Tag: NHS

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

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

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

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

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

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

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

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

CMA findings

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

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

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

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

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

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

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

Recommendations

The 4 recommendations from the CMA are:

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

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

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

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

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

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

Next steps

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

First Minister sets out major increase in NHS capacity

‘Protecting, strengthening and renewing the NHS’

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

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

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

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

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

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

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

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

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

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

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

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

First Minister encourages public to help protect front line services

NHS 24 resilience over festive period

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Scottish Budget will prioritise patients through NHS improvement

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

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

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

Key measures set out in the draft Budget include:

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

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

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

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

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

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

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

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

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

Revised Workforce Plan to be unveiled in summer

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

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

Recent data shows that:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

TRANSFORMATION THROUGH PRIVATISATION?

New funding to kickstart delivery of two million extra NHS appointments

Chancellor confirms the NHS will receive funding needed to deliver extra 40,000 elective appointments per week

  • Chancellor and Health Secretary confirm funding plans to increase elective appointments ahead of the Budget tomorrow.
  • New funding and reform puts the NHS on course to reduce waiting lists.
  • Additional capital investment will further support reduced waiting times, with £1.5bn for new surgical hubs and scanners, alongside £70 million for new radiotherapy machines.

Funding to support the delivery of an extra two million NHS operations, scans and appointments a year to significantly cut waiting lists across England has been announced by the Chancellor and Health Secretary today. This comes following over a decade of neglect and underinvestment of the NHS.

Ahead of her Budget on Wednesday, the Chancellor has confirmed that the NHS will receive the funding needed to deliver an extra 40,000 elective appointments per week, delivering on one of the Government’s First Steps in office to reduce waiting times in the NHS. This includes an additional £1.8bn the government has invested in elective activity this year since the July Statement.

This will be supported by a significant uplift of capital investment, with new capacity including surgical hubs and scanners, meaning thousands of additional procedures and millions of diagnostic tests across the country, alongside funding for new radiotherapy machines to improve cancer treatment.

In his recent independent investigation into the NHS in England, Lord Darzi highlighted that the NHS is in “critical condition”. Patients across England are waiting too long, with the waiting list at over 7.6 million in August. In the same month, over 280,000 had been waiting for an operation, scan or appointment for over a year.

Today’s announcement is an integral step in reducing the waiting list and puts the NHS on course to meet the commitment that 92% of people wait less than 18 weeks to start treatment in the NHS.

The Chancellor’s budget tomorrow will set out how this government will fix the foundations to deliver change, by fixing the NHS and rebuilding Britain, while ensuring working people don’t face higher taxes in their payslips.

It will focus on “investment, investment, investment” in order to get the economy moving again and demonstrate how this government will take the long-term decisions needed to grow the economy and restore the country’s public services.

Chancellor of the Exchequer Rachel Reeves said: “Our NHS is the lifeblood of Britain. It exemplifies public services at their best, there for us when we need it and free at the point of use, for everyone in this country.

“That’s why I am putting an end to the neglect and underinvestment it has seen for over a decade now.

“We will be known as the government that took the NHS from its worst crisis in its history, got it back on its feet again and made it fit for the bright future ahead of it.”

Health and Social Care Secretary Wes Streeting said: “Our NHS is broken, but it’s not beaten, and this Budget is the moment we start to fix it.

“The Chancellor is backing the NHS with new investment to cut waiting lists, which stand at an unacceptable 7.6 million today. Alongside extra funding, we’re sending crack teams of top surgeons to hospitals across the country, to reform how they run their surgeries, treat more patients, and make the money go further.”

Building an NHS fit for the future is one of this Government’s five priority missions; but it is clear that alongside sustainable investment, the NHS will need significant reform across the board to be truly transformed.

The Chancellor has therefore confirmed an ambitious reform programme across health and social care in England, including reforming the delivery of elective activity and patient pathways. Billions of pounds are set to be invested in technology and digital innovations across the NHS to boost productivity and unlock significant savings for the NHS in the long-term.

The funding comes after the Government last week launched ‘Change NHS: help build a health service fit for the future’, a national conversation to help develop the 10 Year Health Plan, which will set out our long-term vision for health and the path to delivering the three shifts to reform and transform health: hospital to community, analogue to digital, and sickness to prevention.

Starting this week, the NHS will help people back to health and back to work by sending teams of top clinicians to hospitals across the country to help roll out reforms to cut waiting lists in hospitals – which will start with those in areas of the highest economic inactivity.

UK Government issues rallying cry to the public to help fix ‘broken’ NHS

  • Health Secretary calls on entire nation (i.e. ENGLAND) to shape the government’s plans to overhaul the NHS 
  • Public, clinicians and experts urged to submit ideas for its future as new online platform Change.NHS.uk goes live today – putting staff and patients in driving seat of reform
  • Responses will shape government’s 10 Year Health Plan to fix broken health service and deliver government mission to build an NHS fit for the future

The biggest national conversation about the future of the NHS since its birth is set to be launched today (Monday 21 October), as the entire country is called upon 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 will be invited to share their experiences views and ideas for fixing the NHS via the online platform, change.nhs.uk, which will be live until the start of next year, and available via the NHS App.  

The public engagement exercise will help shape the Westminster government’s 10 Year Health Plan which will be published in spring 2025 and will be underlined by three big shifts in healthcare – hospital to community, analogue to digital, and sickness to prevention. 

As part of the first shift “from hospital to community”, the UK government wants to deliver plans for new neighbourhood health centres, which will be closer to homes and communities. Patients will be able to see family doctors, district nurses, care workers, physiotherapists, health visitors, or mental health specialists, all under the same roof. 

In transforming the NHS from analogue to digital, the government will create a more modern NHS by bringing together a single patient record, summarising patient health information, test results, and letters in one place, through the NHS App.

It will put patients in control of their own medical history, meaning they don’t have to repeat it at every appointment, and that staff have the full picture of patients’ health.

New laws are set to be introduced to make NHS patient health records available across all NHS trusts, GP surgeries and ambulance services in England – speeding up patient care, reducing repeat medical tests, and minimising medication errors. 

Systems will be able to share data more easily, saving NHS staff an estimated 140,000 hours of NHS staffs’ time every year, because staff will have quicker access to patient data, saving time that can then be spent face-to-face with patients who need it most and potentially saving lives.

By moving from sickness to prevention, government wants to shorten the amount of time people spend in-ill health and prevent illnesses before they happen. As an example, the 10 Year Health Plan will explore the opportunities smart watches and other wearable tech may offer patients with diabetes or high blood pressure, so they can monitor their own health from the comfort of their own home. 

The launch of the new online platform will take place at a health centre in East London, where the Secretary of State will meet with the Chief Executive of the London Ambulance Service before the first engagement event involving NHS staff from across the healthcare system as a start to the national conversation.

Prime Minister Keir Starmer said: My mum worked for the NHS, my sister worked for the NHS and my wife still works for the NHS – so I know first-hand how difficult it has been for staff, and for patients battling against a broken system for over a decade. But it’s time to roll up our sleeves and fix it.

“We have a clear plan to fix the health service, but it’s only right that we hear from the people who rely on the NHS every day to have their say and shape our plan as we deliver it. Together we can build a healthcare system that puts patients first and delivers the care that everyone deserves.

“We have a huge opportunity to put the NHS back on its feet. So, let’s be the generation that took the NHS from the worst crisis in its history and made it fit for the future.”

Health and Social Care Secretary Wes Streeting said: “When I was diagnosed with kidney cancer, the NHS saved my life, as it has for so many people across our country. We all owe the NHS a debt of gratitude for a moment in our lives when it was there for us, when we needed it. Now we have a chance to repay that debt.

“Today the NHS is going through the worst crisis in its history. But while the NHS is broken, it’s not beaten. Together, we can fix it.

“Whether you use the NHS or work in it, you see first-hand what’s great, but also what isn’t working. We need your ideas to help turn the NHS around.

“In order to save the things we love about the NHS, we need to change it. Our 10 Year Health Plan will transform the NHS to make it fit for the future, and it will have patients’ and staff’s fingerprints all over it.

“I urge everyone to go to Change.NHS.uk today and help us build a health service fit for the future.“

Investment alone won’t be enough to tackle the problems facing the NHS, why is why it must go hand in hand with fundamental reform.

The three big shifts will be our key principles for reform and will revolutionise the way people manage their health and access care. Our reforms will also shift the NHS away from late diagnosis and treatment to a model where more services are delivered in local communities and illnesses are prevented in the first place.

It is vital the government hears from patients, experts and the NHS workforce to make sure we get this right and preserve the things people value about the health service.

NHS England Chief Executive Amanda Pritchard said: “NHS staff are facing an unprecedented number of challenges – with record demand for care, alongside growing pressures from an ageing population, rising levels of multiple long-term illnesses and patients with more complex needs. And they are often hampered by working in crumbling buildings with outdated tech, meaning too many patients are waiting too long for care they need.

“So, it is vital the health service innovates and adapts – as it has always done throughout its 76-year history – to design and deliver an NHS fit for the future.

“The 10 Year Health Plan is a chance to make the best practice, normal practice across the country. So, we will be carrying out the largest ever staff engagement exercise in NHS history and leaving no stone unturned as we seek to harness frontline views, alongside those of patients and the public, to ensure this happens.

“It is your experiences – good, bad, and sometimes frustrating – that we need to help shape this once in a generation opportunity, so please get involved!”

Bold ambitions for the NHS can only be achieved by listening to the expertise and knowledge of its 1.54 million strong workforce. Their understanding of what’s holding them back from performing at their best will help us bring down waiting times and provide the world class care the public deserve.    

The government has already taken immediate action to address challenges in the health service and deliver an NHS fit for the future. Whether that’s agreeing a deal with resident doctors within weeks, securing a funding increase for GP practices to manage rising pressures or hiring an extra 1,000 GPs into the NHS by the end of this year, there are both short- and long-term reforms working hand in hand.

Lord Ara Darzi said: “As my recent Investigation found, the NHS is in need of urgent and fundamental reform. The 10 Year Health Plan comes at a crucial moment—and by describing the ultimate destination for the health service, it will help improve decision-making in the here and now.”

The start of this national conversation on the future of the NHS follows on from Lord Darzi’s independent report into the health service that diagnosed its condition. Lord Darzi concluded the NHS is in a ‘critical condition’ with surging waiting lists and a deterioration in the nation’s underlying health, identifying serious and widespread problems for people accessing services. 

The launch of the engagement exercise for the 10 Year Health Plan will build on these findings and is the next step to delivering the Government’s mission to fix the NHS and deliver a health service fit for the future.

Rachel Power, Chief Executive of The Patients Association, said: “We warmly welcome this ambitious initiative to engage with patients, staff, and the public on the future of our NHS.

“For far too long, many patients have felt their voices weren’t fully heard in shaping health services. This national conversation, initiated by the government, marks a significant step towards genuine patient partnership and puts patients at the heart of the NHS’s evolution.

“Through our work as an independent charity, we speak directly with thousands of patients living with various health conditions each year. This gives us valuable insights into diverse experiences across the health and care system, from widely shared patient needs to unique challenges faced by underrepresented groups.

“We’re eager to contribute these wide-ranging perspectives to help shape a health service that truly meets the needs of everyone it serves.”

Louise Ansari, Chief Executive of Healthwatch England said: “We know people appreciate the hard work of NHS staff, but they are all too aware that the NHS faces many challenges that need fixing. The 10-year plan provides the opportunity to do this.

“We urge everyone to have their say on how the NHS should deliver better care to people where and when it is needed, more support to help people stay well, and a culture of listening to and acting on the views of patients.

“All too often, people face unequal access to care, with disabled people and those on lower incomes being particularly at risk. The NHS belongs to us all, so you must speak up and help create a health service that is fit for the future – equal and inclusive for everyone.”

Cllr Louise Gittins, Chair of the Local Government Association said: “The NHS rightly holds a place in our nation’s heart, being there for us at moments of great joy, deep sadness, and everything in between. It is also one of local government’s most important partners. What each side does can impact the other.

“Every one of us is unique, complex and carries different ambitions. The NHS plays a key role in helping us to live the life we want to lead, but it cannot do it alone. Through social care and wider wellbeing activity, councils play an essential role in supporting people to do what matters most to them and live a meaningful life. 

“This exercise is therefore crucial for the future of health, social care and wellbeing.”

Caroline Abrahams, Charity Director at Age UK said: “We are delighted to see this first, essential part of developing the 10-year plan getting going.

“With our rapidly ageing population it’s important that the plan takes fully into account the needs of tomorrow’s older people as well as today’s and helps all of us to age confidently and well. We encourage everyone to get involved and have their say – it’s almost certainly a once in a generation opportunity to do so.”

The Deputy Chief Executive of NHS Providers, Saffron Cordery said: “This will be a landmark moment for the NHS.

“Trust leaders are ready and willing to work with the government to tackle the many challenges the NHS currently faces to create a ‘next generation’ NHS fit for the future.”

Jacob Lant, Chief Executive of National Voices said: “We are encouraged by the ambitious approach the Government is taking to involve patients and organisations from across the sector in shaping the 10 Year Plan.

“We are excited to play our part in this, and will be working with our members to ensure that people from marginalised and minoritised communities are able to shape the discussions and big decisions ahead.

“Closing the gap in healthy life expectancy is a shared ambition of this Government and the National Voices coalition, and we will work tirelessly to ensure no groups are left behind.”

Matthew Taylor, Chief Executive of the NHS Confederation said: “Following more than a decade of underinvestment and in the face of some serious challenges we are reaching a turning point for the NHS.

“The 10-year plan will set the service on a path towards being put on sustainable footing so that it can best serve our population. No one working in the NHS will argue that it works perfectly – its staff have been crying out for change and we hope the ten-year plan will deliver for them and their communities, including by listening to the reality of their experiences and by incorporating the many examples of best practice and innovation that are taking place across the country.”

Helen Walker, Chief Executive of Carers UK said: “We are excited to see this first engagement phase of the NHS 10 Year Plan, a process which will include unpaid carers and ask for their views about the kind of health service they want to see in the future.

“We wholeheartedly agree with the recommendations from the Darzi review which suggested there should be a “fresh approach to supporting unpaid carers”. Unpaid carers are critical to the NHS and the NHS is a critical service for them, but it’s not always set up to help carers and can make their lives harder.

“England’s 4.7 million unpaid carers provide the bulk of support for older, ill and disabled relatives, helping millions to live in local communities where they want to be. Their support is valued at £152 billion, the equivalent of a second NHS, but they also face greater health inequalities and poorer health outcomes.

“With one in three NHS staff also juggling work and care, there’s a real opportunity to create a service which truly supports families who provide unpaid care. We see this as a win:win situation – helping families and building an NHS which is fit for the future; delivering better outcomes for everyone.”

Cancer Research UK’s chief executive, Michelle Mitchell, said: “We welcome the UK Government’s move to start a public conversation about the future of the NHS in England.

“Despite the best efforts of its hard-working staff, the NHS is under extreme pressure. This exercise is another important step in the process towards developing a 10-Year-Plan that should ensure all cancer patients across the UK get the care they deserve.”

NO mention of Scotland? Health is a devolved issue, but I’m sure our suggestions will be welcomed, too! – Ed.