Health Secretary Wes Streeting says NHS waiting lists need to be ‘millions lower’ by 2029

Published

2 months ago

September 8, 2024

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The health secretary has said NHS waiting lists need to be “millions lower” by the next general election in 2029.

Wes Streeting told Sky News’ Sunday Morning with Trevor Phillips he is willing to do whatever it takes to ensure waiting lists are brought down, including using the private sector.

He said the “NHS waiting list will need to be millions lower by the end of this parliament”.

Mr Streeting said he wants to end the “two-tier system” where those who can afford it go private “and those who can’t are being left behind”.

However, he said where there is spare capacity in the private sector the NHS should use that to get waiting lists down.

“Rebuilding that [the NHS] takes time,” he said.

“So in the meantime, I’m looking to pull every single lever I can to make sure that people get treated as fast as possible and as safely as possible.

“And you can get those waiting lists down, get people back to health, back to work, or back to enjoying their lives in retirement.”

Mr Streeting said his centre-left principles mean he cannot leave “working class people waiting longer even where there is spare capacity in the private sector that we could use via the NHS to get those people treated faster”.

Questioned on whether GPs will get the 11% pay rise they are asking for, after Labour gave other public sector workers their requested increases, Mr Streeting would not confirm they will.

Instead, he said he has been in negotiations with the British Medical Association (BMA) GP committee and met them “many times” since becoming health secretary.

However, he said said he did want to “set expectations in the wrong places” as he cited cutting the winter fuel allowance for pensioners not claiming pension credit.

“There are difficult balances to strike in the public finances,” he said.

An investigation into the state of the NHS, ordered by the government in July, has been undertaken by Lord Darzi, an eminent surgeon and former Labour health minister, and will be published on Thursday.

Sir Keir Starmer said the review shows the NHS is “broken” and is expected to reveal that “too many” people are being let down by the NHS.

Shadow health secretary Victoria Atkins said she was concerned by Lord Darzi’s links to the Labour party as she said the NHS situation in Wales, which has been under Labour control for more than 100 years, is “lamentable”.

“This report, I fear, is cover for the Labour Party to raise our taxes in the budget in October and they are laying the groundwork for this,” she said.

“They weren’t straight with us about wind fuel payments. They’re not being straight with us about taxes. And we need to have a grown up conversation about the NHS, but this is not the way to go about it.”

Politics

NHS league tables and cancelled pay rises for managers among government health reforms

Published

5 hours ago

November 13, 2024

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NHS league tables and cancelled pay rises for managers among government health reforms

NHS league tables revealing failing NHS trusts and cancelled pay rises or dismissal for managers who don’t turn things around are to form part of the government’s plans to improve the health service.

Health Secretary Wes Streeting is confirming new measures he hopes will boost failing hospital trusts and encourage successful ones.

The changes form part of the Labour government’s strategy to reduce waiting lists “from 18 months to 18 weeks”.

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Health and the state of the NHS were consistently among the most important issues for voters at this year’s general election – with Labour blaming the Conservatives for “breaking” it.

As health is a devolved area, any reforms proposed in Westminster would only apply to England.

Chief among Mr Streeting’s proposals is a “league table” for NHS trusts.

An announcement from the Department for Health and Social Care said: “NHS England will carry out a no-holds-barred sweeping review of NHS performance across the entire country, with providers to be placed into a league table.

“This will be made public and regularly updated to ensure leaders, policy-makers and patients know which improvements need to be prioritised.”

It also promises to replace “persistently failing managers” – with “turn around teams” being sent in to improve trusts running sizeable deficits or offering poor service to patients.

The government says “senior managers” who fail to make progress will not be eligible for pay rises.

There will be “financial implications” for more senior figures such as chief executives if their trust does not improve.

On the flip-side, those trusts that are deemed to be “high-performing” will get “greater freedom over funding and flexibility”.

Senior leaders at these trusts will also be “rewarded”.

The government says the current system is not incentivising trusts to run a budget surplus, as they cannot benefit from it.

Mr Streeting said: “The budget showed this government prioritises the NHS, providing the investment needed to rebuild the health service.

“Today we are announcing the reforms to make sure every penny of extra investment is well spent and cuts waiting times for patients.

“There’ll be no more turning a blind eye to failure. We will drive the health service to improve, so patients get more out of it for what taxpayers put in.

“Our health service must attract top talent, be far more transparent to the public who pay for it, and run as efficiently as global businesses.

“With the combination of investment and reform, we will turn the NHS around and cut waiting times from 18 months to 18 weeks.”

Concerns from health representatives

Amanda Pritchard, the chief executive of NHS England, said: “While NHS leaders welcome accountability, it is critical that responsibility comes with the necessary support and development.

“The extensive package of reforms, developed together with government, will empower all leaders working in the NHS and it will give them the tools they need to provide the best possible services for our patients.”

Further plans on how monitoring will be published by the start of the next financial year in April 2025, the government said.

Matthew Taylor, the chief executive of the NHS Confederation – a body that represents all NHS trusts – said healthcare leaders welcome the “government’s ambition”.

However, he said he was concerned league tables and reducing pay may “strip out” the nuance of what’s going on.

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Mr Taylor said: “NHS staff are doing their very best for patients under very challenging circumstances and we do not want them feeling like they are being named and shamed.

“League tables in themselves do not lead to improvement, trusts struggling with consistent performance issues – some of which reflect contextual issues such as underlying population heath and staff shortages – need to be identified and supported in order to recover.”