News & insights
Date: November 2024 | Sector: Global health | Expertise: Public policy & strategy
A ‘broken’ NHS, £22.6bn and a big reform agenda
David Jones analyses recent government policy announcements and the Autumn Budget, within the context of the current state of the NHS.
The government and the NHS – collectively – face significant challenges over the next five years. Funding limits, productivity requirements and stakeholder dynamics are all likely to be severely tested. Whether the NHS is at – or beyond – it’s breaking point, there is clear evidence that its performance has declined over time, both prior to – and as a result of – the Covid-19 pandemic.
Alongside continued operational and financial pressures, NHS providers are expected to receive greater autonomy, but with greater responsibility for performance improvement. This places a high value on local leadership. However, the government will likely find it challenging to remain ‘hands off’. Its political strategy and current fiscal trajectories are contingent on successful NHS reforms that both improve public services and deliver productivity gains.
Finally, a new government does present a window of opportunity. Let us hope that the NHS can continue to build upon its many strengths and can find healing for its troubles.
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