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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.

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.

It comes as thousands of NHS staff are striking with demands for better pay and improved working conditions.

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.”

Striking NHS junior doctors on the picket line outside Queen Elizabeth hospital in Birmingham as the British Medical Association is holding a 72-hour walkout in a dispute over pay. Picture date: Wednesday March 15, 2023.
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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.”

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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.”

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UK on ‘slippery slope’ to ‘death on demand’, Justice Secretary Shabana Mahmood warns ahead of assisted dying vote

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UK on 'slippery slope' to 'death on demand', Justice Secretary Shabana Mahmood warns ahead of assisted dying vote

The UK is on a “slippery slope towards death on demand”, according to the justice secretary ahead of a historic Commons vote on assisted dying.

In a letter to her constituents, Shabana Mahmood said she was “profoundly concerned” about the legislation.

“Sadly, recent scandals – such as Hillsborough, infected blood and the Post Office Horizon – have reminded us that the state and those acting on its behalf are not always benign,” she wrote.

“I have always held the view that, for this reason, the state should serve a clear role. It should protect and preserve life, not take it away.

“The state should never offer death as a service.”

Analysis: Justice secretary’s intervention is potentially embarrassing for the PM

On 29 November, MPs will be asked to consider whether to legalise assisted dying, through Kim Leadbeater’s Terminally Ill Adults (End of Life) Bill.

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Minister ‘leans’ to assisted dying bill

Details of the legislation were published last week, including confirmation the medicine that will end a patient’s life will need to be self-administered and people must be terminally ill and expected to die within six months.

Ms Mahmood, however, said “predictions about life expectancy are often inaccurate”.

“Doctors can only predict a date of death, with any real certainty, in the final days of life,” she said. “The judgment as to who can and cannot be considered for assisted suicide will therefore be subjective and imprecise.”

Read more: Gordon Brown says assisted dying should not be legalised

Under the Labour MP’s proposals, two independent doctors must confirm a patient is eligible for assisted dying and a High Court judge must give their approval.

The bill will also include punishments of up to 14 years in prison for those who break the law, including coercing someone into ending their own life.

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Details of end of life bill released

Read more: Where does the cabinet stand on assisted dying?

However, Ms Mahmood said she was concerned the legislation could “pressure” some into ending their lives.

“It cannot be overstated what a profound shift in our culture assisted suicide will herald,” she wrote.

“In my view, the greatest risk of all is the pressure the elderly, vulnerable, sick or disabled may place upon themselves.”

Kim Leadbeater waits to present the Assisted Dying Bill. File pic: House of Commons/Reuters
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Kim Leadbeater waits to present the Assisted Dying Bill. File pic: House of Commons/Reuters

Labour MP Kim Leadbeater, who put forward the bill, said some of the points Ms Mahmood raised have been answered “in the the thorough drafting and presentation of the bill”.

“The strict eligibility criteria make it very clear that we are only talking about people who are already dying,” she said.

“That is why the bill is called the ‘Terminally Ill Adults (End of Life) Bill’; its scope cannot be changed and clearly does not include any other group of people.

“The bill would give dying people the autonomy, dignity and choice to shorten their death if they wish.”

In response to concerns Ms Mahmood raised about patients being coerced into choosing assisted death, Ms Leadbeater said she has consulted widely with doctors and judges.

“Those I have spoken to tell me that they are well equipped to ask the right questions to detect coercion and to ascertain a person’s genuine wishes. It is an integral part of their work,” she said.

In an increasingly fractious debate around the topic, multiple Labour MPs have voiced their concerns.

In a letter to ministers on 3 October, the Cabinet Secretary Simon Case confirmed “the Prime Minister has decided to set aside collective responsibility on the merits of this bill” and that the government would “therefore remain neutral on the passage of the Bill and on the matter of assisted dying”.

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‘Immediate action’ taken after blueprints of prisons in England and Wales leaked on dark web

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'Immediate action' taken after blueprints of prisons in England and Wales leaked on dark web

“Immediate action” is being taken after blueprints of jail layouts were shared online.

The maps detailing the layouts of prisons in England and Wales were leaked on the dark web over the past fortnight, according to The Times.

The detailed information is said to include the locations of cameras and sensors, prompting fears they could be used to smuggle drugs or weapons into prisons or help inmates plan escapes.

Security officials are now working to identify the source of the leak and who might benefit from the details.

The Ministry of Justice did not disclose which prisons were involved in the breach.

A government spokesperson said in a statement: “We are not going to comment on the specific detail of security matters of this kind, but we are aware of a breach of data to the prison estate and, like with all potential breaches, have taken immediate action to ensure prisons remain secure.”

The leak comes amid a chronic prison overcrowding crisis, which has led to early release schemes and the re-categorising of the security risks of some offenders to ease capacity pressures.

Justice Secretary Shabana Mahmood is launching a sentencing review in a bid to ease the crisis.

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Starmer says UK will ‘set out a path’ to raise defence spending to 2.5% in spring

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Starmer says UK will 'set out a path' to raise defence spending to 2.5% in spring

The UK will “set out a path” to lift defence spending to 2.5% of national income in the spring, the prime minister has said, finally offering a timeframe for an announcement on the long-awaited hike after mounting criticism.

Sir Keir Starmer gave the date during a phone call with Mark Rutte, the secretary general of NATO, in the wake of threats by Moscow to target UK and US military facilities following a decision by London and Washington to let Ukraine fire their missiles inside Russia.

There was no clarity though on when the 2.5% level will be achieved. The UK says it currently spends around 2.3% of GDP on defence.

Volodymyr Zelenskyy, Nato Secretary General Mark Rutte and  Keir Starmer, during a trilateral meeting in 10 Downing Street.
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Ukraine leader Volodymyr Zelenskyy, Sir Keir Starmer and NATO boss Mark Rutte in October. Pic: PA

Ukraine war latest: Follow live updates

A spokeswoman for Downing Street said that the two men “began by discussing the situation in Ukraine and reiterated the importance of putting the country in the strongest possible position going into the winter”.

They also talked about the deployment of thousands of North Korean soldiers to fight alongside Russia.

“The prime minister underscored the need for all NATO countries to step up in support of our collective defence and updated on the government’s progress on the strategic defence review,” the spokeswoman said.

“His government would set out the path to 2.5% in the spring.”

The defence review will also be published in the spring.

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While a date for an announcement on 2.5% will be welcomed by the Ministry of Defence, analysts have long warned that such an increase is still well below the amount that is needed to rebuild the armed forces after decades of decline to meet growing global threats from Russia, an increasingly assertive China, North Korea and Iran.

They say the UK needs to be aiming to hit at least 3% – probably higher.

With Donald Trump returning to the White House, there will be significantly more pressure on the UK and other European NATO allies to accelerate increases in defence spending.

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