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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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Nadhim Zahawi: Former chancellor and vaccines minister will stand down at general election

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Nadhim Zahawi: Former chancellor and vaccines minister will stand down at general election

Former COVID vaccines minister and chancellor Nadhim Zahawi has announced he will not be standing at the next general election.

The Conservative MP for Stratford-on-Avon since 2010 quoted his “most famous constituent” as he wrote: “Go to your bosom; knock there and ask your heart what it doth know.”

He said: “The time is right for a new, energetic Conservative to fight for the honour of representing Stratford-on-Avon.”

“Parting is such sweet sorrow,” he added, referencing Shakespeare’s Romeo And Juliet.

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Mr Zahawi is the 65th Conservative MP to announce he will not be standing at the next general election, which is expected this year.

He was responsible for the COVID vaccine roll-out and was chancellor for two months over the summer of 2022. He was also education secretary for 10 months before that.

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The MP stood to succeed Boris Johnson as Conservative leader but was eliminated from the ballot after the first round of voting and then supported Liz Truss, who made him Chancellor of the Duchy of Lancaster, intergovernmental relations minister and equalities minister.

Mr Zahawi said in his statement: “My mistakes have been mine, and my successes have come from working with, and leading, amazing people.”

He also thanked his family and friends, and especially his wife Lana, for their love.

Nadhim Zahawi
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Nadhim Zahawi was the COVID vaccines minister, responsible for its roll-out

The MP was made Conservative Party chairman by Rishi Sunak but was dismissed for failing to disclose he was being investigated by HMRC and the National Crime Agency over a multi-million pound tax dispute related to the sale of shares in his polling firm YouGov while he was chancellor.

He said he had made a “careless and not deliberate” error after initially saying he had no knowledge of the investigation and had “paid all taxes”.

The 56-year-old was born in Baghdad, Iraq, but his family fled the country under Saddam Hussein to live in London when he was 11-years-old.

He added: “Every morning as I shave my head in the mirror, I have to pinch myself.

“How is it that a boy from Baghdad who came to these shores, fleeing persecution and unable to speak a word of English, was able to do as much as I have?

“For all our challenges, this is the best country on Earth, and it helped me make my British dream come true. It was where I built a Great British business, YouGov, and it was where I raised my wonderful family.”

Boris Johnson and Nadhim Zahawi
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Mr Zahawi at a Cabinet meeting with Boris Johnson

The MP said he felt “immensely privileged” to have served “my country across government”, as he listed his roles, including being responsible for coordinating the Queen’s funeral.

Mr Zahawi found himself unable to enter the United States to visit his children at university in 2017 after then US President Donald Trump banned travellers from some Muslim majority countries, because he was born in Iraq.

He recently made a surprise appearance in an ITV drama about the Post Office IT scandal, playing himself questioning then Post Office chief executive Paula Vennells in a Commons committee inquiry.

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