The British public is the unhappiest it has ever been with the NHS, but still supports it in principle, a new survey has found.
The overall satisfaction with the NHS now stands at 29% – a fall of seven percentage points and the fourth-largest drop ever recorded in a single year. In 2010, satisfaction with the NHS was 71%.
The British Social Attitudes survey has tracked public opinion consistently since 1983.
Some 51% of people are unhappy with the healthcare service, a rise of 10 percentage points in a single year, and the highest levels of dissatisfaction since the survey began.
The 40th annual survey took place in September and October last year and asked 3,362 people from England, Wales and Scotland their opinions on health and social care.
The findings paint a worrying picture of how people perceive the NHS.
Over two-thirds of respondents (69%) chose long waiting times for GP and hospital appointments as one of the top reasons for dissatisfaction.
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Accident and emergency departments have seen a sharp increase in the percentage of dissatisfied respondents, with a record 40% saying they are unhappy, according to analysis by the Nuffield Trust and The King’s Fund.
General practice (GPs), dentistry and inpatient hospital services were among the other areas reaching record levels of dissatisfaction, with the findings consistent across all ages, income groups, genders and political persuasions.
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Of those who were satisfied with the NHS, the top reason was because NHS care is free at the point of use (74%), followed by the quality of NHS care (55%) and that it has a good range of services and treatments available (49%).
Matthew Taylor, chief executive of the NHS Confederation, said the survey results should be a “red flag to the government”.
The results “should not be seen as a judgement of the efforts of frontline staff to recover services in the wake of the pandemic but rather, a sign that the NHS is not being given what it needs to fully deliver for its local communities”.
“With there being around 124,000 reported vacancies across the NHS in England and a maintenance backlog stretching over £10bn this is hardly surprising,” he added.
Almost 80% of NHS staff consider quitting
Unhappiness within the NHS is not restricted to members of the public, with a separate survey finding 75.5% of workers are considering leaving the service altogether.
The survey of 2,500 NHS employees by Organise found more than half are taking days off due to stress, anxiety or burnout.
The majority also said patients are experiencing medication errors, delays in procedures and compromised quality of care as a result.
Anabela De Barros, a recovery nurse working in London, told Sky News the pandemic left many NHS staff deeply traumatised.
“I have never seen so many dead patients in my life,” she said, speaking about her work during COVID.
“And it was nice that everyone was clapping for us. But I know nurses that are now going to food banks, so it’s not enough.”
Image: Striking NHS junior doctors on the picket line
Ms De Barros has just voted to reject the latest pay deal offered to nurses.
“We’ve had Brexit, COVID and now the war in Ukraine has made the cost of living so high. We are just tired. We are exhausted. And it doesn’t seem like it is going to get better any time soon.”
Nat Whalley, CEO and co-founder of Organise – a worker-led network for fixing employment – called it a “ticking time bomb at the heart of our healthcare system”.
“We don’t need empty promises; we need tangible investments in the NHS that allow workers to thrive in their roles, without suffering from stress, anxiety, and burnout,” said Ms Whalley.
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2:19
Why are staff quitting the NHS?
Despite being unhappy, Brits still support the NHS
Despite the high levels of dissatisfaction with how services are operating, the public continues to show strong support for the principles underpinning the NHS.
Nine in 10 people backed the idea that the NHS should be free of charge when people need it.
But more than eight in 10 believe there is a major or severe funding problem for the service.
While taxation remains the favoured source of funding, more people believe the service should live within its budget.
Jessica Morris, report author and fellow at the Nuffield Trust, said: “It is clear that the level of unhappiness amongst the British public over the way the NHS is running is going to take many years to recover.”
A Department of Health and Social Care spokesperson said the government was “hugely grateful” to NHS and social care staff for their working during the pandemic and dealing with the subsequent backlog.
“Cutting waiting lists is one of the prime minister’s five priorities and so far, we have virtually eliminated waits of over two years for treatment and latest figures show the number of patients waiting over 18 months has reduced by 80% from the peak,” they added.
A spokesperson for NHS England said: “The NHS is taking significant steps to further improve patient experience, including our recently-launched blueprint to recover urgent and emergency care alongside continuing to slash the long waits for elective treatment which inevitably built up during the pandemic, and we are working on new plans to boost primary care for patients as well as publishing a long-term workforce strategy shortly.”
They also highlighted the government’s £14.1bn investment in health and social care over the next two years.
Wes Streeting MP, Labour’s shadow health secretary, said: “Support for the values that the NHS was built upon are unshakable. It will fall to the next Labour government to reform and rebuild the NHS, so it once again delivers quality care for patients, free at the point of use.”
Rachel Reeves has said she recognises she is “asking ordinary people to pay a little bit more” after she announced £26bn worth of tax rises in her budget – including extending the freeze on personal income thresholds.
However, the chancellor also told Sky News political editor Beth Rigby that she had “managed to keep that contribution as low as I possibly can by closing loopholes and asking those with the broadest shoulders to pay more”.
The package contains a new “mansion tax” on properties worth over £2m, while people paying into their pension pot under salary sacrifice schemes will face national insurance on contributions above £2,000.
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4:39
Beth’s budget verdict: ‘You’re paying more’
In a win for Labour MPs, the two-child benefit cap will be scrapped from April, costing £3bn by 2029/30.
Spending is set to rise by £11bn overall by this date, with a big chunk of this money funding policy U-turns on welfare.
The chancellor also announced:
• New taxes on the gambling industry to raise more than £1bn;
• A new mileage tax for electric vehicles from April 2028;
• The amount you can save in a tax-free cash ISA has been slashed from £20,000 to £12,000, except for over 65s;
• The 5p cut in fuel duty will remain in place until September 2026, when it will be reversed through a staggered approach.
The measures, which were published by the Office for Budget Responsibility (OBR) ahead of time in an unprecedented blunder, will take the UK’s tax burden to an all-time high of 38% of GDP in 2030-31, the fiscal watchdog said.
Ms Reeves blamed Brexit and the Tories’ legacy, saying her choices would lead to a “fairer, stronger, more secure Britain”.
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She told Rigby she acknowledged the changes “have a cost for working people”, but twice refused to say she had broken Labour’s manifesto promise not to increase income tax, national insurance and VAT.
But Conservative leader Kemi Badenoch said the budget was a “total humiliation”, given the chancellor promised that her £40bn tax raising budget last year would be a once-in a parliament event.
Ms Badenoch said: “Last year we had the horrors of the Halloween Budget. This year it’s the Nightmare Before Christmas. And as for her, she’s the unwelcome Christmas guest, 10 minutes through the door and and she’s eaten all the Quality Street.”
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0:53
‘A total humiliation’: Badenoch targets Reeves in budget response
What does the freeze on income tax thresholds mean?
The freeze on tax thresholds, introduced by the Conservatives in 2021, was due to end by 2028.
Ms Reeves has extended it for another three years, in a move which will raise an estimated £8bn for the exchequer in 2029-2030 by dragging some 1.7 million people into a higher tax band.
The chancellor previously said she would not freeze thresholds as it would “hurt working people”.
However she was left with a fresh fiscal blackhole of around £30bn after the OBR downgraded its growth forecasts for the UK economy in each year from 2026 to 2029.
The “mansion tax” will raise £0.4bn in 2029-30, while charging national insurance on salary-sacrificed pension contributions, to take effect from 2029, is estimated to raise £4.7bn, the OBR said.
A further £2.1bn will be raised through increasing tax rates on dividends, property and savings income by two percentage points.
The measures mean the amount of headroom the government has against the chancellor’s day-to-day spending rule that prevents her from borrowing will widen to £21.7bn, almost £12bn more than March.
Some policies announced today have previously been confirmed by the government, including a “milkshake tax”, a rise in the national minimum wage, the freezing of rail fares and powers for local mayors to impose a tourism tax.
Further spending announcements include free training for apprentices under 25 at small and medium-sized companies, £5m for secondary school libraries and £18m to improve playgrounds in England.
There have also been spending cuts, including a cut to VAT discount for ride-hailing apps like Uber – something critics have branded a “taxi tax” – while a scheme to help disabled people with the cost of a car will no longer offer “luxury vehicles”.
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9:11
Budget details released early in error
The budget was seen as a big test for Sir Keir Starmer, who has faced threats of a leadership challenge if Labour’s polling doesn’t improve.
Labour MPs on side – for now
Patrick Hurley, the Labour MP for Southport, told Sky News the package was “much stronger than I was expecting”.
He added: “Very good news on child poverty, gambling taxes and mansion taxes. A lot done, and a lot still to do after 14 years of declining living standards under a succession of dreadful Tory PMs. But I’ve left the Chamber in a much happier mood than when I walked in at 11.30.”
John McDonnell, A veteran left wing MP within Labour’s Socialist Campaign Group (SCG), said removing the two-child cap was a “major win” for colleagues who had pushed for the move.
However he said Ms Reeves’ tax increases on wealth don’t go far enough, with the freeze on tax thresholds offsetting other measures aimed at increasing disposable income and resulting in living standards remaining “at a standstill”.
In a message to the SCG he said: “Despite the policy changes we have secured today on child poverty and taxation of wealth it does frustratingly point to the last 18 months being wasted when with our majority we could have done so much more to address the poverty and inequality that scars our community and put money in people’s pockets to drive economic growth.”
Prince Harry and six other household names are suing the publishers of the Daily Mail newspaper over alleged unlawful information gathering dating back 30 years.
The case has been ongoing since 2022 and is just one of several Harry has filed against media organisations since 2019 over alleged breaches of privacy, unlawful practices and false stories.
Associated Newspapers (ANL) – which also publishes The Mail on Sunday and MailOnline – strongly denies any wrongdoing.
A full trial is not expected to start at London’s High Court until January, but a pre-trial hearing, which helps manage the case and resolve any outstanding issues, is set to take place today.
Here is everything you need to know about the case.
What’s alleged?
The alleged unlawful acts are said to have taken place from 1993 to 2011, including the publisher hiring private investigators to secretly place listening devices inside cars and homes and paying police officials for inside information.
When bringing the lawsuit in 2022, lawyers for the claimants said they had become aware of “highly distressing” evidence revealing they had been victims of “abhorrent criminal activity” and “gross breaches of privacy” by Associated Newspapers.
Associated Newspapers denies the allegations, describing them as “preposterous smears”, and claims the legal action is “a fishing expedition by [the] claimants and their lawyers”.
The accusations include:
• The hiring of private investigators to secretly place listening devices inside people’s cars and homes;
• The commissioning of individuals to surreptitiously listen into and record people’s live, private telephone calls while they were taking place;
• The payment of police officials, with corrupt links to private investigators, for inside, sensitive information;
• The impersonation of individuals to obtain medical information from private hospitals, clinics, and treatment centres by deception;
• The accessing of bank accounts, credit histories and financial transactions through illicit means and manipulation.
Image: Pic: iStock
Who else is involved?
While Prince Harry is one of the key players, as a group litigation, he is not the only claimant.
The others include:
• Actress Elizabeth Hurley • Actress Sadie Frost • Sir Elton John and his husband, filmmaker David Furnish • Baroness Doreen Lawrence, mother of Stephen Lawrence • Former Liberal Democrat politician Sir Simon Hughes
Image: Sadie Frost. Pic: PA
Image: Baroness Doreen Lawrence. Pic: AP
They all allege they have been victims of “abhorrent criminal activity” and “gross breaches of privacy” by ANL.
David Sherborne is the lawyer representing all the claimants.
Image: Sir Elton John and his husband David Furnish (below). Pic: AP
Image: Pic: AP
What happened in 2023?
During a preliminary hearing in March 2023, Judge Matthew Nicklin was tasked with ruling whether the case can proceed to trial.
ANL had asked for the case to be struck out entirely, arguing the legal challenges against it were brought “far too late”, but David Sherborne called for the publisher’s application to be dismissed.
Lawyers for the publishers said the claims fell outside the statute of limitations – a law indicating that privacy claims should be brought with six years – and the claimants should have known, or could have found out, they had a potential case before October 2016.
Image: Prince Harry at the High Court in 2023
They also argued some aspects of the cases should be thrown out as they breach orders made by Lord Justice Leveson as part of his 2011 inquiry into media standards.
During the hearing, a number of the claimants attended the High Court, including Prince Harry, to the surprise of the British media.
Witness statements from all seven claimants were also released. The duke’s statement said he is bringing the claim “because I love my country” and remains “deeply concerned” by the “unchecked power, influence and criminality” of the publisher.
“If the most influential newspaper company can successfully evade justice, then in my opinion the whole country is doomed,” he said.
On 10 November 2023, Mr Justice Nicklin gave the go-ahead for the case to go to trial, saying ANL had “not been able to deliver a ‘knockout blow’ to the claims of any of these claimants”.
What’s happened since?
Earlier this year, lawyers for the claimants sought to amend their case to add a swathe of new allegations for the trial.
They argued that they should be allowed to rely on evidence that they said showed the Mail was involved in targeting Kate, the Princess of Wales.
However, Mr Justice Nicklin ruled this allegation was brought too late before trial.
In a further development in November, the High Court heard that a key witness in the case, private investigator Gavin Burrows, claimed his signature on a statement confirming alleged hacking had taken place, was forged.
Image: Lawyer David Sherborne is representing all the claimants
In the statement from 2021, Mr Burrows allegedly claimed to have hacked voicemails, tapped landlines, and accessed financial and medical information at the request of a journalist at the Mail On Sunday.
The statement was important, as five of the seven claimants involved in the case told the court they embarked on legal action against ANL based on evidence apparently obtained by Mr Burrows.
Mr Burrows previously retracted his statement in 2023, but the court heard he reiterated the denial to ANL’s lawyers in September this year.
It is now up to the claimant’s lawyer Mr Sherborne to decide if he still wants to call Mr Burrows as a witness for the trial.
Mr Justice Nicklin previously said if Mr Burrows gave evidence that was inconsistent with the evidence they had obtained, then he could apply to treat him as “hostile”.
Could the case end before going to trial?
In short, yes.
During pre-trial reviews, cases can either be settled or dismissed from court in both civil and criminal cases, meaning no trial will take place.
This happened in Harry’s case against News Group Newspapers (NGN), which publishes The Sun. The duke made similar accusations about NGN, which involved unlawful information gathering by journalists and private investigators.
Before an up-to 10-week trial began earlier this year, it was announced both sides had “reached an agreement” and that NGN had offered an apology to Harry and would pay “substantial damages”.
The settlement was reported to be worth more than £10m, mostly in legal fees.
Another of Harry’s legal cases, this time against Mirror Group Newspapers (MGN) over accusations of historical phone hacking, did go to trial.
The trial saw Harry take to the witness box, making him the first senior royal to give evidence in a courtroom since the 19th century.
In December 2023, the Honourable Mr Justice Fancourt concluded that the duke’s phone had been hacked “to a modest extent” between 2003 and 2009, and 15 of 33 articles he complained about were the product of unlawful techniques.
Bereaved families of black, minorities and migrant women who died after suffering violence and abuse have called on the prime minister to help end femicide.
At a Downing Street vigil on International Day for the Elimination of Violence Against Women, the group said urgent reforms to policing and sentencing are needed “to address systemic failures”.
Yasmin Javed, whose daughter Fawziyah Javed was killed after being pushed by her husband from Arthur’s Seat in Edinburgh, said authorities had ignored Fawziyah’s reports of abuse.
Image: Fawziyah Javed died after being pushed by her husband from Arthur’s Seat in Edinburgh
“It fell on deaf ears,” she told Sky News, explaining that Fawziyah, 31, who was pregnant when she died, had made complaints about her husband but had been murdered days before she was set to leave him.
“We’ve had our hearts ripped into millions of pieces. It’s not getting any easier, it’s getting more and more difficult.”
Tuesday’s vigil highlighted key legislative amendments the families, led by campaign group Southall Black Sisters, are championing.
The amendments include Banaz’s Law, named after 20-year-old Banaz Mahmod, who was subjected to an horrific assault, strangled and stuffed in a suitcase by family members on the orders of her father.
Image: The Downing Street vigil took place on International Day for the Elimination of Violence Against Women
The amendment seeks to explicitly recognise “honour-based” abuse as an aggravating factor in sentencing for relevant offences.
The families also want courts to impose sentences equivalent to murder for self-harm and suicides driven by domestic and “honour”-based abuse, and say the government must ensure all women have equal access to safety and support, regardless of immigration status.
Banaz Mahmod’s sister Bekhal, who testified against her relatives to help secure their conviction, said nearly two decades after the murder, efforts to protect women had not progressed.
Image: Banaz Mahmod was killed on the orders of her father
Speaking from an undisclosed location in the witness protection scheme, she said the murder “happened in 2006, and we’re almost in 2026 – that’s 20 years later. Not much has changed and it’s very, very disappointing.
“What happened to Banaz has happened, but what we could do is prevent it from happening to other people. I don’t understand why much more hasn’t been done to better the situation for others.”