NHS spending rise lags behind Tory funding pledges, IFS finds

Thinktank says extra funding eaten up by higher inflation despite greater demand with service in poor state of repair

Spending on the NHS in England has risen less quickly than the Conservatives promised at the last election despite the extra demand created by the pandemic and record waiting lists, a leading thinktank has said.

The Institute for Fiscal Studies (IFS) said increases in funding from the government had been eaten up by higher than expected inflation and, as a result, NHS day-to-day spending had grown by 2.7% a year during the current parliament – below the 3.3% pledged by Boris Johnson in 2019.

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NHS mental health trust failings blamed for more than 30 deaths in Norfolk and Suffolk

Campaigners are calling for public inquiry into high number of patient fatalities over a decade at crisis-hit service

More than 30 patients died after risks were not acted on in the decade following a controversial service redesign at a crisis-hit NHS mental health trust, according to an analysis by campaigners.

The report by the Campaign to Save Mental Health Services in Norfolk and Suffolk also logged nearly 20 patients of Norfolk and Suffolk NHS Foundation Trust (NSFT) who have died since 2013 after communication failures, while family concerns were ignored in 15 cases.

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Nurses in England took an average of one week off sick for stress last year, data shows

Chronic workforce shortages have put nursing staff under unbearable pressure, says union chief

Nurses in England took an average of a week off sick last year because of stress, anxiety or depression, NHS figures reveal.

The disclosure has prompted concern that the intense strains nurses face in their jobs, including low pay and understaffing, are damaging their mental health and causing many to quit.

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Hundreds of thousands face being denied revolutionary new dementia drugs in England

Exclusive: Treatments near approval but lack of diagnostic capacity means NHS unprepared for rollout, report says

Hundreds of thousands of dementia patients in England face being denied access to revolutionary new drugs because the diagnostic capacity of the NHS lags behind every other G7 country, according to a damning report.

After decades of research to find a cure for the condition projected to affect 153 million people worldwide by 2050, scientists have successfully developed the first treatments to tackle the underlying causes rather than only relieve the symptoms. Two new drugs could get the green light for use on the NHS within weeks.

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Nearly 1,000 pharmacies in England closed since 2017, with poorer areas more affected

Exclusive: Millions more GP appointments potentially created as a result of closures

Almost 1,000 pharmacies in England have closed since 2017, potentially leading to millions of extra GP appointments, the Guardian can exclusively reveal.

There are more than 11,000 pharmacies in England. Guardian analysis of the official register of these chemists has found that parts of the country have lost more than one in five pharmacies in the last six years, with poorer areas experiencing proportionally more closures.

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Junior doctors in England vote to continue striking until mid-September

BMA members overwhelmingly back further stoppages and overtime bans in long-running pay dispute

Junior doctors in England have voted to keep on striking until the middle of September in their long-running pay dispute, bringing a fresh wave of disruption to the NHS.

Those belonging to the British Medical Association voted overwhelmingly to stage further stoppages in addition to the 41 days of strikes held since last March.

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Budget 2024 live: Jeremy Hunt cuts national insurance, abolishes non-dom status and raises child benefit threshold

NI cut of 2p announced, along with new tax on vapes, end of tax relief for holiday lettings and more cash for NHS IT system

Jeremy Hunt is expected to extend the windfall tax on energy companies in the budget to help fund his national insurance cut. Extending the windfall tax is a Labour proposal that the Tories used to dismiss, and, according to a Daily Telegraph story, Douglas Ross, the Scottish Conservative leader, is so angry about the move that colleagues thought he might resign. Ross is MP for Moray, in the north-east of Scotland, and he is worried that the potential impact on the oil and gas industry in Scotland will cost the party votes.

In their story, Nick Gutteridge, Dominic Penna and Simon Johnson say Ross had a row with Rishi Sunak about this at a reception on Sunday night. They report:

The leader of the Scottish Conservatives had doggedly sought out Mr Sunak across the crowded, stifling room, determined to give him a piece of his mind about the Treasury’s plans to extend the windfall tax on North Sea oil and gas giants for an extra year.

What followed was a “heated” discussion between the pair, with Mr Ross warning the move would hammer the Tory vote north of the border and the prime minister countering that it was necessary to deliver a National Insurance cut for millions of workers.

Glen O’Hara, professor of modern history at Oxford Brookes University, points to the gaping trade deficit left for Labour in 1964, when outgoing Tory Chancellor Reginald Maudling infamously left a note for his successor reading: “Good luck, old cock … sorry to leave it in such a mess.”

Conservative Chancellor Norman Lamont’s pre-election budget in 1992 introduced a lower rate of income tax which Labour opposed, allowing the Tories to portray them as a “high-tax party.” The Tories unexpectedly went on to win the subsequent poll.

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Public servants must do more to manage conflicts of interest, APS commissioner tells top bureaucrats

Exclusive: Letter to department heads does not cite specific incidents but comes after scandals involving government grants and consulting firms

The public service must do more to eliminate conflicts of interest and ensure personal relationships in the workforce are not leading to power imbalances, the sector’s chief has told senior bureaucrats.

The Australian Public Service commissioner, Gordon de Brouwer, outlined his concerns in a letter to the leaders of all government departments, and sought their assistance to identify, disclose and manage all conflicts.

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NHS dentistry ‘recovery plan’ not worthy of the title, dentists say

British Dental Association says government’s plan does not offer hope to millions struggling to access care

Rishi Sunak has been accused of making a U-turn on his pledge to restore NHS dentistry as experts say his “recovery plan” does not offer enough money to incentivise dentists to take on extra NHS patients.

The prime minister’s long-awaited proposals have been criticised for failing to ringfence funding for the dental sector and reform the NHS dentistry contract, which means millions across the country will continue to struggle to access care.

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Rishi Sunak accused of personally holding up deal to end doctors’ strikes

Exclusive: Sources say PM has blocked talks due to concerns about knock-on effect of more generous pay offer

Rishi Sunak has been accused of personally holding up a deal to end doctors’ strikes in England despite warnings from the health department and NHS England that waiting lists will continue to soar unless the industrial dispute is resolved.

Sources told the Guardian it had been made “abundantly and repeatedly” clear to the prime minister that there would be no progress on his pledge to drive down NHS waiting lists until a deal was struck.

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Disposable vapes to be banned in UK as part of drive to curb youth vaping

Plans to make vaping less appealing also to include restricting fruity flavours and introducing plain packaging

Ministers are to ban disposable vapes as part of a UK-wide drive to curb youth vaping.

The government is also seeking to make vaping less appealing to children by restricting sweet and fruity flavours, introducing plain packaging and making displays less visible in shops, under newly announced powers. The changes are expected to come into effect towards the end of this year or early 2025.

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Royal Mail could save £650m by moving to three-day-a-week service, says Ofcom

Regulator sets out possible ways forward in review of requirement to deliver across Britain, six days a week

Royal Mail could save up to £650m if it delivered letters just three days a week and £200m by stopping Saturday deliveries, the communications regulator has said.

The watchdog said a reduction from six to five days a week would save £100m to £200m, and going down to three days would save between £400m and £650m.

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UK wasting ‘tens of billions’ on crumbling infrastructure and badly run projects

Spending watchdog says smarter government can find huge savings for better public services

Britain is wasting tens of billions of pounds on badly run projects, cold war-era IT systems and crumbling, poorly maintained infrastructure, parliament’s spending watchdog will say on Tuesday.

Gareth Davies, head of the National Audit Office (NAO), will argue the government could save vast sums if it addresses maintenance backlogs and replaces out-of-date IT.

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Starmer to embrace ‘nanny state’ with plan for toothbrushing in schools

Labour leader hits out at perceived criticism as he attacks Tory record on child health

Keir Starmer has said he is “up for the fight” of defending the “nanny state” as he announced plans to improve child health under a Labour government, including supervised toothbrushing in schools.

The Labour leader said that children were “probably the biggest casualty” of the Tories’ sticking-plaster approach to politics over the past 14 years, adding that, if the government were a parent, they could be charged with neglect.

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Junior doctors’ leaders warn of more strikes unless ministers make new offer

Row breaks out on first day of NHS’s longest ever stoppage as requests to return to work rejected

Junior doctors’ leaders have said they are prepared to stage yet more strikes after the longest stoppage in NHS history, as health leaders warned that this week’s action alone could cripple the health service until spring.

The dire warnings came as Rishi Sunak faced fresh pressure over his pledge to reduce waiting times. Since he made his vow exactly a year ago, the list has gone up, not down – and by 500,000, official figures reveal.

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Wes Streeting says NHS uses winter crisis as excuse to ask for more money

Shadow minister tells health service ‘money is tight’ and that it must provide better value for taxpayers

The shadow health secretary has accused the NHS of using every winter crisis and challenge it faces as an excuse to ask for more money.

Speaking on a visit to Singapore, Wes Streeting said the health service needs to accept “money is tight”, and that it must rethink how the care it provides could provide better value for money for the taxpayer.

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Five-point plan to cut UK immigration raises fears of more NHS staff shortages

Care workers banned from bringing over relatives, and minimum salary threshold increased in other sectors

The home secretary, James Cleverly, has announced a five-point plan aimed at delivering the biggest ever cut in net migration to the UK, prompting fears of heightened staff shortages in the NHS and social care.

Cleverly announced that the minimum salary requirement for a skilled worker visa would rise to £38,700, while a rule that allows for people in professions with the greatest need to be hired at 20% below the going rate will be scrapped.

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Boris Johnson’s legacy will be shaped by Covid inquiry appearance

Discredited ex-PM faces a demolition job in one of the few policy areas to which he and his allies still cling

Even at the height of his popularity, Boris Johnson routinely avoided close questioning – to the extent of once hiding in a fridge to dodge a TV inquisitor. The former UK prime minister is likely to be dreading next week’s appearance at the Covid inquiry. And he probably should.

It is no exaggeration to say that events on Wednesday and Thursday at the inquiry’s repurposed office building in Paddington, west London, could help define the post-power image and legacy of Johnson, and very possibly not for the good.

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Earlier lockdown could have saved lives of 30,000, Hancock tells Covid inquiry

Ex-health secretary has described Boris Johnson’s Downing Street as undermined by ‘culture of fear’

Tens of thousands of lives could have been saved if the UK had locked down three weeks earlier, Matt Hancock has told the Covid inquiry, as he described the operation of Boris Johnson’s Downing Street as undermined by a “culture of fear”.

The former health secretary said his staff were abused by Dominic Cummings and that Johnson’s then chief adviser attempted to exclude ministers and even Johnson himself from key decisions at the start of the pandemic, hampering the government’s response.

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How Labour’s plan for ‘fair pay deals’ looks to solve UK social care crisis

Underfunded, overstretched sector to become testing ground for battle against low pay but critics say policy is weak and vague

“My sister is a care worker. She was a care worker during the pandemic. Fourteen-hour shifts, often overnight. Unimaginable pressure. And the reward? A struggle every week – and I mean every week – just to make ends meet.”

So spoke Keir Starmer last month, drawing on experience close to home in his party conference speech to underline his determination to overhaul the cash-strapped social care sector.

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