The NHS faces an unprecedented challenge following a decade of austerity and the intensity of the COVID-19 pandemic. The move to integrated care also presents a significant change in the way the healthcare system is planned and funded.
Our members need a new funding settlement to meet the elective backlog created by the pandemic and to achieve the goals of the NHS Long Term Plan. Central to this will be sufficient funding to meet service demand and plan for long-term capital upgrades. Currently, limits on capital expenditure limit members' ability to develop the capacity they need to plan long term.
Integrated care provides a rare opportunity to rethink how funding flows through the health and care system. It is essential that funding flows are designed so that systems meet their potential to improve overall population health.
Our finance policy programme focuses on contributing to the development of the NHS’s new system financial architecture, working with leaders in ICSs and across the system. We meet regularly with government and system leaders to represent members and influence change.
We are supporting members and the wider NHS to make the transition from a decade of austerity and in the transition towards financial planning at system level. We are also continuing to make the case for greater financial autonomy for members and systems as we heads towards a new financial regime.
We will also lead a coalition of health organisations in a major campaign – Health for Care – to secure reform and a long-term funding settlement for social care. This is the right thing to do but also essential if the NHS is to achieve the ambitions of the NHS Long Term Plan.
We are also keen to support more acute and community trust members to engage with local, non-NHS partners to develop local growth opportunities. This will include a new project exploring the role of NHS teaching hospitals as ‘anchor institutions’.
Unlocking capital funding
Patient treatment targets will be missed, the waiting list backlog will grow and patient safety will be at risk unless the government unlocks funding.
14 June 2022
A reckoning: the continuing cost of COVID-19
Joint report sets out the full scale of the extra running costs now needed by the NHS in England in light of the pandemic.
2 September 2021
Spending Review is an opportunity to invest in the NHS for the future
Now is the moment for an honest revaluation of the long-term funding settlement for the NHS.
17 August 2021
Health and care face operational and financial pressures like never before
Director of the Welsh NHS Confederation Darren Hughes reflects on the challenges of the last couple of months and those ahead of us.
1 February 2023
Response to Welsh Government's one-off pay offer to health trade unions
Director of the Welsh NHS Confederation Darren Hughes responds to the news of a one-off enhanced pay offer to health trade unions.
3 February 2023
Without decisive action from governments, extraordinary pressures will continue
Assistant director of the Welsh NHS Confederation Nesta Lloyd-Jones responds to the latest NHS performance statistics in Wales.
19 January 2023
Watch: Now or never: a systemic investment review of mental health care in England
An expert panel on the strategic investment needed to meet the rising demand for mental health services.
23 September 2021 13:00 - 14:00 GMT
Watch: Community-based solutions in mental health
How integrated community based services can bring mental health care closer to home.
27 September 2021 16:00 - 17:00 GMT
Health on the Line
New podcast series, hosted by Matthew Taylor, offers fresh perspectives on the healthcare challenges of our time and ways to confront them.