Tag: NHS

Crack teams get patients off waiting lists at twice the speed

Sending top doctors into areas of highest economic inactivity in England is ‘busting through the backlog’

  • Targeted approach is cutting waiting lists twice as fast as rest of the country
  • Plans to roll scheme out further as government delivers on its Plan for Change

A new Labour government initiative to send top doctors to support hospital trusts in areas where more people are out of work and waiting for treatment is cutting waiting lists faster, new data shows.

In September, Health and Social Care Secretary Wes Streeting sent in crack teams spearheaded by top clinicians to NHS hospitals serving communities with high levels of economic inactivity. The teams support NHS trusts to go further and faster to improve care in these areas, where more people are neither employed nor actively seeking work, for reasons including ill health.

Latest data from October 2024 to January 2025 shows waiting lists in these areas have, on average, been reduced at more than double the rate of the rest of the country, falling 130% faster in areas where the government scheme is in action than the national average.  

A total of 37,000 cases have been removed from the waiting lists in those 20 areas, averaging almost 2,000 patients per local trust.

The teams of leading clinicians introducing more productive ways of working to deliver more procedures, including running operating theatres like Formula One pit stops to cut down on wasted time between operations.

The scheme has delivered huge improvements in areas of high economic inactivity. They include:

  • The Northern Care Alliance & Manchester Foundation Trust – where a series of ‘super clinics’ with up to 100 patients being seen a day in one-stop appointments where patients can be assessed, diagnosed and put on the treatment pathway in one appointment. These include Employment Advisors on site to support patients with any barriers to returning to work. Those that require surgery are then booked to ‘high flow theatre’ lists such as those at the Trafford Elective Surgery Hub.
  • Warrington & Halton – which has run Super Clinics for Gynaecology delivered at weekends, with one-stop models reducing the need for follow up appointments.
  • East Lancs Hospitals Trust – which has focused on streamlining diagnostic pathways and increasing capacity for Echocardiography, or heart scans, reducing the waiting list for these from around 2700 patients to around 700 – with all of patients having their scan within 6 weeks.

Data shows the number of people unable to work due to long term sickness is at its highest since the 1990s. The number of adults economically inactive due to ill-health rose from 2.1m in July 2019 to a peak of 2.9m in October 2023. The decision to send the crack teams to these 20 trusts first was based on the government’s aim to get people back to health and back to work, helping to cut the welfare bill.

Following the success of the programme, the government has confirmed similar crack teams will be rolled out to additional providers this year to boost NHS productivity and cut waiting times further. 

Health and Social Care Secretary Wes Streeting said: “The investment and reform this government has introduced has already cut NHS waiting lists by 193,000, but there is much more to do.

“By sending top doctors to provide targeted support to hospitals in the areas of highest economic inactivity, we are getting sick Brits back to health and back to work.

“I am determined to transform health and social care so it works better for patients – but also because I know that transformation can help drag our economy out of the sluggish productivity and poor growth of recent years.

“We have to get more out of the NHS for what we put in. By taking the best of the NHS to the rest of the NHS, reforming the way surgeries are running, we are cutting waiting lists twice as fast at no extra cost to the taxpayer.  

“As we boost NHS productivity and deliver fundamental reform through our Plan for Change, you will see improvements across the service in the coming weeks and months.”

The new data comes after the Westminster government confirmed the abolition of NHS England, centralising the way that health care is delivered, cutting bureaucracy and improving care outcomes for patients up and down the country.

The government inherited waiting lists of over 7.6 million last July, and rising numbers of patients waiting months and years to get the treatment they need to get back to their jobs.

Thanks to immediate action taken by the government- including ending the strikes and investing more in the NHS – overall waiting lists have fallen for the last five months in a row, dropping by 193,000.

The targeted teams are the latest success delivered by the government as it continues its fundamental reform of the NHS through the Plan for Change.

Soon after taking office, it confirmed an extra £1.8 billion to deliver extra elective activity across the country.

This helped create an extra 2 million elective care appointments between July and November last year – delivering on the government’s manifesto pledge seven months early.

Other plans to increase elective care productivity and cut waiting lists include opening community diagnostic centres 12 hours a day, seven days a week, revolutionising the NHS app so patients can receive test results and book appointments, and increasing use of the independent sector to improve patient choice.

Over two million extra NHS appointments delivered early in England as trusts handed £40 million to go ‘further and faster’

Over two million extra NHS appointments including for chemotherapy, radiotherapy, endoscopy, and diagnostic tests delivered as government delivers first step to fix the NHS seven months early

  • Pledge to deliver over two million more elective care appointments hit early with over 100,000 more treatments, tests and scans for patients each week
  • Waiting lists falls by almost 160,000 since government took office, as extra appointments delivered for chemotherapy, radiotherapy, endoscopy and diagnostic tests
  • Comes as an additional £40 million set to be handed to trusts that deliver biggest improvements in cutting waiting lists
  • Marks major step towards delivering Plan for Change milestone of hitting 18-week treatment target by the end of this Parliament

Over two million extra NHS appointments including for chemotherapy, radiotherapy, endoscopy, and diagnostic tests delivered as government delivers first step to fix the NHS seven months early. 

The Prime Minister has welcomed new figures published by NHS England [today] which reveal that between July and November last year, the NHS delivered almost 2.2 million more elective care appointments compared to the same period the previous year – delivering on the government’s mission to fix the NHS as part of the Plan for Change. 

The new data confirms the government reached the target seven months earlier than promised – with 100,000 more treatments, tests, and scans for patients each week, and more than half a million extra diagnostic tests delivered.

It follows figures published last week which showed the waiting list has been cut by almost 160,000 since the government took office, compared to a rise of almost 33,000 over the same period the previous year. 

It means thousands of patients have received vital operations, scans, treatments, and consultations earlier than planned, helping them get back on with their lives and back to work sooner.

The extra 2 million appointments – delivered in part by extra evening and weekend working – are underpinned by the government’s ambitious wider reform agenda, including our plan to expand opening hours at Community Diagnostic Centres across the country, 12 hours a day, seven days a week.

The government’s mission to build an NHS fit for the future starts with tackling waiting lists, and hitting this milestone is a crucial step towards treating 92% of elective care patients within 18 weeks of referral by the end of this Parliament – delivering a core commitment in the Plan for Change.  

While there is more to do, today’s milestone also clears the path to bring forward wider NHS reforms through the government’s Elective Reform Plan – announced by the Prime Minister last month – which will cut waiting times and improve patient experience by getting people seen more quickly, closer to home. 

Prime Minister Keir Starmer said:  “Two million extra NHS appointments and a waiting list on its way down – we’re delivering on our promise to fix the NHS and make sure people get the care they need, when they need it. 

“This isn’t just about numbers. It’s about the cancer patients who for too long were left wondering when they’ll finally start getting their life-saving treatment. It’s about the millions of people who’ve put their lives and livelihoods on hold – waiting in pain and uncertainty as they wait for a diagnosis.

“We said we’d turn this around and that’s exactly what we’re doing – this milestone is a shot in the arm for our plan to get the NHS back on its feet and cut waiting times.

“But we’re not complacent and we know the job isn’t done. We’re determined to go further and faster to deliver more appointments, faster treatment, and a National Health Service that the British public deserve as part of our Plan for Change.” 

Since entering office, the government has hit the ground running to fix the broken health service we inherited by tackling the waiting lists, and building an NHS fit for the future. 

This includes ending NHS strikes so staff are on the front line instead of the picket line this winter, vaccinating more people against flu than this time last year and putting immediate investment into our health system through £1.8 billion to fund extra elective care appointments as part of record £26 billion extra NHS funding secured at the October Budget.   

Building on this, the government has announced an extra £40 million funding pot for trusts who make the biggest improvements in cutting waiting lists. The funding will be available for hospitals from next year to spend on capital projects such as new equipment or repairs to their estate which can deliver faster access to treatment and improve conditions for patients. 

Further details on the scope and allocation of the funding package will be set out in due course, but examples of the innovations that trusts will be able to benefit from include investment into new tech such as surgical robots and AI scanners to modernise the NHS and help patients get diagnosed and treated as quickly as possible.

The funding could also go towards completing hospital ward maintenance – expediting the transformation of ageing NHS estates and giving patients newer, safer environments in which to receive care. 

Health and Social Care Secretary Wes Streeting said: “We have wasted no time in getting to work to cut NHS waiting times and end the agony of millions of patients suffering uncertainty and pain.

“Because we ended the strikes, invested in the NHS, and rolled out reformed ways of working, we are finally putting the NHS on the road to recovery.

“We promised change, and we’ve delivered, providing the two million extra appointments we pledged in just our first five months – a promise made, and a promise kept. The result is around 160,000 fewer patients on waiting lists today than in July.

“That was just the first step. Through our Plan for Change, we are opening new surgical hubs, Community Diagnostics Centres at evenings and weekends, and using private sector capacity to cut waiting times from 18 months to 18 weeks.”

Amanda Pritchard NHS chief executive said: “Thanks to the hard work of staff and embracing the latest innovations in care, we treated hundreds of thousands more patients last year and delivered a record number of tests and checks, with the waiting list falling for the fourth month in a row.

“There is much more to do to slash waiting times for patients, but the Elective Care Reform Plan will allow us to build on this incredible progress as we boost capacity and drive efficiency while also improving the experience of patients.”

The Elective Reform Plan will drive forward action to meet the 18-week target through the necessary reforms to overhaul the system, support staff, cut waste and put patients first – creating millions more appointments in the process. As part of this, the government is creating thousands more appointments through greater access to Community Diagnostic Centres and 17 new or expanded surgical hubs.  

The Community Diagnostic Centres will be opened 12 hours a day, seven days a week wherever possible so that people can access a broader range of more appointments closer to home in their neighbourhoods. These will increase the availability of same-day tests and consultations so that patients don’t have to wait for weeks in between different stages of care.  

The surgical hubs will be also created within existing hospitals by June and three others expanded, with more expected in coming years supported by the £1.5 billion investment confirmed at the Autumn budget.  

These will bring together the necessary expertise, best practice, and tech under one roof to focus on delivering the most common, less complex procedures. The new hubs will be ring-fenced from winter pressures and will cut waiting times for standard surgeries, in turn freeing up beds in acute wards needed for more complex cases. 

Other elements of the plan include freeing up around 1 million more appointments every year by removing non-essential follow-ups, publishing a new deal with the independent sector to increase capacity, revolutionising the NHS app to give patients greater choice and control over their treatment and preventing unnecessary referrals by incentivising GPs to work with hospital doctors to get specialist advice. 

The government has also launched a nationwide consultation on the 10 Year Health Plan to build an NHS fit for the future and secured an extra £2 billion to upgrade NHS technology and £1 billion to deal with the massive NHS maintenance backlog. 

As part of a drive towards prevention, NHS England have also launched its first-ever awareness campaign today to support more women to attend potentially lifesaving breast screening.

The campaign, supported by leading charity Breast Cancer Now, launches today with a new advert across TV, on demand and radio to highlight the benefits of screening in detecting cancer at the earliest opportunity. 

Last year alone, NHS breast screening services detected cancers in 18,942 women across England, which otherwise may not have been diagnosed or treated until a later stage, and the most comprehensive review to date found around 1,300 deaths are prevented each year by the breast screening programme.

Infant formula: CMA outlines clear path forward to help parents save hundreds of pounds a year

The Competition & Markets Authority has set out comprehensive proposals to deliver better outcomes for parents in the infant formula market – both in terms of the choices they make and the prices they pay

  • CMA infant formula study finds that a combination of factors is leading to poor outcomes for parents, who could be saving around £300 a year by switching to a lower priced brand
  • Issues include the design and operation of current regulations and the responses of consumers to advertising which emphasises branding when, in fact, all infant formula will meet babies’ full nutritional needs
  • CMA heard concerns that parents on lower incomes are disproportionately affected due to higher rates of formula feeding
  • CMA final recommendations cover standardised packaging in hospitals; providing clear information to parents in healthcare and retail settings on the nutritional sufficiency of all infant formula; making it easier to compare prices of different brands; extending the ban on advertising to include follow-on formula; and allowing parents to use vouchers and loyalty points to buy infant formula
  • Given the steer from governments that regulatory restrictions on price promotions of infant formula support breastfeeding, the CMA is not recommending removing this ban at this stage, but stands ready to support further consideration of this option if asked

Following a market study into the infant formula and follow-on formula market, the Competition and Markets Authority (CMA) has issued its final recommendations.

Sarah Cardell, Chief Executive of the CMA, said: “Every parent wants to give their baby the best possible start in life. Many whom need, or choose, to formula feed, pick a brand at a vulnerable moment, based on incomplete information, often believing that higher prices must mean better quality. This is despite NHS advice stating that all brands will meet your baby’s nutritional needs, regardless of brand or price.

“Governments across the UK are committed to the tight regulation of infant formula for public health reasons. So, our proposals are designed to help parents make the best choices for them and their babies, with access to better information, while sharpening the effectiveness of the existing rules.

“Our proposals will also make it easier for regulations to be properly enforced, while ensuring manufacturers and retailers can be more confident in what they can and can’t do according to law.

“We strongly encourage governments to act on the recommendations to stop well-intended regulation driving poor outcomes for consumers. We’re ready to help implement the changes and support thinking around further measures, including removing the ban on price promotions, should governments consider it necessary at a later stage.”

CMA findings

Advertising and labelling of infant formula is strictly regulated. For example, advertisement and promotion, including price reductions or deals, is restricted so as not to discourage breastfeeding.

Many parents choose a brand for the first time in vulnerable circumstances – often in hospital immediately after birth – and frequently without the clear, accurate and impartial information needed to make informed decisions. People often feel under pressure, naturally wanting to do what is best for their baby. Many actively choose a more expensive product, assuming this means better quality.

However, NHS advice makes clear: “It does not matter which brand you choose, they’ll all meet your baby’s nutritional needs, regardless of price”.

Against this backdrop, rather than competing strongly on price, manufacturers place significant emphasis on building brand awareness to secure customers. For example, some regularly supply the NHS with below cost formula to reach new parents – and once parents have found a brand that works for their baby, they rarely switch.

Regulation states that the labelling and presentation of infant and follow-on formulas should be ‘clearly distinct’. Despite this, manufacturers use similar branding and labelling – including similar colour palettes, fonts and imagery – across infant and follow-on formulas. When combined with large marketing budgets, this approach indirectly supports the sale of infant formula, with CMA evidence indicating that parents are disproportionately influenced by such branding practices (be it in hospitals, online or in store).

The CMA heard concerns that parents on lower incomes are more likely to formula feed so are disproportionately impacted by infant formula pricing. While some government support is available to those eligible, most infant formulas exceed the weekly value of benefits available through schemes such as the Healthy Start and Best Start Food. This can lead to parents foregoing food in order to provide for their babies.

On pricing, differences between brands can have a sizeable impact on parents’ finances. Evidence reviewed by the CMA shows that they could make a saving of around £300 over a baby’s first year of life by switching from a popular mid-priced product to a low-priced brand.

Recommendations

The 4 recommendations from the CMA are:

  1. Removing brand influence in healthcare settings: Parents should be provided with timely, clear, accurate and impartial information on nutritional sufficiency of all infant formula products as early as possible. Where parents are given infant formula in healthcare settings, labelling should be standardised to reduce the influence of branding on their decision making. For example, branded formula could be put into non-branded containers, or the NHS could have a white-label formula.
  2. Equipping parents with the right information when they are shopping: Information about nutritional sufficiency should be displayed clearly and prominently on shelves and when buying online. In store, all brands of infant formula should be displayed together and in a separate cluster from other formula milks to enable quick and easy price comparisons.
  3. Strengthening labelling and advertising rules: All packaging should clearly display information on nutritional sufficiency. Claims that are intangible, or cannot be easily checked by parents, should be banned. Like infant formula, advertising (including price promotions and deals) for follow-on milks should be banned. To help shops, manufacturers and enforcers, government should clarify what constitutes ‘advertising’, outlining exactly what shops and manufacturers can and cannot do regarding formula milks. Parents should be allowed to use gift cards, vouchers, loyalty points, and coupons to purchase infant formula.
  4. Effectively enforce current and future rules: Strengthen the roles played by relevant authorities so they must approve the packaging of all infant formula products before sale. At present, companies can put products onto the market before the relevant authority has reviewed the label.

Public Health Minister, Ashley Dalton, said: “I welcome this report and would like to thank the Competition and Markets Authority for their thorough investigation.

“There are many benefits of breastfeeding but for those families that cannot or choose not to breastfeed, it is vital that they can access formula that is affordable and high quality. Families should not be paying over the odds to feed their babies because of outdated regulation.

“As part of our Plan for Change, we’re determined to ensure every child has the best start to life. We will carefully consider these recommendations and respond fully in due course.”

Competition and Markets Minister Justin Madders said: “The government has been clear through our new Strategic Steer to the CMA that competition and consumer protection will drive economic growth.

“That work to drive better outcomes for consumers across the infant formula market delivers on this priority. We look forward to working closely with the CMA across government to continue to deliver growth as part of our Plan for Change.”

Next steps

Recommendations are made to UK, Northern Irish, Scottish and Welsh governments, working in collaboration with other organisations, where appropriate. The CMA will now engage to explain these measures and support their implementation.

For more information on the CMA’s market study, visit the Infant formula and follow-on formula market study.  

Edinburgh AI eyecare innovation to be ‘game-changer’ for NHS staff and patients

A formal NHS Scotland partner has welcomed the prospect of eyecare waiting times being cut thanks to new artificial intelligence (AI) innovation, calling it ‘a real showcase of homegrown expertise’.

Edinburgh-based Eye to the Future’s clinical software support tools are designed to help optometrists optimise referrals to hospital eye services during a critical period which has seen NHS ophthalmology waiting lists grow by 138% since 2012.

The company’s innovative, collaboration-driven technology – incorporating background technology developed by the Universities of Edinburgh and Dundee – analyses images from routine eye examinations to help identify early signs of conditions like glaucoma and reduce blindness.

It has also commanded widespread interest which has led to strong support – from universities and eye care professionals to Scottish Enterprise, Scottish Edge, Innovate UK, and more.

InnoScot Health’s Innovation Manager Frances Ramsay believes that Eye to the Future, a culmination of 20 years of collaborative research, represents an important Scottish success story.

She said: “Harnessing the potential of software like this could be a game-changer for both NHS Scotland staff and patients by optimising existing resources and adopting a more efficient approach to tackling backlogs.

“Eye to the Future has benefited from a package of support to transform academic research into commercial technology. This very much mirrors our approach at InnoScot Health – tapping into the vast knowledge and expertise across NHS Scotland, before collaborating further to turn ideas into commercial reality, and importantly, improving patient outcomes.

“It shows how just one individual’s moment of inspiration can lead to a big impact when the knowledge and support of others is drawn upon to catalyse great ideas, echoing our own assistance for pressured ophthalmology through the encouragement of Scotland’s next generation of clinical entrepreneurs.”

Professor Emanuele Trucco, co-founder of Eye to the Future said: “Only 24% of NHS eye units currently believe they have enough consultants to meet demand.

“By using sophisticated analytics tools to help optometrists make more accurate referral decisions, we can ensure the right patients get specialist care at the right time, while reducing unnecessary hospital appointments. This is crucial as every delay risks worsening eye conditions and ultimately irreversible sight loss.”

Eye to the Future was named runner-up in the Converge Challenge category of the 2022 Converge Awards, which works in close partnership with universities to encourage academic entrepreneurs.

Through Converge, the company received funding – part of a broader package of support – to help accelerate, what Professor Trucco called, “academic research towards real commercial impact,” while benefitting from “valuable insights into how our technology could make a meaningful difference to patients and clinicians”.

Frances continued: “We wish Eye to the Future well as it prepares to launch its product this year, with a pilot currently underway at Glasgow Caledonian University’s School of Optometry.”

More innovative solutions are needed to tackle growing pressure on NHS eye care across Scotland with ideas welcomed through InnoScot Health’s ophthalmology innovation call. It offers a package of support for NHS Scotland staff including advice and guidance in areas of intellectual property protection, regulation, funding, project management, and commercialisation.

The organisation has supported and worked with innovators on solutions including Peekaboo Vision, an app created by NHS Greater Glasgow and Clyde, and the iGrading platform, a diabetic retinopathy screening tool developed alongside NHS Grampian and the University of Aberdeen.

First Minister sets out major increase in NHS capacity

‘Protecting, strengthening and renewing the NHS’

People across Scotland will have better access to NHS treatment through increased capacity, expanded primary care services, enhanced use of digital innovations and a range of other measures, First Minister John Swinney announced yesterday.

Speaking to representatives from across the health and social care sector, the First Minister set out action to drive down waiting times and reduce pressure on frontline services.

The First Minister was joined by Health Secretary Neil Gray and announced a range of actions including:

  • A substantial increase in capacity, with 150,000 additional appointments and procedures per year
  • Increased investment in primary care, making it easier for people to get appointments with their GP
  • Improved use of data and new digital innovations including the roll-out of a Scottish health and social care app – a ‘Digital Front Door’ to the NHS for patients

The First Minister said: “Protecting, strengthening, renewing our National Health Service – that is a goal I think we can all get behind. A real focus of common purpose.

“That requires action from me, as First Minister, from my Health Secretary Neil Gray, and from my Government. We can offer the leadership and direction – as the measures outlined today seek to do.

“So, today, we commit to a substantial increase in capacity in order to significantly reduce people’s waits.

“Our plan will ensure that a greater proportion of new NHS funding goes to primary and community care. GPs and services in the community will have the resources they need to play a greater role in our health system.

“This increased investment will result in GP services that are easier for people to access. That is important in terms of people’s confidence in the health service – but equally, it will make it more likely that health issues are picked up quickly and dealt with earlier.

“Our National Health Service is there when we need it. No other public institution supports us with so much care through life’s biggest moments. We must support it in return.

“The approach I set out today charts our course to do that. It addresses both the challenges and the opportunities. It sets the NHS on a path of modernisation and renewal.”

Improving Public Services and NHS Renewal – First Minister’s speech – gov.scot

First Minister encourages public to help protect front line services

NHS 24 resilience over festive period

An information campaign and increased recruitment of call handlers are among the initiatives NHS 24 has put in place to help protect vital front line health and care services over the festive period.

First Minister John Swinney visited the NHS 24 call centre in Dundee to observe preparations ahead of the Christmas and New Year period and to express his gratitude to staff.

NHS 24 has been working proactively to bolster resilience and alleviate pressure on both the 111 service and other primary care resources. Initiatives include:

  • Launching a winter campaign focused on digital information and encouraging people to prepare ahead of service closures.
  • Recruiting a record number of call handlers and additional clinical supervisors to strengthen capacity.
  • Prioritising frontline services, including suspending non-essential activities within call centres and managing staff annual leave to maximize availability.

The First Minister said: “The festive period is traditionally very challenging for the NHS. The resilience and determination shown by staff in the face of pressures; both at NHS 24 and across the wider health and care sector is truly inspiring.

“NHS 24 data shows that a quarter of calls to 111 can be resolved online, and the service is encouraging more people to take advantage of its digital self-help guides for faster, more convenient care.

“These online tools can help ensure our front line services can focus on those who need urgent care.”

NHS 24’s Medical Director, Dr Ron Cook, said: “Our digital services use the same clinical advice people get if they call NHS 24 and offer a great first option when people are unwell and are not sure if they need to seek further help.

“We are advising patients to save time and look after symptoms safely and effectively at home by using NHS inform or the NHS 24 Online app’s symptom checkers which will give clinically assured health advice on a wide range of conditions including coughs, rashes, stomach bugs, or back pain.

“By checking symptoms online this will give advice on how best to manage your condition or what to do next if further help is required.”

The Right Care, Right Place campaign reminds the public to use healthcare services appropriately:

  • For advice on minor illnesses and injuries, visit www.nhs24.scot.
  • Call 111 for urgent but non-life-threatening health concerns.
  • Always call 999 in an emergency.

James Morton’s new NHS role aims to ensure care is right for the patient – and right for the planet

Glasgow GP and former Bake Off contestant James Morton is on a campaign to save the planet – one patient at a time. James has a new role with Healthcare Improvement Scotland, the lead organisation for improving the quality of healthcare in Scotland.

As part of his new role, James is keen to help tackle the issue of over-prescribing in the NHS – an issue that costs the health service £300 million in waste in the UK each year – by ensuring that clinical guidelines and advice put prevention and non-pharmacological treatments ahead of those medicines that don’t help improve the health of the patient in the long term. As a result, helping ensure that healthcare is right for the patient and right for the planet, while ensuring the NHS is fit for the future.

The GP is advising people who take medications regularly to consider having a review with their GP at their next visit to ensure their healthcare regime is the right one for them.

He said: “There are so many things we can all do to help our own health and to cut down on over reliance that might lead to waste in the NHS. I would ask people, particularly those who have been on medicines for a long time, to have a look at what they are taking and review it with their GP to ensure they’re not taking them unnecessarily.

“I want to emphasize that this is not about saving money, but about improving health and encouraging people to have more involvement in their own health.

“Traditionally, this time of year is when lots of people resolve to try to lead healthier lives in the new year. It would be good for all of us to think about our health, and our healthcare regimes in general, as part of those fitness and improvement commitments.”

James is also encouraging people to look again, particularly over the festive period, at the regular medication they take and ensure they’re not over-ordering on repeat prescriptions.

In his new role, James has been elected as the new vice-chair of the Scottish Intercollegiate Guidelines Network (SIGN) Council, part of Healthcare Improvement Scotland. SIGN develops guidelines, based on the most recent medical research, to help health and social care professionals make decisions, with their patients, about care, and make sure patients get the best care available, wherever they live.

James, who lives with his wife and two young children, practices sustainability in his own GP practice in the city’s southside, by cycling to see patients. He is a passionate campaigner for people to make positive lifestyle changes and have more ownership over their own health.

He said: “Sustainability is an issue for all of us as the vast majority of our carbon footprint is preventable. For GPs, like myself, we need to look at prescribing as at least half of medicines that we prescribe are not taken as prescribed. This is a huge waste.

“For example, we understand the messaging with regards to antibiotics, and not to over prescribe to cut down on antibiotic resistance, but we can certainly use the climate and sustainability argument to add some further emphasis to the good practices we already should be following.

“I want us to try to engage with patients to motivate them to improve their health and prevent illness in future where possible through social prescribing. That means sometimes rather than giving someone medicines, working in a garden or taking part in an exercise class can have greater benefits.”

Safia Qureshi, Director of Evidence and Digital at Healthcare Improvement Scotland, said: “We are delighted that James is supporting us with our focus on sustainability.

“Our guidelines already have a keen focus on sustainability, for example, emphasising effective non-pharmacological treatments, such as our guideline on management of depression, and our forthcoming guideline on type 2 diabetes.

“We want our guidelines and advice to provide the best evidence that will empower people to be fully involved in decisions about their health and wellbeing.”

Scottish Budget will prioritise patients through NHS improvement

The Scottish Government Budget will prioritise patients and drive improvements to the NHS, Health Secretary Neil Gray has said.

If approved by parliament, the 2025/26 Budget will deliver record health and social care funding of £21 billion to ensure faster, more accessible care by improving capacity and tackling systemic challenges like delayed discharge.

This builds on ongoing efforts to address the NHS’ challenges and improve healthcare for all to create a more responsive, effective health service with earlier intervention, ensuring better outcomes for patients throughout Scotland.

Key measures set out in the draft Budget include:

  • reducing NHS waiting lists, by cutting waiting times so patients can receive vital treatments and procedures more quickly
  • improved access to GPs with expanded primary care services and additional resources to make it easier for people to see their GP
  • progress set to continue on new hospitals, including the Belford, replacement Monklands, and Edinburgh Eye Pavilion, which will deliver state-of-the-art care and greater capacity

To address delayed discharge and reduce waiting lists, £200 million has been allocated in the 2025-26 Budget. If approved by parliament, this funding will expand the innovative ‘Hospital at Home’ service, allowing more patients to receive high-quality care at home instead of being admitted to a hospital.

Health Secretary Neil Gray said: “We are determined to drive improvements in our NHS and deliver the best possible service for patients.  But I know that some people are waiting too long and finding it difficult to get appointments – we have listened and we are taking action. That is what people can expect from this government.

“The measures we set out in the Budget would mean quicker treatments, more GP appointments, and world-class facilities for people across Scotland.

“By March 2026, no-one will wait longer than 12 months for a new outpatient appointment, inpatient treatment or day case treatment with more than 150,000 extra patients treated as a result.

“The Budget also delivers investment to tackle delayed discharge, one of the biggest challenges facing the NHS, and to expand the Hospital at Home service giving thousands of patients the care they need at home while freeing up hospital beds for those who need them most.

“With initiatives like these, we will build a modern, resilient NHS that delivers for everyone by providing innovative and effective care.

“But we will only be able to deliver these transformational investments and drive further improvements for patients if our Budget is agreed. Our NHS needs this Budget to pass – and I am urging Parliament to unite behind it.”

UK Government to tackle NHS workforce crisis with ‘refreshed plan’ – next summer

Revised Workforce Plan to be unveiled in summer

The Government and NHS will unveil a refreshed Workforce Plan in the summer with a ‘laser-focus’ on shifting care from hospitals and into the community, as we work to get the NHS back on its feet and fit for the future.

Lord Darzi’s shocking report laid bare the systemic issues which have gripped the NHS for years and led to poorer experiences for patients and staff. Too much care is being delivered in hospitals because of historic underinvestment in the community.

Recent data shows that:

  • There are almost 16% fewer fully qualified GPs in the UK than other high income countries relative to our population.
  • The number of nurses working in the community fell by at least 5%, between 2009 and 2023.
  • A reduction of nearly 20% in the number of health visitors – who can be crucial to development in the first five years of a child’s life – between 2019 and 2023. 
  • The number of mental health nurses has just returned to its 2010 level.

The original workforce plan would increase hospital consultants by 49%, but the equivalent rise in fully qualified GPs would have been just 4% between 2021/22 and 2036/37. 

Through a refreshed workforce plan, alongside reform and investment, the Government is taking the decisive action needed to ensure it has the right workforce in the right place at the right time to deliver its 10 Year Health Plan and get the NHS back on its feet to deliver world-class care.

Health and Social Care Secretary Wes Streeting said: “Lord Darzi diagnosed the dire state of the NHS, including that too many people end up in hospital, because there aren’t the resources in the community to reach patients earlier.

“Our 10 Year Health Plan will deliver three big shifts in the focus of healthcare from hospital to community, analogue to digital, and sickness to prevention. We will refresh the NHS workforce plan to fit the transformed health service we will build over the next decade, so the NHS has the staff it needs to treat patients on time again.”

Through the Government’s Plan for Change, an unrelenting approach is being taken to deliver an NHS fit for the future as part of a decade of national renewal. The Chancellor’s first Budget invested almost £26 billion of funding this year and next for the health system to address critical shortages and cut waiting lists, including delivering an extra 40,000 appointments.

Since July, significant progress has already been made by the Government on its Mission to deliver an NHS fit for the future and to support the workforce, putting funding in place to employ more GPs, ending devastating resident doctor strikes within its first few months, and sending crack teams of top clinicians into hospitals with high waiting lists.

Amanda Pritchard, chief executive of NHS England, said: “The NHS is nothing without our incredible staff and having a sustainable workforce is a key building block for an NHS fit for the future – that’s why we committed to update the plan regularly so that it reflects the changing and growing needs of patients.

“While the NHS is delivering more care to patients in the community, with the expansion of virtual wards, community diagnostic centres and neighbourhood hubs, part of our longer term goal is delivering even more care out of hospitals, and we’ll work closely with the government to refresh the workforce plan, alongside the upcoming 10 Year Health Plan.”

Delivering three big shifts in health care will be at the core of the government’s wider 10 Year Health Plan, from hospital to the community, analogue to digital, and sickness to prevention. The workforce will form a central part of this plan.

Lord Darzi’s report made clear the NHS has suffered from years of underinvestment and a lack of effective reform, with far too many patients ending up in hospital. As part of our 10 Year Health Plan, care will be shifted from hospital to the community to support the NHS to free up hospital appointments, tackling waiting lists and easing the strain on the health service. 

The expansion of the hospital workforce has come at the expense of other care settings and the proportion of the total NHS budget dedicated to acute hospitals has continued to rise, while the proportion of the NHS budget going to primary care has fallen by a quarter in just over a decade – from 24% in 2009 to just 18% by 2021. Despite this significant flow of resources into hospitals, output has not risen at nearly the same rate and NHS productivity has still not recovered to pre-pandemic levels.

Because patients can’t get the care they need in the community, like GP appointments, they end up in A&E, which is worse for them and more expensive for taxpayers. At a typical A&E on a typical evening in 2009, there would have been just under 40 people waiting in the queue. By 2024, that had swelled to more than 100 people.

The ten-year plan is due out next Spring. Following that, the workforce plan, which is due to be revised every two years, will be refreshed next summer.

Private warning as former Health Secretary appointed to ‘help government fix health and care’

Alarm Bells: Alan Milburn joins the Department of Health and Social Care’s board to ‘support the government’s ambitious plans for reform’

  • Alan Milburn has been appointed Lead Non-Executive Member to the board of the Department of Health and Social Care.
  • Mr Milburn ‘brings experience at the highest levels to help transform the health and care system‘
  • This (Labour) government is determined to work with experts who can provide the best advice to help rebuild an NHS fit for the future

Alan Milburn has been appointed Lead Non-Executive Member to the board of the Department of Health and Social Care.

The former New Labour Health Secretary has a ‘proven track record of reducing waiting lists and improving satisfaction in the NHS’.

Milburn is also a strong advocate of private healthcare involvement in the NHS. Back in 2015, Milburn intervened in the British election campaign to criticise Labour’s health plans, which would limit private sector involvement in the NHS. Milburn was criticised for doing so while having a personal financial interest in the private health sector.

The current Labour government says the NHS is broken and it is the mission of this government to fix it and make the health service fit for the future. As part of this national mission, experts are being brought in to help develop policy, and NHS staff and patients have been invited to share their experience and ideas to change the NHS at Change.NHS.gov.uk.

Members of the department board provide independent advice and expertise to inform the department’s strategy, performance and governance and the Lead Non-Executive Member provides additional support to the Secretary of State for Health and Social Care in his role as Chair of the board.

The Labour government says that, as a former Secretary of State, Alan brings experience at the highest levels of helping transform the health and care system – but health trade unions will be very wary of Milburn’s appointment.

Health and Social Care Secretary Wes Streeting said: “As Secretary of State, Alan made the reforms which helped deliver the shortest waiting times and highest patient satisfaction in the history of the NHS.

“This government has inherited a broken health service with some of the longest waiting times and lowest patient satisfaction in history. I am delighted to welcome Alan to the department board, where he will offer advice on turning the NHS around once again.

“His unique expertise and experience will be invaluable and he has an outstanding track record of delivering better care for patients.”

Lead Non-Executive Director Alan Milburn said: “I am delighted to be appointed to this role.

“Having spent three decades working in health policy, I have never seen the NHS in a worse state. Big reforms will be needed to make it fit for the future.

“I am confident this government has the right plans in place to transform the health service and the health of the nation. I’m looking forward to working with them to achieve that mission.”

Due to ‘the requirements of the role and the unique expertise and experience Alan Milburn brings’, he was appointed directly by the Secretary of State on following consultation with the Commissioner for Public Appointments, and in compliance with the Governance Code on Public Appointments.

The Department of Health and Social Care would like to thank Samantha Jones for all her work and support as non-executive director since February 2023.

TRANSFORMATION THROUGH PRIVATISATION?