The British public is the unhappiest it has ever been with the NHS, but still supports it in principle, a new survey has found.
The overall satisfaction with the NHS now stands at 29% – a fall of seven percentage points and the fourth-largest drop ever recorded in a single year. In 2010, satisfaction with the NHS was 71%.
The British Social Attitudes survey has tracked public opinion consistently since 1983.
Some 51% of people are unhappy with the healthcare service, a rise of 10 percentage points in a single year, and the highest levels of dissatisfaction since the survey began.
The 40th annual survey took place in September and October last year and asked 3,362 people from England, Wales and Scotland their opinions on health and social care.
The findings paint a worrying picture of how people perceive the NHS.
Over two-thirds of respondents (69%) chose long waiting times for GP and hospital appointments as one of the top reasons for dissatisfaction.
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Accident and emergency departments have seen a sharp increase in the percentage of dissatisfied respondents, with a record 40% saying they are unhappy, according to analysis by the Nuffield Trust and The King’s Fund.
General practice (GPs), dentistry and inpatient hospital services were among the other areas reaching record levels of dissatisfaction, with the findings consistent across all ages, income groups, genders and political persuasions.
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Of those who were satisfied with the NHS, the top reason was because NHS care is free at the point of use (74%), followed by the quality of NHS care (55%) and that it has a good range of services and treatments available (49%).
Matthew Taylor, chief executive of the NHS Confederation, said the survey results should be a “red flag to the government”.
The results “should not be seen as a judgement of the efforts of frontline staff to recover services in the wake of the pandemic but rather, a sign that the NHS is not being given what it needs to fully deliver for its local communities”.
“With there being around 124,000 reported vacancies across the NHS in England and a maintenance backlog stretching over £10bn this is hardly surprising,” he added.
Almost 80% of NHS staff consider quitting
Unhappiness within the NHS is not restricted to members of the public, with a separate survey finding 75.5% of workers are considering leaving the service altogether.
The survey of 2,500 NHS employees by Organise found more than half are taking days off due to stress, anxiety or burnout.
The majority also said patients are experiencing medication errors, delays in procedures and compromised quality of care as a result.
Anabela De Barros, a recovery nurse working in London, told Sky News the pandemic left many NHS staff deeply traumatised.
“I have never seen so many dead patients in my life,” she said, speaking about her work during COVID.
“And it was nice that everyone was clapping for us. But I know nurses that are now going to food banks, so it’s not enough.”
Image: Striking NHS junior doctors on the picket line
Ms De Barros has just voted to reject the latest pay deal offered to nurses.
“We’ve had Brexit, COVID and now the war in Ukraine has made the cost of living so high. We are just tired. We are exhausted. And it doesn’t seem like it is going to get better any time soon.”
Nat Whalley, CEO and co-founder of Organise – a worker-led network for fixing employment – called it a “ticking time bomb at the heart of our healthcare system”.
“We don’t need empty promises; we need tangible investments in the NHS that allow workers to thrive in their roles, without suffering from stress, anxiety, and burnout,” said Ms Whalley.
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2:19
Why are staff quitting the NHS?
Despite being unhappy, Brits still support the NHS
Despite the high levels of dissatisfaction with how services are operating, the public continues to show strong support for the principles underpinning the NHS.
Nine in 10 people backed the idea that the NHS should be free of charge when people need it.
But more than eight in 10 believe there is a major or severe funding problem for the service.
While taxation remains the favoured source of funding, more people believe the service should live within its budget.
Jessica Morris, report author and fellow at the Nuffield Trust, said: “It is clear that the level of unhappiness amongst the British public over the way the NHS is running is going to take many years to recover.”
A Department of Health and Social Care spokesperson said the government was “hugely grateful” to NHS and social care staff for their working during the pandemic and dealing with the subsequent backlog.
“Cutting waiting lists is one of the prime minister’s five priorities and so far, we have virtually eliminated waits of over two years for treatment and latest figures show the number of patients waiting over 18 months has reduced by 80% from the peak,” they added.
A spokesperson for NHS England said: “The NHS is taking significant steps to further improve patient experience, including our recently-launched blueprint to recover urgent and emergency care alongside continuing to slash the long waits for elective treatment which inevitably built up during the pandemic, and we are working on new plans to boost primary care for patients as well as publishing a long-term workforce strategy shortly.”
They also highlighted the government’s £14.1bn investment in health and social care over the next two years.
Wes Streeting MP, Labour’s shadow health secretary, said: “Support for the values that the NHS was built upon are unshakable. It will fall to the next Labour government to reform and rebuild the NHS, so it once again delivers quality care for patients, free at the point of use.”
The UK is deporting 60 delivery riders found to be working illegally after an immigration crackdown.
Targeted action against workers in the so-called gig economy led to 171 arrests nationwide last month, the Home Office said.
Those arrested included Chinese nationals working in a restaurant in Solihull, Bangladeshi and Indian riders in east London, and Indian delivery riders in Norwich.
The drive comes as ministers try to crack down on illegal working in the UK, as part of efforts to deter those coming to the country illegally.
Home Office figures show there were 8,232 arrests of illegal workers in the year to September, up 63% compared with the previous 12 months.
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2:40
Net migration figures down
Home Secretary Shabana Mahmood set out reforms to the asylum system last month, aimed at making the UK less attractive for illegal migration and making it easier to deport people.
Border security minister Alex Norris said the government was rooting out the criminality of illegal working in the delivery sector from communities.
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He went on to say: “These results should send a clear message, if you are working illegally in this country, you will be arrested and removed.
“This action is part of the most sweeping changes to illegal migration in modern times to reduce the incentives that draw illegal migrations here and scale up removals.”
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Home secretary sets out migration rules
Ministers have also been working with firms Deliveroo, Just Eat and Uber Eats to address concerns of abuse in the sector and ramping up identity checks to tackle account-sharing.
The Home Office also agreed in July to share asylum hotel locations with food delivery companies, to tackle suspected hot spots of illegal working.
The action also comes as the government’s new Border Security, Asylum and Immigration Act became law on Tuesday, which includes measures to close a “loophole” for casual, temporary or subcontracted workers to also have to prove their status.
Employers who fail to carry out checks could face up to five years in prison, fines of £60,000 for each illegal worker they have employed, and having their business closed.
Environment Agency bosses have been accused of “failing” to tell a cross-party committee of peers about three large-scale illegal waste sites – including one that was recently exposed by Sky News.
Our investigation into waste crime in Wigan heard from residents who repeatedly complained to the Environment Agency that 20 to 30 lorries a day drove down their street last winter and dumped industrial amounts of waste.
The rubbish now sits at a staggering 25,000 tonnes. It burnt for nine days in July, and has seen local homes infested with rats and flies.
Since then, a similarly sized site in Kidlington near the River Cherwell in Oxfordshire sparked national outrage. One man has been arrested in connection with the dumping.
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8:32
‘Epidemic’ of waste crime in Britain
Despite the scale of these two locations – which were well known to the Environment Agency – it neglected to name them when asked by the Lord’s Environment Committee’s inquiry into waste crime how many “significant” sites there were around the country.
Phil Davies and Steve Molyneux of the Environment Agency gave evidence on 17 September.
Just six sites were cited, but three more have been exposed in the past few weeks alone. These are Wigan, Kidlington and a mound of dumped waste in Wadborough.
Now, the Lords are worried there are more environmentally destructive locations the public aren’t aware of.
In a letter to the EA’s chair Alan Lovell and chief executive Philip Duffy, Baroness Sheehan, chair of the Environment and Climate Change Committee, said: “We are increasingly concerned that there may be other sites of a similarly large and environmentally damaging scale.”
She asked how much progress has been made to remove waste from the various sites, why restriction notices in places like Wigan weren’t served sooner – and for a full list of other sites of a similar size.
Baroness Sheehan also expressed her “disappointment” that these three new locations “were not deemed necessary to bring to the committee’s attention”, though she thanked journalists for “bringing these sites to the public attention”.
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2:17
UK’s ‘biggest ecological disaster’
Her original report saw the Lords call for an independent “root and branch” inquiry into how waste crime is tackled. She said the crime, which costs the UK £1bn every year, has been “critically under-prioritised”.
A new long-awaited child poverty strategy is promising to lift half a million children out of poverty by the end of this parliament – but critics have branded it unambitious.
• Providing upfront childcare support for parents on universal credit returning to work • An £8m fund to end the placement of families in bed and breakfasts beyond a six-week limit • Reforms to cut the cost of baby formula • A new legal duty on councils to notify schools, health visitors, and GPs when a child is placed in temporary accommodation
Many of the measures have previously been announced.
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6:44
Two-child cap ‘a real victory for the left’
The government also pointed to its plan in the budget to cut energy bills by £150 a year, and its previously promised £950m boost to a local authority housing fund, which it says will deliver 5,000 high-quality homes for better temporary accommodation.
Downing Street said the strategy would lift 550,000 children out of poverty by 2030, saying that would be the biggest reduction in a single parliament since records began.
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But charities had been hoping for a 10-year strategy and argue the plan lacks ambition.
A record 4.5 million children (about 31%) are living in poverty in the UK – 900,000 more since 2010/11, according to government figures.
Phillip Anderson, the Strategic Director for External Affairs at the National Children’s Bureau (NCB), told Sky News: “Abolishing the two-child limit is a hell of a centre piece, but beyond that it’s mainly a summary of previously announced policies and commitments.
“The really big thing for me is it misses the opportunity to talk about the longer term. It was supposed to be a 10-year strategy, we wanted to see real ambition and ideally legally binding targets for reducing poverty.
“The government itself says there will still be around four million children living in poverty after these measures and the strategy has very little to say to them.”
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2:56
‘A budget for benefits street’
‘Budget for benefits street’ row
The biggest measure in the strategy is the plan to lift the two-child benefit cap from April. This is estimated to lift 450,000 children out of poverty by 2030, at a cost of £3bn.
The government has long been under pressure from backbench Labour MPs to scrap the cap, with most experts arguing that it is the quickest, most cost-effective way to drive-down poverty this parliament.
The government argues that a failure to tackle child poverty holds back the economy, and young people at school, cutting their employment and earning prospects in later life.
However, the Conservatives argue parents on benefits should have to make the same financial choices about children as everyone else.
Shadow chancellor Mel Stride said: “Work is the best way out poverty but since this government took office, unemployment has risen every single month and this budget for Benefits Street will only make the situation worse. “
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OBR leak: This has happened before
‘Bring back Sure Start’
Lord Bird, a crossbench peer who founded the Big Issue and grew up in poverty, said while he supported the lifting of the cap there needed to be “more joined up thinking” across government for a longer-term strategy.
“You have to be able to measure yourself, you can’t have the government marking its own homework,” he told Sky News.
Lord Bird also said he was a “great believer” in resurrecting Sure Start centres and expanding them beyond early years.
The New Labour programme offered support services for pre-school children and their parents and is widely seen to have improved health and educational outcomes. By its peak in 2009-2010 there were 3,600 centres – the majority of which closed following cuts by the subsequent Conservative government.
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1:50
Lord Bird on the ‘great distraction’ from child poverty
PM to meet families
Sir Keir Starmer’s government have since announced 1,000 Best Start Family Hubs – but many Labour MPs feel this announcement went under the radar and ministers missed a trick in not calling them “Sure Starts” as it is a name people are familiar with.
The prime minister is expected to meet families and children in Wales on Friday, alongside the Welsh First Minister, to make the case for his strategy and meet those he hopes will benefit from it.
Several other charities have urged ministers to go further. Both Crisis and Shelter called for the government to unfreeze housing benefit and build more social rent homes, while the Children’s Commissioner for England, Dame Rachel de Souza, said that “if we are to end child poverty – not just reduce it” measures like free bus travel for school-age children would be needed.
The strategy comes after the government set up a child poverty taskforce in July 2024, which was initially due to report back in May. The taskforce’s findings have not yet been published – only the government’s response.
Sir Keir said: “Too many children are growing up in poverty, held back from getting on in life, and too many families are struggling without the basics: a secure home, warm meals and the support they need to make ends meet.
“I will not stand by and watch that happen, because the cost of doing nothing is too high for children, for families and for Britain.”