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Health Secretary Wes Streeting has admitted NHS reform will not happen straight away and patients will have to wait until next April to see any changes.

The government launched a public consultation on Monday, asking members of the public, NHS staff, and experts to share their experiences and ideas to “help fix our NHS”.

But Mr Streeting admitted that reforms will not take place until that process has been completed – 10 months on from Labour’s election win in June.

He also said NHS funding agreed with Chancellor Rachel Reeves – to be announced in the upcoming budget – would not be available until next April.

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Mr Streeting told Sky News: “Investment in the budget, that comes in the new fiscal year in April, so that’s spring.”

Labour’s election manifesto promised the party would “transform the NHS”, starting with cutting waiting times by adding 40,000 more appointments every week.

Labour politicians said reforms it wanted to make were fully costed, giving voters the impression they could make changes straight away.

Mr Streeting said the improvements they want to make in the NHS, such as cutting waiting times, are “big changes” so will take time.

Locals share their view on how to improve the NHS

In Wolverhampton city centre Michael Ryan, 66, is waiting to see his GP to get a wound re-dressed.

“I just had a hernia operation,” he says, before revealing he had to wait eight years for the surgery to go ahead.

“Fair enough, two of those were during Covid,” he says. But his experience has left him certain the NHS needs “more money invested in it”.

This is a city where almost a third of working age people don’t work. Many, like Robert Griffiths, are signed off sick. The 36-year-old has epilepsy and it’s affecting his mental health.

“It’s very frustrating but you can understand why it’s frustrating because they don’t have the staff,” he says.

He thinks the government needs to pay NHS workers more and reintroduce bursaries to encourage more people to train up.

But Sylvia Crutchley, 78, believes it needs to do more than that.

“I think the system needs a complete overhaul,” she says.

She points to a wound on her leg from a fall she had last week. She had to wait nine hours in A&E before being seen.

In a pharmacy we found people queuing for COVID jabs. The trainee pharmacist administering them told us the number of people coming in complaining they couldn’t get an appointment with their GP is “just ridiculous”.

And there was no shortage of views from people collecting prescriptions on what the NHS needs to improve.

Roger Flavell, 77, believes “‘more staff and more money” are essential.

But he thinks there will eventually be a “two tier system where people who can pay will pay”.

“I think it would make the NHS better,” he said.

He said they will have a “reform mindset that says we’re not just going to throw money at the problem, we’re going to reform ways of working”.

“I suppose you could say, well, you should just come in and impose your view of change,” the health secretary said.

“I’d just say to people, be careful what you wish for.

“The last time a new health secretary came in after a general election where their party won power, that was Andrew Lansley.

“The Conservatives after 2010, who came down with a massive top-down reorganisation that nobody voted for, nobody wanted, cost billions and set the NHS up to fail.”

Mr Streeting added he did not want to just pour money “into a black hole”.

He said: “It’s up to us to restore financial discipline in the NHS, better quality of care in the NHS, and to make sure that not just the extra money that’s going in is well spent, but to make sure that the money that’s already going in is being put in the right place at the right time to deliver the right care for the patient at the right time.”

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‘Difficult choices’ in Reeves’ budget

The health secretary confirmed to Sky News on Sunday that his department had agreed to its funding with the chancellor ahead of the 30 October budget.

The Department for Health and Social Care has one of the biggest departmental budgets alongside the Department for Work and Pensions

In 2022, the UK spent 11.3% of GDP on health – £182bn – just above the average for comparable countries. The figure rises each year, with 2024/25 expected to see £192bn spent on the NHS, according to the King’s Fund.

Other ministers had been locked in negotiations with the chancellor over cuts she wants to make to their departments as she seeks £40bn of tax rises and spending cuts.

Several ministers had written letters to Sir Keir Starmer to express concern over the scale of cuts being demanded.

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Rachel Reeves urged to cut national insurance and hike income tax in upcoming budget

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Rachel Reeves urged to cut national insurance and hike income tax in upcoming budget

Rachel Reeves has been urged by a think tank to cut national insurance and increase income tax to create a “level playing field” and protect workers’ pay.

The Resolution Foundation said the chancellor should send a “decisive signal” that she will make “tough decisions” on tax.

Ms Reeves is expected to outline significant tax rises in the upcoming budget in November.

The Resolution Foundation has suggested these changes should include a 2p cut to national insurance as well as a 2p rise in income tax, which Adam Corlett, its principal economist, said “should form part of wider efforts to level the playing field on tax”.

The think tank, which used to be headed by Torsten Bell, a Labour MP who is now a key aide to Ms Reeves and a pensions minister, said the move would help to address “unfairness” in the tax system.

As more people pay income tax than national insurance, including pensioners and landlords, the think tank estimates the switch would go some way in raising the £20bn in tax it thinks would be needed by 2029/2030 to offset increased borrowing costs, flat growth and new spending commitments. Other estimates go as high as £51bn.

Torsten Bell appearing on Sky News
Image:
Torsten Bell appearing on Sky News

‘Significant tax rises needed’

Another proposal by the think tank would see a gradual lowering of the threshold at which businesses pay VAT from £90,000 to £30,000, as this would help “promote fair competition” and raise £2bn by the end of the decade.

The Resolution Foundation also recommends increasing the tax on dividends, addressing a “worrying” growth in unpaid corporation tax from small businesses, applying a carbon charge to long-haul flights and shipping, and expanding taxation of sugar and salt.

“Policy U-turns, higher borrowing costs and lower productivity growth mean that the chancellor will need to act to avoid borrowing costs rising even further this autumn,” Mr Corlett said.

“Significant tax rises will be needed for the chancellor to send a clear signal that the UK’s public finances are under control.”

He added that while any tax rises are “likely to be painful”, Ms Reeves should do “all she can to avoid loading further pain onto workers’ pay packets”.

The government has repeatedly insisted it will keep its manifesto promise not to raise income tax, national insurance or VAT.

A Treasury spokesperson said in response to the think tank report it does “not comment on speculation around future changes to tax policy”.

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Chancellor urged to freeze alcohol duty

Meanwhile, Ms Reeves has been urged to freeze alcohol duty in the upcoming budget and not increase the rate of excise tax on alcohol until the end of the current parliament.

The Scotch Whisky Association (SWA), UK Spirits Alliance, Welsh Whisky Association, English Whisky Guild and Drinks Ireland said in an open letter that the current regime was “unfair” and has put a “strain” on members who are “struggling”.

The bodies are also urging Ms Reeves “to ensure there will be no further widening of the tax differential between spirits and other alcohol categories”.

A Treasury spokesperson said there will be no export duty, lower licensing fees, reduced tariffs, and a cap on corporation tax to make it easier for British distilleries to thrive.

Leave retailers alone, Reeves told

This comes as the British Retail Consortium (BRC) warned that food inflation will rise and remain above 5% into next year if the retail industry is hit by further tax rises in the November budget.

The BRC voiced concerns that around 4,000 large shops could experience a rise in their business rates if they are included in the government’s new surtax for properties with a rateable value – an estimation of how much it would cost to rent a property for a year – over £500,000, and this could lead to price rises for consumers.

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Latest ONS figures put food inflation at 4.9%, the highest level since 2022/2023.

The Bank of England left the interest rate unchanged last week amid fears that rising food prices were putting mounting pressure on headline inflation.

“The biggest risk to food prices would be to include large shops – including supermarkets – in the new surtax on large properties,” BRC chief executive Helen Dickinson said.

She added: “Removing all shops from the surtax can be done without any cost to the taxpayer, and would demonstrate the chancellor’s commitment to bring down inflation.”

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US lawmakers urge SEC to act on Trump’s crypto retirement plan

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US lawmakers urge SEC to act on Trump’s crypto retirement plan

US lawmakers urge SEC to act on Trump’s crypto retirement plan

Nine US lawmakers asked the SEC to move forward on last month’s executive order to speed up the inclusion of alternative assets like crypto in US retirement funds.

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US, UK joint task force to explore crypto regulatory collaboration

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US, UK joint task force to explore crypto regulatory collaboration

US, UK joint task force to explore crypto regulatory collaboration

The Transatlantic Taskforce for Markets of the Future will focus on exploring crypto laws and regulations between the two countries.

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