Investing in additional capacity across health service
Extra investment to tackle NHS waits is expected to deliver more than 300,000 appointments and procedures this year.
Additional funding of £106 million was set out in the 2025-26 Budget, and an extra £4 million for dermatology activity has been announced today.
The additional planned appointments and procedures delivered through this £110 million are expected to break down as follows.
195,000 imaging scans
31,000 inpatient or day-case procedures
88,000 new outpatient appointments
4,100 new dermatology outpatient appointments
This means 213,000 more appointments are expected to be delivered this year than in 2024/25 – exceeding the Programme for Government commitment of delivering 150,000 appointments by more than 60,000.
A proportion of the funding will also support cancer activity and provide critical supporting services including pathology, diagnostic reporting and pre-assessment.
Health Secretary Neil Gray said: “Reducing long waits in the NHS is one of the biggest priorities for the First Minister and the Scottish Government.
“Our record investment in the NHS this year is allowing us to target specific areas that are experiencing long waits, reducing backlogs and getting people the appointments and treatments they need as quickly as possible.
“I am pleased to confirm that we expect the additional funding committed to reduce waiting times to result in more than 300,000 appointments and procedures this year.
“My thanks go out to all the hard-working NHS teams for their continued efforts.
“Also today I am announcing an additional £4 million specifically for dermatology. We know that this is an area with significant backlogs, so by investing in increased capacity we hope to be able to reduce waiting times for this speciality.”
CHI in Local Government Project brings together key partners to deliver better outcomes for citizens
A new project exploring the use of the Community Health Index (CHI) number in Scottish Local Government has been awarded £590,000 funding from the Scottish Government.
The ‘CHI in Local Government’ project, led by COSLA, the Digital Office for Scottish Local Government, and Public Health Scotland, seeks to improve information sharing across health, social work, and social care services.
The Community Health Index (CHI) System, which has underpinned NHS Scotland’s digital infrastructure for over 40 years, provides a unique patient number used across the health service. It supports everything from immunisation and screening programmes to primary and secondary care delivery.
The CHI In Local Government project aims to use the CHI number to improve the quality of the data services hold, allow services across health, social work, and social care to better match data, and ultimately deliver better outcomes for our citizens.
Accessing health, social work, and social care services all too often requires people to repeat their information. Using the CHI number as a common identifier across health, social work, and social care will reduce this duplication and improve integration of services. To deliver the highest standard of care, it is essential that our workforce have access to the right information at the right time.
The aims of the CHI in Local Government project align clearly with the ambitions set out in the joint COSLA and Scottish Government Digital strategy, Care in the Digital Age, and Data strategy, Greater Access, Better Insight, Improved Outcomes.
Both strategies emphasise the importance of robust information governance and seamless data sharing across health and social care.
Councillor Paul Kelly, COSLA Health and Social Care Spokesperson, said:“I am delighted that the CHI in Local Government project has received funding to progress to the Discovery phase.
“By using CHI more widely across our Councils we can improve data matching and, crucially, reduce the amount of times people accessing our services have to repeat their information.
“I look forward to continuing to champion this work as it progresses and ultimately delivers better outcomes for our citizens.”
Tom Arthur, Minister for Social Care and Mental Wellbeing, said:“In line with the priorities recently set out in the Health and Social Care Service Renewal Framework, I am pleased to support this project.
“Using CHI numbers in social care means people will get a better level of service. By allowing information to be shared safely and confidentially between professionals, we can reduce duplication of work, and the time staff have to spend on administrative tasks.
“It will further embed the integration of health and social care and help in preparations for the health and social care online app, launching in Lanarkshire later this year.”
Martyn Wallace, Chief Digital Officer, Digital Office for Scottish Local Government, said:“I am thrilled with this significant investment as we continue to work closely with our public sector partners to enhance our digital services for citizens.
“By utilising the Community Health Index (CHI), we will streamline access to services, reduce the need for individuals to repeat their information, and ensure timely delivery of care.
“This initiative will also promote better integration of health and social care services, support other collaborative digital projects like the new Health & Social Care App, and ultimately improve outcomes for our citizens.”
Scott Heald, Director of Data and Digital Innovation, Public Health Scotland said:“Our vision at Public Health Scotland (PHS) is focused on ensuring communities can flourish across Scotland.
“We bring together data and intelligence to shape decisions affecting health and care. This work to adopt the Community Health Index (CHI) in Scottish Local Government will make a huge contribution towards how we can work with partners to maximise the benefits of digital and data in ways that will empower individuals and communities.
“PHS already collects and analyses data from across the domains of health and social care, much of which Is sourced directly from Local Government systems.
“The opportunity to integrate the CHI into those underlying systems will lead to faster, more efficient, and accurate production of whole-system data on health and social care services and provide insights on outcomes for individuals across Scotland.”
New healthy food standard will see big businesses promoting healthier food and drink
Reducing daily intake by just 50 calories could lift 340,000 children and 2 million adults out of obesity
Reforms part of the shift from sickness to prevention in the forthcoming 10 Year Health Plan
A healthy nation means less strain on the NHS, helping drive down pressure on waiting lists as part of the Plan for Change.
Food retailers and manufacturers will “make the healthy choice the easy choice” in a world-first partnership between government and industry to tackle the obesity epidemic and ease pressure on the NHS as part of the Plan for Change.
As part of the forthcoming 10 Year Health Plan, large retailers including supermarkets will be set a new standard to make the average shopping basket of goods sold slightly healthier.
Businesses will be given the freedom to meet the standard however works best for them, whether that’s reformulating products and tweaking recipes, changing shop layouts, offering discounts on healthy foods, or changing loyalty schemes to promote healthier options.
Public health experts believe cutting the calorie count of a daily diet by just 50 calories would lift 340,000 children and 2 million adults out of obesity. If everyone who is overweight reduced their calorie intake by just 216 calories a day, equivalent to a single bottle of fizzy drink, obesity would be halved.
Obesity is one of the root causes of diabetes, heart disease and cancer. With the UK now having the third highest rate of adult obesity in Europe, it remains a critical public health challenge, costing the NHS £11.4 billion a year, three times the NHS budget for ambulance services.
Obesity rates have doubled since the 1990s, including among children. A forthcoming report by the Chief Medical Officer will show that more than 1 in 5 children are living with obesity by the time they leave primary school, rising to almost 1 in 3 in areas with higher levels of poverty and deprivation.
It follows the government setting out in recent days a number of measures to tackle rapidly growing health inequalities, including investing more in working class communities where health disparities are greatest, and rapid action on the maternal mortality gaps in Black, Asian and working class communities.
Through our Plan for Change, the government is shifting the focus from treatment to prevention and creating a more active state – that works with partners to make the healthy choice the easy choice – and a transition of the NHS from a sickness service to a prevention service.
Health and Social Care Secretary, Wes Streeting, said: “Obesity has doubled since the 1990s and costs our NHS £11 billion a year, triple the budget for ambulance services. Unless we curb the rising tide of cost and demand, the NHS risks becoming unsustainable.
“The good news is that it only takes a small change to make a big difference. If everyone who is overweight reduced their calorie intake by around 200 calories a day – the equivalent of a bottle of fizzy drink – obesity would be halved.
“This government’s ambition for kids today is for them to be part of the healthiest generation of children ever. That is within our grasp. With the smart steps we’re taking today, we can give every child a healthy start to life.
“Our brilliant supermarkets already do so much work for our communities and are trying to make their stores heathier, and we want to work with them and other businesses to create a level playing field.
“Through our new healthy food standard, we will make the healthy choice the easy choice, because prevention is better than cure.
“By shifting from sickness to prevention through our Plan for Change, we will make sure the NHS can be there for us when we need it.”
Environment Secretary Steve Reed said: “Britain has some of the best farmers, growers, food manufacturers and retailers in the world, which means we have more choice than ever before on our shelves.
“It is vital for the nation that the food industry delivers healthy food, that is available, affordable and appealing.
“Our food strategy will bring together the health plan, food producers and retailers to make sure we can feed the nation more healthily while growing the economic success of our food sector.”
The policy will see all big food businesses report on healthy food sales. This will set full transparency and accountability around the food that businesses are selling and encourage healthier products.
The government will then set targets to increase the healthiness of sales in communities across the UK and work with the Food Strategy Advisory Board on the sequencing of this policy.
Sarah Price, NHS England Director for Public Health, said: “A healthy diet, which includes a variety of nutritious food can help people stay well and provide long-term health benefits, which is good for them and good for the NHS.
“That is why this move to make it easier for people to shop for healthy and nutritious food options is so important – it will help people reduce the risk of developing a range of life-altering physical conditions, such as obesity and Type 2 diabetes – both of which are on the increase in England.”
Major investment firms have already signalled that they would be keen to invest more in healthier products, if they were given due prominence and promotion by food retailers.
Many supermarkets want to do more to make the average shopping basket healthier, but they risk changes hitting their bottom lines if their competitors don’t act at the same time. The new standard will introduce a level playing field, so there isn’t a first mover disadvantage.
The changes are part of the UK government’s 10 Year Health Plan, due to be published shortly. The plan will radically reform the health service and improve the health of the nation, to make the NHS sustainable and fit for the future.
Ken Murphy, Tesco Group CEO, said: “All food businesses have a critical part to play in providing good quality, affordable and healthy food. At Tesco, we have measured and published our own healthier food sales for a number of years now – we believe it is key to more evidence-led policy and better-targeted health interventions.
“That’s why we have called for mandatory reporting for all supermarkets and major food businesses and why we welcome the Government’s announcement on this.
“We look forward to working with them on the detail of the Healthy Food Standard and its implementation by all relevant food businesses.”
Simon Roberts, CEO of Sainsbury’s commented: “We’re passionate about making good food joyful, accessible and affordable for everyone and have been championing the need for mandatory health reporting, across the food industry for many years.
“Today’s announcement from Government is an important and positive step forward in helping the nation to eat well. We need a level playing field across the entirety of our food sector for these actions to have a real and lasting impact.
“We look forward to working across Government and our wider industry on the further development of these policies and in helping to drive improved health outcomes across our nation.”
Ravi Gurumurthy, CEO of Nesta, said: “Most of us want to lose weight and make healthier choices but the food that surrounds us makes that too hard. That’s why obesity has doubled since the 90s.
“This new standard focuses on lots of small changes that make it easier to buy food that’s a little bit healthier. Nationally, it could send obesity rates down by a fifth – through business and government working together to improve our health.”
Sue Davies, Which? Head of Food Policy, said: “Which? research has shown that people want retailers to do more to support them in making healthier choices. Six in 10 (60%) consumers said they support the government introducing health targets for supermarkets.
“Mandatory food targets will help to incentivise retailers to use the range of tactics available to them to make small but significant changes – making it easier for people to eat a balanced diet and lead healthier lives.”
John Maingay, Director of Policy at the British Heart Foundation (BHF) said: “A new standard to make meals across the UK healthier is a huge step towards creating a food environment that supports better heart health. This move recognises the vital role that businesses can play in supporting everyone to have a healthier diet.
“Obesity puts people at greater risk of developing cardiovascular disease, which remains one of the UK’s biggest killers. We hope to see real momentum behind this new standard to make the healthier choice the easiest choice once and for all.”
Michelle Mitchell, Cancer Research UK’s chief executive, said: “Businesses can play a major role in supporting people to make healthy choices, and this important step could help to reduce rising obesity rates.
“Being overweight or obese is the second biggest cause of cancer in the UK, and is linked with 13 different types of the disease.
“The UK government must introduce further bold preventative policies in both the upcoming 10-year health plan and National Cancer Plan, so that more lives can be saved from cancer.”
Katharine Jenner, Director, Obesity Health Alliance, said: “This is a fair and evidence-based prescription for better health; big businesses urgently need the government to level the playing field to help them focus on selling products that help people live well.
“The government has rightly identified the root cause of obesity-related ill health: a food system that makes healthy eating difficult. Crucially, it puts the spotlight on the food industry and commits to holding it accountable for providing healthier options – rather than placing the burden on individuals who are already struggling to get by.”
Henry Dimbleby, Author of the National Food Strategy and Independent Review for Government said: “What gets measured gets done.
“Mandatory reporting is a crucial first step in improving the food environment – it creates a level playing field, rewards the businesses already acting, and gives us a clear picture of what’s really being sold.
“It’s fantastic to see food retailers themselves calling for this. With proper data, we can start to reshape the food system and make healthier choices easier for everyone”
The Chancellor is today [WEDNESDAY 11 JUNE] expected to announce the biggest boost to social and affordable housing investment in a generation.
As part of the Spending Review Rachel Reeves is expected to confirm £39 billion for a new Affordable Homes Programme over 10 years. This will turbocharge the Plan for Change commitment to get Britain building and deliver the 1.5 million homes this country needs.
This investment will be significantly higher than what the previous government spent on affordable housing. The last five year 2021-26 programme was only £11.5bn, averaging £2.3bn per year.
This means the government will be spending almost double this on affordable housing investment by the end of this Parliament (£4bn in 2029/30).
This is the first time in living memory that the government has set out a programme that provides ten years of certainty. This provides the sector with the confidence to deliver for now and the future, making it easier for those on low incomes to access a safe, high-quality home.
This comes on top of a ten-year social rent settlement that will set a rent policy for social housing from 2026 that enables providers to borrow and invest in new and existing homes, while also protecting social housing tenants. This ten year settlement will see rents rise at CPI+1% from 2026, alongside a consultation to follow shortly on how to implement social rent convergence.
It also builds on ambitious reforms to the planning system that the Government has already announced, which were judged by the OBR to add £6.8bn to the economy and boost housebuilding to its highest level in 40 years by 2029/30.
A government spokesperson said: “The Government is investing in Britain’s renewal, so working people are better off.
“We’re turning the tide against the unacceptable housing crisis in this country with the biggest boost to social and affordable housing investment in a generation, delivering on our Plan for Change commitment to get Britain building.”
RACHEL REEVES: “WE ARE INVESTING IN BRITAIN’S RENEWAL”
Chancellor vows to ‘invest in Britain’s renewal’ as she lays out the Government’s Spending Review.
Reeves to announce the Government’s plans to invest in Britain’s security, health and economy to make working people better off.
Billions of pounds of new capital investment will boost British business and create British jobs to kickstart economic growth and drive up living standards in line with the Plan for Change, including the biggest ever local transport investment in England’s city regions outside of London and the South East.
The Chancellor will today publish the Government’s Spending Review to ‘invest in Britain’s renewal’ as she vows to make all parts of the country better off.
Rachel Reeves will announce plans for billions of pounds of investment in projects across the United Kingdom that will create jobs, prosperity, and put more money in people’s pockets.
The Chancellor will say detailed spending plans come after the Autumn Budget and Spring Statement fixed the foundations of our economy to deliver stability, outlining: “The choices in this Spending Review are possible only because of the stability I have introduced and the choices I took in the Autumn.”
The Chancellor will confirm the Government’s commitment to delivering for every part of Britain, by announcing reforms that will guarantee towns and cities outside London and the South East can benefit from new investment. This will include the biggest ever local transport infrastructure investment in England’s city regions, which will truly connect people to opportunities that improve their quality of life, a key objective of the Government’s Plan for Change.
Ms Reeves is also expected to spell out the Government’s plans to invest in the British people’s priorities of security, health and economy.
The Spending Review comes on the back of the Government’s announcements in recent days to invest £15.6 billion in local transport projects, £86 billion to boost science and technology, and create ten thousand jobs by building Sizewell C Nuclear Power Station – which will drive forward Britain’s status as a clean energy superpower, as outlined in the Plan for Change.
Speaking in the House of Commons, the Chancellor is expected to say:“This Government is renewing Britain. But I know too many people in too many parts of the country are yet to feel it.
“This Government’s task – my task – and the purpose of this Spending Review – is to change that. To ensure that renewal is felt in people’s everyday lives, their jobs, their communities.
“So that people can see a doctor when when they need one. Know that they are secure at work. And feel safe on their local high street.
“The priorities in this Spending Review are the priorities of working people. To invest in our country’s security, health and economy so working people all over our country are better off. That is what this Spending Review will deliver.”
She will add:“I have made my choices. In place of chaos, I choose stability. In place of decline, I choose investment. In place of retreat, I choose national renewal.
“These are my choices. These are this Government’s choices. These are the British people’s choices.”
More than £106 million has been allocated to health boards in Scotland to help tackle the longest waits for procedures and operations.
The funding has been assigned to specialty areas for the year ahead where it can have the greatest impact against the longest waits – this includes £25 million for trauma and orthopaedics, £21 million for imaging, £14 million for cancer treatment and more than £12 million for ophthalmology.
The investment is part of the £200 million announced as part of the Programme for Government to build capacity, tackle delayed discharge and improve patient flow through hospitals.
Health Secretary Neil Gray said: “This government is focussed on taking the action needed to cut waiting lists – significant activity is already underway through this additional investment which will help us target the longest waits for treatment.
“We are determined to reduce patient waits in the year ahead and this £106 million of additional funding will help us to deliver more than 150,000 extra appointments and procedures in 2025-26. This funding is just part of our record investment of £21.7 billion for health and social care this year.
“Last year, health boards vastly exceeded the commitment to deliver 64,000 appointments and procedures – instead delivering more than 105,000 through our targeted approach. This investment will allow us to build on this progress and deliver tangible improvements for patients.”
Interim trial data shows revolutionary tech has dramatically reduced admin
Westminster Government drives forward use of innovative artificial intelligence in hospitals to improve patient care
New government guidance set out today will encourage its use across health service while protecting patient data and privacy
Trials show dramatic reduction in admin and more time for direct patient care, as Plan for Change delivers ‘seismic shift’ in care to digital
NHS clinicians in England will be supported to use groundbreaking artificial intelligence tools that bulldoze bureaucracy and take notes to free up staff time and deliver better care to patients thanks to guidance published today.
Interim trial data shows that the revolutionary tech has dramatically reduced admin, and meant more people could be seen in A&E, clinicians could spend more time during an appointment focusing on the patient, and appointments were shorter.
Through its Plan for Change the UK government is getting the NHS back on its feet and slashing waiting lists. Guidance published today will encourage the use of these products – which use speech technologies and generative AI to convert spoken words into structured medical notes and letters – across a range of primary and secondary care settings, including hospitals and GP surgeries.
The government’s mission-led approach is driving forward the use of innovative tech and new approaches to reform the health system and improve care for patients – offering them quicker and smarter care.
One of the tools – ambient voice technologies (AVTs) – can transcribe patient-clinician conversations, create structured medical notes, and even draft patient letters.
Patient safety and privacy will be paramount. This is why the guidance will focus on data compliance and security, risk identification and assessment, while ensuring that staff are properly trained before using the technology.
Health and Social Care Secretary Wes Streeting said: “AI is the catalyst that will revolutionise healthcare and drive efficiencies across the NHS, as we deliver our Plan for Change and shift care from analogue to digital.
“I am determined we embrace this kind of technology, so clinicians don’t have to spend so much time pushing pens and can focus on their patients.
“This government made the difficult but necessary decision at the Budget to put a record £26 billion into our NHS and social care including cash to roll out more pioneering tech.”
The NHS England funded, London-wide AVT work, led by Great Ormond Street Hospital for Children, has evaluated AVT capabilities across a range of clinical settings – Adult Outpatients, Primary Care, Paediatrics, Mental Health, Community care, A+E and across London Ambulance Service.
This multi-site evaluation involving over 7000 patients has demonstrated widespread benefits. Interim data shows:
Increase in direct care – clinicians spending more time spent with patients rather than typing on a computer
Increase in productivity in A&E – the technology has supported more patients to be seen in emergency departments by carrying out admin for A&E staff
At GOSH, AVTs have listened to consultations and drafted clinic notes and letters. These were then edited and authorised by the clinician before being uploaded to the secure electronic health record system and sent on to patients and their families. Clinicians agreed the AI helped them offer more attention to their patients without affecting the quality of the clinic note or letter.
Dr Maaike Kusters, Paediatric Immunology Consultant at GOSH, says: “The patients I see in my clinics have very complex medical conditions and it’s so important to make sure I capture what we discuss in our appointments accurately, but often this means I am typing rather than looking directly at my patient and their family.
“Using the AI tool during the trial meant I could sit closer to them face-to-face and really focus on what they were sharing with me, without compromising on the quality of documentation.”
As it stands, clinicians in hospitals and GP surgeries are forced to spend much of their consultations recording information into a computer instead of focusing on the patient in front of them.
Once the patient has left, they are often required to take that information and summarise it in documents like referral letters. The government is determined to reform these outdated ways of working and revolutionise care, and this innovative tech will do that work for them, so they can see their next patient.
The Jean Bishop Integrated Care Centre in East Hull (part of City Health Care Partnership) has introduced an ambient scribing product to make their documentation process faster and better support their work to care for people living with frailty.
By converting a conversation with a patient into a clinical note, the ambient scribing product is freeing up time for a range of staff including GPs, consultants, nurses, and physiotherapists.
Thanks to government action, GP surgeries delivered 31.4 million appointments last month– a 6.1% increase on the previous year – and waiting lists have fallen by 219,000 patients. This technology will help consolidate this progress.
The government is already using AI to speed up diagnosis and treatment for a range of health issues – spotting pain levels for people who can’t speak, diagnosing breast cancer quicker, and getting people discharged quicker.
Funding for scientific and technological health projects
More than £6 million will be invested as part of the Accelerated National Innovations Adoption (ANIA) programme to help people with type 2 Diabetes, stroke patients and babies born with a rare genetic condition.
A national digital intensive weight management programme will support 3,000 people recently diagnosed with type 2 diabetes. With £4.5 million invested over three years the project is expected to help around 40% to achieve remission from the condition by the end of their first year in the programme.
Two additional projects will look at pharmacogenetics – how a person’s genetics affect their response to certain drugs.
A total of £1.1 million will support testing of recent stroke patients to determine if they have a genetic variation that impairs the benefits of a drug commonly prescribed to reduce the risk of secondary stroke and which would mean an alternative drug should be considered for them.
A programme to provide a genetic test for newborn babies will also receive £800,000 funding to determine if they have a genetic variation which puts them at risk of permanent hearing loss if they are treated with a common emergency antibiotic.
Cabinet Secretary for Health Neil Gray said: “In January the First Minister laid out our vision for Scotland’s NHS with digital innovation being a crucial part of our plans to reform health services.
“So I am pleased to announce funding for these projects which demonstrate the transformative potential of scientific and technological innovation to improve health and social care.
“These projects have life changing effects for those who will benefit from them, resulting in improved health outcomes and a better quality of life.
“Innovation is transforming healthcare and delivering medical benefits for the people of Scotland and the NHS, which will see reduced pressures as a direct result of projects just like these.”
Chief Executive of NHS Golden Jubilee, Gordon James, said: “”The approval of these innovative projects through the Accelerated National Innovation Adoption (ANIA) pathway is a significant step in delivering transformative innovations at scale to benefit patients all across Scotland.
“Lead by the Centre for Sustainable Delivery (CfSD), this project to deliver the diabetes remission programmes, pharmacogenetic testing for stroke, and genetic testing for newborns was an incredible example of collaboration from NHS organisations and colleagues to deliver the highest possible standard of patient care.
“The ANIA pathway is an initiative by NHS Scotland aimed at expediting the integration of high-impact innovations into healthcare services, and that’s exactly these new programmes will offer for more patients across Scotland than ever before.”
Chief Scientist, Prof Dame Anna Dominiczak said: “Scotland’s triple helix of industry, academia and our NHS are working in partnership to lead a scientific revolution which has the power to transform healthcare.
“These are excellent examples of research enabled, clinically beneficial and cost-effective innovations, which should be prioritised for national adoption”
Public health minister and NHS national director visited Wigston, Leicestershire as more than 100 people from across the Midlands took part in a debate on future of NHS
The second national event will ensure views from the communities in the Midlands help to shape the government’s plans to build an NHS fit for the future
Over one million visits to change.nhs.uk, after rallying cry was issued to ‘entire nation’ to help shape 10 Year Health Plan
The biggest ever conversation about the future of the NHS came to the Midlands yesterday (Saturday 23 November) as part of a nationwide series of public debates about how to fix the health service.
More than 100 people from the region visited Wigston in Leicestershire to discuss their views of the NHS, share their experiences, and offer their suggestions for delivering an NHS fit for the future.
Public Health Minister Andrew Gwynne and NHS England’s National Director for Urgent and Emergency Care Sarah-Jane Marsh both attended. They asked people for their opinions on NHS reform and how the government’s 10 Year Health Plan can help tackle disparities in the region.
Addressing the event, Andrew Gwynne, Minister for Public Health and Prevention said: “I want to say a big thank you to so many people coming out so that you can be part of this 10 Year Health deliberation.
“We can’t change the NHS and make it better without you. When we say that the NHS is broken but not beaten, it’s not beaten because the staff are incredible, it is because the NHS is not where we need it to be.
“The NHS makes me proud to be British, it’s still the incredible service that was set up after the Second World War. But the NHS of 1948 is not an NHS that is fit for the future, with people living longer now and with more complex conditions.
“This opportunity allows us to recreate an NHS that’s fit for the future. Central to this is our three shifts from: hospital to community; analogue to digital; and from sickness to prevention.
“It’s exciting times and we’ve got a big task ahead. You are part of it and we can’t do it without your ideas. Let’s fix our NHS for the better.”
Sarah-Jane Marsh, National Director of Urgent and Emergency Care and Deputy Chief Operating Officer for NHS England said: “As someone with over 20 years’ experience working in the NHS in the Midlands – including almost 14 years as CEO of Birmingham Women’s and Children’s Hospital – I know how vital it is to hear from patients and their families directly, so it is truly fantastic that more than a million people have already come forward to let us know about their experiences.
“The 10 Year Health Plan is our chance to help the NHS continue to innovate and adapt, and make best practice, normal practice across the country.
“That’s why we want even more people to come forward and share their views, so if you work for the NHS or are a patient, family member or simply someone with a good idea, please share with us what we do well, what we need to do better, and your ideas for the future – we are waiting to hear from you.”
The minister and national director also visited a mobile vaccination unit in Loughborough, met a super vaccinator, who offers a full range of childhood vaccines and seasonal and adult vaccines. They saw first-hand the impact that the mobile vaccination unit and super vaccinators are having on the community.
Last month, the government issued a rallying cry to the nation – including all 1.5 million NHS staff, patients, experts, and the wider public – to visit the online platform change.nhs.uk to share their experiences, views and ideas for fixing the NHS and to help shape the plan.
Change.nhs.uk has already received over one million visits. It will be live until spring 2025 and is available via the NHS App.
Thousands of ideas to fix the health service have been submitted, with suggestions including:
Establishing an NHS research health company that can be used to get insights on early prevention
Digital records, so records from all hospitals are available to view at all GP surgeries
Pop-up / mobile clinics to meet surge demand for services in areas of need
Stop giving out paper leaflets and sending letters, and limit this to those who do not have access to IT to reduce waste
All submitted ideas will be carefully considered as part of the engagement process so that we can better understand the priorities of the public, patients and people working in health and care.
It comes after the government announced a package of tough reforms to cut wasteful spending and ensure the health service delivers greater value for money – so more goes back to the frontline of care to benefit patients and staff everywhere.
People in the Midlands – an NHS region – are being affected by a range of health issues. The latest data shows there were:
over 1.4 million patients on the waiting list in the Midlands, with nearly 50,000 waiting more than a year
over 100,000 patients on the waiting list at University Hospitals of Leicester NHS Trust, with more than 2,000 waiting more than a year
nearly 130,000 patients on the waiting list at Leicester, Leicestershire and Rutland Integrated Care Board, with more than 2,500 waiting more than a year
over 300,000 patients waiting for diagnostic tests and scans in the Midlands
there are over 25,000 patients waiting for diagnostic tests and scans at University Hospitals of Leicester NHS Trust
At the end of September 2024, data shows there were:
over 100,000 patients waited more than four weeks for a GP appointment in the Midlands
nearly 15,000 patients waited more than four weeks for a GP appointment at NHS Leicester, Leicestershire and Rutland ICB
The public engagement exercise will help shape the government’s 10 Year Health Plan, which will be published in spring 2025 and will be underlined by 3 big shifts in healthcare:
hospital to community
analogue to digital
sickness to prevention
As part of the first shift from ‘hospital to community’, the government wants to deliver plans for new neighbourhood health centres, which will be closer to homes and communities. Patients will be able to see family doctors, district nurses, care workers, physiotherapists, health visitors or mental health specialists, all under the same roof.
In transforming the NHS from analogue to digital, the government will create a more modern NHS by bringing together a single patient record, summarising patient health information, test results and letters in one place, through the NHS App.
By moving from sickness to prevention, the government wants to shorten the amount of time people spend in ill health and prevent illnesses before they happen.
Health and Social Care Secretary will outline how government and NHS leaders have a duty to patients and taxpayers to get the system working well
Wes Streeting to reveal package of reforms and announce new league table of NHS England providers, with top talent attracted to most challenging areas and persistently failing managers to be sacked
Turn around teams sent into struggling hospitals, while best performers given greater freedoms over funding to modernise technology and equipment
No more rewards for failure, with reforms to ensure every penny of extra investment into NHS is well spent and waiting times for patients slashed
NHS league tables will be introduced to help tackle the NHS crisis and ensure there are ‘no more rewards for failure’, as part of a tough package of reforms to be announced by the Health and Social Care Secretary Wes Streeting today (Wednesday 13 November).
Addressing the nation’s health leaders at the NHS Providers’ annual conference in Liverpool, he will outline how government and NHS leaders have a duty to patients and taxpayers to get the system working well and get better value for money.
NHS England will carry out a no holds barred sweeping review of NHS performance across the entire country, with providers to be placed into a league table. This will be made public and regularly updated to ensure leaders, policy-makers and patients know which improvements need to be prioritised.
Persistently failing managers will be replaced and turn around teams of expert leaders will be deployed to help providers which are running big deficits or poor services for patients, offering them urgent, effective support so they can improve their service.
High-performing providers will be given greater freedom over funding and flexibility. There is little incentive across the system to run budget surpluses as providers can’t benefit from it. The reforms today will reward top-performing providers and give them more capital and greater control over where to invest it in modernising their buildings, equipment and technology.
The government will deliver a health service fit for the future, fixing the foundations while delivering change with investment and reform to deliver growth, get the NHS back on its feet, and rebuild Britain.
Health and Social Care Secretary Wes Streeting said: “The Budget showed this government prioritises the NHS, providing the investment needed to rebuild the health service. Today we are announcing the reforms to make sure every penny of extra investment is well spent and cuts waiting times for patients.
“There’ll be no more turning a blind eye to failure. We will drive the health service to improve, so patients get more out of it for what taxpayers put in.
“Our health service must attract top talent, be far more transparent to the public who pay for it, and run as efficiently as global businesses.
“With the combination of investment and reform, we will turn the NHS around and cut waiting times from 18 months to 18 weeks.”
Amanda Pritchard, NHS chief executive said: “While NHS leaders welcome accountability, it is critical that responsibility comes with the necessary support and development.
“The extensive package of reforms, developed together with government, will empower all leaders working in the NHS and it will give them the tools they need to provide the best possible services for our patients.”
The NHS Oversight Framework which sets out how trusts and integrated care boards are best monitored – will be updated by the next financial year to ensure performance is properly scrutinised.
Deep dives into poorly performing trusts will be carried out by the government and NHS England to identify the most pressing issues and how they can be resolved.
Louise Ansari, Chief Executive of Healthwatch England: “People value the hard work of NHS staff, but it’s frustrating when services fail to operate effectively. So, a fresh approach to improving NHS performance is welcome.
“Currently, living in an area with either an outstanding or poorly performing NHS trust feels like a postcode lottery. When a service is underperforming, it often takes far too long for patients to see the necessary improvements.
“This is because the current system focuses on evaluating service performance based on the number of tasks it completes and it does not do enough to measure patients’ overall outcomes and experiences.
“Establishing a better system that encourages NHS managers to focus on delivering the best care as efficiently as possible, and leads to quicker changes at struggling trusts, would be good news for everyone.”
NHS senior managers who fail to make progress will also be ineligible for pay increases. There will be financial implications for Very Senior Managers (VSMs) such as Chief Executives if they are failing to improve their trust’s performance, or letting patients down with poor levels of care.
A new pay framework for VSMs will be published before April 2025. Senior leaders who are successfully improving performance will be rewarded, to ensure the NHS continues to develop and attract the best talent to the top positions.
The changes are made in response to Lord Darzi’s investigation into the NHS, which found that: “The only criteria by which trust chief executive pay is set is the turnover of the organisation. Neither the timeliness of access nor the quality of care are routinely factored into pay. This encourages organisations to grow their revenue rather than to improve operational performance.”
The cost to the health service of hiring temporary workers sits at a staggering £3 billion a year. Under joint plans to be put forward for consultation in the coming weeks, NHS trusts could be banned from using agencies to hire temporary entry level workers in band 2 and 3, such as healthcare assistants and domestic support workers. The consultation will also include a proposal to stop NHS staff resigning and then immediately offering their services back to the health service through a recruitment agency.
Rachel Power, Chief Executive, Patients Association: “We welcome today’s commitment to improving NHS performance and accountability. These reforms signal an important drive for positive change in our health system. The focus on tackling poor performance and rewarding excellence sends a clear message about raising standards across the NHS.
“At the same time, we know from the experience of patients, that real transformation comes through genuine partnership with patients. We look forward to working with NHS England to ensure patient voices help shape how any league tables are developed and how success is measured.
“The proposed support teams for struggling trusts could be particularly effective if they include patient representatives and focus on building a culture of patient partnership. This is an opportunity to combine better management with deeper patient involvement – creating an NHS that is both more efficient and more responsive to people’s needs.
“We hope trusts who receive greater funding freedom will use this money wisely – to cut waiting times, make the waiting experience better for patients, and strengthen the ways they work with patients to improve services. These are the things that matter most to people using the NHS.”
Lord Darzi’s investigation into the NHS found that hospital productivity has ‘nosedived’ in the past five years. During that time resources have increased by 20%, but the number of patients treated has only increased by 3%.
This comes a month after the Health and Social Care Secretary kicked off the biggest national conversation about the future of the NHS since its birth, calling on the entire country to share their experiences of our health service and help shape the government’s 10 Year Health Plan.
Members of the public, as well as NHS staff and experts, are sharing their experiences, views and ideas for fixing the NHS via the Change NHS online platform, which will be live until the start of next year, and available via the NHS App.
MEDICAL RESEARCH SCOTLAND ENGAGES ALMOST 1,400 PUPILS FROM 47 SCHOOLS THROUGH INSPIRING VIRTUAL LEARNING EVENTS
Medical Research Scotland, Scotland’s largest independent medical research charity, has ignited young people’s passion for science, education and careers with the return of its Medical Research Scotland Academy, linking secondary school pupils with industry experts.
For 2024, the Medical Research Scotland Academy reached 1,400 pupils from 47 secondary schools spanning from Aberdeen, across the Central Belt to the Scottish Borders. This free to access program successfully engaged S4, S5 and S6 pupils with a keen interest in STEM subjects. The innovative academy was delivered virtually allowing sessions to be utilised within the usual teaching schedules.
Throughout the online academy, pupils from schools across Scotland participated eagerly in live-streamed interactive lessons every Friday morning for the month of March. These sessions – directly broadcasted to science classrooms – allowed students to learn from the comfort of their familiar learning environments.
Led by scientists, industry leaders, and PhD students, whose research is funded by Medical Research Scotland, students were treated to a series of inspiring and insightful presentations.
This year, the academy introduced “Live from the Lab”, a new route which allowed pupils to look inside loa PhD researcher’s working environment and the interesting research they too could be conducting post-secondary school.
Kilgraston School in Perth is one of the many schools that have seen the benefits of these online sessions.
Through the weekly series, pupils had the unique opportunity to delve into topics including: How medical research can change the world, The power of data in research, Making medicines and The future in medical research.
These sessions were presented by esteemed scientists from leading Scottish universities including the Universities of Aberdeen, St Andrews, Edinburgh and Strathclyde as well as organisations including Generation Scotland and Edinburgh Clinical Research Facility.
Gerry Young, Director of Science at Kilgraston School, said: “It has been great to see the return of the Medical Research Scotland Academy for 2024.
“The online webinars have had a huge impact on our pupils that have shown a keen interested in STEM related subjects and a medical path post-secondary school.
“Throughout this virtual academy, our students have gained a priceless understanding of medical research by interacting with top experts in the field, enhancing their understanding of scientific principles.
“Experiencing real-world medical research has sparked a passion for science in our students. We appreciate this invaluable opportunity, which has empowered them to pursue careers in the medical research field.”
Professor Heather Wallace, Chair of Medical Research Scotland, said: “As Chair of Medical Research Scotland, I’m proud of Scotland’s legacy in producing top-tier research scientists helping to drive global health breakthroughs.
“The 2024 Medical Research Scotland Academy continues our mission, fostering connections between aspiring medical professionals and esteemed academics. Witnessing the enthusiasm among students from schools across the country reaffirms the academy’s value.”
Medical Research Scotland is dedicated to advancing health in Scotland and beyond through the support of cutting-edge research aimed at enhancing the diagnosis, treatment, and prevention of diseases.
To join us in our mission, please visit our website at:
