New figures show over 1,503 extra GPs have been hired through new scheme since 1 October
Major recruitment boost comes after government removed red tape which made it difficult for surgeries to hire doctors
Increased GP capacity will help fix the front door of the NHS and increase appointments to bring back the family doctor
Milestone builds on Plan for Change’s progress, which has delivered two million appointments seven months early, and cut waiting lists by 193,000
New figures show an extra 1,503 GPs have been recruited since 1 October – thanks to government action.
The recruitment boost, part of the government’s Plan for Change will help to end the scandal of patients struggling to see a doctor – easing pressure on GPs and cutting waiting lists. Alongside changes to the GP contract for 2025-26, these additional GPs will help end the 8am scramble for appointments which so many patients currently endure every day.
When the government came into office, unnecessary red tape was preventing practices from hiring newly qualified GPs, meaning more than 1,000 were due to graduate into unemployment. At the same time, there were also 1,399 fewer fully qualified GPs than a decade prior, showing how years of underfunding and neglect had eroded GP services.
The government cut the red tape and invested an extra £82 million to allow networks of practices to hire the GPs, with the funding continuing past this year thanks to the extra funding announced at the Budget.
People in communities across England will be more readily able to receive the timely care they deserve, helping to shift healthcare from hospitals to the community.
Health and Social Care Secretary, Wes Streeting, said: “Rebuilding our broken NHS starts with fixing the front door. We inherited a ludicrous situation where patients couldn’t get a GP appointment, while GPs couldn’t get a job. By cutting red tape and investing more in our NHS, we have put an extra 1,503 GPs into general practice to deliver more appointments.
“The extra investment and reforms we have made will allow patients to book appointments more easily, to help bring back the family doctor and end the 8am scramble.
“It is only because of the necessary decisions we took to increase employer National Insurance that we are able to recruit more GPs and deliver better services for patients. The extra investment and reform this government is making, as part of its Plan for Change, will get the NHS back on its feet and make it fit for the future.”
Dr Amanda Doyle, National Director for Primary Care and Community Services, said: “I would like to thank the general practice teams that have employed significantly more than the 1,000 extra GPs promised to provide care for patients.
“Improving access to general practice is an NHS priority and GP teams are delivering 29 million appointments every month – up a fifth since before the pandemic.
“But we have more to do to make it easier for patients to see their local GP, so practice teams should continue to use this funding to best effect by recruiting more GPs, so more patients can be seen more quickly.”
The recruitment of an additional 1,503 GPs was made possible by the ‘tough but fair’ decisions the Chancellor took at the Budget to fix the foundations of the NHS, enabling the government to provide almost £26 billion to get the NHS back on its feet and make it fit for the future.
Thanks to these decisions, the government has already delivered over two million extra appointments since July, meeting its target seven months early, and brought the waiting list down by 193,000.
Last year, the department added GPs to the additional roles reimbursement scheme (ARRS) and provided extra funding, meaning that GPs could be recruited more quickly by primary care networks (PCNs).
The government has since provided the biggest boost to GP funding in years – an extra £889 million on top of the existing budget for general practice in 2025-26.
The investment comes alongside new reforms to modernise general practice. GP surgeries must now allow patients to request appointments online throughout working hours from October, freeing up the phones for those who want to book over the phone, and making it easier for practices to triage patients based on medical need. More patients will also be able to book appointments with their regular doctor if they choose to, to bring back the family doctor.
Cutting waiting times and improving access to health care for patients is one of the government’s top priorities in its Plan for Change which is driving forward reform of the health service to rebuild our NHS and improve living standards, which are growing at their fastest rate in two years.
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.
Ending NHS England will ‘reduce bureaucracy, make savings and empower NHS staff to deliver better care for patients’
Major reforms to empower NHS staff and put patients first
Changes will drive efficiency and empower staff to deliver better care as part of Prime Minister’s Plan for Change
Move will reduce complex bureaucracy and undo the damage caused by 2012 reorganisation
Reforms to reduce bureaucracy, make savings and empower NHS staff to deliver better care for patients have been set out today by the Prime Minister, Keir Starmer.
NHS England will be brought back into the Department of Health and Social Care (DHSC) to put an end to the duplication resulting from 2 organisations doing the same job in a system currently holding staff back from delivering for patients.
By stripping back layers of red tape and bureaucracy, more resources will be put back into the front line rather than being spent on unnecessary admin.
The reforms will reverse the 2012 top-down reorganisation of the NHS which created burdensome layers of bureaucracy without any clear lines of accountability. As Lord Darzi’s independent investigation into the state of the NHS found, the effects of this are still felt today and have left patients worse off under a convoluted and broken system.
The current system also penalises hardworking staff at NHS England and DHSC who desperately want to improve the lives of patients but who are being held back by the current overly bureaucratic and fragmented system.
Health and Social Care Secretary, Wes Streeting, said: “This is the final nail in the coffin of the disastrous 2012 reorganisation, which led to the longest waiting times, lowest patient satisfaction and most expensive NHS in history.
“When money is so tight, we cannot justify such a complex bureaucracy with 2 organisations doing the same jobs. We need more doers and fewer checkers, which is why I’m devolving resources and responsibilities to the NHS frontline.
“NHS staff are working flat out but the current system sets them up to fail. These changes will support the huge number of capable, innovative and committed people across the NHS to deliver for patients and taxpayers.
“Just because reform is difficult does not mean it should not be done. This government will never duck the hard work of reform.
“We will take on vested interests and change the status quo, so the NHS can once again be there for you when you need it.”
Sir James Mackey, who will be taking over as Transition CEO of NHS England, said: “We know that while unsettling for our staff, today’s announcement will bring welcome clarity as we focus on tackling the significant challenges ahead and delivering on the government’s priorities for patients.
“From managing the COVID pandemic, the biggest and most successful vaccine campaign which got the country back on its feet, to introducing the latest, most innovative new treatments for patients, NHS England has played a vital role in improving the nation’s health. I have always been exceptionally proud to work for the NHS – and our staff in NHS England have much to be proud of.
“But we now need to bring NHS England and DHSC together so we can deliver the biggest bang for our buck for patients, as we look to implement the 3 big shifts – analogue to digital, sickness to prevention and hospital to community – and build an NHS fit for the future.”
Incoming NHS England chair, Dr Penny Dash, said: “I am committed to working with Jim, the board and wider colleagues at NHS England to ensure we start 2025 to 2026 in the strongest possible position to support the wider NHS to deliver consistently high-quality care for patients and value for money for taxpayers.
“I will also be working closely with Alan Milburn to lead the work to bring together NHS England and DHSC to reduce duplication and streamline functions.”
Work will begin immediately to return many of NHS England’s current functions to DHSC. A longer-term programme of work will deliver the changes to bring NHS England back into the department, while maintaining a ‘laser-like focus’ on the government’s priorities to cut waiting times and responsibly manage finances.
It will also realise the untapped potential of the NHS as a single payer system, using its centralised model to procure cutting-edge technology more rapidly, get a better deal for taxpayers on procurement and work more closely with the life sciences sector to develop the treatments of the future.
The reforms to deliver a more efficient, leaner centre will also free up capacity and help deliver significant savings of hundreds of millions of pounds a year, which will be reinvested in frontline services to cut waiting times through the government’s Plan for Change.
The changes will crucially also give more power and autonomy to local leaders and systems – instead of weighing them down in increasing mountains of red tape, they will be given the tools and trust they need to deliver health services for the local communities they serve with more freedom to tailor provision to meet local needs.
The number of people working in the centre has more than doubled since 2010, when the NHS delivered the shortest waiting times and highest patient satisfaction in its history. Today, the NHS delivers worse care for patients but is more expensive than ever, meaning that taxpayers are paying more but getting less.
Too much centralisation and over-supervision has led to a tangled bureaucracy, which focuses on compliance and box-ticking, rather than patient care, value for money and innovation. In one example, highlighted by Dame Patricia Hewitt’s 2023 review, one integrated care system received 97 ad-hoc requests in a month from DHSC and NHS England, in addition to the 6 key monthly, 11 weekly and 3 daily data returns.
The review also revealed the challenges caused by duplication – citing examples of tensions, wasted time and needless frictional costs generated by uncoordinated pursuit of organisational goals that do not take account of their wider effects.
Substantial reform, not just short term investment, is needed to deliver the government’s Plan for Change mission to get the NHS back on its feet and fit for the future, and this announcement is one of a series of steps the government is taking to make the NHS more productive and resilient so that it can meet the needs of the population it cares for.
NHS England’s new leadership team, Sir Jim Mackey and Dr Penny Dash, will lead this transformation while re-asserting financial discipline and continuing to deliver on the government’s priority of cutting waiting times through the Plan for Change.
These reforms will provide the structure necessary to drive forward the 3 big shifts identified by government as crucial to building an NHS fit for the future – analogue to digital, sickness to prevention and hospital to community.
Since July, the government has already taken significant steps to get the NHS back on its feet, including bringing an end to the resident doctor strikes, delivering an extra 2 million appointments 7 months early and cutting waiting lists by 193,000 since July.
Commenting on the Prime Minister’s announcement that NHS England is to be abolished, UNISON general secretary Christina McAnea said: “Everyone wants more to be spent on frontline services so the sick and injured can be treated sooner.
“Delays and long waits for operations and appointments have left several million unable to work, with a knock-on effect on economic growth.
“More of a focus and greater investment in the entire NHS team of staff, not just nurses and doctors, would help turn around the fortunes of a floundering NHS.
“Put simply the health service needs thousands more staff and to be able to hold on to experienced employees. At the moment, it’s struggling to do that. Giving staff a decent pay rise would help no end.
“But this announcement will have left NHS England staff reeling. Just days ago they learned their numbers were to be slashed by half, now they discover their employer will cease to exist.
“The way the news of the axing has been handled is nothing short of shambolic. It could surely have been managed in a more sympathetic way.
“Thousands of expert staff will be left wondering what their future holds. Wherever possible, their valuable skills must be redeployed and used to the benefit of the reformed NHS and patients.
“Ministers have to reassure employees right across the NHS that there’s a robust plan to rejuvenate a flailing NHS and deliver for working people.”
Following Sir Keir Starmer’s announcement to scrap NHS England, a leading cybersecurity expert has warned the move could leave the health service dangerously exposed to cyberattacks.
While the proposed reforms aim to cut bureaucracy and streamline services, he warns that removing NHS England’s centralised cybersecurity infrastructure is “like a hospital suddenly removing its emergency department and expecting patients to fend for themselves.”
Graeme Stewart, head of public sector at Check Point Software, said, “While the Prime Minister’s sweeping reforms cover everything from cutting red tape to reining in bureaucracy, one critical area must not be left in the lurch: our cybersecurity defences. Scrapping NHS England’s centralised services is not just a bureaucratic shake-up; it’s like a hospital suddenly removing its emergency department and expecting patients to fend for themselves.
“At present, NHS England provides the backbone for our cyber defences, from a unified email service to specialised threat protection. Removing these central functions risks leaving individual NHS Trusts to fend off cyberattacks with a patchwork of under-resourced teams. As the adage goes, ‘a chain is only as strong as its weakest link,’ and our cyber chain is already under severe strain with attacks on the rise.
“Moreover, dismantling these central services could open the door for a surge of third-party suppliers to step in. While more suppliers might seem like a win for competition, it also fragments our defence and leaves us vulnerable; each new supplier is a potential weak link in our security armour.
“We need a robust, unified security system that acts like a digital fortress, not a hodgepodge of outsourced patches. In the midst of these broad reforms, let’s ensure the cyber element isn’t left out in the cold. Our digital defences must be retained or replaced with an equally robust solution; otherwise, we’re setting the stage for a cyber disaster.”
Health and Social Care Secretary will outline how government and NHS leaders have a duty to patients and taxpayers to get the system working well
Wes Streeting to reveal package of reforms and announce new league table of NHS England providers, with top talent attracted to most challenging areas and persistently failing managers to be sacked
Turn around teams sent into struggling hospitals, while best performers given greater freedoms over funding to modernise technology and equipment
No more rewards for failure, with reforms to ensure every penny of extra investment into NHS is well spent and waiting times for patients slashed
NHS league tables will be introduced to help tackle the NHS crisis and ensure there are ‘no more rewards for failure’, as part of a tough package of reforms to be announced by the Health and Social Care Secretary Wes Streeting today (Wednesday 13 November).
Addressing the nation’s health leaders at the NHS Providers’ annual conference in Liverpool, he will outline how government and NHS leaders have a duty to patients and taxpayers to get the system working well and get better value for money.
NHS England will carry out a no holds barred sweeping review of NHS performance across the entire country, with providers to be placed into a league table. This will be made public and regularly updated to ensure leaders, policy-makers and patients know which improvements need to be prioritised.
Persistently failing managers will be replaced and turn around teams of expert leaders will be deployed to help providers which are running big deficits or poor services for patients, offering them urgent, effective support so they can improve their service.
High-performing providers will be given greater freedom over funding and flexibility. There is little incentive across the system to run budget surpluses as providers can’t benefit from it. The reforms today will reward top-performing providers and give them more capital and greater control over where to invest it in modernising their buildings, equipment and technology.
The government will deliver a health service fit for the future, fixing the foundations while delivering change with investment and reform to deliver growth, get the NHS back on its feet, and rebuild Britain.
Health and Social Care Secretary Wes Streeting said: “The Budget showed this government prioritises the NHS, providing the investment needed to rebuild the health service. Today we are announcing the reforms to make sure every penny of extra investment is well spent and cuts waiting times for patients.
“There’ll be no more turning a blind eye to failure. We will drive the health service to improve, so patients get more out of it for what taxpayers put in.
“Our health service must attract top talent, be far more transparent to the public who pay for it, and run as efficiently as global businesses.
“With the combination of investment and reform, we will turn the NHS around and cut waiting times from 18 months to 18 weeks.”
Amanda Pritchard, NHS chief executive said: “While NHS leaders welcome accountability, it is critical that responsibility comes with the necessary support and development.
“The extensive package of reforms, developed together with government, will empower all leaders working in the NHS and it will give them the tools they need to provide the best possible services for our patients.”
The NHS Oversight Framework which sets out how trusts and integrated care boards are best monitored – will be updated by the next financial year to ensure performance is properly scrutinised.
Deep dives into poorly performing trusts will be carried out by the government and NHS England to identify the most pressing issues and how they can be resolved.
Louise Ansari, Chief Executive of Healthwatch England: “People value the hard work of NHS staff, but it’s frustrating when services fail to operate effectively. So, a fresh approach to improving NHS performance is welcome.
“Currently, living in an area with either an outstanding or poorly performing NHS trust feels like a postcode lottery. When a service is underperforming, it often takes far too long for patients to see the necessary improvements.
“This is because the current system focuses on evaluating service performance based on the number of tasks it completes and it does not do enough to measure patients’ overall outcomes and experiences.
“Establishing a better system that encourages NHS managers to focus on delivering the best care as efficiently as possible, and leads to quicker changes at struggling trusts, would be good news for everyone.”
NHS senior managers who fail to make progress will also be ineligible for pay increases. There will be financial implications for Very Senior Managers (VSMs) such as Chief Executives if they are failing to improve their trust’s performance, or letting patients down with poor levels of care.
A new pay framework for VSMs will be published before April 2025. Senior leaders who are successfully improving performance will be rewarded, to ensure the NHS continues to develop and attract the best talent to the top positions.
The changes are made in response to Lord Darzi’s investigation into the NHS, which found that: “The only criteria by which trust chief executive pay is set is the turnover of the organisation. Neither the timeliness of access nor the quality of care are routinely factored into pay. This encourages organisations to grow their revenue rather than to improve operational performance.”
The cost to the health service of hiring temporary workers sits at a staggering £3 billion a year. Under joint plans to be put forward for consultation in the coming weeks, NHS trusts could be banned from using agencies to hire temporary entry level workers in band 2 and 3, such as healthcare assistants and domestic support workers. The consultation will also include a proposal to stop NHS staff resigning and then immediately offering their services back to the health service through a recruitment agency.
Rachel Power, Chief Executive, Patients Association: “We welcome today’s commitment to improving NHS performance and accountability. These reforms signal an important drive for positive change in our health system. The focus on tackling poor performance and rewarding excellence sends a clear message about raising standards across the NHS.
“At the same time, we know from the experience of patients, that real transformation comes through genuine partnership with patients. We look forward to working with NHS England to ensure patient voices help shape how any league tables are developed and how success is measured.
“The proposed support teams for struggling trusts could be particularly effective if they include patient representatives and focus on building a culture of patient partnership. This is an opportunity to combine better management with deeper patient involvement – creating an NHS that is both more efficient and more responsive to people’s needs.
“We hope trusts who receive greater funding freedom will use this money wisely – to cut waiting times, make the waiting experience better for patients, and strengthen the ways they work with patients to improve services. These are the things that matter most to people using the NHS.”
Lord Darzi’s investigation into the NHS found that hospital productivity has ‘nosedived’ in the past five years. During that time resources have increased by 20%, but the number of patients treated has only increased by 3%.
This comes a month after the Health and Social Care Secretary kicked off the biggest national conversation about the future of the NHS since its birth, calling on the entire country to share their experiences of our health service and help shape the government’s 10 Year Health Plan.
Members of the public, as well as NHS staff and experts, are sharing their experiences, views and ideas for fixing the NHS via the Change NHS online platform, which will be live until the start of next year, and available via the NHS App.
PM to pledge ‘the biggest reimagining of our NHS since its birth’
PM to set out plan for long term, fundamental reform to fix broken NHS
Lord Darzi’s independent investigation concludes NHS is in ‘critical condition’
Findings provide a diagnosis of the challenges facing the health service, which will inform government’s 10 year plan to reform the NHS
The PM will pledge the ‘biggest reimagining of our NHS since its birth’ in a speech this morning [12 September 2024], following the publication today of a full and independent investigation into the state of the NHS.
Lord Ara Darzi’s probe has concluded the service is in a ‘critical condition’ amidst surging waiting lists and a deterioration in the nation’s underlying health, identifying serious and widespread problems for people accessing services.
The PM will say that the scale of the damage done to the NHS revealed by the report is “unforgivable”, recognising the tragic consequences for too many patients and their families: “People have every right to be angry. It’s not just because the NHS is so personal to all of us – it’s because some of these failings are life and death.
“Take the waiting times in A&E. That’s not just a source of fear and anxiety – it’s leading to avoidable deaths.
“People’s loved ones who could have been saved. Doctors and nurses whose whole vocation is to save them – hampered from doing so. It’s devastating.
He will also address the causes behind the state of the NHS, including the long term impacts of the 2012 Health and Social Care Act which is described in the report as “a calamity without international precedent” which “proved disastrous”, as well as the far reaching consequences of underinvestment throughout the 2010s.
The PM is expected to say: “Our NHS went into the pandemic in a much more fragile state.
“We had higher bed-occupancy rates, fewer doctors, fewer nurses and fewer beds than most other high income health systems in the world.
“And let’s be clear about what caused that…a “scorched earth” approach to health reform, the effects of which are still felt to this day.
“Lord Darzi describes [the 2010s] as “the most austere decade since the NHS was founded”. Crumbling buildings, decrepit portacabins, mental health patients accommodated in Victorian-era cells infested with vermin.
“The 2010s were a lost decade for our NHS…which left the NHS unable to be there for patients today, and totally unprepared for the challenges and opportunities of tomorrow.”
As well as recognising the cost to people’s health, the PM will also address the inextricable link between the state of the NHS and the nation’s economy: It’s not just the state of our National Health Service in crisis – it’s also the state of our national health.
“There are 2.8 million people economically inactive due to long term sickness, and more than half of those on the current waiting lists for inpatient treatment are working age adults.
“Getting people back to health and work will not only reduce the costs on the NHS, it will drive economic growth – in turn creating more tax receipts to fund public services.
In the face of these dire findings and the growing pressures on the NHS from an ageing society and preventable illnesses, the PM will set out his belief in the ‘profound responsibility’ of government to do the hard work necessary to tackle them: “What we need is the courage to deliver long-term reform – major surgery not sticking plaster solutions.
“The NHS is at a fork in the road, and we have a choice about how it should meet these rising demands.
“Raise taxes on working people to meet the ever-higher costs of aging population – or reform to secure its future.
“We know working people can’t afford to pay more, so it’s reform or die.”
Rooted in Lord Darzi’s diagnoses of the challenges facing the NHS, the Prime Minister will outline three fundamental areas of reform and the imperative to work with staff and patients throughout this process.He is expected to say: “”This government is working at pace to build a Ten-Year Plan. Something so different from anything that has come before.
“Instead of the top-down approach of the past, this plan is going to have the fingerprints of NHS staff and patients all over it.
“And as we build it together, I want to frame this plan around three big shifts – first, moving from an analogue to a digital NHS. A tomorrow service not just a today service.
“Second, we’ve got to shift more care from hospitals to communities… And third, we’ve got to be much bolder in moving from sickness to prevention.
“Only fundamental reform and a plan for the long term can turn around the NHS and build a healthy society. It won’t be easy or quick. But I know we can do it.
“The challenge is clear before us; the change could amount to the biggest reimagining of our NHS since its birth.”
Lord Darzi is an independent peer and practising surgeon with 30 years’ experience in the NHS. He examined over 600 pieces of analysis from DHSC, NHS England and external organisations during his investigation. His report will inform the government’s 10-year plan to reform the health service.
Lord Darzi said: “Although I have worked in the NHS for more than 30 years, I have been shocked by what I have found during this investigation – not just in the health service but in the state of the nation’s health.
“We want to deliver high quality care for all but far too many people are waiting for too long and in too many clinical areas, quality of care has gone backwards.
“My colleagues in the NHS are working harder than ever but our productivity has fallen.
“We get caught up frantically trying to find beds that have been axed or using IT that is outdated or trying to work out how to get things done because operational processes are overwhelmed. It sucks the joy from our work – we became clinicians to help patients get better, not to go into battle with a broken system.
“We need to rebalance the system towards care in the community rather than adding more and more staff to hospitals. And we need a more honest conversation about performance – the NHS is now an open book.
“In the last 15 years, the NHS was hit by three shocks – austerity and starvation of investment, confusion caused by top-down reorganisation, and then the pandemic which came with resilience at an all-time low. Two out of three of those shocks were choices made in Westminster.
“It took more than a decade for the NHS to fall into disrepair so it’s going to take time to fix it. But we in the NHS have turned things around before, and I’m confident we will do it again.”
Despite the damning analysis, Lord Darzi insists the NHS’s vital signs ‘remain strong’ and he praised staff for their ‘shared passion and determination to make the NHS better for our patients’.
In carrying out the review, Lord Darzi brought more than 70 organisations together in an Expert Reference Group and sought input from NHS staff and patients through focus groups and frontline visits.
Responding to the report, Secretary of State Wes Streeting said: “I asked Lord Darzi to tell hard truths about the state of the NHS. He has produced an honest, expert, comprehensive report on the appalling state our health service is in.
“Today’s findings will inform our 10-year plan to radically reform the NHS and get patients treated on time again.
“The damage done to the NHS has been more than a decade in the making. We clearly have a long road ahead. But while the NHS is broken, it’s not beaten. We will turn the NHS around so it is there for you when you need it, once again.”
Today’s report has been welcomed by NHS England and health organisations who have pledged to work closely with the government on its mission to rebuild the NHS.
Amanda Pritchard, NHS England Chief Executive, said: “As this report sets out, staff are the beating heart of the NHS with a shared passion and determination for making the NHS better for patients – but it is also clear they are facing unprecedented challenges.
“Our staff are treating record numbers of patients every day despite ageing equipment and crumbling buildings, a surge in multiple long-term illnesses, and managing the long-lasting effects of the pandemic.
“While teams are working hard to get services back on track, it is clear waiting times across many services are unacceptable and we need to address the underlying issues outlined in Lord Darzi’s report so we can deliver the care we all want for patients.
“As Lord Darzi rightly points out, many of the solutions can be found in parts of the NHS today. That is why we are fully committed to working with government to create a 10-year plan for healthcare to ensure the NHS recovers from Covid, strengthens its foundations and continues to reform so it is fit for future generations”
Key findings from Lord Darzi’s 142-page report include:
Deterioration: The health of the nation has deteriorated over the past 15 years, with a substantial increase in the number of people living with multiple long-term conditions.
Spending: Too great a share of the NHS budget is being spent in hospitals, too little in the community, and productivity is too low.
Waiting times: Waiting lists have swelled and waiting times have surged, with A&E queues more than doubling from an average of just under 40 people on a typical evening in April 2009 to over 100 in April 2024. 1 in 10 patients are now waiting for 12 hours or more.
Cancer care: The UK has appreciably higher cancer mortality rates than other countries, with no progress whatsoever made in diagnosing cancer at stage one and two between 2013 and 2021.
Lasting damage: The Health and Social Care Act of 2012 did lasting damage to the management capacity and capability of the NHS. It took 10 years to return to a sensible structure, and the effects continue to be felt to this day.
Productivity: Too many resources have been being poured into hospitals where productivity had substantially fallen, while too little has been spent in the community.
Responding to the publication of Professor Lord Darzi’s Independent Investigation of the National Health Service in England, Nuffield Trust Chief Executive Thea Stein said:“Lord Darzi’s damning report underlines the stark realities experienced across almost every corner of the health service.
“Wide-ranging problems have been growing in plain sight for years and Darzi’s impressively comprehensive assessment will be familiar to anyone who has studied or experienced the slow deterioration of health care provision in England.
“While not surprising, the report’s findings are deeply troubling. As our research work has repeatedly shown, too often the NHS is not able to provide people with the timely care they need, despite steadfast public commitment to the core principles of the health service. The impacts of this are not felt equally: people in the poorest areas are particularly struggling to access healthcare.
“The big question now is what happens next.
“The Government has an early opportunity to make good on long-argued points on dysfunctional NHS funding in its first Budget next month. The health service is staring down the barrel of a significant shortfall in funding this current year [2] and the Chancellor will need to set out clear plans to tackle this, ahead of a longer-term funding settlement.
“Rightly, the report repeatedly references the interrelated, compounding pressures of the desperate state of social care and cuts to public health provision. But by design it does not dig into those issues. In future, we hope to see serious work by the government to address those broader societal issues that determine population health and impact health care access.
“Ultimately, the Lord Darzi’s diagnostic report sets out important aspirations to be delivered in the forthcoming 10-year plan to treat – and fix – the NHS. But the improvements we all hope for – and that patients desperately need – will take time, commitment and major financial, practical and system-wide support. There will be no quick fixes.”
Millions at risk from ‘silent killer’ as NHS campaign warns there are often ‘no clues’ when it comes to high blood pressure
Up to 4.2 million people in England could be living with undiagnosed high blood pressure, according to NHS.
The ‘silent killer’ often has no symptoms but if left untreated, can lead to fatal heart attacks, strokes, kidney disease and vascular dementia.
New survey data shows that despite the majority of high blood pressure cases being asymptomatic, only one in 14 respondents (7 per cent) thought the condition has no symptoms.
The Get Your Blood Pressure Checked campaign has been launched to highlight that there are often ‘no clues’ as to who has high blood pressure – backed by Gloria Hunniford and Graeme Souness.
With the NHS expanding blood pressure checks in community pharmacies – including capacity for an additional 2.5 million tests – the national campaign is urging those aged 40 years and over to get a free blood pressure test at a participating pharmacy.
Campaign backed by British Heart Foundation, Stroke Association, Heart Research UK, Blood Pressure UK, May Measurement Month, British Society for Heart Failure, and more.
Today, the NHS is launching a new national campaign to find the ‘missing millions’ who have undiagnosed high blood pressure.
High blood pressure, often described as a ‘silent killer’, affects an estimated 32 per cent of adults. As the condition rarely has any symptoms, approximately three in 10 of these remain undiagnosed, equating to 4.2 million people in England.
The public are today being warned that there are often ‘no clues’ about who might have high blood pressure – the only way to know is to have a simple test.
With the NHS announcing an additional 2.5 million blood pressure checks in community pharmacies over this year and next, those aged 40 years and over are now being urged to get a free blood pressure test at a participating pharmacy. The procedure is quick, non-invasive and you don’t need to book in advance.
This comes as new survey data reveals widespread misconceptions about the condition among those at risk.
Despite the majority of high blood pressure cases being asymptomatic, only one in 14 respondents (7 per cent) thought the condition has no symptoms. The survey also revealed one in six (17 per cent) of those surveyed have been put off having a blood pressure check because they don’t feel unhealthy or stressed.
Health Minister Andrea Leadsom said: “Millions of adults in England unknowingly have high blood pressure, without experiencing any symptoms. As part of our Pharmacy First programme, the NHS has expanded its pharmacy offering to include 2.5 million more blood pressure checks within local pharmacies.
“Knowing if you have a healthy blood pressure is so important and this new drive will help to prevent the potentially fatal consequences of untreated high blood pressure. I urge people to go to their local pharmacy today to get their blood pressure checked. It could be a lifesaving trip.”
Left untreated, high blood pressure can lead to heart attacks, strokes, kidney disease and vascular dementia.
However, the survey of over 2,000 adults aged 40 and over revealed worrying numbers who don’t know the potentially fatal effects of high blood pressure – with four in 10 (41 per cent) unaware that, if left untreated, high blood pressure can lead to heart disease, and over a fifth (22 per cent) being unaware that it can cause strokes and heart attacks.
To encourage more over 40s to come forward for potentially life-saving blood pressure checks, new advertising features a fictional detective struggling to solve the mystery of high blood pressure, due to a lack of ‘clues’ and ‘insufficient evidence’.
The campaign is being backed by Graeme Souness, TV pundit and former footballer, who is affected by high blood pressure and had a heart attack, and Gloria Hunniford, TV presenter and broadcaster, whose dad and husband have suffered strokes.
The pair appear alongside other patients affected by the condition, and pharmacist Deepak Bilakhia, in a mock police line-up to demonstrate how any of us could be unknowingly walking around with the condition.
Gloria Hunniford said: “This campaign is very close to my heart – both my husband and my father sadly suffered from a number of strokes due to high blood pressure, so I know from personal experience just how important it is to get your blood pressure checked, even if you feel healthy.
“That’s why I’m so pleased to hear that pharmacies offer free, quick blood pressure checks for people aged 40 and over – thankfully, this really will save lives.”
Graeme Souness said: “It’s so important to get your blood pressure checked – in my experience, high blood pressure doesn’t only affect the ‘usual suspects’, it can and does affect anyone so you could be at risk without knowing it.
“I’ve had high blood pressure for years but have been able to manage it with a routine of healthy eating, regular fitness and regular blood pressure checks.”
It is hoped that the campaign will urge those at risk to prioritise getting their blood pressure checked, even if they have no symptoms – after the survey revealed that blood pressure checks are low on the list of people’s annual priorities.
The majority of those at risk currently prioritise annual tasks such as getting their car MOT’d (56 per cent), getting their boiler serviced (55 per cent) or renewing insurances (60 per cent), above checking their blood pressure (43 per cent) – despite its life saving potential.
Meanwhile two in five (44 per cent) were not aware they could get a free blood pressure check at a pharmacy, with even more being unaware that they do not need an appointment (59 per cent).
Chief Medical Officer for England Sir Professor Chris Whitty said: “High blood pressure usually has no symptoms but can lead to serious health consequences such as a fatal heart attack, a stroke, kidney disease and vascular dementia.
“The only way to know if you have high blood pressure is to get a simple, non-invasive blood pressure test. Even if you are diagnosed, the good news is that it’s usually easily treatable.
“Getting your blood pressure checked at a local pharmacy is free, quick and you don’t even need an appointment, so please go for a check today – it could save your life.
Helen Williams, Pharmacist and National Clinical Director for CVD Prevention, NHS England said: “It can be easy to dismiss the risks of stroke and heart attack associated with high blood pressure, especially as it often has no signs or symptoms so I would encourage everyone over the age 40 to know their blood pressure numbers.
“With thousands of pharmacies across the country now offering free blood pressure checks with healthy living advice, it’s a quick, easy and convenient way to keep on top of your cardiovascular health at a time and place that suits you.”
Deepak Bilakhia, a Nottingham based community pharmacist, said: “Campaigns like this are so important because high blood pressure can be a silent killer and really can affect anyone, including those with no symptoms at all.
“Too many people are unaware that pharmacies offer this kind of service, without needing to book an appointment.
“So, if you’re 40 and over and haven’t had a check in the last 6 months, don’t put it off any longer.
“Checking your blood pressure at a local pharmacy is so simple to do but could save your life – and your pharmacist is here to help.”
Find a pharmacy that offers free blood pressure checks near you by searching “pharmacy blood pressure check” or visiting the NHS website here.
The NHS is launching a brand new smokefree campaign to encourage all 5.3 million smokers in England to make a quit attempt this January
Former England goalkeeper and ex-smoker David James urges parents to quit for their kids’ sake in poignant video campaign discussing own struggles to kick the habit
Research shows teens more than three times as likely to smoke if their parents, caregivers or friends do
Comes as NHS Smokefree campaign encourages 5.3 million smokers in England to make a quit attempt this January to improve health and reduce likelihood of young people starting
Major new survey shows three quarters of people in England back government’s historic plans to create the first smokefree generation – regardless of age or region
First 259,000 vapes to be provided to authorities nationwide to support smokers to quit under world-first Swap to Stop scheme
In a hard-hitting campaign film released today, former England goalkeeper and ex-smoker David James joins a number of other ex-smokers to discuss the influence their parents’ smoking had on them taking up the habit themselves, and how being around children was their motivation to quit.
It comes as the NHS launches a brand new smokefree campaign to encourage all 5.3 million smokers in England to make a quit attempt this January – not only for their health, but also to help ensure young people are not being influenced to start smoking.
Research lays bare the stark reality – teens are more than three times as likely to smoke if their parents, caregivers, or friends do. In a new, poignant film released today, the former England goalkeeper discusses how his family members and friends smoked around him when he was a youngster, which led to him taking up the habit. In the film, he describes how smoking impacted his performance on the football world stage.
The UK is now in the lead to be the first country in the world to create a smokefree generation by phasing out the sale of tobacco, and is set to introduce a new law to stop children who turned 14 in 2023 – or are younger – from ever legally being sold tobacco in England.
Three quarters (76%) of people in England support the principle of creating a smokefree generation a YouGov survey – commissioned by campaign group Action on Smoking and Health –has found with only 9% opposing. Support for creating a smokefree generation is similar regardless of age or region.
Former England goalkeeper, David James, said: “I smoked for about 15 years and at the time, it was normal. My mum smoked, my friends smoked, it was around me. It didn’t take long for me to be hooked.
“Looking back, it had a huge impact on my health and performance at the time, I wish I never started.
“My health, my children and my fans were huge motivators for me to quit – I didn’t want younger people to see me smoking and think it was okay.”
David James is joined by a number of other ex-smokers in the film to discuss the influence their parents’ smoking had on them taking up the habit themselves.
They are accompanied by Nick Hopkinson, Professor of Respiratory Medicine at Imperial College London, who was involved with the UK Millennium Cohort Study research, and TV doctor, Dr Sarah Jarvis, who talks through the wider impact of generational smoking.
Chief Medical Officer for England, Professor Sir Chris Whitty, said: “Smoking causes a range of diseases that affect people throughout their lives.
“Stopping people becoming addicted to smoking, and helping those who have been addicted to quit are two of the most important measures we can take to improve health.
“Quitting will improve your health whatever your age and no matter how long you have smoked, it’s never too late to stop.”
The government continues to go further and faster to support people to quit smoking. Under the world-first Swap to Stop scheme, the government has so far received requests from local authorities nationwide for an unprecedented 259,000 vapes.
Vaping is rightly used by adults as a tool to quit smoking, but the health advice is clear: if you don’t smoke, don’t vape – and children should never vape.
As part of the scheme, almost 1 in 5 of all smokers in England will be provided with a vape starter kit alongside behavioural support to help them quit the habit. This is part of a series of new measures to help the government meet its ambition of making England smokefree.
Public Health Minister, Andrea Leadsom, said: “Smoking is the biggest preventable killer in the UK and places a huge burden on our NHS.
“Cigarettes are responsible for 64,000 deaths a year in England alone – no other consumer product kills up to two-thirds of its users.
“That’s why we need to act now to prevent our children from ever lighting one. Our historic Tobacco and Vapes Bill will protect the next generation from the harms of smoking and risk of addiction.”
Smoking is still the single largest preventable cause of death in England. Almost every minute of every day someone is admitted to hospital with a smoking related disease.
Smoking costs the economy and wider society £17 billion a year. This includes an annual £14 billion loss to productivity, through smoking related lost earnings, unemployment, and early death, as well as costs to the NHS and social care of £3 billion. This is equivalent to the annual salaries of over half a million nurses, 390,000 GPs, 400,000 police officers, or 400 million GP appointments.
Reducing the prevalence of smoking will reduce those costs, lower pressure on the NHS, and help the economy become more productive.
Professor of Respiratory Medicine at Imperial College London, Nick Hopkinson, said: “We know that most people who smoke start as teenagers, and taking up smoking at a young age is linked to a greater risk of health problems later in life.
“Our research shows that the influence of family and friends is a significant driving force in young people taking up cigarettes in the first place, making them more than three times as likely to start smoking if their parents, caregivers or friends do.
“We must do what we can now to ensure our children are the first smokefree generation.”
Research suggests that people who start smoking under the age of 18 have higher levels of nicotine dependency and are less likely to quit smoking later in life.
Imperial College London’s analysis of UK Millennium Cohort Study data also found that 1 in 10 (10.6%) teenagers were regular smokers at the age of 17 – this equates to approximately 160,000 young people in the UK being regular smokers by the age of 17.
Currently, 4 in 5 smokers start before the age of 20 and smoking from a younger age is linked to being more likely to smoke in later years. This has a significant lasting impact, as someone who quits before turning 30 could add 10 years to their life.
Deborah Arnott, chief executive of Action on Smoking and Health (ASH) said: “Over three quarters of the public support the Prime Minister’s ambition to create a smokefree generation.
“Legislation to end cigarette sales to anyone born on or after the 1 January 2009 will be crucial to delivering that ambition. But as role models for their children, parents who smoke can play their part too.
“Stopping smoking will not only improve their health and put money in their pocket, but also significantly increase the chances their children will grow up to be part of the smokefree generation.”
TV doctor, Dr Sarah Jarvis, said: “Smoking is highly addictive, particularly for our children. We know that most smokers start in their youth and many want to quit – but the addictive nature of cigarettes means they cannot.
“But there’s help available for those looking to stop smoking. The NHS has a range of free support, including local stop smoking services.
Better Health offers a range of free quitting support, including a local stop smoking services look-up tool, as well as advice on stop smoking aids including information on how vaping can help you quit smoking.
For free support to quit this January, search ‘Smokefree’.
Targeted lung cancer screening to help detect cancer sooner and speed up diagnosis
People aged 55-74 with a GP record including a history of smoking will be assessed and invited for screenings and smoking cessation services
Rollout follows the success of the first phase of the targeted lung health check scheme by NHS England with 76% of lung cancers in those tested caught at an earlier stage
A national targeted lung cancer screening programme designed to catch cancer sooner or prevent it altogether has been announced by the Prime Minister and Secretary of State for Health and Social Care.
Each year the programme – which will cost £270 million annually once fully implemented – is expected to detect as many as 9,000 people with cancer, deliver almost one million scans and provide treatment earlier.
The rollout follows a successful opening phase where approximately 70% of the screening took place in mobile units parked in convenient places – such as supermarket car parks – to ensure easy access and focused on more deprived areas where people are four times more likely to smoke.
The programme, backed by a recommendation from the UK National Screening Committee – will use patient’s GP records for those aged 55 to 74 to identify current or former smokers. Patients will have their risk of cancer assessed based on their smoking history and other factors and those considered high risk will be invited for specialist scans every two years.
The Prime Minister, Rishi Sunak, said: As we approach the 75th anniversary of the foundation of the NHS, I want to ensure that it continues to thrive for the next 75 years and beyond.
“And while we focus on cutting waiting lists in the short term, we must also look to tackle some of the long-term challenging facing the NHS, including lung cancer which costs 35,000 lives every year. Rolling out screening to high-risk 55-74 year olds will save lives by detecting up to 9,000 lung cancers a year at an early stage.
“The NHS has treated record numbers of cancer patients over the last two years, with cancer being diagnosed at an earlier stage more often and survival rates improving across almost all types of cancer. Today’s announcement will help us go further and provide a lifeline to thousands of families across the country”.
The programme could also help people improve their health and reduce their risk of cancer by encouraging the use of smoking cessation services.
During the initial phase almost 900,000 people were invited for checks, 375,000 risk assessments made and 200,000 scans were carried out.
More than 2,000 people were detected as having cancer, 76% at an earlier stage compared to 29% in 2019 outside of the programme.
Health and Social Care Secretary Steve Barclay said: “Through our screening programme we are now seeing more diagnoses at stage 1 and stage 2 in the most deprived communities which is both a positive step and a practical example of how we are reducing health inequalities.
“Rolling this out further will prolong lives by catching cancer earlier and reducing the levels of treatment required not just benefiting the patient but others waiting for treatment.
“I am determined to combat cancer on all fronts through better prevention, detection, treatment and research.”
Smoking causes 72% of lung cancers, around 35,000 people die and 48,000 people are diagnosed with lung cancer each year.
It has one of the lowest survival rates of all cancers which is largely attributed to lung cancer being diagnosed at a late stage when treatment is much less likely to be effective. Treating cancer early improves people’s chance of survival with 60% of people currently surviving stage one cancer for five years or more and 4% at stage four.
It is estimated the rollout will mean 325,000 people will be newly eligible for a first scan each year with 992,000 scans expected per year in total. Additional radiographers, due to be appointed as part of the long term workforce plan, will help to support the programme.
Anyone assessed as being at high risk of lung cancer will be referred to have a low dose Computed Tomography (LDCT) scan and subsequent diagnosis and treatment if needed. Those whose scans are negative will be reinvited for further scans every 24 months, until they pass the upper age limit.
Some people who test negative but are found to have nodules will be reinvited for more frequent scans. These nodules are often the first signs of cancer developing so by monitoring more frequently if they turn cancerous they can be delt with quickly and at the early stages.
NHS chief executive, Amanda Pritchard, said: “Identifying lung cancer early saves lives, and the expansion of the NHS’s targeted lung health check programme is another landmark step forward in our drive to find and treat more people living with this devastating disease at the earliest stage.
“The NHS lung trucks programme is already delivering life-changing results, with people living in the most deprived areas now more likely to be diagnosed at an earlier stage, giving them a better chance of successful treatment.
“As the NHS turns 75, we will not stop in our efforts to detect more cancers earlier, when they are easier to treat, and to find new and innovative ways to make it as easy as possible for those most at risk to get life-saving tests as part of their daily routines.
“If you receive an invitation, please do take it up, and if you are worried about a possible symptom of cancer, please come forward to your GP – getting checked could save your life.”
The first phase of the scheme will reach 40% of the eligible population by March 2025 with the aim of 100% coverage by March 2030 following the rollout which will also help support the government objective for England to be smokefree by 2030.
During the pilot Cancer Alliances developed schemes locally. A national programme will benefit from an integrated IT system and a safe, consistent and effective programme across the country and for a number of years.
Paula Chadwick, chief executive of Roy Castle Lung Cancer Foundation, said: “This is the news we have been waiting for. This is the day we truly begin to level up the lung cancer playing field.
“Lung cancer screening allows us to get ahead of this awful disease for the first time, catching it at the earliest opportunity – often before symptoms even start – and treating it with an aim to cure.
“Through the success of NHS England’s targeted lung health check programme, we have been able to detect 76% of cancers at stages one and two, which turns current rates on their head. Now, with this announcement, many more lives will be saved, making today a very good day in our mission to beat the UK’s biggest cancer killer.”
Hazel Cheeseman, Deputy Chief Executive of Action on Smoking and Health (ASH), said: “Targeted Lung Cancer screening with support to stop smoking at its heart will help prevent as well as treat lung cancer, still the leading cause of cancer deaths.
“Around 7 out of 10 lung cancers are caused by smoking and just over a third of lung cancer patients are smoking at diagnosis. Smokers who quit then can nearly double their life expectancy after treatment and live more comfortably than those who continue to smoke.
“And it won’t just help those diagnosed with lung cancer, smokers who get the all clear but go on to quit will avoid many smoking-related illnesses. Smokers who get support and medication as part of their Lung Health Check are 50% more likely to quit than those who don’t. This is a major step forward in helping deliver the Government’s Smokefree 2030 ambition.”
Cancer Research UK’s chief executive, Michelle Mitchell, said: “This is really positive news for a cancer type that takes more lives than any other.
“Targeted lung screening across England could diagnose people most at risk at an earlier stage, when treatment is more likely to be successful.”
More people living with obesity will have access to the newest and most effective obesity drugs to help cut NHS waiting lists, following the UK Government’s announcement of a £40 million two-year pilot yesterday
Two-year pilot backed by up to £40 million will explore ways to make obesity drugs accessible to patients living with obesity outside of hospital settings
The newest weight loss drugs can help adults living with obesity lose up to 15 per cent of their body weight when prescribed alongside diet, physical activity and behavioural support
Pilots build on government’s work to tackle obesity, reducing pressure on the NHS and cutting waiting lists
More people living with obesity will have access to the newest and most effective obesity drugs to help cut NHS waiting lists, following the announcement of a £40 million two-year pilot yesterday.
Earlier this year, the National Institute for Health and Care Excellence (NICE) recommended the use of Semaglutide (Wegovy) for adults with a Body Mass Index (BMI) of at least 35 and one weight-related health condition – such as diabetes or high blood pressure. Other drugs are currently under consideration in clinical trials.
There is evidence from clinical trials that, when prescribed alongside diet, physical activity and behavioural support, people taking a weight-loss drug can lose up to 15 per cent of their body weight after one year. Taking them alongside diet, physical activity and behavioural support can help people lose weight within the first month of treatment.
Obesity is one of the leading causes of severe health conditions such as cardiovascular disease, diabetes and cancer, and it costs the NHS £6.5 billion a year. There were more than 1 million admissions to NHS hospitals in 2019/2020 where obesity was a factor.
Using the latest treatments to tackle obesity will contribute to cutting waiting lists by reducing the number of people who suffer from weight-related illnesses, who tend to need more support from the NHS and could end up needing operations linked to their weight – such as gallstone removal or hip and knee replacements.
NICE advise that Wegovy should only be available via specialist weight management services, which are largely hospital based. This would mean only around 35,000 people would have access to Wegovy, when tens of thousands more could be eligible.
The £40 million pilots will explore how approved drugs can be made safely available to more people by expanding specialist weight management services outside of hospital settings. This includes looking at how GPs could safely prescribe these drugs and how the NHS can provide support in the community or digitally – contributing to the government’s wider ambition to reduce pressure on hospitals and give people access to the care they need where it is most convenient for them.
Prime Minister Rishi Sunak said: “Obesity puts huge pressure on the NHS.
“Using the latest drugs to support people to lose weight will be a game-changer by helping to tackle dangerous obesity-related health conditions such as high blood pressure, diabetes and cancer – reducing pressure on hospitals, supporting people to live healthier and longer lives, and helping to deliver on my priority to cut NHS waiting lists.
Health and Social Care Secretary Steve Barclay said: “Obesity costs the NHS around £6.5 billion a year and is the second biggest cause of cancer.
“This next generation of obesity drugs have the potential to help people lose significant amounts of weight, when prescribed with exercise, diet and behavioural support.
“Tackling obesity will help to reduce pressure on the NHS and cut waiting times, one of the government’s five priorities, and this pilot will help people live longer, healthier lives.”
Health Minister Neil O’Brien said: “We know that obesity puts additional pressure on the NHS and is linked to a whole host of health problems – including diabetes and cardiovascular disease.
“Expanding how to access these innovative new drugs will ensure as many eligible patients as possible have the opportunity to try these treatments if they are right for them to help achieve a healthier weight.
“These pilots build on our ongoing work to tackle obesity – including introducing calorie labelling on menus to empower people to make informed decisions and investing in school sport to give children an active start in life.”
NHS medical director Professor Sir Stephen Powis said: “Tackling obesity is a key part of the NHS Long Term Plan – it can have devastating consequences for the nation’s health, leading to serious health conditions and some common cancers as well as resulting in significant pressure on NHS services.
“Pharmaceutical treatments offer a new way of helping people with obesity gain a healthier weight and this new pilot will help determine if these medicines can be used safely and effectively in non-hospital settings as well as a range of other interventions we have in place.”
NICE is also considering potential NHS use of another drug known as Tirzepatide – which is currently licenced to treat diabetes but may also help with weight loss – if it receives a license for weight loss in the coming months.
NHS England is already working to implement recommendations from NICE to make this new class of treatment available to patients through established specialist weight management services, subject to negotiating a secure long-term supply of the products at prices that represent value for money taxpayers.
Losing weight can help to reduce the risk of obesity-related illness which in turn can reduce pressure on the NHS, cut waiting times, and realise wider economic benefits.
The pilot builds on the firm action the government is already taking to tackle obesity, including:
Introducing calorie labelling on menus, which are expected to bring health benefits of £4.6 billion and provide NHS savings of £430 million
Restrictions on the location of unhealthy foods in shops, which are expected to bring health benefits of over £57 billion and provide NHS savings of over £4 billion over the next 25 years
Introducing the Soft Drinks Industry Levy which has seen the average sugar content of drinks decrease by 46 per cent between 2015 and 2020
Last year the government announced £20million for the Office of Life Science’s Obesity Mission. This will explore innovative ways to best utilise promising medicines and digital technologies to help NHS patients achieve a healthy weight.
The Better Health: Rewards App is also being piloted in Wolverhampton. It is offering incentives such as vouchers for shops, gym discounts and cinema tickets for people who eat healthily and exercise more.
The 2019 Health Survey for England estimated that over 12 million adults were living with obesity – 28 per cent of the population in England – while a further 16 million (36 per cent) were overweight. This means that around two-thirds of the adult population were above a healthy weight – defined as having a BMI of 25 or above.
DHSC launched a call for evidence in May to inform the Major Conditions Strategy, including further work to tackle obesity.
Celebrities and medical experts including comedian Tom Davis, Dr Ranj Singh and Dr Linda Papadopoulos support new UK government campaign to boost mental health
Ahead of Mental Health Awareness Week (15 – 22 May), Better Health – Every Mind Matters from the Office for Health Improvement and Disparities is launching a new campaign backed by BAFTA award-winning comedian, Tom Davis, TV and NHS doctor, Dr Ranj Singh, and leading psychologist, Dr Linda Papadopoulos, to encourage the nation to make the first move for their mental health and get active.
New research released today has revealed that three quarters (75%) of adults surveyed report feeling anxious, but less than half (45%) are aware that physical activity is proven to reduce symptoms of anxiety.
The campaign is the latest action taken by government to improve people’s mental health. The government is already increasing investment in mental health services by at least £2.3 billion a year by March 2024 so that an additional two million people can get the support they need.
Last year, the draft Mental Health Bill was published, intended to modernise the Mental Health Act so that it’s fit for the 21st century and better supports people with serious mental illness, and the government has committed to publishing a Major Conditions Strategy to tackle conditions that contribute most to morbidity and mortality across the population in England, including mental ill health.
For Mental Health Awareness Week, BAFTA award-winning comedian and actor, Tom Davis, has opened up about his own mental health alongside NHS and TV doctor, Dr Ranj Singh, in support of the Better Health – Every Mind Matters campaign. In a new film released today, the pair discuss how they deal with anxious thoughts and call on the nation to make the first move for their mental health by getting active.
https://youtu.be/yV-ZUPgt9Kc
Comedian and Actor, Tom Davis, comments: “Anxiety is no laughing matter. I’ve had a colourful career, from working on building sites, to the shop floor, to being a comedian in front of thousands, and I’ve struggled with anxiety in every role.
“There’s a big difference, though, to being outside your comfort zone versus feeling overwhelmed by it and letting your anxious thoughts hold you back. And being active for just a few minutes each day can make a huge difference.
“It’s important to find something that you enjoy and do it regularly. I love boxing and try to go often, but even taking my daughter to the park can really clear my head and help to keep those anxious jitters at bay.
NHS and TV doctor, Dr Ranj Singh, has also shared his tips on how to ease anxiety (see NTEs) and advice on how the public can start getting active for their mental health: “Anxiety is part of everyday life, and it can help us focus or take extra care when needed, but when it gets too much, it can have a really big impact on how we want to live our lives.
“Physical activity is one of the simplest, but most effective, things we can do to help alleviate anxious feelings, calm racing thoughts, and give us something to distract from negative thinking.
“Regular physical activity is best, but even a few minutes each day can help. I personally love dancing because some good music instantly lifts my mood!”
New research among 2,000 adults in England has revealed around four in 10 report having trouble sleeping (38%), feeling less confident (37%) and having less energy due to anxiety (35%).
For just under a quarter (24%), anxiety has stopped them from attending social events and almost one in 10 admit it’s even impacted their relationship, as they spend less time with their partner (8%).
Physical activity releases feel good hormones and improves mental health but, according to the new research, less than half of adults are aware that it’s proven to reduce symptoms of anxiety (45%), reduce stress (45%) and distract from negative thoughts (42%). Four in 10 adults are not doing the NHS recommended 150 minutes of physical activity per week.
The research revealed that over a third (35%) of adults tend to use distraction techniques to relieve feelings of anxiety, including watching TV (47%), browsing the internet (36%) or even isolating themselves from others (33%). However, those who do regular physical activity report that it helps to boost their mood (68%), confidence (61%) and relieve anxious feelings (61%).
With almost one in five not doing any form of physical activity (19%), the research also revealed that not feeling motivated (41%), not enjoying physical activity (25%), and not having enough free time (19%) were the top barriers to getting active. Only 13% of us are aware of the NHS recommended 150 minutes of physical activity per week.
Leading psychologist, Dr Linda Papadopoulos commented: “People are often surprised to know the benefits that just a few minutes of movement can have on our mind; you don’t need to do a full body workout to reap the rewards.
“Being active increases feel good hormones, like endorphins, and can boost confidence. I always recommend getting outside for a brisk walk or gentle jog because being in nature can help us feel happier and more relaxed. And the best bit is it’s free!
Minister for Mental Health, Maria Caulfield, said: “We know poor mental health can significantly impact our quality of life, so I’m pleased to see this campaign highlighting the simple steps we can all take to reduce its impact – such as spotting and addressing the signs of anxiety early on.
“But we know sometimes more support is needed, and that’s why we’re currently investing £2.3 billion every year to expand and transform mental health services in England so that two million more people will be able to get the mental health support they need.”
Delivered by the Office for Health Improvement and Disparities, the Better Health–Every Mind Matters campaign offers NHS-approved tips and advice to help people manage their anxiety, including links to free NHS apps, such as Couch to 5K and Active 10, that will help them make the first move.
The Better Health – Every Mind Matters website also gives people the opportunity to sign up to anxiety-easing emails, offering expert advice to help them stay on top of their mental wellbeing and show them how to make these new steps part of their routine.
Social media:
#everymindmatters
#moveforyourmentalhealth
#MentalHealthAwarenessWeek
#MHAW / @NHS
Scots looking after their mental health can also find support at NHS inform’s Mind to Mind | NHS inform
