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This is one of three Health Foundation briefings ahead of the June 2017 General Election, and focuses on NHS and social care finances. It aims to clarify the debate on three main challenges:

  • Funding and social care: how big a problem is it?
  • Funding and the NHS: are two years of famine ahead?
  • Funding for social care and the NHS: how much might be needed beyond 2020?

We summarise the evidence and offer commentary on the options that need to be considered if both of these essential services are to meet the public’s needs in the future.

Key points

  • Social care needs immediate attention from an incoming government. Despite the extra money allocated to social care in the spring budget, the current system is severely under-funded and unaffordable for people on low incomes who are ineligible for free care.
  • Funding for the NHS in England needs to increase in the next two years to protect access to care and the quality of services for patients.

  • Beyond 2020, the pace of funding growth for the NHS and social care system will need to accelerate, taking a greater share of GDP.
  • The briefing also calls for an independent financial body for the NHS to be established, similar to the OBR, to lay out the long-term financial outlook for health and social care, as recommended by the House of Lords’ committee on sustainability.

Further reading

Comments

MICHAEL SKERRETT



THE NHS REQUIRES A COMPLETE CHANGE TO FUNDING AND THE OPERATION. OVER THE YEARS WE HAVE PUT MORE AND MORE FUNDING INTO NHS WITH NO ATTEMPT TO REPLACE THE POOR MANAGERS AND TRUST DIRECTORS. THE BLAIR YEARS WERE A DISASTER FOR THE NHS. MONEY ALLOCATED TO INCREASING WAGES NOT MORE NURSES OR DOCTORS. PAYING GP'S HUGE SALARIES TO DO LESS WORK. BUILDING NEW HOSPITALS WITH PRIVATE INVESTORS MONEY AT A HUGE COST TO THE TRUSTS. DO NOT BLAME THE CURRENT ADMINISTRATION FOR LABOURS DISASTER BLAME THE VOTERS THAT VOTED FOR BLAIR.WE NEED A BODY TO MANAGE ALL THE NHS FINANCIAL AND OPERATIONS WITH TARGETED EXPENSES IN WITH TRUSTS BUDGETS AGREED BY THE BODY NOT LEFT TO THE TRUSTS TO DECIDE.



Sheena Rae



Margaret Thatcher started this rot in the NHS & Tony Blair continued it. There will be no recovery without getting rid of useless managers & employing people who know what they are talking about. Get rid of the high salaried idiots who haven't got a clue, then we should see changes. Stop using agency staff & STOP trying to privatise it. The NHS belongs to the people, NOT the politicians.



anita leedale



The current Government has done nothing to help either with cuts in real terms our NHS is in crisis, just a question how are they going to stop using agency staff when day in day out there is a dangerous shortage of staff and that's when they have got agency staff working, what do you expect them to do, say sod the patients we will just have to risk their lives. I am a childminder and have 4 mums who are nurses on my books they are run ragged and week in week out they contemplate quitting.



mick skerrett



Check your history Maggie did not start the NHS problems LABOUR did in 1948.



Dr Umesh Prabhu



The problem in NHS started when labour government gave lot of money to NHS but handed over the leadership of NHS to managers and what we are seeing today is the legacy of that culture of managers being in leadership position of NHS, Just look at the Acute Trust Boards, 90% of them are non-clinical background, nice people who want to do their best for their local community but sadly focus on targets and finance rather than focusing on patients or staff well-being. Financial challenge of NHS and Foundation Trust funding arrangement means more and more activities done to get more and more money to FT!

To protect patients many initiatives have been introduced like clinical incident reporting, Never events, MHPS (doctors regulation), CQC inspection, more power to coroner's and so on and rightly so but this has put staff under tremendous pressure! Many staff have been investigated, disciplined and referred to the regulators. Sadly club culture is rife so many times wrong doctors or nurses who are not in the leadership club are investigated, suspended and referred to the regulators but those doctors or nurses or managers who are in the club who harm patients simply escape and keep on harming patients!

One has to look at Dr Pattern and there are probably many such doctors who bully staff and staff keep quiet! No one knows how many more such doctors or managers are there who bully staff or belong to the club!

NHS needs good leadership, good accountability and governance and good use of IT and excellent staff and patient engagement and then only we can transform NHS. NHS and nation is in crisis because of White male dominated culture! Please do not misunderstand me as there are many wonderful White men out there who really care for NHS and do their best!

Today, 45% doctors are Black and Minority ethnic, 23% staff are BME and 70% of NHS staff are women, yet leadership is dominated by White men! In a value based organisation diversity and inclusion thrives! Leaders are appointed only on merit and with proven track record! Sadly NHS leadership is like old wine in a new bottle!

Many clinical staff are fed up and keep quiet as their clinical excellence awards, references for future jobs and so on depends on the boss! Sadly many NHS leaders do behave like bosses and not as leaders!

Good leader is a good servant, good follower and all his/her job is to appoint right people and create a right team and make sure everyone delivers and the team wins!

NHS must appoint right leaders with right values, stop working in silos, keep good old leaders and get rid of poor or bad leaders and have robust governance and accountability and use IT and must transform NHS and social care together. We all need NHS and social care and together we got to transform NHS and social care.

If NHS keeps on excluding good BME staff from leadership then NHS will not transform nor will social care!




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