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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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.”
An emergency debate will take place in parliament today over Sir Keir Starmer’s controversial appointment of Peter Mandelson as his ambassador to the US.
Speaker Lindsay Hoyle has agreed to allot three hours for questions about what the government, and particular the prime minister, knew and didn’t know about the depth of Lord Mandelson’s relationship with billionaire paedophile Jeffrey Epstein.
Lord Mandelson was appointed in January 2025 to the UK’s most senior overseas diplomatic position – the ambassador to the US.
Among the tributes to Epstein in it, Lord Mandelson had described him as “my best pal”.
Image: A picture of Epstein and Mandelson together in the ‘birthday book’ released by the US Congress. Pics: US House Oversight Committee
Then, emails published by The Sun and Bloomberg were even more damning, showing the former Labour minister sympathising with the convicted sex trafficker, saying: “I think the world of you and I feel hopeless and furious about what has happened.”
Lord Mandelson was removed from his ambassadorial post on Thursday, but not before Sir Keir had defended him at PMQs the day before. He has come under fire over his handling of the issue.
He told Channel 4 News he was “angry” to have ended up in a situation where he pivoted from defending him to sacking him within 24 hours, suggesting he was unaware of the “detailed allegations” before PMQs.
But questions remain about what exactly the PM – or the vetting team – knew, and the government has declined to release the details of the procedure Lord Mandelson underwent before he was appointed.
The Conservatives hope to use today’s emergency debate to increase pressure on the government to publish all the information – just hours before Donald Trump lands in the UK for a state visit.
The US president is himself embroiled in questions about his own relationship with the disgraced billionaire.
It’s all added up to a rotten start to the new parliamentary term for the prime minister, who just two weeks ago confidently declared “phase two” of his government was now under way.
He’s ruled out resigning, despite discontent on his backbenches and Reform UK’s sustained lead in the polls.
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Former PM Gordon Brown rallied to Sir Keir’s defence
But former prime minister Gordon Brown has come to Sir Keir’s defence.
Image: Constance Marten and Mark Gordon. Pic: Met Police/PA
‘No genuine expression of remorse’
Judge Mark Lucraft told the pair during sentencing that “neither of you gave much or any thought to the care or welfare of your baby”.
“Your focus was on yourselves,” he said, before adding: “There has been no genuine expression of remorse from either of you.
“Whilst there have been expressions of sorrow about the death throughout, you’ve adopted the stance of seeking to blame everyone else other than yourselves for what happened.”
Sky’s home affairs reporter Henry Vaughan reported that neither showed much emotion during sentencing, and that after they stood up, Gordon stared at Marten as she left the dock.
Image: Constance Marten being interviewed by police.
Pic: Met Police/PA
They had previously been found guilty of perverting the course of justice, concealing the birth of a child, and child cruelty after an Old Bailey trial lasting almost five months.
A second trial was ordered after the first jury failed to reach a verdict on the manslaughter charges.
Marten is now seeking permission to appeal against her conviction for manslaughter. A previous application to appeal her conviction of cruelty to a child was rejected in February this year.
Both trials were hampered by disruption and delays, taking up more than 33 weeks of court time, which – at an estimated £30,000 per defendant a day – could have cost in the region of £10m.
A search for Marten and Gordon was launched after a placenta was found in the couple’s burnt-out car on a motorway in Bolton in January 2023.
Marten said they went on the run so their fifth child would not be removed from them after her other children were “stolen by the state”.
The couple spent vast sums of cash from her family trust fund on taxi journeys as they travelled from Bolton, to Liverpool, to Harwich in Essex, to London and then to Newhaven on the south coast.
Image: Constance Marten and Mark Gordon were captured on CCTV with their baby
Baby’s clothing inadequate, judge says
Prosecutors said the baby was inadequately clothed in a babygrow and that Marten had got wet as she carried the infant underneath her coat, alleging Victoria died from hypothermia or was smothered while co-sleeping.
Judge Lucraft said that while Marten and Gordon claimed they wanted dignity for Victoria’s body, their “conduct showed the opposite”.
He also said the baby had died by 12 January 2023, and that the couple then concealed her and perverted the course of justice before her “decomposed body” was found.
“When you were arrested,” the court heard, “neither of you was willing to give any assistance to the police about the whereabouts of your daughter’s body.
“Your silence at that stage of events is highly significant.”
Image: Police at the allotment where Victoria’s body was found
Met Police Detective Chief Inspector Joanna Yorke, who led the investigation, said the couple’s “selfish actions” resulted in the death of Victoria, “who would have recently had her second birthday and should have had the rest of her life ahead of her”.
She added: “We know today’s sentencing won’t bring Victoria back, but I am pleased our investigation has resulted in the couple who caused her death finally being brought to justice.”
Prosecutors have dropped charges against two men, including a former parliamentary researcher, who had been accused of spying for China.
Christopher Cash, 30, and Christopher Berry, 33, had both denied accusations of providing information prejudicial to the interests of the state in breach of the Official Secrets Act between December 2021 and February 2023.
It was alleged they obtained, recorded and published information “for a purpose prejudicial to the safety or interests of the state” and which could be “directly or indirectly, useful to an enemy”.
They were due to go on trial next month, but prosecutor Tom Little told London’s Old Bailey they would offer no evidence against the pair.
He said: “We simply cannot continue to prosecute.”
A spokesperson for the Home Office said it was “disappointing” the pair would not face trial “given the seriousness of the allegations”.
They said the decision was made by the Crown Prosecution Service “entirely independently of government”.
“National security is the first duty of government and we remain steadfast in upholding this responsibility,” the spokesperson said. “We will continue to use the full range of tools and powers to guard against malign activity.”
A Crown Prosecution Service spokesperson said: “In accordance with the Code for Crown Prosecutors, the evidence in this case has been kept under continuous review and it has now been determined that the evidential standard for the offence indicted is no longer met. No further evidence will be offered.”
Mr Cash’s lawyer said his client was “entirely innocent and should never have been arrested, let alone charged”.
Speaking outside court, Mr Cash said: “While I am relieved that justice has been served today, the last two and a half years have been a nightmare for me and my family.”
He said he hoped “lessons are learned from this sorry episode”.
China had dismissed the charges as “self-staged political farce”.
Mr Cash previously worked as a parliamentary researcher and was closely linked to senior Tories including former security minister Tom Tugendhat and Alicia Kearns, who served as chair of the Commons Foreign Affairs Committee.
He was director of the China Research Group, which was chaired by Mr Tugendhat and then Ms Kearns.
Mr Berry has worked in various teaching posts in China since September 2015.