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The NHS Needs More Than Promises – It Needs Investment


A photo showcasing the front view of the NHS building in the UK.

The NHS has been on the edge of a funding crisis for many years – with increased demand from a crumbling system with ever-decreasing resources. The Health Foundation's recent report sheds light on a stark truth: without an additional £38bn per year by 2030, the NHS will struggle to reduce its backlogs and cut long treatment delays. This figure is not just a number but a desperate plea for help from a health system overwhelmed by growing demand and underfunding for far too long. 


We must face reality. 


The NHS is the backbone of our healthcare system and has been a beacon of hope for the rest of the world to emulate, yet it is crumbling under pressure. With record numbers awaiting care and the increasing public dissatisfaction, the current spending plans are drastically insufficient. The Health Foundation's warning should be a wake-up call. Labour and Conservative party promises on funding fall dangerously short of what is needed to restore the NHS from the brink of collapse. Politicians and senior decision-makers must be honest with the public about the significant sums required to effect real change. 


Difficult Trade-Offs

The think tank's estimate of an additional £38bn a year will require tough decisions for the next government. Whichever party wins the election must navigate these difficult trade-offs between funding the NHS and other public services. These decisions will go beyond just the reallocation of funding; they are about prioritising health over different sectors and acknowledging that without the increased investment, the NHS will not meet the growing needs of an ageing population.  


The Glaring Economic Disparity 

Our health service is not just another public service; it's a lifeline for a healthy and productive population which requires substantial and sustained investment to function effectively. The Health Foundation's analysis demonstrates that the NHS will need an average annual budget increase of 3.8% over the next decade, far beyond the projected economic growth rate of 1.9%. The discrepancy highlights the profound severity of the current situation. Without further funding, the health service is sure to collapse. 


Confronting the Crisis

The NHS is in crisis; this is not up for debate. Our political leaders must confront this reality head-on. Anita Charlesworth, a director from the Health Foundation, emphasises that the current political party pledges are insufficient to achieve meaningful improvements. The NHS needs more than promises – a clear and actionable funding strategy must be non-negotiable from our political leaders.


The Role of Honest Leadership

Whoever takes office on the 5th of July 2024 must be honest and truthful with the public about the actual funding needs of the NHS. Increasing capital investment, meeting waiting time targets and paying staff fairly (including pay restoration for doctors) are all essential steps. These goals require transparent communication and a real commitment to securing the necessary funds. The public, including healthcare professionals, deserve to know what is needed to fix the NHS. 


Our NHS Leaders Support 

Dr Layla McCay from the NHS Confederation and Julian Hartley from NHS Providers are just some NHS leaders who support the Health Foundation's analysis. They stress the urgent need for increased funding, which is echoed across the board. Chronic underinvestment is leaving our healthcare facilities in a dire state, threatening patient and staff safety, which we see every day. The new government must address these issues with the urgency they deserve. 


A Call to Action

Doctors and healthcare professionals across the UK are acutely aware of the NHS's challenges. We see the impact of underfunding every day – from understaffed wards to delayed treatments and deteriorating facilities. It is time for a collective call to action. We must advocate for the substantial investment the NHS needs to provide the high-quality care we all want to deliver. 


The future of the NHS depends on decisive action and honest leadership from our politicians. The Health Foundation's report has highlighted the significant funding gap the NHS needs. As doctors, our voices are powerful. We must continue to advocate to secure the future of our NHS. 


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