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Report

Labour’s first year
Assessing government’s record on NHS and social care policy so far

Published September 2025
Authors
Labour's first year (report)

Cite this publication

Dunn P, Ewbank L, Allen L, Lawrence A, Alderwick H. Labour’s first year: assessing the government’s record on NHS and social care policy so far. The Health Foundation; 2025 (https://health.org.uk/publications/labour-s-first-year).

Our report analyses national policies on the NHS and adult social care during Labour’s first year in power. It provides an independent assessment of government’s record so far.

In its first year in office, the Labour government proposed far-reaching reforms to the health and care system. Our report assesses government’s record so far across six themes: 

  • funding
  • system reform and oversight
  • funding flows and incentives
  • workforce
  • data, digital and technology
  • improving and redesigning care. 

For each theme, we set out the policy context Labour inherited and the headline commitments in the party’s manifesto. We describe the key policies proposed or introduced so far and then provide a brief assessment of these policies and how they fit together. The final section offers an overall assessment of Labour’s reform agenda.

A year in, it is too early to assess impact. But our analysis shows government has ground to catch up if it wants to demonstrate progress on its broader promises to transform the NHS and social care ahead of the next election.

Further reading

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