Health ministers in England face hard choices in 2025

The BMJ Pub Date : 2025-01-07 DOI:10.1136/bmj.r10
Chris Ham
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Abstract

Improving the NHS has to be weighed alongside improving population health Two narratives emerged from Wes Streeting’s first appearance before the House of Commons Health and Social Care Committee on 18 December 2024.1 The first focused on the pressures faced by the NHS, notwithstanding funding increases announced in October’s budget. In discussion with members of the committee, Streeting showed that he has moved on from campaigning to governing in acknowledging the hard choices that must be made. Intense discussions are underway between the Secretary of State for Health and Social Care, the Department of Health and Social Care, and NHS England, working in the looming shadow of the Treasury on how this funding should be used. The outcome of these negotiations will be revealed in annual planning guidance for the NHS, now expected later in January 2025. Despite the additional funding announced in October’s budget, 2025/26 promises to be a very tight year for the NHS in the face of rising demand for care in different sectors. Reducing waiting times for elective care will require funding increases in view of Keir Starmer’s commitment to …
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2025年,英国卫生部长面临艰难抉择
韦斯·斯特里特于2024.1年12月18日首次出现在下议院卫生和社会保健委员会面前,出现了两种叙述。第一种叙述侧重于NHS面临的压力,尽管10月份的预算宣布了资金增加。在与委员会成员的讨论中,斯特里廷承认必须做出艰难的选择,表明他已经从竞选转向执政。在财政部的阴影下,卫生与社会保障大臣、卫生与社会保障部和英国国民健康服务体系正在就如何使用这笔资金进行激烈的讨论。这些谈判的结果将在NHS的年度规划指导中公布,预计将于2025年1月晚些时候公布。尽管在10月份的预算中宣布了额外的资金,但面对不同部门不断增长的护理需求,2025/26年对NHS来说将是非常紧张的一年。鉴于Keir Starmer的承诺,减少选择性护理的等待时间将需要增加资金…
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