Survey five: the state of the NHS and social care ahead of the Comprehensive Spending Review

Nuffield Trust
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Summarises the views of health and care leaders on the pressures facing the NHS and social care ahead of the Comprehensive Spending Review. Although most respondents are involved in planning for reduced spending, many leaders do not see how the efficiency savings required to free up an additional £22 billion for the NHS can be achieved: two thirds of survey respondents are not confident that their area has a credible local plan to make the efficiency savings needed this year, with half of respondents saying their area’s savings plans are dependent on reducing agency staff spend. Asked to choose from a list which non-NHS public service most deserved to be ring-fenced, 53.3 per cent selected spending on older people's social care: many panellists expressed the view that NHS and social care budgets should be viewed as being interdependent. 96 per cent of respondents thought it should be a high or moderate priority to deliver improved urgent seven-day services in line with NHS England clinical standards: the quality benefits of seven-day urgent services were clear to respondents; the cost implications less so. However, only 37.8 per cent believed seven-day elective services should be a high or moderate priority. (Edited publisher abstract)

Subject terms:
surveys, cutbacks, integrated care, older people, NHS, financing;
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