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.”
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.”
“Every morning I wake up and there is a small part of me that thinks, ‘Is today the day I’m going to be diagnosed with some sort of cancer?'”
This is the question Susan Lee asks herself every day. It is part of the mental anguish of living with Hepatitis C.
Susan was born with Von Willebrand disease.
As a child, her blood clotting disorder was treated with a product called Factor 8. It was supposed to revolutionise treatment for haemophiliacs.
Instead the American product farmed from prisoners and drug addicts was infected with HIV and Hepatitis. It was never screened or treated before being injected into the veins of patients.
The risks were known. Susan’s father raised concerns.
“I remember specifically on one occasion he went into the consulting room and spoke to my consultant,” says Susan.
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“[He] said, ‘I’m very worried about this, and I want you to let me know if Susan has or will receive any American blood products’.
“And he said to my father, ‘Absolutely not’.”
However, at 14, Susan discovered she had been infected with Hepatitis C, like thousands of other patients in the worst NHS treatment scandal in history.
Susan believes patients like her were exposed to great risk and potential death to increase profits for the companies that were producing these blood products.
“I think unfortunately it always comes down to cost implications. And we know that American blood products were cheaper from those big pharmaceutical companies.
“We know there were other treatment options available. There were German products that were out there and could have been used, but at a higher price point, and they were not chosen.”
The Hepatitis C infection has had a devasting impact on every part of Susan’s life. She has had to give up her career as a barrister.
“It’s been a really, really difficult time for us as a family. And it’s intergenerational because we were given these products to take home, my parents were taught how to inject. My mother has a huge feeling of guilt surrounding that,” she says.
“Three weeks ago, she sat me down and said, ‘I’m so terribly sorry.’
“I said, ‘You’ve got absolutely nothing to be sorry for. It was nothing to do with you. You did your best’.
“Also my children, from having witnessed the times that I was really, really sick, you know, my daughters asking me, ‘Mummy, why can’t you run in the school races and for sports day?’
“Because I could barely lift my head off the pillow to get out of bed to be there.”
Later this morning, Susan and the thousands of other victims of the infected blood scandal will get answers to the decades-long search for the truth.
At Westminster’s Methodist’s Central Hall just after midday, Sir Brian Langstaff will deliver his report into the infected blood scandal. It is expected to be damning.
Des Collins, senior partner of Collins Solicitors which represents 1,500 victims and their families, said the inquiry chair is likely to hold many people accountable.
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“If you are going to point the finger at someone, you’ve got to give them notice and it’s that notice process which has delayed [the report] probably for the last six months. So a lot of people will have the finger pointed at them.
“They will be held accountable for each individual part of the scandal, which is appropriate insofar as their involvement is concerned.
“I don’t think we’re going to get the finger pointed at one person saying, ‘You are responsible for the whole thing,’ because there are so many people involved in it and they’re all making individual decisions.”
The significance of this moment cannot be overstated.
The great hall will be full of people infected with deadly diseases in secret trials, bereaved parents who saw their children die and all of the others affected by this preventable tragedy.
The atmosphere will be charged with emotion, anger and hopefully relief.
The delay in delivering justice has compounded the grief and anguish felt by so many. After being lied to and ignored for decades, they finally have their day.
This report must mark the beginning of the end of this shameful scandal.
Sky News will have full coverage of the infected blood report on TV, online and on the Sky News app today
“Losing Gary, my soul mate, was beyond painful,” says Kathryn Croucher, whose husband died aged 42 in 2010.
“Every day was a struggle dealing with the knowledge he was HIV and Hepatitis C positive.”
“Mum always said she was given a death sentence,” recalls Ronan Fitzgerald. His mother, Jane, died aged 54 after being infected with Hepatitis C when she was 16. “It was a ticking time bomb.”
Sky News will have full coverage of the infected blood report on TV, online and on the Sky News app today.
More than 30,000 Britons were infected with HIV and Hepatitis C after being given contaminated blood products in the 1970s and 1980s.
Around 3,000 people have died as a result of the scandal, while many more still live under the shadow of health problems, debilitating treatments and stigma. Now, the findings of a public inquiry, first announced in 2017, will finally be published.
These are 100 faces of infected blood victims that either they, or their families, have shared with Sky News.
“I’m never drinking tap water again,” Kayley Lewis says.
“My symptoms have made me lose a stone in two weeks.”
Ms Lewis and her two children have been suffering from diarrhoea, vomiting and stomach cramps for over a fortnight – since South West Water found small traces of the parasite cryptosporidium in the Hillhead reservoir.
“I can’t trust them [South West Water] again.
“I might start using tap water for dishes… but definitely never to drink. Ever.
“I’ve been completely put off now… especially because of how poorly it makes you feel.
“I just don’t think I could ever try and risk going back to that.”
At least 46 people are confirmed to have the disease, while as many as 70 other cases of diarrhoea and vomiting are also under investigation, the UK Health Security Agency (UKHSA) has said.
South West Water (SWW) has repeatedly apologised – telling Sky News today that they are working “around the clock” to get all households back to using safe water again.
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This could be as early as this Wednesday, drought and resilience director at SWW David Harris told me.
“We’re looking at somewhere between mid to late next week before we’ll be in a position to be able to responsibly lift that boil water notice.”
So far, 14,500 households in the Alston supply area can drink their tap water without boiling it first – as advised by SWW.
However, some 2,500 homes in Hillhead, upper parts of Brixham and Kingswear have been told to continue boiling – and cooling – their water supplies before drinking it.
Steve Price, who runs the Station Guest House B&B near Brixham, said he lost a couple of thousand pounds in bookings due to – understandably – paranoid customers.
“Losses we anticipate are roughly around £2000 from people that have cancelled and directly stated that the cancellation was due to the water situation.
“So we would anticipate that at the bare minimum as compensation.”