This House of Lords Library Briefing has been prepared in advance of the debate due to take place on 31 January 2019 in the House of Lords on the motion moved by Lord Hunt of Kings Heath (Labour) “that this House takes note of the NHS Long Term Plan, published on 7 January, and the case for a fully funded, comprehensive and integrated health and care system which implements parity of esteem, preventative health and standards set out in the NHS Constitution”.
NHS England Long Term Plan (333 KB , PDF)
The plan, published in January 2019, includes proposals for changing NHS services over the next five and ten years. It follows the announcement in June 2018 by the Prime Minister, Theresa May, of increased funding for the NHS, averaging 3.4% during the period from 2019/20 to 2023/24. This compares to an average growth of 2.2% over the previous five years and the long-term average for the NHS since 1948 of 3.7%.
The stated aims of the plan are to maximise the impact of the extra funding received as part of the Government’s five-year funding plan, tackle the pressures currently faced by NHS staff and take advantage of new health technologies and treatments. It includes measures intended to change the way NHS services are provided and increase the coordination of NHS services with local authorities, the care sector and the voluntary sector. The plan sets targets for improving public health; for clinical outcomes in areas such as preventing infant mortality and improving cancer survival rates; and for improving mental health services.
Although the ambitions of the long-term plan have been welcomed, concerns have been raised about the support being provided to realise these ambitions. The size of the increase to the NHS budget has been criticised as being insufficient to meet the scale of the changes planned. It has also been noted the plan would depend not only on the size of the NHS budget, but also the funding available to social care and medical training which are not covered by the five-year spending plan announced by the Government in June 2018. Organisations representing NHS staff have argued the aims of the long-term plan could not be achieved without reducing the number of vacancies in the NHS.
NHS England Long Term Plan (333 KB , PDF)
While handling record demand, the social care sector in England is facing workforce, resource and funding pressures. There are also millions of people providing unpaid care. The new Labour government has announced an intention to create a ‘National Care Service’, and to improve NHS and social care integration as part of a 10-year plan for reform.
Between 1970 and the early 1990s, over 30,000 NHS patients were given blood transfusions, or treatments made using blood products, which were contaminated with hepatitis C or HIV. Over 3,000 people have since died, and thousands more live with health conditions. The infected blood inquiry called for immediate compensation, public memorials, and for lessons to be learned in medicine, government and the civil service. In August 2024 the government set out plans for compensation.
Vaginal mesh implants are used to repair damaged internal tissue. However, many women receiving these implants have experienced severe complications. In 2020, an independent review recommended establishing a compensation scheme for the women affected. The Conservative government rejected this recommendation, saying its focus would be on improving product safety. However, calls for redress have continued, with a subsequent review in 2024 also recommending the establishment of a compensation scheme.
