Trusts feel the pinch as they strive to treat more patients with stretched resources

22 November 2023

The government published the Autumn Statement of its tax and public spending plans today and the chancellor of the exchequer outlined ambitions to increase productivity growth across the public sector by at least 0.5% per year.

Sir Julian Hartley, chief executive of NHS Providers, said:

"An NHS fit for the future needs the right numbers of staff, better supported social care, more beds and more investment in buildings and equipment to help to boost productivity and give patients top-class care.

"As Britain's biggest employer the NHS needs a healthy workforce. Improving the health of the population, including joined-up action to tackle the root causes of longstanding health inequalities, must be a mission for the whole of government to help communities thrive and ease pressure on NHS services.

"Long waiting times for patients stem from years of severe workforce shortages with more than 125,000 NHS vacancies today across England and underinvestment in health services. And we are still waiting to learn how all of the ambitions in the Long Term Workforce Plan for the NHS, published in June, will be funded.

"If ministers want to see waiting times come down a stated government priority – and productivity go up then hospital, mental health, community and ambulance services need significant capital injections to repair buildings and facilities and for digital transformation.

"Trusts recognise the need to manage public funds effectively and strive to make the most of every penny invested in the NHS to benefit patients, doing all they can to provide more first-class care and meet rising demand. Increasing productivity can’t be a case of just asking already overstretched staff to do more with existing resources.

"Trust leaders tell us that they are seeing patients with multiple, often more complex, conditions. This can mean longer stays in hospital and take longer to reach diagnosis and ensure the right treatment.

"We need to see too the government and doctors' unions resolve disputes behind months of costly strikes which have got in the way of work to cut waiting lists further."