Chancellor confirms the NHS will receive funding needed to deliver extra 40,000 elective appointments per week
Chancellor and Health Secretary confirm funding plans to increase elective appointments ahead of the Budget tomorrow.
New funding and reform puts the NHS on course to reduce waiting lists.
Additional capital investment will further support reduced waiting times, with £1.5bn for new surgical hubs and scanners, alongside £70 million for new radiotherapy machines.
Funding to support the delivery of an extra two million NHS operations, scans and appointments a year to significantly cut waiting lists across England has been announced by the Chancellor and Health Secretary today. This comes following over a decade of neglect and underinvestment of the NHS.
Ahead of her Budget on Wednesday, the Chancellor has confirmed that the NHS will receive the funding needed to deliver an extra 40,000 elective appointments per week, delivering on one of the Government’s First Steps in office to reduce waiting times in the NHS. This includes an additional £1.8bn the government has invested in elective activity this year since the July Statement.
This will be supported by a significant uplift of capital investment, with new capacity including surgical hubs and scanners, meaning thousands of additional procedures and millions of diagnostic tests across the country, alongside funding for new radiotherapy machines to improve cancer treatment.
In his recent independent investigation into the NHS in England, Lord Darzi highlighted that the NHS is in “critical condition”. Patients across England are waiting too long, with the waiting list at over 7.6 million in August. In the same month, over 280,000 had been waiting for an operation, scan or appointment for over a year.
Today’s announcement is an integral step in reducing the waiting list and puts the NHS on course to meet the commitment that 92% of people wait less than 18 weeks to start treatment in the NHS.
The Chancellor’s budget tomorrow will set out how this government will fix the foundations to deliver change, by fixing the NHS and rebuilding Britain, while ensuring working people don’t face higher taxes in their payslips.
It will focus on “investment, investment, investment” in order to get the economy moving again and demonstrate how this government will take the long-term decisions needed to grow the economy and restore the country’s public services.
Chancellor of the Exchequer Rachel Reeves said: “Our NHS is the lifeblood of Britain. It exemplifies public services at their best, there for us when we need it and free at the point of use, for everyone in this country.
“That’s why I am putting an end to the neglect and underinvestment it has seen for over a decade now.
“We will be known as the government that took the NHS from its worst crisis in its history, got it back on its feet again and made it fit for the bright future ahead of it.”
Health and Social Care Secretary Wes Streeting said: “Our NHS is broken, but it’s not beaten, and this Budget is the moment we start to fix it.
“The Chancellor is backing the NHS with new investment to cut waiting lists, which stand at an unacceptable 7.6 million today. Alongside extra funding, we’re sending crack teams of top surgeons to hospitals across the country, to reform how they run their surgeries, treat more patients, and make the money go further.”
Building an NHS fit for the future is one of this Government’s five priority missions; but it is clear that alongside sustainable investment, the NHS will need significant reform across the board to be truly transformed.
The Chancellor has therefore confirmed an ambitious reform programme across health and social care in England, including reforming the delivery of elective activity and patient pathways. Billions of pounds are set to be invested in technology and digital innovations across the NHS to boost productivity and unlock significant savings for the NHS in the long-term.
The funding comes after the Government last week launched ‘Change NHS: help build a health service fit for the future’, a national conversation to help develop the 10 Year Health Plan, which will set out our long-term vision for health and the path to delivering the three shifts to reform and transform health: hospital to community, analogue to digital, and sickness to prevention.
Starting this week, the NHS will help people back to health and back to work by sending teams of top clinicians to hospitals across the country to help roll out reforms to cut waiting lists in hospitals – which will start with those in areas of the highest economic inactivity.
In response to the House of Commons voting in favour of cutting the Winter Fuel Payment, Independent Age Chief Executive Joanna Elson, CBE said: “People in later life living in financial hardship will be rightly concerned that, despite mounting public pressure about the impact on older people on the lowest incomes, the UK Government will continue with its plans to means test the Winter Fuel Payment from this year. It’s clear that making this decision now means many people in later life struggling in poverty will be forced to make dangerous cutbacks.
“The Chancellor still has time to reassess. Even with today’s vote, the UK Government can show it is listening to the concerns of older people in poverty, and delay this policy change until more older people start receiving Pension Credit.
“Boosting take-up is complex and will take time, the latest take-up figures show that up to 1.2 million older people could be missing out on this financial entitlement. They will already be living on a low income as they are eligible for Pension Credit, but now they will have even less money to live on this winter.
“We are also concerned about the large group of older people that just miss out on Pension Credit. Many of them are in financial hardship and do not have enough money to live well, but will still have their income cut at an already challenging time of year with energy prices on the rise.
“In the short term we hope the UK Government listens to the evidence being shared, and doesn’t means-test the Winter Fuel Payment now.
“Long-term there must be financial security for all of us as we age.
“We urge the UK Government to lead a review where all major parties come together and agree on what an adequate income in older age is, then ensure that everybody receives it so that no one lives in poverty in later life.”
Caroline Abrahams CBE, Charity Director at Age UK said: “We’re deeply disappointed, but not surprised, that the vote to brutally means-test Winter Fuel Payment was passed today.
“As soon as the Government announced it was instructing its MPs to support it this was the inevitable result, but we would like to thank all those in every party who voted against the policy or abstained.
“There’s been a lot of discussion about the Government’s decision, but at heart Age UK’s critique of their policy is really simple: we just don’t think it’s fair to remove the payment from the 2.5 million pensioners on low incomes who badly need it, and to do it so quickly this winter, at the same time as energy bills are rising by 10%.
“It is crystal clear that there is insufficient time to make any serious impact on the miserably low take-up of Pension Credit before the cold sets in this autumn, and the Government has brought forward no effective measures to support all those whose tiny occupational pensions take them just above the line to claim.
“It’s true they have agreed to extend the Household Support Fund until April and they deserve some credit for that, but the HSF is an all-age fund that you have to apply for, so we know it will only help a small proportion of all the pensioners who will be in need as a result of their policy change.
“The Government has also tried to suggest that the increase in State Pension for older people next year as a result of the Triple Lock means there’s no need to worry about how they will cope now, but that won’t help anyone this winter and most pensioners will not benefit to the extent being suggested – either because they are on the old State Pension which attracts less of an increase, or because they don’t qualify for a full State Pension in the first place.
“The reality is that driving through this policy as the Government is doing will make millions of poor pensioners poorer still and we are baffled as to why some Ministers are asserting that this is the right thing to do.
“We and many others are certain that it is not, and that’s why we will continue to stand with the pensioners who can’t afford to lose their payment and campaign for them to be given more Government support.
“Meanwhile, winter is coming and we fear it will be a deeply challenging one for millions of older people who have previously relied on their Winter Fuel Payment to help pay their energy bills and who have no obvious alternative source of funds on which to draw.
“As a charity we will do everything we can to help them, but with so many in need and no extra support on offer from the Government at the moment it’s looking like an incredibly uphill task.”
ALL Scottish Labour MPs voted with the government, butRebecca Long Bailey was one of more than fifty Labour MPs who refused to vote in favour of the cut. She explained why:
Former Labour Party leader and now independent MP Jeremy Corbyn also voted against the withdrwal of the payment. He said: “I voted against cuts to winter fuel payments. Politics is about choices, and the government has chosen to push pensioners into poverty.
What’s next for means testing? The NHS?
“I will always defend the principle of universalism. That is how we build a fairer society for all.”
We want to create wealth everywhere, but first we must fix the foundations of our country.
In the first few weeks of this Government, an audit found a £22 billion black hole in the public finances. It means we’ve had to take tough decisions, like means-testing the Winter Fuel Payment. Our Budget in October will be difficult.
But we have already taken action to improve the lives of working people in every corner of the country, from unlocking planning decisions to help build 1.5 million new homes to setting up Great British Energy, to create good jobs and provide clean energy to cut people’s bills in the long term.
Here are some of the things we are doing to fix the foundations of this country.
Setting up a new National Wealth Fund
Growth is the number one priority of this government. That’s why we set up the National Wealth Fund.
It is a publicly owned investment fund that will help attract investment into our country, stabilise our economy and create wealth for future generations.
It will help unlock private investment into the UK by directly investing in new and growing industries, and help create thousands of jobs in clean energy industries.
Accelerating housing planning
We’re overhauling our housing system to meet the needs of working people and put communities first.
Our plan will include introducing mandatory planning targets to aim to deliver on our ambition to build 1.5 million new homes over the next five years.
The new targets will boost housebuilding in areas most in need, to help more people buy their own homes, and help drive growth – making everyone in the country better off.
Putting passengers first We’ll put our rail system back on track with new laws to deliver for passengers.
They will improve the railways by reforming rail franchising, establishing Great British Railways and bringing train operators into public ownership.
Protecting taxpayer money
We’ll introduce legislation that makes sure nobody can play fast and loose with public finances.
A new Bill will strengthen the role of the Office of Budget Responsibility, meaning significant fiscal announcements must be properly scrutinised and that taxpayers’ money is respected.
Protecting workers’ rights
We’ll improve workers’ rights with new legislation – a significant step towards delivering this Government’s plan to make work pay.
We will ban exploitative zero-hours contracts, end fire and rehire, and introduce basic employment rights from day one.
And we’re changing the way the Minimum Wage is set so it keeps in line with the cost of living, in a move to put more money in working people’s pockets.
Launching GB Energy
Producing clean energy and creating good jobs will be our focus for the rest of the year. Great British Energy, a publicly owned, clean-energy company, will own, manage and operate clean power projects, such as wind farms, across the country.
Great British Energy will be headquartered in Scotland and paid for by a windfall tax on oil and gas giants. It will invest clean power projects across the United Kingdom, such as wind farms, which are the cheapest forms of electricity generation to build and operate.
This will help make our country energy independent, tackle climate change and save families money. And investing in clean domestic power will create jobs and build supply chains in every corner of the UK.
Prime Minister Keir Starmer delivered a speech in the Downing Street garden today on fixing the foundations of our country
When I stood on the steps of Downing Street – just over there – two months ago. I promised this government would serve people like you.
Apprentices. Teachers. Nurses. Small business owners. Firefighters. Those serving our community and our country every day.
I promised that we would get a grip on the problems we face. And that we would be judged by our actions, not by our words.
I said before the election – and I say it again really clearly today: Growth.
And, frankly, by that I do mean wealth creation…
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is the number one priority of this government.
That’s why, in our first few weeks, we set up the National Wealth Fund –
because we want every person and every community to benefit.
It’s why we’ve unlocked planning decisions –
Because we are going to build 1.5 million new homes.
It’s why we’ve set up Great British Energy –
To create good jobs and cut people’s bills.
And it’s why we ended the national strikes that have crippled our country for years.
Because I defy anyone to tell me that you can grow the economy…
when people can’t get to work – because the transport system is broken.
Or can’t return to work – because they’re stuck on an NHS waiting list.
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And these are just the first steps towards the change that people voted for.
The change I’m determined to deliver.
But before the election I also gave a warning.
I said change would not happen overnight.
When there is deep rot in the heart of a structure, you can’t just cover it up.
You can’t tinker with it or rely on quick fixes.
You have to overhaul the entire thing.
Tackle it at root.
Even if it’s harder work and takes more time.
Because otherwise what happens?
The rot returns.
In all the same places.
And it spreads.
Worse than before.
You know that – I know that.
That’s why this project has always been about fixing the foundations of this country.
But I have to be honest with you. Things are worse than we ever imagined.
In the first few weeks, we discovered a £22 billion black hole in the public finances.
And before anyone says ‘oh this is just performative’.
Or ‘playing politics’.
Let’s remember.
The OBR did not know about this.
They didn’t know.
They wrote a letter saying they didn’t know.
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Even just last Wednesday, we found out that
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We borrowed almost £5 billion more than the OBR expected in the last three months alone.
That’s not performative – that’s fact.
But as well as the things we’ve discovered, we’ve also seen shocking scenes across the nation.
A mindless minority of thugs – who thought they could get away with causing chaos.
Smashing up communities and terrifying minorities.
Vandalising and destroying people’s property.
Even trying to set fire to a building – with human beings inside it.
And as if that wasn’t despicable enough.
People displaying swastika tattoos.
Shouting racist slurs on our streets.
Nazi salutes at the cenotaph –
The cenotaph – the very place we honour those who gave their lives for this country.
Desecrating their memory….
Under the pretence – and it is a pretence – of ‘legitimate protest’.
Now they’re learning that crime has consequences.
That I won’t tolerate a break down in law and order under any circumstances.
And I will not listen to those who exploit grieving families, and disrespect local communities.
But these riots didn’t happen in a vacuum. They exposed the state of our country. Revealed a deeply unhealthy society. The cracks in our foundation laid bare –
Weakened by a decade of division and decline.
Infected by a spiral of populism…
Which fed off cycles of failures
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Stuck in the rut of the politics of performance.
And I saw the beginning of that downward spiral firsthand.
Back in 2011.
When riots ripped through London and across the country.
I was then Director of Public Prosecutions.
And when I think back to that time.
I see just how far we have fallen.
Because responding to those riots was hard – of course it was.
But dealing with the riots this summer was much harder.
In 2011, I didn’t doubt the courts could do what they needed to do.
This time – to be honest with you – I genuinely didn’t know.
Let me tell you this. Every day of that disorder – literally every day – we had to check the precise number of prison places we had and where those places were.
To make sure we could arrest, charge and prosecute people quickly.
Not having enough prison places is about as fundamental a failure as you can get.
And those people throwing rocks, torching cars, making threats.
They didn’t just know the system was broken.
They were betting on it.
Gaming it.
They thought – ‘ah, they’ll never arrest me.
And if they do, I won’t be prosecuted.
And if I am, I won’t get much of a sentence.’
They saw the cracks in our society after 14 years of populism and failure – and they exploited them.
That’s what we have inherited.
Not just an economic black hole.
A societal black hole.
And that’s we have to take action and do things differently.
And part of that is being honest with people – about the choices we face. And How tough this will be. And frankly – things will get worse before they get better.
I didn’t want to release prisoners early.
I was Chief Prosecutor for five years.
It goes against the grain of everything I’ve ever done.
But to be blunt – if we hadn’t taken that difficult decision immediately.
We wouldn’t have been able to respond to the riots as we did.
And if we don’t take tough action across the board. We won’t be able to fix the foundations of the country as we need.
I didn’t want to means test the Winter Fuel Payment. But it was a choice we had to make.
A choice to protect the most vulnerable pensioners. while doing what is necessary to repair the public finances.
Because pensioners also rely on a functioning NHS.
Good public transport.
Strong national infrastructure.
They want their children to be able to buy homes.
They want their grandchildren to get a good education.
So we have made that difficult decision –
To mend the public finances.
So everyone benefits in the long term –
Including pensioners.
Now that is a difficult trade off.
And there will be more to come.
I won’t shy away from making unpopular decisions now…
If it’s the right thing for the country in the long term.
That’s what a government of service means.
This shouldn’t be a country where people fear walking down their street.
Their TVs showing cars and buildings being set on fire.
This shouldn’t be a country where the Prime Minister can’t guarantee prison places.
This shouldn’t be a country where people are paying thousands more on their mortgage.
Or waiting months for hospital appointments they desperately need.
Where our waters are filled with sewage.
Where parents worry that their kids won’t get the opportunities they did.
Where nothing seems to work anymore.
So, when I talk about the inheritance the last government left us…
The £22 billion black hole in our finances…
This isn’t about a line on a graph.
That’s about people’s lives.
Your lives.
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This government won’t always be perfect, but I promise you this:
You will be at the heart of it…
In the forefront of our minds…
At the centre of everything we do.
That’s why I wanted to invite you here today.
To show that decent, hard-working people who make up the backbone of this country belong here.
This government is for you.
A garden and a building that were once used for lockdown parties…
Remember the pictures just over there? With the wine and the food.
Well this garden…
And this building…
are now back in your service.
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Those things happened precisely because the government itself lost its focus.
on the hopes and ambitions of working people.
During those recent riots, I made huge asks…
of the police and of the criminal justice system –
People already stretched to the limit.
They knew I was making big asks of them.
And I’m not going to apologise for it.
But let me tell you this – they delivered.
They deserve our gratitude.
And that’s why I went to Southport…
To Lambeth…
To Belfast…
To thank them personally. To shake the hands of the first responders who rose up to the ask I made of them.
They deserve a government that trusts them.
Supports them.
And works with them.
That is the sort of government we will be.
One that works with people, not does things to them.
One that believes in hard graft, not gimmicks.
Honest about the challenges we face…
And working tirelessly to fix them.
That is how we will always work.
Now, next week, parliament returns. The business of politics will resume. But it won’t be business as usual.
Because we can’t go on like this anymore. Things will have to be done differently.
We will do the hard work to root out 14 years of rot. Reverse a decade of decline. And fix the foundations.
Between now and Christmas, we will carry on as we have started. Action not words.
We will introduce legislation and take decisions to protect taxpayers’ money.
To take on the blockers by accelerating planning. to build homes and boost growth.
We’ll move forward this autumn with harnessing the full potential of AI for growth and the public good.
We’ll bring rail service into public ownership, putting passengers first.
The biggest levelling up of workers’ rights in a generation to give people security, dignity and respect at work.
And Great British Energy will be owned by the taxpayer, making money for the taxpayer. Producing clean energy and creating good jobs.
That is our focus for the rest of the year.
But I will be honest with you. There’s a budget coming in October. and it’s going to be painful.
We have no other choice given the situation that we’re in. So those with the broadest shoulders should bear the heavier burden. And that’s why we’re cracking down on non-doms.
Those who made the mess should have to do their bit to clean it up. That’s why we’re strengthening the powers of the water regulator and backing tough fines on water companies that have let sewage flood our rivers, lakes and seas.
But just as when I responded to the riots – I’ll have to turn to the country and make big asks of you as well.
To accept short term pain for long term good.
The difficult trade-off for the genuine solution.
And I know that after all that you’ve been through – that is a really big ask and really difficult to hear.
That is not the position we should be in. It’s not the position I want to be in. But we have to end the politics of the easy answer that solves nothing.
But I also know that we can get through this together.
Because the riots didn’t just betray the sickness. They also revealed the cure.
Found not in the cynical conflict of populism. But in the coming together of a country.
The people who got together the morning after. All around the country. With their brooms, their shovels, their trowels. And cleared up their community.
They reminded us who we really are.
I felt real pride in those people who cleaned up the streets.
Rebuilt the walls. Repaired the damage.
And I couldn’t help thinking about the obvious parallels.
Because imagine the pride we will feel as a nation.
When, after the hard work of clearing up the mess is done.
We have a country that we have built together.
Built to last.
That belongs to every single one of us.
And all of us have a stake in it.
Our hard work rewarded – a dozen times over.
Because we’ll have an economy that works for everyone.
An NHS not just back on its feet, but fit for the future.
Streets that everyone feels safe in.
No longer dependent on foreign dictators…because we’re producing our own clean energy right here.
And giving every child – wherever they come from. Whatever their background.The chance – to go as far as their talent will take them.
I won’t lose sight of that prize. I won’t lose sight of what we were elected to do.
And most importantly – I won’t lose sight of the people that we were elected to do it for.
