This excludes key areas of NHS spending, such as health visiting, training doctors and nurses, and the investment needed to build, equip and maintain hospitals, community and primary care facilities. However, the current funding settlement only applies to the NHS England budget. If the NHS can’t moderate the rate of growth in acute demand, funding will need to be diverted back to hospitals or waiting times will increase. Increasing funding for mental health, community and GP services at this faster rate means that, if the NHS is to live within this 3.3%, less money remains for growth in the funding for hospitals. But there remain real challenges to ensuring that the NHS’s ability to spend this money well is not undermined by understaffing in these areas. This represents a genuine increased focus on mental health and primary and community services. Within this funding, the NHS has ambitions for spending on mental health services to rise by £2.3bn over this period (4.6% per year) and primary and community health services by £4.5bn (3.8% per year). Allowing for the latest inflation estimates, NHS England’s budget is due to increase in real terms by £20.7bn – an average of 3.3% per year. In 2018, the government set out (and updated, alongside the NHS long term plan) the funding increase that NHS England would receive between 2018//24. NHS England’s budget accounts for £9 in every £10 of health spending – spent largely through local commissioners. Read our latest estimates of the funding needed to stabilise the adult social care system in England.Restoring access to 2010/11 levels of service, and investing to stabilise the social care workforce, would require an increase of £12.2bn compared to estimates of funding available in 2023/24 for councils to spend on social care. Funding has not kept pace with demand, falling in real terms for most of this decade. Increasing numbers of people are unable to access social care, and care providers are at risk of collapse. The greatest challenge lies in adult social care.But there remain real challenges to ensure that this is not undermined by staff shortages, which despite the extra funding will prevent the intended improvements to these services. The focus on mental health, primary and community services in the NHS long term plan is welcome.Investing in and modernising the health service as set out in the NHS long term plan requires around 4.1% a year – a further £4bn above that figure. Maintaining current standards of care will require funding for these areas to increase by at least 3.4% a year – £3bn of funding in 2023/24 above current announcements.As things stand, the total health budget will increase by just 2.9% a year to 2023/24. Without further investment in these areas, quality and access to care are at risk of deteriorating further. Budgets for workforce education and training, public health and capital continue to have neither a plan nor long-term funding.
#Adjusting the backs in cabinet vision full
The funding settlement doesn’t cover the full budget for the NHS in England.But this is against a backdrop of significant hospital deficits, a maintenance backlog and workforce shortages – all flowing from previous inadequate investment. In England, the strategy for the NHS – the NHS long term plan – is underpinned by a funding settlement up to 2023/24, with average annual increases of 3.3% a year, starting this year.Compared to similar countries, the UK’s day-to-day spending on health is around average, but capital investment is notably low. This is much less than half the historical average growth rate.
#Adjusting the backs in cabinet vision how to
Covering a wide range of inter-disciplinary topics, conversations on the podcast have ranged from issues such as surveillance and security to how to tackle gentrification in growing cities.This long read was produced during the 2019 General Election. ReSITE - a global non-profit acting to improve the urban environment, launched the second instalment of its Design and the City podcast earlier this year, with previous guests including Winy Mass, Thomas Heatherwick and Gary Hustwit.
Gill argues for enhancing children's everyday freedom and discusses his research into ideas and principles that would make neighbourhoods rich in experiences in possibilities, which he defines as child-friendly urban planning. In this episode of Design and the City - a podcast by reSITE on how to make cities more liveable – scholar, writer and consultant Tim Gill, author of Urban Playground: How Child-Friendly Planning and Design Can Save Cities, talks about the importance of designing cities that can foster play and empower children autonomy, as a way of creating inclusive urban environments fit for all ages and abilities.