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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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.”
Ozzy Osbourne has taken his final tour of Birmingham – with his family experiencing the love of thousands of fans who turned out to see the heavy metal star come home.
“We love you, Ozzy!” came the shouts from the crowd as his cortege stopped at Black Sabbath Bridge in the city, a site that has become a shrine to the performer since his death at 76 last week.
His family and loved ones, including his wife Sharon Osbourne and their children Jack, Kelly and Aimee, spent several minutes taking in all the flowers, messages and other tributes left in an outpouring of love from fans.
Image: Jack, Sharon and Kelly Osbourne laid flowers. Pic: PA
Sharon was in tears as she took it all in. Supported by her children, she gave a peace sign to the crowd before returning to the procession vehicles.
Each family member carried a pink rose, wrapped in black paper, tied with a purple ribbon – the traditional Black Sabbath colours. The flowers bearing his name in the hearse were also purple.
Before reaching the city centre, the cortege had travelled past Ozzy’s childhood home in Aston. Just a few weeks ago, he was on stage at Villa Park performing his final gig alongside many of the musicians his music had inspired, from Metallica to Guns N’ Roses to Yungblud.
Image: Tributes to Ozzy can be seen all over Birmingham. Pic: Reuters
On a hugely emotional day, his presence could be felt throughout the city, with the star’s music playing in pubs and posters paying tribute: “Birmingham will always love you.”
For fans, this was a chance to say not just goodbye, but also thank you to a star who never forgot where he came from. His remarkable achievements from humble beginnings and continued love for his hometown, even when he lived thousands of miles away in Los Angeles, meant that for many, the loss feels incredibly personal.
Image: The Black Sabbath Bridge has become a shrine in recent days. Pic: Reuters
‘The Prince of Laughter – not Darkness’
Graham Wright, a roadie who worked with Black Sabbath in the 1970s and beyond, up to the Back To The Beginning reunion gig at Villa Park, told Sky News he would remember Ozzy not by his traditional nickname, the Prince of Darkness – but as the Prince of Laughter instead.
“It was a shock he left us so soon after [the show],” he said. “The show was tough for him but he was determined to say goodbye to his fans, that was the main thing. It was important for all four of [Black Sabbath] to get back together and do a farewell.
“The tears will be flowing today to see the Ozz man – the Prince of Laughter, not Darkness. He really was. We’ll all miss him.”
Image: Pic: Reuters
‘My mum used to say he was a lovely boy’
Chris Mason, general manager of The Brasshouse pub, which is next to Black Sabbath Bridge, said music by the band and Ozzy’s solo material had been played pretty much “on loop” since his death.
“I’m a metal fan and Ozzy being the godfather of the scene – if not for Ozzy and Black Sabbath, we wouldn’t have heavy metal,” he said. “This is what Birmingham is about, bringing people together, and Ozzy and Black Sabbath did that.
“He was Mr Birmingham and his family have brought him back.”
Mohabbat Ali, who used to live on the same street as Ozzy’s childhood home, said the property had become one of the focal points for tributes in the city.
Describing what it was like living near him, he said: “He played guitars, very loud at night sometimes, but my mum used to say he was a lovely boy.”
From an era of preening rock gods, Ozzy was the real deal
The sea of black was always a given – but this wasn’t about respecting funeral traditions. Ozzy himself had previously said he wanted his send-off, when it came, to be a celebration and not a “mope-fest”.
This was his final tour in the city that meant so much to him.
For fans, he meant so much to them.
For his family, the emotion was raw.
Sharon, his soulmate, has spent her life and career organising his shows, and it was clear how hard this day was for her.
After they left, fans flooded the streets to lay flowers.
Not since David Bowie has an artist’s death prompted such an outpouring of emotion. From an era of preening rock gods, Ozzy was the real deal – one of the most notorious figures in rock, but a man who remained as Brummie as can be.
‘A true legend who never forgot his roots’
Birmingham’s lord mayor, Councillor Zafar Iqbal, also attended the procession and spoke of the city’s pride in Ozzy.
“What a great honour for us to have him here one last time,” he said. “The love for Ozzy – well, you can feel it in the air.”
The star put both Aston and Birmingham on the map, he said, and always took the time to get to know people.
Mr Iqbal said Ozzy sent him a letter after reading on the mayor’s website biography how he had struggled with dyslexia at school – something the star identified with.
“I’ve got the letter in a frame and it’s in my office… he was just a natural human being, down to earth. You wouldn’t have known he was a rock star – but he was a true legend, who never forgot his roots.”
The population of England and Wales has grown by more than 700,000 in the year to June 2024 – the second-largest increase in over 75 years.
The change was largely fuelled by international migration, with natural change – the difference between births and deaths – accounting for only a small proportion.
According to the Office for National Statistics, there were an estimated 61.8 million people in England and Wales in mid-2024, up from 61.1 million the year before.
It is the second-largest numerical jump since at least 1949, when comparable data began.
And it is behind only the rise of 821,210 that took place in the preceding 12 months from mid-2022 to mid-2023.
Nigel Henretty of the ONS said the population of the two countries has increased each year since mid-1982, but said the rate of population increases has been higher in recent years.
“Net international migration continues to be the main driver of this growth, continuing the long-term trend seen since the turn of the century,” he said.
Net international migration – the difference between people moving to the country and leaving – accounted for 690,147 of the estimated population increase of 706,881 people, or 98% of the total.
There were slightly more births than deaths in the most recent year, which added 29,982 to the population.
There was also a net decrease in internal migration – the number of people moving from England and Wales to elsewhere in the UK.