Government's NHS funding boost is 'no long-term solution' without social care

RCN and social care leaders call for extra investment to shore up home care services
Prime minister Theresa May and health secretary Jeremy Hunt at a hospital with a nurse

RCN and social care leaders call for extra investment to shore up home care services

Theresa May and Jeremy Hunt meet matron Ade Adamolekun at the Royal Free Hospital in London today. Picture: Getty

Unions and social services directors have warned that the £20.5 billion-a-year NHS funding boost announced by the prime minister today will be worthless if social care is not also given more investment.

Theresa May announced the much-anticipated funding increase for the NHS in time for its 70th anniversary next month.

This represents a 3.4% increase per year in the annual £114 billion budget for the NHS in England. A total of £3.2 billion has been made available for Scotland and Wales to be spent by their devolved governments. Northern Ireland is in limbo because of political deadlock there.

Funding plan

In her speech, Ms May highlighted the challenges the NHS faces as a result of an ageing population as she outlined the government's four-year funding plan. 

‘Despite more funding, more doctors and more nurses, and great progress on treatments, our NHS is under strain,’ she said. ‘So, we will do more than simply give the NHS a one-off injection of cash.

‘Under our plan, NHS funding will grow on average by 3.4% in real terms each year from 2019-20 to 2023-24.’

No solution

RCN general secretary Janet Davies responded it would be a mistake for the government to celebrate the NHS announcement while continuing to neglect social care.

‘Theresa May must be under no illusion there can be no long-term solution for the NHS without a solution for social care too’

She said: ‘By Jeremy Hunt’s own admission a few days ago, his government’s social care cuts have piled pressure on hospitals – investing in home care and local community services helps stop hospitals becoming overwhelmed.

‘Theresa May must be under no illusion that there can be no long-term solution for the NHS without a solution for social care too.’

Birthday present

Ms Davies described the funding boost as enough to sustain the NHS, but insufficient to transform it.

‘The extra funding is a welcome birthday present for the NHS, but we need to make sure there are enough candles on the cake,’ she said.

Ms Davies pointed to health economists' concerns that only an increase above 4% would be enough to 'transform the NHS into the service all nurses want'.

'If the PM only gives the health service enough money to jog on the spot, she must not expect great strides forward,' she added.

Prospect of flexibility for staff

But the RCN did welcome hints that the prime minister wants the NHS to be a more flexible employer.

In her speech, Ms May said the NHS must become more attractive to workers.  

‘We welcome the PM’s focus on how to make the NHS a more flexible employer’

‘We need to recognise working practices in the NHS have not caught up with modern lifestyles’ she said. ‘Think of the nurse working beyond his shift for the fifth day in a row who can’t pick up his children from school.’

Ms Davies said: ‘We welcome the PM’s focus on how to make the NHS a more flexible employer. This is a concern for nursing staff juggling work with family and caring responsibilities,’ she said. New measures could help to retain experienced professionals.’

Ms Davies picked up on a passage in the prime minister's speech that pointed to the introduction of nursing associates, adding that the government must make nurse education a ‘top priority with genuine incentives’.

Other RCN figures were less optimistic on the funding announcement, with past congress chair Stuart McKenzie stating it would merely drive nurses out of the profession.


I’ve no doubt that the investment won’t be enough, the intention is a slow asset strip of the public sector by driving out professionals like nurses @theRCN & rendering caring professions unattractive #respectnurses @edfreshwater @bjgw

— Stuart McKenzie (@stueymckenzie) June 17, 2018


Long-term future of social care

Association of Directors of Adult Social Services president Glen Garrod criticised the absence of social care funding in Ms May’s announcement. However, health and social care secretary Jeremy Hunt said a long-term social care plan is being formulated.

'It is deeply disappointing to see no further investment in social care in this settlement,’ he said. ‘As has been said, putting money into the NHS without putting it into social care is like pouring water down a sink with no plug in.’

Brexit dividend is ‘tosh’

Theresa May has claimed a ‘Brexit dividend’ would partly fund the NHS budget boost.

But Institute for Fiscal Studies director Paul Johnson said there would be no windfall from Brexit due to the £39 billion EU ‘divorce bill’ the UK would have to pay.

Meanwhile, Commons health and social care committee chair Sarah Wollaston described the idea of a Brexit dividend as 'tosh'.

Labour’s shadow health secretary Jonathan Ashworth said the announcement was a ‘failure’ and based on ‘wishful thinking’ that failed to recognise the plight of the social care sector.

‘We want to give the NHS six months to come up with a really good 10-year plan’

As part of the announcement, an additional £2 billion in funding has been announced for Scotland and £1.2 billion for Wales.

No such arrangements for Northern Ireland where devolved government has broken down.

Details will emerge in the Budget

Speaking on BBC Radio 4's Today programme this morning, health and social care secretary Jeremy Hunt said more details on the funding plan will be revealed at the Budget in November.

‘The reason we are not spelling it out now is because we want to give the NHS six months to come up with a really good 10-year plan,’ he said.

Mr Hunt also said a long-term plan for social care funding was being prepared.

The government’s social care green paper is due to be published in July.  

In other news