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Public satisfaction with the NHS has dropped to the lowest level on record, according to findings from a long-running poll.

Just 24% of people said they were satisfied with the health service in 2023, with poor access to GPs and long wait times for hospital treatment the main reasons for dissatisfaction.

More than 3,000 people across England, Scotland and Wales were surveyed for the British Social Attitudes poll, which is seen as a reliable barometer for how people feel about the NHS.

Satisfaction levels were down five percentage points from the year before – falling to the lowest level since records began in 1983.

From A&E to dentistry, satisfaction with every service is at or near historic lows. Results for social care were even worse, where just 13% were happy.

When asked what the most important priorities for the NHS should be, 52% said making it easier to get a GP appointment and 51% said increasing staff numbers.

Improving waiting times in A&E and for planned operations closely followed – chosen by 47% and 45% of people respectively.

Crucially however, support for the founding principles behind the NHS – free at the point of use, available to everyone and primarily funded through taxes – has remained constant.

This indicates the public do not want a change to the NHS – they just want the model they have got to work, a report analysing the poll said.

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Public fiercely loyal to NHS principles

The headline makes grim reading for the NHS – but not for NHS staff.

There’s a clear distinction between the two.

Respondents to the survey are clearly dissatisfied with long waiting times.

That frustration is totally understandable.

But what they make clear is that they fully support NHS staff who they feel are doing a good job under extremely difficult circumstances.

They are also fiercely loyal to the institution itself and do not want its founding principle to change: free for all from cradle to grave.

They want see more funding for the health service and extra staff – and some are willing to see the extra money needed to come from more tax.

But politicians gearing up for an election will know that bringing the NHS up to the levels that recorded high satisfaction more than 10 years ago will require record investment.

‘Continual state of crisis’

Satisfaction with the NHS peaked 14 years ago in 2010, when 70% of people were satisfied with the health service. But since 2020, levels have dropped by 29 percentage points.

“A decade of squeezed funding and chronic workforce shortages followed by a global pandemic has left the NHS in a continual state of crisis,” the report said.

When it comes to funding a whopping 84% of people polled said they thought the NHS had a severe problem, with 48% voting that ministers should increase taxes and spend more on the health service.

It was people with the most monthly income that were more likely to choose “increase taxes and spend more on the NHS” than keep taxes the same or reduce them.

Dan Wellings, a senior fellow at the King’s Fund – which sponsors health and care questions in the poll – said political leaders should “take note” of how far satisfaction levels have fallen ahead of the upcoming general election.

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Professor Pat Cullen, general secretary of the Royal College of Nursing, added that any party wanting to be in Downing Street in a year “must demonstrate clear intent” of investing in nursing to improve pay conditions and stabilise the workforce.

A spokesperson for the Department of Health and Social Care said it was “fully committed” to a “faster, simpler and fairer NHS” and has seen “good progress” in cutting waiting lists in England.

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“We are providing the NHS with record funding of nearly £165bn a year by the end of this Parliament, an increase of 13% in real terms compared to 2019,” they said.

“Overall NHS waiting lists have decreased for the fourth month in a row and we’ve delivered on our commitment to provide an extra 50 million GP appointments months ahead of schedule.”

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According to the prosecutors, the increased scale of the losses justifies the sentence recommendation.

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Humza Yousaf: Scotland’s first minister claims Holyrood election could be called – as vote of no confidence looms

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Humza Yousaf: Scotland's first minister claims Holyrood election could be called - as vote of no confidence looms

Scotland’s First Minister Humza Yousaf claims a Holyrood election could be called as he refuses to say if he will resign if he loses a looming vote of no confidence.

Speaking exclusively to Sky News in Fife on Saturday, the SNP leader said it was “really disappointing” to learn the Greens will refuse to enter further talks to change their minds on voting against him in a ballot which could prove fatal for his leadership.

Mr Yousaf has today written to all the opposition parties, including Alex Salmond’s Alba party, at Holyrood urging them to rethink their plot to oust him.

Humza Yousaf
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Humza Yousaf

The SNP leader said on Saturday that he was leaving it to his rivals to determine his fate.

A Green Party source said the only letter they will accept from the first minister is his resignation.

Mr Yousaf told Sky News: “Well let me say again, that would be really disappointing if that is the Greens’ position.

“As I say, I’ve reached out to them, they are saying publicly that they’re going to support a Conservative motion against independence, first minister and independence government.

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“That would be, I think, a poor choice to make.”

Asked if there might be a Scottish election if he doesn’t win the vote, Mr Yousaf replied: “Can’t rule it out.”

Ash Regan. Pic: PA
Image:
Ash Regan. Pic: PA

The casting vote now looks likely to be Alba MSP Ash Regan who sensationally defected from the SNP in the wake of her defeat in the race to replace Nicola Sturgeon last year.

Sky News understands Alba is holding an emergency meeting this weekend to determine how it will cast the key vote.

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Yousaf to ‘fight’ no confidence vote

When asked how SNP members would feel about being “propped up” by Mr Salmond, Mr Yousaf said: “Let me make it really, really clear, I’ll be sending out to anybody I meet with, whoever comes round that table, that these are the priorities of the SNP minority government.

“This is what we’ll be pursuing, this is what we’ll be pushing. It’ll then be up to be it Ash Regan, be it Lorna Slater, be it Patrick Harvie or any of them, to decide what button they push when it comes to the vote of no confidence.”

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How did we get here – and what happens next?

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The first minister was asked twice whether he would resign if he failed to win the confidence of parliament.

He responded: “Again, I’m not planning to lose the vote of no confidence, I’m planning to win that vote of no confidence.”

Asked if his position would be untenable, he said “Planning to win.”

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