The Tories “squandered a golden inheritance” on the NHS, the health secretary has said – as he laid out three “fundamental shifts” to fix it.
Wes Streeting told Sky News Tony Blair’sLabour government left the health service with the lowest waiting times and highest patient satisfaction “in the history of the NHS”.
“What’s criminal is that in the last 14 years, the Conservatives took that golden inheritance and squandered it. And they don’t bear any responsibility,” he said.
Mr Streeting was speaking after an independent report he commissioned found the NHS is in a “critical condition”, with record waiting lists and too much of its budget spent in hospitals.
Off the back of the investigation, Prime Minister Sir Keir Starmer will give a speech today in which he will warn the health service must “reform or die” and set out a 10-year plan to fix it.
Giving a flavour of what that could look like, Mr Streeting said the NHS needed three “fundamental” changes.
That includes a “shift from hospital to community”, so people are diagnosed earlier and faster; greater investment in technology to create a “digital NHS”; and dealing with sickness in society.
Advertisement
He said: “That’s why today’s report was so important, because, ironically, although it’s looking back on how we got here and diagnosing the illness, it’s actually helping us to look forward and be honest about how we got here.”
Image: The PM will give a speech on NHS reform later today. Pic: PA
The study, carried out by peer and surgeon Lord Darzi, argues the NHS is facing rising demand for care as people live longer in ill health, coupled with low productivity in hospitals and poor staff morale.
It criticises political decision-making under the Conservatives and the coalition government, including the impact of austerity, a “starvation of investment” and the reorganisation of the NHS under the 2012 Health and Social Care Act,which Lord Darzi called “a calamity without international precedent”.
This meant the COVID pandemic came “when resilience was at an all time low”, he said.
Spreaker
This content is provided by Spreaker, which may be using cookies and other technologies.
To show you this content, we need your permission to use cookies.
You can use the buttons below to amend your preferences to enable Spreaker cookies or to allow those cookies just once.
You can change your settings at any time via the Privacy Options.
Unfortunately we have been unable to verify if you have consented to Spreaker cookies.
To view this content you can use the button below to allow Spreaker cookies for this session only.
Mr Streeting likened the findings to the Conservatives “not just failing to fix the roof while the sun was shining, but effectively pouring petrol on the house, turning the gas on”.
“And then the pandemic lit the match,” he added.
Asked how a report of such magnitude can be compiled in nine weeks, Mr Streeting said Lord Darzi spoke to frontline staff, leaders and thinktanks and was also given “unfettered access” to NHS and Department of Health data.
In other morning interviews, he warned the NHS would “go bust” if it was not reformed, but ruled out raising money through a salt or sugar tax.
Shadow health secretary Victoria Atkins told Sky News she had “never shied away” from the NHS’s problems during her time in office, when asked if she was embarrassed about the state her party left it in.
She accused Labour of “trying to get headlines” by trailing out the report, calling instead for a “proper conversation about what we do with the NHS”.
Image: Shadow health secretary Victoria Atkins hit back over Labour’s report
Lord Darzi, a former Labour health minister turned independent peer, ultimately argued the NHS can be fixed, saying his findings do not question “the principles of a health service that is taxpayer-funded, free at the point of use”.
Later this morning, the prime minster will set out his plans for the “the biggest reimagining of our NHS since its birth”.
Follow Sky News on WhatsApp
Keep up with all the latest news from the UK and around the world by following Sky News
Rachel Reeves is fighting claims that she “lied” to the public about the state of the finances in the run-up to last Wednesday’s budget – in which she raised £26bn in taxes.
It follows a letter published by the Office for Budget Responsibility (OBR), the official watchdog which draws up forecasts for the Treasury, published on Friday.
In it, OBR chair Richard Hughes (who is already under fire for the leak of the budget measures) said he’d taken the unusual step of revealing the forecasts it had submitted to Rachel Reeves in the 10 weeks before the budget, and which is normally shrouded in secrecy.
Image: The OBR sent this table revealing its timings and outcomes of the fiscal forecasts reported to the Treasury
Image: Sir Keir Starmer congratulates Rachel Reeves after the budget
The letter reveals this timeline, which has plunged the chancellor into trouble:
17 September – first forecast
At this point, it was already known that the UK’s growth forecast would be downgraded. The chancellor was told that the “increases in real wages and inflation” would offset the impact of the downgrade. The deficit forecast by the end of the parliament was £2.5bn.
20 October – second forecast
More on Budget 2025
Related Topics:
By this point, that deficit had turned into a small surplus of £2.1bn – i.e. the productivity downgrade has been wiped out and “both of the government’s fiscal targets were on course to be met”.
31 October – third forecast
The final one before the Treasury put forward its measures. The finances were now net positive with a £4.2bn surplus.
But the accusation is that Rachel Reeves was presenting an entirely different picture – that she had a significant black hole which needed to be filled.
13 October
Ms Reeves tells Sky’s deputy political editor Sam Coates the productivity downgrade has been challenging but added: “I won’t duck those challenges. Of course we’re looking at tax and spending.”
Spotify
This content is provided by Spotify, which may be using cookies and other technologies.
To show you this content, we need your permission to use cookies.
You can use the buttons below to amend your preferences to enable Spotify cookies or to allow those cookies just once.
You can change your settings at any time via the Privacy Options.
Unfortunately we have been unable to verify if you have consented to Spotify cookies.
To view this content you can use the button below to allow Spotify cookies for this session only.
With the Treasury now aware the deficit had been wiped out, the Financial Times was briefed about a “£20bn hit to public finances.”
4 November
Ms Reeves gave a dawn news conference in Downing Street, setting the stage for tax rises. She says she wants people “to understand the circumstances we are facing… productivity performance is weaker than previously thought”, adding that “we will all have to contribute”.
10 November
Ms Reeves tells BBC 5Live that sticking to Labour’s promises not to raise taxes would require “things like deep cuts in capital spending”. The stage seemed set for the nuclear option – the first income tax rise in decades.
13 November
After headlines about a plot to oust Prime Minister Sir Keir Starmer, the Financial Times reported that the chancellor had dropped plans to raise income tax because of improved forecasts [which we now know hadn’t changed since 31 October], putting the black hole closer to £20bn than £30bn.
Please use Chrome browser for a more accessible video player
2:57
Budget 2025: ‘It’s sickening’
Please use Chrome browser for a more accessible video player
10:38
‘You’ve broken a manifesto pledge, haven’t you?’
The prime minister’s spokesperson has insisted Ms Reeves did not mislead voters and set out her choices, and the reasons for them, at the budget.
But the issue has had enormous cut-through, with newspapers giving it top billing.
The Sun’s Saturday front page headline – “Chancer of the Exchequer – fury at Reeves ‘lies’ over £30bn black hole” – will not have been pleasant reading for ministers.
She now has questions to answer about the chaotic run-up to the budget – of briefing and counter-briefing, which critics say now makes little sense.
Tory leader Kemi Badenoch said on Saturday: “We have learned that the chancellor misrepresented the OBR’s forecasts. She sold her ‘Benefits Street’ budget on a lie. Honesty matters… she has to go.”
Economist Paul Johnson, former director of the respected Institute for Fiscal Studies (IFS), told The Times the chancellor’s 4 November news briefing “probably was misleading. It was clearly intended to have an impact and confirm what independent forecasters like [the National Institute of Economic and Social Research] and the IFS had been saying”.
“It was designed to confirm a narrative that there was a fiscal hole that needed to be filled with significant tax rises. In fact, as she knew at the time, no such hole existed.”
Ms Reeves is doing a round of morning interviews on Sunday in which she’ll be grilled over which of her budget measures will generate economic growth (which the government claimed was its number one priority), why they have been unable to tackle rising welfare spending and now about why markets and voters were left confused by dire warnings.
She may claim that she never personally said there was a specific £30bn black hole or that the extra headroom generated by the tax rises will ensure she does not have to come back for more next year.
In an interview with The Saturday’s Guardian, Ms Reeves said she had “chosen to protect public spending” on schools and hospitals in the budget.
She confirmed an income tax rise had been looked at, and insisted that OBR forecasts “move around” after the Treasury has submitted its planned measures. There are plenty more questions to come.
Meanwhile, Sir Keir will use a speech on Monday to support Ms Reeves’ budget decisions and set out his long-term growth plans.
He will praise the budget for bearing down on the cost of living, ensuring economic stability through greater headroom, lower inflation and a commitment to fiscal rules, and protecting investment and public services.
Sir Keir will say “economic growth is beating the forecasts”, but that the government must go “further and faster” to encourage it.
Victims will be put “front and centre” in reforms to be announced this week, the justice secretary has said, amid reports jury trials will be scrapped in some cases.
Sky News understands ministers have already been briefed on the changes, which would see a judge decide most cases on their own except for murder, rape or manslaughter – or those in the “public interest”.
The Ministry of Justice (MoJ) said the reforms would speed up justice and save victims from “years of torment and delay”.
Nearly 80,000 cases are currently waiting to be heard in crown courts, but a bid to limit the right to jury trial is likely to be divisive.
Shadow justice secretary Robert Jenrick said Mr Lammy should “pull his finger out” to cut the backlog rather than “depriving British citizens of ancient liberties”.
“The right to be tried by our peers has existed for more than 800 years – it is not to be casually discarded when the spreadsheets turn red,” said Mr Jenrick.
Full details are expected in the coming days, but in a statement today Mr Lammy said he had “inherited a courts emergency; a justice system pushed to the brink”.
More on David Lammy
Related Topics:
“We will not allow victims to suffer the way they did under the last government, we must put victims front and centre of the justice system,” he added.
Mr Lammy said thousands of lives were on hold due to the case backlog, a “rape victim being told their case won’t come before a court until 2029. A mother who has lost a child at the hands of a dangerous driver, waiting to see justice done”.
He said he wanted a system that “finally gives brave survivors the justice they deserve”.
Image: The justice secretary will reportedly go further than a review recommended. Pic: PA
.However, it’s been reported Mr Lammy will go further than a review conducted by Sir Brian Leveson.
The retired judge backed the move for juries only in the most serious cases, but also proposed some lesser offences could go to a new intermediate court where a judge would be joined by two lay magistrates.
The Times said Mr Lammy had suggested in an internal memo he would remove the lay element from many serious offences that carry sentences of up to five years.
There are fears such a move could increase miscarriages of justice and racial discrimination.
Your Party will be led by its members rather than a single MP, avoiding a battle between its two co-founders, Jeremy Corbyn and Zarah Sultana.
Members have voted for a collective leadership model rather than a single leadership model, by a margin of 51.6% to 48.4%.
There was a big cheer as the result was announced to delegates gathered in Liverpool for the new movement’s annual founding conference.
Your Party has been marred by factionalism between the two figureheads and had a single leadership model been picked, a big battle for the top job was expected.
But many members told Sky News at the conference that because of the squabbling, they want Your Party to be led by the people rather than “personality icons”.
Collective leadership will see ordinary members who are not MPs elected to senior positions on a Central Executive Committee (CEC), which will decide on party strategy and organisation.
Three key leadership roles will be the Chair, Vice Chair, and Spokesperson, who will be elected by February.
More from Politics
However MPs could become de-facto leaders, as they will be able to sit in the public office holder section of the executive committee.
They must be elected in a one on one vote, with four positions understood to be available.
A Your Party spokesperson said: “This vote shows that we really are doing politics differently: from the bottom-up, not the top-down.
“In Westminster, we have a professional political class increasingly disconnected from ordinary people, serving corporations and billionaires instead of the communities they are supposed to represent.
“With a truly member-led party, we will offer something different: democratic, grassroots, accountable.”
However one ally of Jeremy Corbyn told Sky News: “People have voted against utilising the biggest asset the party had – Jeremy.”
Your Party members have also voted to allow membership of other parties. Current rules don’t permit dual membership, but this sparked a major row on the eve of conference as it emerged figures from the Socialist Workers Party (SWP) had been expelled.
Ms Sultana, who supports dual membership, branded this a “witch hunt” orchestrated by “nameless bureaucrats” close to Mr Corbyn and refused to enter the conference hall on day one.
This breaking news story is being updated and more details will be published shortly.