VE Day boost for veterans’ healthcare

UK Government announces £1.8 million investment to transform NHS care for veterans, serving personnel and their families

  • New training for NHS workers to improve healthcare support for veterans.
  • Programme will improve access and outcomes for veterans, serving personnel and their families.
  • Regional trainers will work with GP practices and mental health services to embed expertise where it is needed most

Armed forces veterans and their families will benefit from improved and targeted healthcare, the government has announced as the nation marks the 80th anniversary of VE Day.

A new training programme will ensure NHS staff across the country are supported to meet the unique health needs of veterans, serving personnel and their families.

The new programme will see NHS staff across England receiving dedicated training to help them identify and support patients with military backgrounds. GPs, doctors and NHS nurses will work with regional trainers to make sure they embed this support into their services.

Veterans can require specialised care for injuries sustained in combat, as well as mental health support for conditions like post-traumatic stress disorder (PTSD) and depression.

Many also struggle to navigate civilian healthcare systems and may not self-identify as veterans to NHS staff, putting them at risk of missing out on the additional services and bespoke services that are already available.

Health and Social Care Secretary Wes Streeting said: “As we mark the 80th anniversary of VE Day, we’re honouring our Armed Forces not just with words, but with action.  

“Too many veterans face a system that doesn’t fully understand their needs – that changes today.

“This new training programme will help NHS staff across England give our veterans the personalised care they deserve. Through our Plan for Change the NHS will deliver for those who have delivered for Britain.”

As of April 2025, every NHS Trust in the country became officially ‘Veteran Aware’, a status which means they have been recognised for demonstrating their understanding of military healthcare needs. The three-year training programme will build on this success and will be rolled out from October 2025 across England.

The programme, backed by £1.8 million, will support NHS bodies to demonstrate their commitment to the Armed Forces Covenant, which ensures those who serve or have served, and their families, are treated fairly and not disadvantaged because of their military service. 

The training will support healthcare providers to improve identification of Armed Forces personnel, deliver more personalised care, and ultimately improve health outcomes for veterans and their families.

Kate Davies CBE, National Director for Armed Forces Health, NHS England said: “On the 80th anniversary of VE Day, we honour the extraordinary legacy of our Armed Forces— and reaffirm the NHS’s commitment to those who’ve served.

“As part of the Armed Forces Covenant, we’re launching our most comprehensive training programme yet to meet the unique healthcare needs of veterans. 

“Developed with frontline experts in veterans’ health and those with lived experience, this national initiative ensures those who’ve served receive the high-quality, specialised care they deserve.”

Carol Betteridge OBE, Deputy Services Director at Help for Heroes said: “We’re pleased to see this important step forward in supporting veterans’ healthcare.

“Help for Heroes has already been delivering similar training through our Veteran Champion programme in NHS settings, and we look forward to working with NHS England to share our experience and help improve care for veterans and their families.”

The announcement follows a £50 million boost in funding to ensure veterans across the UK will have easier access to essential care and support under a new UK-wide veteran support system, called VALOUR.

Through the Plan for Change, the government has delivered an extra 3 million appointments since July to cut waiting lists and provided the biggest boost to GP funding in years – an extra £889 million, and on Tuesday 6 May, the government announced a further major cash injection of over £102 million to upgrade and modernize GP practices.

The government is also bringing back the family doctor, recruiting an additional 1,500 GPs since October, and cutting red tape so GPs spend more time caring for patients.

NO RETHINK ON THE WINER FUEL PAYMENT THOUGH … Ed.

Programme for Government: ‘Building the best future for Scotland’

Poverty Alliance: ‘People in Scotland are demanding better’

The NHS will deliver 100,000 additional GP appointments and Scotland will have a ‘best in UK’ cost-of-living guarantee, including the permanent abolition of peak rail fares, First Minister John Swinney announced as he set out a Programme for Government against a backdrop of global economic challenges. 

Speaking one year since he was elected First Minister and one year before the end of this Parliament, Mr Swinney committed to a package of cost-of-living initiatives for households and businesses and a new Six Point Export Plan to unlock target markets.

He set out plans to strengthen the NHS with the delivery of extra GP appointments for key health risks such as high blood pressure, and 150,000 more NHS appointments and procedures, including a 50% increase in surgical procedures such as hip and knee replacements.  

Key announcements include:   

  • 100,000 enhanced service GP appointments by March 2026 for key risk factors including high blood pressure, high cholesterol, high blood sugar, obesity and smoking as well as more than 150,000 extra appointments and procedures, including surgeries and diagnostic tests, and target cancer pathways to tackle backlogs against the 62-day referral to treatment standard 
  • The cost-of-living guarantee which includes ongoing free prescriptions, eye exams, bus travel for 2.3 million people, free tuition for students and more than £6,000 in early learning and childcare support for each eligible child 
  • ScotRail peak rail fares abolished and the general alcohol ban on ScotRail trains removed and replaced with time and location restrictions 
  • Winter fuel payments for pensioners restored 
  • A new Six Point Export Plan, with a focus on actions to unlock target markets, and showcase Scotland to global buyers 
  • A national regeneration fund that will support at least 26 projects to renew and restore communities, with a focus on delivering more local jobs 
  • More rights and stronger protections for tenants, helping deliver more than 8,000 affordable homes, including for social and mid-market rent, and removing barriers on stalled building sites with the potential to deliver up to 20,000 new homes 

The First Minister said: “This Programme for Government is focused on providing the best cost-of-living support across the UK, as well as delivering a renewed and stronger NHS.   

 “When I became First Minister a year ago, I heard loud and clear people’s concerns about the NHS which is why I am taking serious action to ensure the NHS meets the needs of the public.  

“This PfG also shows decisive action to protect Scotland’s economy and maximise our economic potential in the face of global challenges.   

 “It is being published earlier than usual, in part because it allows a clear year of delivery on the NHS and other public services, but also due to the scale of the looming economic challenge.    

 “It is a programme for a better Scotland, for a stronger NHS and a more resilient and wealthier Scotland. It is a Programme for Government that gets our nation on track for success.”

POVERTY ALLIANCE: Government programme misses need for fundamental change

Commenting on the Programme for Government, Poverty Alliance chief executive Peter Kelly said: “Many of today’s announcements are welcome, but the package doesn’t go far enough towards creating a just and compassionate Scotland where people have what they need to build a life beyond poverty.

“More and more people in Scotland believe the system is rigged against them and their families. And they’re right.

“Scrapping peak rail fares for good will help many people on low incomes, but many, many more are still being left with unaffordable buses that don’t meet their needs.

“It’s welcome that this programme turns its back on previous cuts to affordable homes, but we urgently need more investment to create a social housing programme that will bring the scandal of child homelessness to an end.

“Reversing the effect of the unjust two-child limit for households in Scotland is the right thing to do, but there was no sign of a pledge to raise the Scottish Child Payment – never mind raising it to the £40 a week that we know is needed to meet our legal child poverty targets.

“And it was good to hear the First Minister talking about sharing Scotland’s growing wealth more fairly, but the Government simply can’t do that without using its powers over investment and taxation.

“People in Scotland are demanding better, and they want a Scottish Govt that will make the big, fundamental changes that will empower households to build a better life for themselves and a better future for all of us.”

STUC: Scrapping peak fares is a victory for workers in Scotland

Commenting on the scrapping of peak rail fares within the Scottish Government’s Programme for Government, STUC Deputy General Secretary Dave Moxham said: “This is deeply welcome news that, whilst long overdue, shows the strength of campaigners and rail unions in demanding an affordable and accessible rail network that is fit for the future.

“This is a clear victory for workers in Scotland and it’s commendable the Scottish Government has listened to the voices of our movement – and listened to their own evidence – which showed the positive impact of scrapping peak fares.

“Peak fares were, simply put, a tax on workers that hit commuters directly in the pocket. We can now ensure we build an interconnected, cheaper and greener rail networks that puts people before profit and puts peak fares out of commission for good.”

Children First: First Minister missed another chance by not increasing Scottish child payment

Children First statement on Scottish Government Programme for Government

Mary Glasgow, chief executive of Children first, said: “We hoped the First Minister would bring bold, ambitious plans to tackle the crippling levels of child poverty in Scotland. Instead, the Programme for Government, while well-intentioned, lacked real action. The First Minister missed another chance to help families by not increasing the Scottish Child Payment to £40.

“While we recognise the Scottish Government’s commitment to eradicating child poverty, supporting whole families and improving mental health support for young people, we are deeply concerned that it lacks urgency and the necessary financial resources and policy ambition.

“Scotland is facing a childhood emergency. The children and families we support cannot wait another 12 months for yet another fresh approach.

They need action now.”

ALBA Party: Scotland “won’t accept” the Scottish Government’s decision to omit independence from its Programme for Government, says Ash Regan

For the second year in a row First Minister John Swinney has failed to mention independence in his Programme for Government with the document not setting out any plans to give Scots a choice on their future in the remainder of the current Parliament. 

The SNP were re-elected in 2021 promising a referendum would be held during the life of the current Parliament but after the Supreme Court ruled against the Scottish Parliament’s ability to do so the Scottish Government have taken no action to find a path to giving the people of Scotland a choice on their future. 

Alba’s Ash Regan wanted to see First Minister John Swinney set out the actions his Government will take to advance the case for Scottish independence in the run up to next year’s Scottish Parliament elections. But she has hit out as the Government has confirmed today that the only action it will take in the next year will be the publication of another independence paper. 

The Alba MSP says that the Scottish Government’s plan for how it intends to progress the case for Scottish independence should have featured “front and centre” of John Swinney’s plans and the failure to do so is a “missed opportunity.” 

Last year, in his first ever PfG as First Minister, John Swinney did not make reference to independence when he addressed parliament and in his speech today he again failed to reference any actions his Government would take to help deliver independence. 

Commenting Alba Party Holyrood leader Ash Regan MSP said: “Last year the word ‘independence’ was not mentioned once in the Programme for Government statement to Parliament. Since then we have witnessed consistent polling showing that at least half the country favour independence. 

“The failure to put independence front and centre of today’s Programme for Government is a wasted opportunity. The people of Scotland are now ahead of the SNP when it’s comes to independence and that is why we have seen a separation of support for independence and support for the SNP. 

“Scots want to see a drive towards governing competently again and focus to be put back onto the people’s agenda of health, the economy, jobs and the protection of women and children.

“The case for independence has never been stronger, it is now vital we see support for Alba Party on the list to ensure the SNP don’t see out another term of Parliament without taking action on independence.”

RCEM: Scotland’s Programme for Government a ‘missed opportunity’ to tackle UEC crisis

After enduring another challenging winter, Scotland’s Programme for Government has failed to deliver a tangible plan to address the emergency care crisis. That’s the response from the Royal College of Emergency Medicine after the First Minister, John Swinney, delivered a speech today (6 May 2025) which laid out his government’s key pledges for the final year of the Scottish Parliament’s current term.  

Relating to the NHS, the First Minister’s key pledges were: 

  • Reducing time patients wait for treatment by delivering more than 150,000 extra appointments and procedures, including surgeries and diagnostic tests.
  • Ensuring more people can see their GP and get cared for in the community – reducing pressures in hospitals
  • Ensuring more people can be cared for at home, reducing pressures in hospitals by expanding the number of Hospital at Home beds to at least 2,000 by December 2026. 

Mr Swinney’s speech coincided with the release of new data by Public Health Scotland which revealed in March, there was an average of 1,925 people waiting to be discharged from hospital, despite being deemed medically well enough to go home.  

That’s the highest number of so called ‘delayed discharges’ for the month of March since guidelines changed in 2016.  

This is often caused due to a lack of social care support. Therefore, the system grinds to a halt, with patients stuck in Emergency Departments, often on trolleys in corridors, facing extreme waits because there’s no in-patient beds available.  

Today’s figures, which cover March 2025, also show:  

  • 120,143 people attended a major Emergency Department in Scotland – a 17.7% increase when compared to February. 
  • One in three patients waited four hours or more in Emergency Departments, one in 9 waited eight hours or more, and one in 23 waited 12 hours or more. 
  • While waits have slightly improved across the board when compared to February, they are significantly higher when compared to March 2018. The numbers waiting four hours or more has increased by 158%, the numbers waiting more than eight hours by 490%, and the numbers waiting more than 12 hours by 803%. 
  • There was a total of 60,129 days spent in hospital by people whose discharge was delayed – a 2.5% increase compared to March 2024 (58,646).  

The data comes after Scotland’s Emergency Departments also experienced the worst February on record for performance

Dr Fiona Hunter, Vice President of RCEM Scotland said, “Today’s Programme for Government is a missed opportunity. It was a moment to resuscitate emergency care but instead, we have been left without a tangible plan.

“You just have to simply look at today’s figures from Public Health Scotland to see the level of pressure our Emergency Departments our under – thousands of people waiting extreme and dangerous long stays, often on trolleys, in corridors, because there are no available beds on wards for them to move to.  

“And let’s be clear – these aren’t just numbers, data, statistics. Each is a loved family member – mums, dads, grandparents, sons, daughters.   

“While we welcome the government’s commitment to improving access to GPs, this can’t be done in isolation. Equal attention is needed at the ‘back door’ of hospitals – ensuring patients who are well enough to be discharged, can be, with the appropriate social care in place. 

“Only then will our patients be able to move as they should throughout the hospital system, rather than experiencing significant delays.  

“Our members and their colleagues will be deeply disappointed after enduring another challenging winter. It’s left us asking, when will Emergency Care become a political priority?” 

Greens hail peak rail fares U-turn and call for cheaper buses

The Scottish Greens have welcomed the Scottish Government’s decision to finally take forward the Green policy of scrapping peak rail fares for good, and have called for action to make public transport cheaper across the board.

The policy was initially secured by the Scottish Greens through budget negotiations in 2023 before being dropped by the SNP in 2024. 

In the 2025 budget the Greens secured a £2 bus fare cap that the Government has committed to rolling out as a regional pilot project by January 2026.

Speaking in the Scottish Government’s Programme for Government 2025-26 debate today at Holyrood, the party’s co-leader, Lorna Slater, said: “I am delighted that the Government has finally committed to the Scottish Green policy of ending peak rail fares for good. 

“Earlier this year, they said they wouldn’t do it. They even voted against Green calls to do it. We’ve finally got there.

“More brave decisions are needed to make all public transport cheaper. 

“The Scottish Government agreed to Green proposals for a £2 bus cap, only as a local pilot from January 2026, but people all across Scotland need cheaper buses now. 

“Will the First Minister avoid the hesitation he showed over peak rail fares, get on with delivering another great Green idea: capping the price of bus fares in Scotland for good?”

Independent Age: No New Support for Older People in Poverty

Debbie Horne, Scotland Policy and Public Affairs Manager at Independent Age said: “Today’s Programme for Government announced no new support for older people in poverty.

“Making sure every pensioner in Scotland receives some winter heating support is very welcome, particularly for older people on lower incomes. However, there is more the Scottish Government should do to reduce the growing number of pensioners in poverty.  

“With 156,000 older people across Scotland currently living in poverty – an increase of 30% the last decade – the need for a clear strategy to address this is more urgent that ever. Our polling shows that people of all ages in Scotland agree that a strategy to reduce pensioner poverty should be created – with 9 in 10 supporting the idea.  Without one, people facing financial hardship in later life will continue to struggle to maintain even the most basic quality of life. 

“Poverty at any age is extremely damaging to both mental and physical wellbeing. Our 2025 Index showed that nearly one in five (19%) older people in Scotland have a household income of under £15,000 a year and almost one in three (29%) older people in Scotland have skipped meals in the last 12 months.  

“In a compassionate and wealthy society, this shouldn’t be the case. Both the UK and Scottish Governments need to take action. If the Scottish Government wants to make Scotland the best place to grow old and tackle the injustice of pensioner poverty it is essential they have a plan for doing so.” 

Cancer 360: Tech reform to transform cancer diagnosis

Cancer 360 brings patient data into one central system, so clinicians can prioritise those most in need and see patients quicker

  • Millions of patients to receive faster cancer diagnosis, helping slash treatment delays as groundbreaking new tech rolled out on NHS as part of major reform to health service
  • For first time, all NHS trusts will have access to technology that brings key patient information together so medical teams can easily spot those in need of urgent attention
  • The £2bn tech investment from the Autumn Budget will drive essential reforms, freeing up staff time and saving lives, delivering on the government’s Plan for Change

Millions of cancer patients will receive a faster diagnosis, helping cut treatment delays and boost survival rates as the government rolls out pioneering new technology across the NHS through the Plan for Change.

Currently, there are over 2 million people living with cancer, many of whom face a complex journey of tests, appointments or treatments. But a trailblazing new tool – dubbed Cancer 360 – brings all that data into one central system, so clinicians can prioritise those most in need and see patients quicker – with the technology set to benefit millions over the next 5-10 years.

This government inherited a broken NHS. Lord Ara Darzi’s independent investigation found the NHS in ‘critical condition’ – with surging waiting lists and deteriorating national health – and set out the need to improve cancer waiting time performance and cancer survival.

Cancer 360 represents the crucial reform that must accompany investment, shifting the NHS from analogue to digital, by creating a simple dashboard showing clinicians all the information they need about their patients in one place. Instead of having to gather vital information about each cancer patient from various systems, spreadsheets, emails, and records.

Health and Social Care Secretary Wes Streeting said: “This government grasped the nettle and made difficult but necessary choices to invest £26 billion into our NHS – a move that is already helping millions of patients and will help millions more.

“It’s a long road, but we’re already getting our NHS back on its feet, giving patients over 3 million more appointments, hiring 1,500 new GPs and starting the roll out of new tech that will save lives.

“It is only this government’s Plan for Change that will deliver for patients and make our NHS fit for the future.”

The real-time tool will help teams to easily track a patient’s progress, avert delays, and even produce personalised treatment plans. It will dramatically reduce paperwork and help ensure vital warning signs aren’t missed. 

Cancer 360 is a prime example of the government’s commitment to reform – doing things differently by harnessing digital innovation to improve patient outcomes.

Following recent expansion of the NHS App, which has already stopped 1.5 million hospital appointments being missed and saved 5.7 million staff hours since July 2024, Cancer 360 demonstrates how we are continuing to drive the NHS from analogue to digital, giving patients better care and more control over their healthcare journey.

The investment comes from the Autumn Budget – where the government made difficult but necessary choices to put £26 billion in our NHS. This includes the biggest increase in NHS spending since 2010, excluding COVID-19 years – including £1 billion for digital transformation projects and £121 million for the NHS Federated Data Platform (FDP). While this investment is crucial, it’s the reforms in how we use these resources that will truly transform cancer care.

The new tool is built into the FDP, which brings patient information together from across separate systems into one safe and secure environment. Since April 2024, hospitals using the platform have typically performed 70,000 more procedures and reduced unnecessary hospital stays by almost 19% – treating more patients and freeing up valuable bed space.

Suraiya Abdi, Consultant Obstetrician and Gynaecologist, Chelsea and Westminster Foundation Trust said: “The implementation of Cancer 360 has enabled my team to monitor and safely carry our patients through their cancer pathway.

“The tool enables us to have in-depth conversations at our weekly meetings regarding a patient’s next step as well as allowing us to escalate queries directly to other teams for faster turnaround.

“The tool has reduced the amount of admin time spent by our cancer team therefore enabling them to focus on the patient journey. I have witnessed an improvement in performance, team spirit and most importantly patient experience.”

The government’s National Cancer Plan will transform the way we approach this disease, improving care and bringing this country’s cancer survival rates back up to the standards of the best in the world.

Through the Plan for Change, the UK government is driving forward work to develop innovative treatments and technologies for patients.

Last month the Prime Minister announced plans for a new health data research service, to transform access to NHS data so clinical trials can be fast-tracked to accelerate the development of the medicines and therapies of the future, in turn helping boost the UK’s world leading life sciences sector and drive growth. 

The National Institute for Health and Care Excellence also recently announced thousands of cancer patients will benefit from new artificial intelligence which detects skin cancer. In addition, it was confirmed that the NHS will become the first health system in Europe to offer a new injectable form of nivolumab – one of the most widely used cancer treatments in England. 

This forms part of the government’s wider ambitions to cut waiting lists under its Plan for Change.

With a total of 3 million additional appointments already delivered 6 months early, the government is exceeding its own targets and driving down waiting lists at pace, which have fallen for 6 months in a row and by 219,000 since July 2024 – evidence that reform and investment together can deliver real results for patients.

Progress in clearing longest health waits announced

More than 105,500 appointments and procedures were delivered by health boards last year through an additional £30 million of targeted investment – exceeding a pledge to carry out 64,000 appointments by the end of March 2025.

The funding was targeted at the longest waits and, as seen in latest published data, there have been reductions in waiting lists across a number of specialities. Between March 2024 and December 2024 there has been:

  • a 71% decrease in waits for Scopes at NHS Ayrshire & Arran
  • a 52% decrease in Imaging waits at NHS Fife
  • a 28% decrease in Ophthalmology waits at NHS Lothian
  • a 23% decrease in Urology waits at NHS Lanarkshire
  • a 10% decrease in Orthopaedic waits at NHS Highland.

Latest published statistics also show improved waiting times performance with diagnostic waits at their lowest since October 2021.

In April 2024 the Scottish Government funded NHS boards to deliver 64,000 procedures (40,000 diagnostic procedures, 12,000 surgeries and 12,000 new outpatient appointments) by the end of the year.

By March 2025, 10,700 surgeries and 15,800 outpatients appointments were delivered. Almost 79,000 diagnostic procedures took place – delivering almost double the original pledge of 40,000.

Health Secretary Neil Gray said: “We have delivered on our promise, exceeding our original target of 64,000 by more than 41,000 procedures – we have carried out nearly double the amount of diagnostic procedures originally pledged, with diagnostic waits now at the their lowest since October 2021.

“This is testament to hard work and dedication of our NHS staff and I thank them for their outstanding efforts.

“This is welcome progress and shows we are moving in the right direction.  But we know many people are still waiting too long and we are determined do more. That is why we are investing record amounts in our health service, targeting waiting list backlogs and delivering 150,000 additional appointments.   

“This government is focussed on taking the action needed to cut waiting lists and make it easier for patients to get access to the treatment they need.  Next week the First Minister will publish our Programme for Government, setting out how we will build on recent progress and further reduce patient waits in the year ahead.”

This is an update on progress previously reported in February this year – Pledge on waiting times exceeded – gov.scot

AI doctors’ assistant to speed up appointments a ‘gamechanger’

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.

14 Years of FREE Prescriptions under the SNP Government

14,520,670 PRESCRIPTIONS DISPENSED BY NHS LOTHIAN LAST YEAR – SAVING HOUSEHOLDS AN AVERAGE OF OVER £400

On the 14th anniversary of prescription charges being scrapped by the SNP Scottish Government, Gordon Macdonald MSP has highlighted that the policy saves the average household in Scotland over £400 a year.

Latest figures from the Scottish Parliament Information Centre (SPICe) show that over 113 million prescriptions, including 14,520,670 by NHS Lothian, were dispensed in Scotland in 2023/24 – meaning that on average people in Scotland received 20.8 prescriptions.

This means that based on the £9.90 charge currently in place in England, the average household in Scotland saved £436.72 in 2023/24 thanks to the policy.

In one of his first acts as Scottish Tory leader, Russell Findlay outlined his plans to re-introduce charges if he ever came to power – a move which would cost each person £206 per year on average. 

A report by Trussell Trust last year showed that in England, 68% of working households receiving Universal Credit have gone without essentials such as prescription medication due to the costs involved. 

SNP MSP Gordon Macdonald said: “The SNP is proud to have abolished prescription charges in Scotland, ensuring that everyone in Edinburgh has access to the medication they require based on their needs rather than the ability to pay.

“The SNP believe that healthcare should be free at the point of use for everyone. The prescription charges, which Russell Findlay plans to re-introduce, were nothing more than a tax on ill health.

“In the face of soaring energy bills, despite Labour’s promise to bring them down, people across the city are still living through a cost-of-living crisis – making it more important than ever that they can access the medical treatment they need without worrying about the cost.

”With Labour continuing to hint at an increased level of private healthcare involvement in the NHS, only the SNP can be trusted to put the people of Edinburgh first and protect them from having to pay for their vital medication.” 

Dispensing NHS Board Prescriptions items dispensed (total)
  
   
NHS Scotland 114,358,700
   
NHS Ayrshire and Arran 9,172,880
NHS Borders 2,615,030
NHS Dumfries & Galloway 4,062,010
NHS Fife 7,785,890
NHS Forth Valley 6,421,780
NHS Grampian 10,606,210
NHS Greater Glasgow & Clyde 26,355,740
NHS Highland 6,971,860
NHS Lanarkshire 15,807,560
NHS Lothian 14,520,670
NHS Orkney 410,830
NHS Shetland 569,610
NHS Tayside 8,356,630
NHS Western Isles 702,020

Startling collapse in NHS satisfaction since pandemic, with just 1 in 5 satisfied

RCEM: ‘The public has recognised tackling A&E waiting times is a priority – it’s time the government did the same’

The British public are deeply unhappy with the National Health Service – just 1 in 5 people (21%) in 2024 said they were satisfied with the way the NHS runs. That’s according to analysis of the latest British Social Attitudes survey (BSA) published today by the Nuffield Trust and The King’s Fund. Satisfaction has plummeted by 39 percentage points since the months before the pandemic.

6 in 10 people (59%) said they were ‘very’ or ‘quite’ dissatisfied with the NHS in 2024, a sharp rise from 52% in 2023. This is the highest level of dissatisfaction with the health service since the survey began in 1983. The survey, carried out by the National Centre for Social Research (NatCen) in September and October 2024, is seen as a gold-standard measure of public attitudes in Britain.[3]

The Nuffield Trust and The King’s Fund say that just 12% of people were satisfied with A&E waiting times and 23% with GP waiting times. People are unhappy about waiting times even if they are satisfied with the NHS overall, regardless of age, political affiliation or nation.

NHS staffing and spending are also worrying the public. Only 11% agreed that “there are enough staff in the NHS these days”. While a strong majority (69%) said the government spends too little or far too little on the NHS, only 14% agreed that “The NHS spends the money it has efficiently”. 

If forced to choose, the public would narrowly opt for increasing taxes and raising NHS spending (46%) over keeping them the same (41%). Only 8% would prefer tax reductions and lower NHS spending.

Despite low satisfaction with services, there remains strong majority support for the founding principles of the NHS: that it should “definitely or probably” be free at the point of use (90%), available to everyone (77%), and funded from general taxation (80%). However, the percentage of people saying that the NHS should “definitely” be available to everyone has decreased from 67% in 2023 to 56% in 2024. 
 
Other findings from Public satisfaction with the NHS and social care in 2024 include:

  • There is a divide between generations, with satisfaction lower and falling in younger age groups. While the proportion of people who were satisfied rose slightly between 2023 and 2024 for those aged 65+ from 25% to 27%, among those under 65 it fell significantly from 24% to 19%.
  • A significantly higher proportion of people in Wales (72%) were dissatisfied with the NHS compared to 59% in England and 60% in Scotland (the difference between England and Scotland is not statistically significant).
  • Public views of A&E services have worsened dramatically, with satisfaction falling from 31% to just 19%, and dissatisfaction rising from 37% to 52%. These are the worst figures on record by a large margin and make A&E the service with the lowest satisfaction levels for the first time.
  • Satisfaction with GP services continued to fall, mirroring the trend over the last few years, with 31% of members of the British public satisfied with GP services, compared with 34% in 2023.
  • Satisfaction with NHS dentistry has continued to collapse. As recently as 2019 this was at 60%, but it has now fallen to a record low of 20%. Dissatisfaction levels (55%) are the highest for any NHS service asked about.
  • Inpatient and outpatient hospital care remains the part of the NHS with the highest levels of satisfaction, with 32% satisfied and only 28% dissatisfied.
  • Satisfaction with social care remains worryingly low. In 2024, only 13% of respondents said they were ‘very’ or ‘quite’ satisfied with social care. 53% of respondents were ‘very’ or ‘quite’ dissatisfied.   

For the first time, people who support the Reform party have been included as a separate category in the analysis instead of being part of the ‘other parties’ group, to reflect the party’s increased share of the election vote. Supporters of the Reform party were less likely to be satisfied with the NHS (13%) than supporters of the other main parties. They are also less likely to believe in the founding principles of the NHS.  
 
Report author Bea Taylor, Fellow at The Nuffield Trust said: “Just five years after the British public were called on to “Protect the NHS” at the start of the pandemic, these findings reveal just how dismayed they are about the state of the NHS today. We found that every group in Britain is dissatisfied with access to vital services such as A&E and GP appointments.

“The government says the NHS is broken, and the public agree. But support for the core principles of the NHS – free at the point of use, available to all and funded by taxation – endures despite the collapse in satisfaction. Harnessing this support and fixing the foundations of the NHS must be central to the government’s forthcoming reform programme.” 

Dan Wellings, Senior Fellow at The King’s Fund said: “The latest results lay bare the extent of the problems faced by the NHS and the size of the challenge for the government. While the results are sobering, they should not be surprising. For too many people the NHS has become difficult to access: how can you be satisfied with a service you can’t get into? 

“In 2010, seven out of ten people were satisfied with the NHS – it is now down to only one in five. The scale of the decline over the last few years has been dramatic. The results show that people do not want a different funding model, but they do want the NHS to start working for them again and they want it to have the staff and the money it needs to ensure that happens. The public are also clear that the NHS needs to get better at spending the money it does get more efficiently.

“The government’s focus on bringing down hospital waiting lists may address one area of the public’s concerns, but this year’s BSA shows that all areas are flashing red, particularly A&E. Voters are impatient for change, and Ministers will need to demonstrate rapid improvement, but that should not come at the cost  of the bigger, whole-system reforms that are needed to create a truly sustainable health service. These results will form the baseline from which the new Labour government’s reform plans to ‘fix’ the NHS will be judged.” 

In an accompanying foreword to the report, Nuffield Trust and King’s Fund Chief Executives Thea Stein and Sarah Woolnough say: “The government now finds itself walking a fine line between meeting public demands for rapid improvements on waiting times and avoiding the pitfall of throwing more money – of which there is virtually none – at a system in need of deeper reform.” 

The Chief Executives argue that ministers will need to meet public demand for improving A&E, GP appointments and dental care, but they should not lose sight of the much bigger prize of longer-term, sustainable reform focused around shifting care from hospital and moving the NHS from a sickness to a health service.

Politicians must make addressing the Emergency Care crisis a political priority as new research reveals that public satisfaction in A&E services has reached an all-time low.

That’s the call from The Royal College of Emergency Medicine (RCEM) and comes as the findings of the latest British Social Attitudes survey (BSA) Public satisfaction with the NHS and social care in 2024 have been published today (2 April 2025) showing satisfaction with A&E services has plummeted.

The survey, carried out by the National Centre for Social Research (NatCen) from 16 September to 27 October 2024 for The King’s Fund and the Nuffield Trust, asked 2,945 people across England, Scotland and Wales, for their thoughts on the NHS and adult social care services.

It also questioned 933 people about their satisfaction with specific NHS services, as well as their views on NHS priorities, principles and funding. 

The research – which has been carried out every year since 1983 – found:

  • More than half (52%) of respondents were dissatisfied with NHS A&E services – the highest on record – up 15% from 37% in 2023. Those who were satisfied stood at 19% – a fall from 31% the previous year.
  • 69% of people were very or quite dissatisfied with the length of time it took to be seen in A&E
  • The most important priorities cited by respondents for the NHS included ‘improving waiting times in A&E (49%), which was considered the second most important – behind access to GPs but ahead of elective care waiting lists.

RCEM President, Dr Adrian Boyle, said: “This annual survey is a barometer of public feeling and people – voters – have given their verdict loudly and clearly.

“The public aren’t daft and can see what is happening in our Emergency Departments. I worry that this situation stops people attending when they should.

“But it is hardly surprising when the message from the Westminster government is that the health service is broken. If that is their assessment, they must get on with the job of fixing it. And it is fixable.

“The public has stated that, behind GPs, the service they most want prioritised is A&E, but we only ever hear about what has been done to improve elective waiting times.

“The public has identified A&E as a priority. It is time the government did the same.”

The survey also revealed:

  • In 2024, just one in five British adults (21%) were ‘very’ or ‘quite’ satisfied with the way in which the NHS runs. This is the lowest level of satisfaction recorded since the survey began.
  • Only 13% of respondents said they were ‘very’ or ‘quite’ satisfied with social care (the same figure as 2023). 53% of respondents were ‘very’ or ‘quite’ dissatisfied
  • Satisfaction with GP services continued to fall, mirroring the trend over the last few years. 31% of respondents said they were satisfied with GP services, compared with 34% in 2023
  • 62% were very or quite dissatisfied with the length of time it takes to get a GP appointment, and 65% for the length of time it takes to get hospital care.
  • Most (44%) believe the government is spending too little money on the NHS
  • More than 75% continue to support the founding principles of the NHS, with little sign of change compared to the previous year. However, the proportion ‘definitely’ agreeing that it should be available to everyone fell significantly from 67% to 56%.

The BSA follows a survey by Ipsos Mori conducted in February 2025 which revealed that almost 80% of people polled would avoid attending an A&E because they were worried about ending up waiting for hours on a trolley in a corridor.  

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.