Royal College of Emergency Medicine – The NEN

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

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

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

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

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

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

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

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

Other findings from Public satisfaction with the NHS and social care in 2024 include:

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

For the first time, people who support the Reform party have been included as a separate category in the analysis instead of being part of the ‘other parties’ group, to reflect the party’s increased share of the election vote. Supporters of the Reform party were less likely to be satisfied with the NHS (13%) than supporters of the other main parties. They are also less likely to believe in the founding principles of the NHS.

Report author Bea Taylor, Fellow at The Nuffield Trust said: “Just five years after the British public were called on to “Protect the NHS” at the start of the pandemic, these findings reveal just how dismayed they are about the state of the NHS today. We found that every group in Britain is dissatisfied with access to vital services such as A&E and GP appointments.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

The survey also revealed:

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

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

Public satisfaction with the NHS and social care in 2024_WEB (4)Download

RCEM demands clear government strategy as Scotland’s EDs record worst-ever February performance

The Royal College of Emergency Medicine has asked ‘where are the tangible plans for Emergency Care?’ after Scotland’s A&Es experienced the worst February on record for performance.

The figures, released yesterday (1 April 2025) by Public Health Scotland comes just a day after the Scottish government revealed its ‘operational improvement plan’ which RCEM says ‘missed the mark’ in tackling extreme and dangerous long stays in A&Es.

The new PHS data shows that in A&Es in Scotland in February, 6,072 patients waited 12 hours or longer before being admitted, discharged or transferred.

They also reveal just how much long waits have increased since the 2010s.

Since February 2018, for example, the number of people waiting four hours or more in major EDs has increased by 3.4 times (10,979 to 37,274) eight hours or more by 13 times (1,023 to 13,638) and 12 hours or more by almost 35 times (174 to 6,072).

Patients are often experiencing these extreme long stays on trolleys in corridors due to the lack of available in-patient beds.

People in these beds are often stuck in hospital, despite being well enough to be discharged, because there is no appropriate social care support.

So called ‘delayed discharges’ meant there was an average of 1,986 patients in hospital each day, waiting to be discharged, even though they are well enough to leave. This is the highest number for the month of February since 2016, when guidelines changes.

Responding to the data, Dr Fiona Hunter, Vice President of RCEM Scotland said: “Scotland’s Health Secretary has said he is ‘encouraged’ by a weekly improvement to the four-hour target for admission, treatment or discharge – but our members and their colleagues certainly don’t feel encouraged when you look at the bigger picture.

“Across the board – four, eight and 12 hour waits – were the worst on record for the month of February.

“This should sound alarm bells to politicians and galvanise them to act before A&Es delve into an even deeper crisis.

“This data comes hot on the heels of the government’s NHS improvement plan, which did little to reassure burnout Emergency Medicine clinicians that they won’t be treating patients, who have endured a stay on trolley in a corridor for 12 hours or more, in the weeks, months and years to come.

“It was a golden opportunity, and it missed the mark.

“It’s left us asking, where are the tangible plans for Emergency Care?

“Time is ticking for the government to act and #ResuscitateEmergencyCare.”

Yesterday’s data also comes after the release of the Healthcare Improvement Scotland’s NHS Greater Glasgow and Clyde Review, published last week, which clearly evidenced the systemic problems in Urgent and Emergency Care across Scotland, and set out national recommendations.

A&Es ‘in crisis’ amid winter freeze and flu admission surge

Emergency Departments in Scotland are struggling against the combined pressures of extreme weather and a rise in hospital admissions from flu.

The Royal College of Emergency Medicine (RCEM) has described the country’s health service as being “in the depth of a winter crisis” as Scotland braces itself against snow and ice.

Yesterday, after coming under increasing pressure regarding the condition of Emergency Care in Scotland, Health Secretary Neil Gray said A&E demands had been “exacerbated by higher than normal levels of influenza infection in the community”. Data released last week showed hospital admissions caused by flu increased by 12% in a week.

The Health Secretary’s comments come as data released yesterday by Public Health Scotland revealed last November 6,429 patients waited 12 hours or more in Emergency Departments – the highest proportion of 12 hour waits for any November since records began in 2011.

Dr Fiona Hunter, Vice Chair of RCEM Scotland said: “Today’s data, and every previous month’s data, shows just how much pressure Scottish EDs were under coming into this winter.

“The system was already under extreme pressure, and this huge flu surge and cold spell are likely to be the straw that breaks the camel’s back.

“But it cannot – and must not – be blamed as the sole cause of the crisis we are currently experiencing.

“My colleagues are working flat out in very difficult conditions with some departments nearing 400% capacity- four times as many patients as there are cubicle spaces for. We are running on hard work and goodwill, and our patients are receiving unacceptable, undignified and unsafe care in corridors and in the back of ambulances.

“The main issue is that we can’t move our patients who desperately need admission to a hospital bed in to wards or high dependency units. These wards have the highest level ever known of patients who are ready to be discharged but have no available social support to allow them to do so.

“We are predictably gridlocked, in the depth of a winter crisis, and our patients and staff are the ones suffering.”

‘A Budget filled with hope for Scotland’s future’

Progress for Scotland, by Scotland

The 2025-26 Budget will deliver progress for the people of Scotland, with a record increase in frontline NHS spending, and plans to lift 15,000 children out of poverty by mitigating the UK Government’s two-child limit from 2026.

Setting out the Budget to Parliament, Finance Secretary Shona Robison said the government had listened and would now act on the priorities of people, businesses and organisations across the country – delivering progress for Scotland, by Scotland.

The 2025-26 Budget includes:

a record £2 billion increase in frontline NHS spending taking overall health and social care investment to £21 billion to reduce NHS waiting lists, making it easier for people to see their GP, and progress the Belford Hospital, Monklands Hospital and Edinburgh Eye Pavilion projects
funding for universal winter heating payments for older Scots, and investment to allow the mitigation of the two-child cap from 2026
tax choices that freeze income tax rates, increase the Basic and Intermediate rate thresholds to put more money in the pockets of low and middle-income earners, and provide business rates relief for hard-pressed local pubs and restaurants
a record £15 billion for local government to support the services communities rely on and £768 million to provide 8,000 more affordable homes
£4.9 billion of action on the climate and nature crises to lower emissions and energy bills, protect the environment, and create new jobs and opportunities
a real-terms uplift of 3% for spending on education and skills to maintain teacher levels and invest in school infrastructure, as well as new funding to put more breakfast clubs in primary schools
a £34 million uplift for culture in 2025-26

The Finance Secretary said: “I am proud to present a budget that delivers on the priorities of the people of Scotland.

“Parliament can show that we understand the pressures people are facing. We can choose to come together to bring hope to people, to renew our public services, and deliver a wealth of new opportunities in our economy.

“This Budget invests in public services, lifts children out of poverty, acts in the face of the climate emergency, and supports jobs and economic growth.

“It is a budget filled with hope for Scotland’s future and I look forward to working with all parties in Parliament to secure agreement around its provisions.”

Scottish Budget 2025 to 2026 – gov.scot

The 2025-26 Scottish Budget also includes:

£6.9 billion total investment in social security, including the Scottish Child Payment
almost £4.2 billion across the justice system in 2025-26, including £1.62 billion for policing to support capacity and capability, £881.1 million for prisons, including £347 million for the prison estate to deliver HMP Glasgow and HMP Highland, and £159 million for community justice services to support the wider use of community interventions
over £2.6 billion towards public transport to support bus, rail and ferry services and increases the dedicated funding available to the four councils operating their own ferry services to £50.3 million
over £660 million for rural communities to support the crucial contribution of Scotland’s farmers, crofters and the wider rural economy
almost £90 million to protect, maintain and increase our woodlands and peatlands, to restore more than 15,000 hectares of degraded peatland and ensure the creation of more than 11,000 hectares of woodland across Scotland
a £34 million uplift for culture in 2025-26, building on the £15.8 million increase in the last Budget to take the total incremental increase in culture funding to almost £50 million – the halfway point in our commitment to increase funding to culture and the arts by £100 million more annually by 2028-29
£6 million for the National Islands Plan to deliver infrastructure projects designed in partnership with islanders to support successful and resilient island communities
protection for free tuition and a 3.5% increase in total investment in Higher Education, compared to a 3.08% increase in university funding in England

Ben Macpherson MSP has welcomed the Scottish Government’s budget commitment to provide significant additional funding for the Granton Waterfront regeneration project, with a long-term agreement to be formalised in 2025.

Having spoken regularly about Granton in the Scottish Parliament this year, and previously, to promote the area as a strategic development site for Edinburgh and Scotland as a whole, Ben Macpherson MSP is delighted that the Scottish Government has committed financial support to significantly progress the City of Edinburgh Council’s ambitions plans.

The budget statement by Shona Robison MSP included: “I can confirm today that we will be working with Edinburgh City Council to unlock over 800 new, net zero homes at their Granton development site.”

In the Scottish Parliament, during the Budget statement and question session, Ben Macpherson MSP for Edinburgh Northern and Leith said: “As the local constituency MSP, I believe passionately in the significant potential for the development of Granton Waterfront to help tackle Edinburgh’s housing challenges, to transform the northern part of our capital city for the common good, and to deliver economic growth, new opportunities and multiple positive benefits for existing communities and our country more broadly – that’s why I have worked constructively to highlight all of this to Ministers, and am therefore delighted and grateful that the Finance Secretary has committed to working with City of Edinburgh Council to deliver 800 more homes.

“Can the Finance Secretary say more about the Scottish Government’s commitment to the development of Granton Waterfront – as a strategic site – and the positive impact this will deliver for the people of Northern Edinburgh and Scotland as a whole?”

The Cabinet Secretary for Finance, Shona Robison MSP, replied: “Ben Macpherson is absolutely right, the Granton Waterfront development is a big deal for Edinburgh, and we will work with Edinburgh Council over the coming months and hope to announce a deal on the detail early in the 2025-26 financial year to support this multi-year project.

“And I talked in my statement about it unlocking 800 new net-zero homes of mixed types and tenures but also sustainable transport links and placemaking initiatives.

“This can be a gamechanger for Edinburgh and I am very acutely aware of the housing need in Edinburgh, and I think this will go a long way to helping as part of this solution.”

Ben Macpherson MSP for Edinburgh Northern and Leith, added: ““This is a very significant step forward towards tackling Edinburgh’s housing emergency and realising all of North Edinburgh’s remarkable potential.

“I have passionately and consistently supported the regeneration of Granton Waterfront throughout my time as the MSP for Edinburgh Northern and Leith, and have worked to be a constructive link between the Scottish Government and the City of Edinburgh Council in this collective endeavour.

“The vacant and derelict land in Granton has the potential to be transformed into a new residential hub and a destination to visit for locals and tourists alike – just like in Dundee and other waterfront cities across the world. It is fantastic that the Scottish Government has committed to this vision and given pivotal financial backing to make it happen!

“Edinburgh continues to face significant, various housing challenges and building more affordable homes is crucial in helping to tackle this. With Scottish Government support, the development plans for Granton will deliver transformational change to benefit the local area and the wider economy.

“It has been a consistent priority since my election to promote and deliver more affordable housing in Northern Edinburgh – as well as accompanying infrastructure and facilities in the area, like cultural and creative hubs, opportunities for small businesses to thrive, and key services such as schools and health centres – and I look forward to seeing the development of Granton benefit the people of Edinburgh in the years ahead, and the additional investment and opportunities that will be created.”

BUDGET REACTION:

Responding to today’s Budget statement by the Finance Secretary, John Dickie, Director of Child Poverty Action Group (CPAG) in Scotland, said: “The Finance Secretary is absolutely right to mitigate the two-child limit in the absence of abolition at UK level. It’s a pernicious policy that pushes 15,000 children into poverty in Scotland alone.

“Investing in social security for families is key to delivering on the First Minister’s number one priority of eradicating child poverty.

“The devil will be in the detail and families really can’t wait until 2026 to see their incomes boosted, so an above inflation increase to the Scottish child payment is still needed in the meantime.

“But there is no question this is the right focus for prioritising spend. We need the UK government take the same approach to investing in family benefits as a matter of utmost urgency.”

CHILD POVERTY ACTION GROUP

COSLA

Responding to today’s Scottish Government draft budget, Poverty Alliance chief executive Peter Kelly said: “The two-child limit is a huge injustice that has no place in a compassionate society – because every child matters and every child should get support they need.

“We welcome the Scottish Government’s proposals today, and we hope that the UK Government works positively and quickly to get this extra support to households with children. We hope it adds to the pressure to scrap the two-child limit across the UK.

“With record numbers of children in temporary accommodation, additional investment in affordable homes and homelessness prevention is necessary and welcome. But we know that more social homes are needed to tackle the housing emergency in Scotland – meeting that challenge requires further investment.

“Many of our members have called for the Scottish Government to make up the difference for pensioners who have had Winter Fuel Payments taken away from them. They will welcome today’s plans.

“We have worked directly with people who are forced to live on a pittance by the unjust UK asylum system, and we supported their campaigns for free bus travel. It is welcome that the Scottish Government have allocated to funding to that proposal, which will increase their freedom to build a life beyond poverty and take part in society. We hope this is the start of a move to provide bus passes to more people – starting with those eligible for benefits.

“But we can do more. There are around 240,000 children in poverty in Scotland. We need to go further and faster if we are going eradicate child poverty.

“That means more immediate support through the Scottish Child Payment and using our powers over tax and investment to build a stronger society for all of us – especially people in poverty.”

POVERTY ALLIANCE

SAVE THE CHILDREN SCOTLAND

SCVO

SCOTTISH HOSPICES

“Today @scotgov announced £768m to buy or build 8k affordable homes next year. It is a sign it’s taking the housing emergency seriously but it is only a reverse of previous cuts. As a result, it’s a cut in real terms as same money buys less now compared to two years ago.

“Though it is a step forward, 8,000 homes is a drop in the ocean compared to what is needed There are 243,000 people on waiting lists in Scotland. The last decades have seen the decimation of council housing because of a lack of funding, stock transfer and right to buy.

“This government needs to deliver more social housing by allocating greater funding for stock buy back and for social and council house building programmes, to ensure more people have a stable, secure, affordable place to live.”

LIVING RENT

We welcome the budget statement from the Scottish Government signalling the value it places on culture & the arts.

Culture is the beating heart of Scotland & this budget offers us all hope for a more stable, positive future.

EDINBURGH INTERNATIONAL FESTIVAL

Creative Scotland wholeheartedly welcomes the positive news of the substantial uplift for Culture, including Creative Scotland, in the Scottish Government’s draft budget announced today.

In 2025/26, Creative Scotland’s draft Grant-in-Aid budget from the Scottish Government will be £80m, up from £51.4m in the previous year. Included in this is an additional £20m, specifically for use in supporting the Multi-Year Funding programme and an additional £2m to support delivery of Screen Scotland’s strategy.

The Board of Creative Scotland will meet on 16 December to agree the final budget for Multi-Year Funding and a further update will be made following that meeting.

The final outcomes from the programme will be announced by the end of January.

Creative Scotland’s Chair, Robert Wilson, said: “Today’s draft budget announcement by the Scottish Government is enormously welcome. The major boost to Multi-Year Funding and other activities opens up wider opportunities, and we are grateful to the Scottish Government for this significant vote of confidence in Creative Scotland and the creative and culture sector.

“This is especially positive in the light of the long-term financial challenges the sector has been dealing with and will enable people and organisations to once again look forward with more confidence.”

CREATIVE SCOTLAND

Today’s budget released by the Scottish government is a “step in the right direction” but comes too late to ease the winter crisis already hitting some of the country’s A&Es.

This is the response from The Royal College of Emergency Medicine (RCEM) following the budget announcement today – Wednesday 4 December 2024 – by Finance Secretary Shona Robison MSP.

The College has welcomed the announcement of £200 million to tackle delayed discharge, a key contributor to long A&E waiting times and a 25% increase in social care spending.

The budget also included a £2 billion increase in frontline NHS spending to reduce waiting lists and improve access to GPs.

However A&Es continue to face the current reality, with NHS Grampian declaring a ‘critical incident’ last week due to Aberdeen Royal Infirmary being over capacity.

Dr Fiona Hunter, RCEM’s Vice Chair for Scotland said: “We welcome the government’s commitment to addressing many of the systemic issues that have plagued our health care system – its patients and staff – for far too long.

“RCEM has long campaigned for a sustained focus on tackling delayed discharge and improving social care capacity and this budget represents a step in the right direction. We are glad our call, and those of others highlighting this issue, have been answered.

“However, it has not come soon enough to ease pressures faced by A&Es who are working under extreme pressure to care for patients right now.

“We restate our commitment to working with the Scottish government to bring an end to this reality and #ResuscitateEmergencyCare in Scotland, for generations to come.”

The budget statement comes just one day after an Audit Scotland report revealed the number of people remaining in hospital because their discharge has been delayed – often due to a lack of social care capacity – is the highest on record.

ROYAL COLLEGE OF EMERGENCY MEDICINE

In response to today’s Scottish Government Budget, Debbie Horne, Scotland Policy and Public Affairs Manager at Independent Age said: “Older people across Scotland will be relieved to see the return of some help with winter energy bills through the Pension Age Winter Heating Payment from next year.

“For many not currently receiving Pension Credit, or those just above the eligibility, this money is desperately needed. Although not what they were originally due to receive, last week’s decision has been welcomed by older people in financial hardship across Scotland.

“It’s also good news that Scottish Social Security has been uprated with inflation, including entitlements that are important to older people, such as Pension Age Disability Payment and Winter Heating Payment. Many people in later life will be reassured that this has been confirmed.

“We are pleased to see that the Scottish Government is focussed on supporting renters. Over recent years both the number of older people renting privately and the proportion in poverty has risen. The increase in the Discretionary Housing Payment funding pot is an important lifeline to many older private renters, making up rent shortfalls, and the increased investment in social homes building should give tenants of all ages more security.

“However, it is concerning that the Scottish Welfare Fund, which can be a crucial safety net for older people when emergencies occur, such as needing help with food or heating costs, has not been increased.

“Generally, the older people in financial hardship that we speak to will feel heard by the Scottish Government today. However, we remain concerned about older people this winter. Going forward, the Scottish Government must continue to make decisions that improve the lives of older people in poverty.”

INDEPENDENT AGE

Jonathan Carr-West, Chief Executive, LGIU Scotland, said: “We know from our annual survey that local government finances in Scotland are hanging by a thread. One in four councils are afraid they won’t be able to pass a balanced budget next year. Three quarters are warning that they may not be able to do so within the next five years. Today’s Budget from the Scottish Government does not engage with the scale of that challenge.

“Local government may welcome commitments to the New Deal with Local Government continuing work on a fiscal framework and plans to deliver new revenue raising powers. However, they will be dismayed to see how much funding continues to be ring fenced.

“There is an increase in core funding in today’s Budget but it doesn’t cover the ever growing costs of core statutory services.

“The Scottish Government has responded to the concerns of councils and has removed the freeze on council tax rises, but the Cabinet Secretary’s expectation that record funding levels should mean councils do not need to put up council tax is too complacent.

“The truth is that even with the additional funding announced today, local authorities will still need to raise council tax and make cuts to services and will still edge closer to being unable to balance their books.”

LOCAL GOVERNMENT INFORMATION UNIT

Commenting on the Finance Secretary’s Budget statement this afternoon, Director of CAMRA Scotland Stuart McMahon said: “Pub goers and licensees will be raising a glass to the news that the Scottish Government are finally introducing help with the burden of business rates that have contributed to scores of pubs having to close their doors in recent years, and at a higher rate than elsewhere on these islands.

“Pubs are a vital part of our social fabric and it is right that they will now get the same 40% reduction in business rates that pubs in England get. It is also encouraging that pubs on island communities will continue to get a 100% reduction with their business rates.

“In order to make sure our pubs survive and thrive at the heart of our communities ministers must now commit to reforming the entire Business Rates system to make it fairer. The Scottish Government should level the playing field between online and bricks-and-mortar businesses and finally end the shocking overpayment that pubs have to cough up under the current system.”

CAMRA

Mary Glasgow, chief executive at Children First said: “The Cabinet Secretary says this budget will lift children out of poverty but given that Scotland faces a childhood emergency it is difficult to see how.

“The promise of jam tomorrow, in the form of mitigating the UK two-child cap does nothing to alleviate the plight of thousands of children and families across Scotland who are going hungry today.

“We called on the Scottish Government to invest in early help and support for families and to increase the Scottish child payment. It is disappointing that they have chosen to delay investing in children rather than taking immediate action. Children can’t wait.”

CHILDREN FIRST

RCEM issues urgent budget call to Scottish government ahead of ‘gruelling’ winter

The Royal College of Emergency Medicine has joined calls for the Scottish government to address ‘delayed hospital discharges’ in the upcoming budget announcement.

Delayed discharges are when people are considered medically fit enough to leave hospital but are unable to, often because the required social care support is not available.

The latest A&E performance figures from Public Health Scotland released today Tuesday 3 December 2024 revealed during the month of October more than 2,000 beds every day were occupied by people who were well enough to go home – the highest figure since 2016.

This issue means that the whole system for admitting people grinds to a halt and people can end up stranded in A&Es often waiting hours and even days for a ward bed to become available.

The latest data release comes as the Auditor General of Scotland published a damning report into the state of the Scottish health system which concluded that the Scottish Government has no clear plan to reform the country’s NHS, or to address pressures on the service.

Auditors found:

commitments to reducing waiting lists and times have not been met
the number of people remaining in hospital because their discharge has been delayed is the highest on record
and NHS initiatives to improve productivity and patient outcomes have yet to have an impact and lack clear progress reporting.

The issue of delayed discharges has also been highlighted by the Royal College of Physicians Edinburgh (RCPE) which has written an open letter to the First Minister calling on him to address this ‘urgent issue’ in his Government’s budget which will be unveiled tomorrow (4 December 2024).

Dr Fiona Hunter, The Royal College of Emergency Medicine’s Vice Chair for Scotland said yesterday: “Delayed discharges are a key reason that patients get stuck in Emergency Departments, often on trolleys in corridors – often experiencing extreme waits which are dangerous.

“So we join, and fully support, the calls from RCPE, and the Auditor General to address this issue. It must be prioritised as a matter of urgency.

“Today’s data is another timely reminder of scale of the issue. Just think about what it shows. More than 2,000 people every single day stranded in in hospital when they are well enough to go home.

“People – through no fault of their own, lying in beds which could be used for other patients who need to be admitted – who themselves are probably on a trolley in the Emergency Department, waiting for that bed to become available.

“We have to be able to move patients through our hospitals and out again when they are well enough. To do that takes a functioning and resourced social care system working alongside a functioning and resourced health system. They are inextricable.

Dr. Hunter concluded:“Tomorrow’s budget is an opportunity for the Government to #ResuscitateEmergencyCare, ahead of the depths of winter which is shaping up to be a gruelling several months ahead, for both patients and staff alike. They must take it.”

In an RCEM survey in November, 100% of Scottish A&E leaders that responded said they feel patients are coming to harm because of conditions.

Health secretary Neil Gray responded to the Audit Scotland report:

HRH The Princess Royal attends RCEM’s Annual Scientific Conference

Patron of the Royal College of Emergency Medicine (RCEM), Her Royal Highness The Princess Royal addressed more than 300 delegates at RCEM’s Annual Scientific Conference in Gateshead last week (10 October 2024).

Her Royal Highness praised the dedication of Emergency Medicine professionals and highlighted the work of the NHS workforce, in particular Emergency Departments, with the Covid outbreak and high workloads.

The Princess Royal was greeted at the conference venue by Dr Adrian Boyle, President of the Royal College of Emergency Medicine and Catherine Feast, RCEM’s Director of Engagement and External Affairs.

Her Royal Highness viewed the winning submissions from the poster competition and met the designers, and then went on to meet the abstract authors, discussing their studies which focused on key issues facing Emergency Medicine.

The Princess Royal further engaged with speakers and delegates before listening to Professor Richard Body from the University of Manchester and Manchester University NHS Foundation Trust, who delivered his presentation on how to optimise shared decision making for patients with chest pain.

Dr Adrian Boyle, President of the Royal College of Emergency Medicine said: “It was a great honour to welcome Her Royal Highness to our conference.

“Once again, she showed her understanding of the specialty, her interest in the people who work in it, and her awareness of the challenges it faces.

“We are so lucky to have such an engaged and passionate patron, and I know it means so much for those members who were able to meet and chat with her about their work.”

Catherine Feast, Director of Engagement and External Affairs at the Royal College of Emergency Medicine said: “Her Royal Highness’s presence at our Annual Scientific Conference marks the second event The Princess Royal has attended this year and we are so grateful she gives us so much of her time.

“As ever, our delegates were delighted to have her here and to hear her support for the specialty.

“She is a fabulous royal patron, and we are honoured to have had her visit us last week.”

The Princess, who has been royal patron of the Royal College of Emergency Medicine since 2008, previously attended RCEM’s trainee conference, which was also held in Gateshead in February 2024.

Scottish government are ‘duty-bound’ to end corridor care and A&E overcrowding

This is the response from The Royal College of Emergency Medicine (RCEM) Scotland as the latest Emergency Department performance data reveals that one in every nine people waited eight hours or more to be seen in A&E last month.

Data released yesterday – Tuesday 2 July 2024, by Public Health Scotland shows in Scottish A&Es in May – one in three patients waited four hours or more, one in nine waited eight hours or more, and one in 21 waited 12 hours or more.

The data also shows long waits have increased significantly since the 2010s.

Since May 2017, for example, the numbers waiting four hours or more has increased by nearly five times, eight hours or more by 21 times, and 12 hours or more by 89 times. Despite attendance only increasing by 0.5% in the same period.

The figures come just weeks after RCEM revealed the shocking reality of A&E overcrowding in the country with figures showing half of Emergency Departments were having to treat people in corridors.

A situation for which the First Minister John Swinney had to offer an ‘unreserved apology’ during First Minister’s Questions on 20 June.

Dr John-Paul Loughrey, RCEM Vice President for Scotland said: “It is right that the First Minister has apologised to people who have been forced to withstand treatment in corridors.

“It is unbearable for the people experiencing this loss of dignity at an already difficult time, and for the medical practitioners caring for them in impossible conditions.

“The data clearly shows that extended A&E waiting times due to overcrowding is not a new issue. It is sadly what A&E staff have come to expect.

“We once again call on the Scottish Government to take action to prevent overcrowding in Emergency Departments and the subsequent need to treat people in corridors by increasing the number of hospital beds and improving social care options so people can leave hospital when they are ready.

“I, personally, am growing weary of the inaction to rectify these longstanding issues and the resulting harms.”

“The government is duty-bound to provide the people of Scotland with safe and dignified emergency care, and now is the time to do so.”

RCEM responds to Liberal Democrats’ 12-hour A&E waits data

Responding to the Liberal Democrats’ data which it says shows the number of patients waiting 12 hours or more in A&E has risen 100-fold since 2019, Dr Adrian Boyle, President of the Royal College of Emergency Medicine, said: “We very much welcome the Liberal Democrats’ focus on this extremely important issue, and for responding to our request for more focus to be given by all pollical parties to the crisis happening right now in our A&E departments.

“These figures, and our own research, clearly evidence the shameful and shocking reality of poorly patients who need to be cared for on hospital wards having to wait many hour hours, ever days, often on trolleys in corridors because there is not enough capacity in the system.

“There simply are not enough beds to admit people to, often because the people in those beds are medically well enough to go home but can’t because of inadequate or delayed social care support.

“It is not just a matter of inconvenience or lack of dignity – which is bad enough. The longer people’s in-patient admission is delayed, the greater the risk the risk to their life.

“There is no one quick fix, but the problems are fixable. RCEM is ready to work with whoever forms the next Government to begin the process of resuscitating our health system and ending these unacceptable and dangerous long waits.”

#ResuscitateEmergencyCare

RCEM calls for next Westminster government to end “degrading” A&E waits in Scotland

The Royal College of Emergency Medicine is urging whoever forms the next Westminster Government to ensure the Scottish executive has sufficient funding for Emergency Medicine as the country’s A&E crisis continues.

The call comes after the latest Emergency Department (ED) performance data for Scotland was released today (4 June 2024).

Published by Public Health Scotland, the data shows that in April:

112,005 people visited a major Scottish ED (down 4.6% on March 2024)
64% of those people were treated, discharged or admitted within the target time of four hours
14,237 people waited more than eight hours (12.7%) and 6,412 (5.7%) patients had to endure waits of more than 12 hours

This represents the worst four-hour, eight-hour and 12-hour performance for any April since records began in 2011.

The number of patients who were unable to leave hospital despite being well enough to do so – which is a key contributor to overcrowding in Emergency Departments – was up 12% on the same month the previous year.

Dr John-Paul Loughrey, Royal College of Emergency Medicine Vice President for Scotland, said: “Extreme waits in A&Es are degrading and dehumanising and critically they are dangerous.

“We must not allow this vitally important message to be drowned out by the posturing and political coverage which naturally comes ahead of an election.

“The crisis in our departments continues and whoever forms the next Westminster Government must be pragmatic, proactive and provide adequate resources so the devolved governments including here in Scotland can really address this issue.

“It is nothing less than our members and their patients deserve.”

A graphic illustration of the data can be found here. The full data can be found here.

RCEM: New First Minister must address A&E ‘danger zone’

A&Es in Scotland are under “constant strain” amid extended wait times and delays to patient discharge.

This is the response from The Royal College of Emergency Medicine (RCEM) as new Scottish National Party leader John Swinney lists the NHS as being among his “focus” points in power.

RCEM has called for the incoming First Minister, which is expected to be Mr Swinney as the only candidate, to address hospital discharge delays and extended A&E wait times.

Monthly performance data released yesterday by Public Health Scotland reveals the true scale of the challenge, with the number of people waiting twelve hours or more at A&Es in Scotland having grown by 6260% since 2017.

The data, which covers March, shows slight improvement since February. However, it was the worst March since records began in 2011 for patients being seen within four hours of arriving at A&E.

In March, one in three people attending Scottish Emergency Departments waited four hours or more to be seen, one in eight waited eight hours or more, and one in 20 waited 12 hours or more.

There was a total of 58,646 days spent in hospital by people who were well enough to be discharged, but unable to leave due to inadequate social care.

Dr JP Loughrey, The Royal College of Emergency Medicine’s Vice President for Scotland said: “The constant strain on staff and patients is causing an immense amount of damage. They are stuck in the danger zone of a long-wait pressure gauge without enough support to relieve this alarming situation.

“Any modest improvements on February’s figures are not enough. Scotland’s new First Minister must commit to bringing about positive change by putting the nation’s healthcare at the top of their priorities.

“The College’s campaign to #ResuscitateEmergencyCare and its 2024 Manifesto recommendations can support the Scottish Government and other key policy makers in making tangible changes to help improve the dire situation we are in.

“Delays to patients discharge from hospital is one key area to improve upon as this blocker mean Emergency Department doctors cannot admit patients, causing unacceptably long waits that are continually getting worse.

“Delays in ambulance handovers, hospital discharges and a lack of social care provisions continue to take a toll on hardworking staff who are at their limit.

Dr Loughrey added: “The College would like to congratulate John Swinney on his appointment as SNP leader. We look forward to working together to improve Emergency Care in Scotland.”

A graphic illustration of the data can be found here. The full data set can be found here.