A general view of staff on a NHS hospital ward at Ealing Hospital in London
CAMPAIGNERS slammed the government for “not talking seriously” about health service funding today, after it emerged that the bill to fix crumbling NHS buildings has soared while patients and staff are left in harm’s way.
New figures show that the cost to eradicate NHS repairs in England jumped to £13.8 billion in 2023, up by a fifth compared to the previous year.
Costs amounting to £3bn were attributed to “high-risk” repairs, which could cause injury if left unaddressed.
NHS Providers deputy chief executive Saffron Cordery said: “Vital bits of the NHS are literally falling apart after years of underinvestment nationally.
“The safety of patients and staff is at risk.
“The list of essential repairs across the NHS waiting to be done keeps getting longer and the costs are rocketing.”
The spiralling maintenance backlog outstrips the cost of running the NHS estate itself, which also increased by 11 per cent to £13.6bn.
King’s Fund chief executive Sarah Woolnough said the backlog has grown due to the “repeated raiding” of capital budgets to shore up day-to-day running costs, coupled with “short-term sticking plaster solutions.”
Conservatives have praised Wes Streeting at their annual party conference, saying the Labour Health Secretary has shown “political courage” by recognising that “the NHS model isn’t working properly”.
George Freeman, the Tory MP for Mid Norfolk who has twice served as science, innovation and technology minister, was asked about the Labour government’s healthcare plans at a Monday fringe event on life sciences research.
“The new government have made very clear there’s a lot of continuity. I’m pretty cheered,” the Conservative MP replied.
He said that he had been in discussions with Prime Minister Keir Starmer and Science Secretary Peter Kyle about life sciences research and the health innovation economy.
“I’m talking to Keir and Peter Kyle and others. They have been kind enough to say this is one of the areas they don’t view as part of the broken inheritance.”
A general view of medical equipment on a NHS hospital ward at Ealing Hospital in London
LEADING medics demanded an independent review into physician associates (PAs) and anaesthesia associates (AAs) to investigate concerns around patient safety today.
Plans have been outlined to expand the number of PAs and AAs across the NHS to 10,000 by 2037.
Unlike doctors, who study medicine for five years and undertake two years of placements, medical associates qualify from a two-year master’s degree.
The roles have faced backlash over concerns that they will replace trained doctors.
This intensified after a 29-year-old woman died in 2022 after being misdiagnosed twice by a PA she thought was a GP.
The Academy of Medical Royal Colleges has written to Health Secretary Wes Streeting and NHS chief Amanda Pritchard to call for a rapid review to “clarify claims around their safety and usefulness in patient-facing roles” and examine if the roles are cost effective, efficient and safe for patients.
Introducing a wealth tax would indicate this is a progressive government. But that seems unlikely
Taking as his theme the need to “fix the foundations” after “14 years of rot” under Tory rule, new Labour prime minister Keir Starmer this week delivered a message that should bring discomfort to everyone in the months and perhaps years to come.
Those “14 years of rot” are of no surprise to voters; indeed, they helped ensure a landslide Labour victory in the election in July. But Starmer’s plans to resolve them appear likely to be far harsher than many voters expected.
The chancellor of the Exchequer, Rachel Reeve, has made numerous hints that hard times are ahead. Her October budget will be uncompromising in its commitment to raising revenue to help fill a fiscal hole reckoned to be around £20bn – but much of this money seems likely to be taken from the poorer sections of society, not the rich.
Labour will retain unpopular policies introduced by the Conservatives – the ‘bedroom tax’ and limiting child benefit allowances to the first two children, for example – while introducing its own cost-cutting measures, such as reducing the winter fuel allowances for many pensioners.
These actions contribute to a growing sense that the Starmer government will prove to be decidedly right-of-centre in a country beset with deep divisions of wealth and poverty. Some areas may see an improvement, such as labour rights, but even there, it is a matter of the devil in the detail.
One area where the government does apparently have cash to spash, though, is military spending, which is set to be substantially increased despite the manifest failures in Afghanistan, Iraq and Libya, and the deeply unpopular Israeli wars on Gaza and the West Bank.
Labour’s attitude to Israel is certainly unlikely to change, with the Department for Business and Trade reporting on efforts to strike a new trade deal with the country, saying: “Our teams will be entering negotiating rooms as soon as possible, laser-focused on creating new opportunities for UK firms.” An official from the British Embassy in Israel also recently wrote of the “tremendous opportunity for collaboration between Israeli and British companies”.
A full-scale Strategic Defence Review is also underway, and there are few if any indications that it will start by addressing the grievous failures of the past two decades. If previous experience is anything to go by, it will likely also omit the main challenge to international security: climate breakdown. Without that, the review will not be worth the paper it is written on. Net zero secretary Ed Miliband may be doing his best to maintain the idea of a green transition but the issue would be sidelined by any major increase in government spending.
On the domestic front, less than two months into the new Labour government the contrast between Food Bank Britain and the ludicrous levels of runaway wealth is apparent. It was coincidentally yet powerfully illustrated just four days before Starmer’s pre-budget speech, by a full-page property advertisement from Sotheby’s in the Financial Times.
Of the seven properties on sale, one was a relatively modest three-bedroom apartment in Chelsea, on sale for a mere £5m, while the others included a six-bedroom house in Belgravia offered at £18m and a nine-bedroom/five-bathroom place near Regent’s Park for £20m. Another Regent’s Park number was on sale for £25m million, which at least had 7 bathrooms for the 6 bedrooms. Trumping all was a triplex number in Knightsbridge – £50m with exclusive access to Hans Place Gardens.
While we have to wait for the October budget announcements, we can be reasonably sure that there will be some attempts to raise modest amounts from the wealthier sectors of society, possibly involving changes in capital gains and inheritance taxes. But the best indicator of a changed government would be one willing to bring in wealth taxes, especially those directed at the super-rich.
Onee of Britain’s largest trade unions, Unite, recently proposed a 1% per annum tax on those with net assets of over £4m, which would include property, shares and bank holdings but not mortgaged property. That is estimated to yield £25bn a year but would be bitterly opposed, with the Daily Mail informing us that: “Millionaires are looking to flee the UK in their droves to escape Labour’s tax raids – with a record number of wealthy Britons tipped to leave the country this year.”
As things stand, the budget is expected to include substantial cuts in public spending that could be at least partly avoided by such a wealth tax, and it is worth noting that some European countries such as Switzerland and Spain have already introduced them. At least Britain’s wealthy won’t be fleeing “in their droves” to those countries.
If adopted in October, in even a modest form, a wealth tax would be a reasonable marker for a progressive government. If not, then an opportunity will be missed for placing Labour in a more progressive place in the political spectrum than currently seems at all likely.
Keir Starmer confirms that he is continuing Tory policies and that he’s proud to be a red Tory.Keir Starmer says pensioners can freeze to death and poor children can starve and be condemned to failure and misery all their lives.
Downing Street has billed the speech tomorrow as “a direct message to the working people across Britain.”
In it, Sir Keir is expected to develop the line of attack that Chancellor Rachel Reeves began when she accused the Tories before the summer recess of leaving a £22 billion black hole in this year’s budget.
Sir Keir will claim government has to take “unpopular decisions” to rebuild the country from “rubble and ruin” left by the Tories, saying: “We have inherited not just an economic black hole but a societal black hole.
“And that is why we have to take action and do things differently.
