Welcome boost for NHS funding, but more will be needed alongside social care reform

25 November 2020

Commenting in detail on the different elements of today's health and care spending review announcements, Chris Hopson, chief executive of NHS Providers, said:

£3bn NHS Recovery Package

"A fortnight ago, we highlighted the importance of tackling the backlog in planned care in 2021/22 and supporting trusts to meet rapidly escalating mental health demand, both caused by COVID-19. The news of an extra £3bn for the core NHS budget is very welcome and we're particularly pleased to see significant new investment in mental health given the huge extra pressures that all mental health trusts are reporting. This investment is a good start to tackling two key issues currently facing the NHS, but we must be realistic that it won't be enough to fully deal with these issues, the impact of which will persist beyond next year."

Capital

"The increase in the NHS capital baseline, along with the extra funding for the hospital building programme and mental health dormitory ward elimination is something we have been calling through our 'Rebuild our NHS campaign'. But we are concerned that this funding will not cover the total bill for building all the hospitals the government has committed to build before 2030. More investment is also still needed for mental health trusts, who have so far not received an adequate proportion of the capital spending announced to rebuild hospitals."

Workforce

"The extra investment in education and training budgets is welcome and we're pleased to see this commitment to growing the NHS workforce alongside new money to deliver training to highly valued staff who have worked hard throughout the pandemic. But more is needed to ensure there is a long-term educational infrastructure in place to support the increase in applications to nursing degrees and to retain and support the development of existing staff. The lack of a multi-year settlement also means the NHS still doesn't have the fully funded long term workforce plan it desperately needs. This remains a vital priority and a big current gap."

2021/22 COVID-19 costs

"The additional funding announced for NHS Test and Trace, vaccines and Personal Protective Equipment (PPE) is welcome. However, at this stage it is difficult to know whether this will be enough as we can't predict how much longer the pandemic will continue. This is why the government needs to continue to be flexible in providing the funding that is needed as it has done this financial year, for example devoting significant extra 2020/21 funding for NHS Test and Trace just last week. The NHS also still needs to agree what extra funding is needed to cover the additional 2021/22 NHS frontline costs of COVID-19 and it is vital that all direct and indirect costs are fully covered by the government. At the moment it is therefore impossible to say whether the NHS will have all the 2021/22 funding it needs."

Social Care

"Despite all the good news today, it is deeply disappointing that the government has failed yet again to deliver the commitment made by Boris Johnson when he became Prime Minister to bring forward a proposal on long term reform to social care. Social care has been at the frontline of the response to the pandemic. Another further emergency injection of money will help, but is yet another sticking plaster. We need a long term, sustainable solution led by the government."