and is a vibrant community space offering a wide range of services and activities. Elsewhere in the Manchester suburbs, places like Station South — a neglected Victorian train station — has become a cycle café, urban garden and community space, showing the benefits of community ownership.

What's the alternative?
Family and community life are supported by services designed to help people flourish rather than extract maximum revenue. In place of struggling high streets, community land trusts and social enterprises create spaces designed to serve local needs, rather than maximise rental yields for property speculators. Combining stronger competition policy to prevent monopolies, together with increased public investment directly into community infrastructure and empowering alternative forms of ownership brings greater democratic control and prioritises local benefits over those of distant shareholders.

RETIREMENT

At 52, Jessica’s uncle Theo has started thinking more seriously about retirement. His workplace pension invests his monthly contributions into a portfolio that includes the very companies extracting profit from other aspects of his life.

He doesn’t know it, but Theo’s pension helps fund the water company that pollutes their local river, the property firms driving up his children’s rent and the private healthcare providers filling gaps left by NHS cuts.  

Private equity firms in particular benefit from pension fund investments in outsourced public services like social care and foster care. They use high leverage and financial engineering such as sell-and-rent-back schemes to increase profits while creating precarity in essential services. This is a fundamental problem: asset managers’ motivation to seek short-term returns is inherently at odds with the long-term investment needed to build resilient and lasting infrastructure.

When Theo checks his pension forecast, he discovers he’ll need to work until 68 — three years later than his parents — and even then, he faces a moving target as the average pension pot needed to meet his basic needs in retirement has risen by 60 per cent in the last four years alone. Across the UK, more than half of current workers are not even on track to meet a “moderate” retirement living standard.

Who profits?
Asset management firms capture substantial rewards from managing pension funds, boasting average profit margins of 35 per cent despite regularly failing to outperform market benchmarks. Collective annual fees paid by defined benefit pension schemes to asset managers total £5-7 billion, while defined contribution schemes pay roughly £1 billion annually in charges.
The asset management industry manages approximately two-thirds of UK pension fund assets worth £2.24 trillion, giving them significant influence over investment allocation and corporate governance.
Tax relief on pension contributions costs the state £52.5 billion annually. 52 per cent of pension relief on National Insurance contributions goes to the richest 18 per cent of adults — effectively a regressive public subsidy for the wealthy.
What's the alternative?
A pension system that serves people, not profit. This can be built by democratically-run schemes that share risk fairly while eliminating excessive asset management fees. Such schemes would support public investment in productive infrastructure rather than direct savings to extractive financial markets. To ensure dignity and equality, these should be supported by a strengthened state pension, which would serve as the foundation for social security, funded by progressive taxation.

LATER LIFE

At 88, Jessica’s grandmother, Evelyn, needs more support. After a lifetime of work and contributing to society, she faces years of elder care as a customer rather than a citizen.

In 1979, 64 per cent of residential and nursing home beds were provided by local authorities or the NHS — as of 2019, 84 per cent of adult social care beds were provided by the private sector and only three per cent by the public sector. The industry is highly concentrated, with the five largest providers controlling nearly 20 per cent of the entire sector. These large providers are known to operate through complex corporate arrangements that rely heavily on debt financing and pursue cost reduction strategies that may include utilising tax haven structures and low staff costs.

Evelyn’s care home costs more than her pension provides and, over the five years she has lived there, her savings have taken a significant hit. The home is owned by one of the largest care home chains in the UK. A BBC Panorama investigation found that the largest of these chains, HC-One, makes an average of £770 per bed, per week.

Nearly 20 per cent of the cost of care goes towards servicing the company’s debt, building up investment reserves and providing a financial return to investors.

Care workers across the UK frequently earn minimum wage with no paid training or paid travel time between visits. Residential care workers are nearly twice as likely to live in poverty than the average UK worker.

When Evelyn develops dementia, her specialised care costs even more. Her children face an impossible choice: quality care or financial stability.

When Evelyn’s time finally comes, she leaves £5,000 to cover the costs of her funeral. However, the cost of a funeral has risen 126 per cent in the past 20 years and the average total “cost of dying” has reached £9,797, so Ava and James must pay for the remainder from their savings.

Like many other sectors explored here, the funeral services market has undergone significant consolidation and private equity investment in recent years. As this trend continues, we’re very likely to see the same financial engineering tactics, profiteering and rising costs as in the many other sectors where private equity and institutional investors are now responsible for providing the most basic aspects of every stage of life. As scholar Brett Christophers writes “all of our lives are now part of their investment portfolios.”

Who profits?
The five largest private equity-owned care home providers have debts of £35,000 for each care bed they own and pay interest costs of £102 per bed per week — meaning 16 per cent of weekly fees paid by local authorities or individuals goes straight to debt repayment.
The UK care home market is worth £26.2 billion annually.
What's the alternative?
Elder care is treated as a right rather than as a commodity. Care workers are valued with proper pay and conditions. Properly funding the NHS and creating a National Care Service mean a society where dignity in later life is universally guaranteed.
CONCLUSION:

An Alternative vision

In 1942, William Beveridge published a report outlining a social programme that promised to protect every class of citizen from “cradle to grave”. On the basis of this report, in the years during and immediately following World War II, the Government built the Welfare State which aimed to do just that.

Eight decades later, the Williams family’s journey from cradle to grave reveals how far we’ve travelled from that vision.

Where the British state used to provide collective security for the people, we now have extraction and exclusion normalised at every stage of life. Where public services remain, provision is patchy and service quality declining, the only thing growing is profiteering from privatisation, marketisation and outsourcing.

None of this is natural or inevitable — it’s the result of political choices that have been made and can be unmade.

Across Britain and around the world, alternative models are already working:

In Paris, water services were brought back into public ownership, reducing bills by eight per cent while increasing investment in infrastructure.
In Preston, the council redirected procurement spending to local businesses, cooperatives and social enterprises, keeping wealth circulating in the community. Local procurement spend has increased from five per cent to 18.2 per cent in Preston and from 39 per cent to 79.2 per cent across Lancashire.
In Germany, municipal energy companies generate renewable power while reinvesting profits in community services. There are at least 305 cases in Germany of taking energy production and governance back into public hands. This has meant an expansion of unionised jobs, expanded profits for local owners and a new focus on renewable investments geared towards a post-carbon transition.
In Denmark, childcare is publicly provided, high-quality, and costs parents no more than 30 per cent of the actual cost.

A different Britain is possible. One where the basics of life are democratic, accountable and run for people rather than for profit. One where shared ownership creates shared prosperity.

The first step to change is understanding who really owns Britain’s essential services and infrastructure, and what that ownership costs us all.