Nuffield Trust response to NHS Trust financial figures – and warns that your health will be more and more regional, less and less National.

20thNovember 2015: Nuffield Trust response to NHS Trust financial figures – NHSreality agrees…but of course there is more to explain the cause. This lies in denial and fear, and our political system..

Responding to the latest financial reports from the NHS regulators Monitor and the Trust Development Authority, Nuffield Trust Senior Policy Analyst Sally Gainsbury said:

“The head of NHS Improvement warned us these figures would be awful. They are. Just half way through the financial year, NHS hospitals are now £1.6bn in the red. Ahead of next week’s Spending Review, today’s figures strengthen the argument that this is the toughest financial challenge ever faced by the NHS.

Deliberate government policy to make NHS savings by squeezing the amount hospitals get for each patient they treat means hospitals have been faced with a 3.6 per cent increase in the number of emergency patients, yet only a one per cent increase in what they are paid to treat them.

“In the past Ministers have been able to imply that hospitals experiencing financial difficulties are simply badly run. This argument is harder to make when all but seven acute NHS hospital trusts are in financial deficit.

“As today’s reports make clear, hospitals are having to free up cash to pay staff by cutting back on crucial investments such as building repairs and new equipment. Two drivers particularly stand out, neither surprising. After five years of an NHS pay freeze, hospitals are increasingly forced to pay premium rates to agency nurses and locum doctors who will no longer work for standard NHS wages. At the same time, deliberate government policy to make NHS savings by squeezing the amount hospitals get for each patient they treat means hospitals have been faced with a 3.6 per cent increase in the number of emergency patients, yet only a one per cent increase in what they are paid to treat them.

“We need a realistic, unified plan to address this. It won’t be addressed by short term, desperate measures that undercut the health service’s capacity to change such as cutting the public health budget, selling off land at prices we later regret or stopping short investment plans.

“Most worryingly of all, our recent QualityWatch analysis with the Health Foundation showed the financial shortfall may already be resulting in a squeeze on care quality with patients experiencing longer waits for treatment. This points to a period of managed decline in the NHS something more than 8 in 10 of our panel of health leaders warned earlier this year would happen.”

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This entry was posted in A Personal View, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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