Ministers have funding for “maximum” health services, explains the boss of NHS England | NHS

The ministers have “maximized” the amount of money they can give to the NHS and he must learn to live with smaller annual budgetary increases, said the new boss of the health service in England.

The partial state of the country's finances means that the government can no longer afford to provide the service of large elevations each year, despite the enormous pressures it undergoes, added Jim Mackey.

“We are almost at most what is affordable. It's really now [the NHS] Offer better value for money, get more changes, deliver to return to reasonable productivity levels, “said Mackey, who replaced Amanda Pritchard last month.

Speaking during an event in London organized Thursday by Medical Journalists' Association (MJA), MacKey played the prospect that the health service receives important additional species during the full expenditure in June.

Rachel Reeves, the Chancellor, will publish the Revue-exhibiting public spending between 2026-27-27 and 2029-30-June 11. In her first budget last October, she gave NHS in England a 22 billion additional sterling pounds for 2024-25 and 2025-26.

Warning of difficult choices to come for the NHS, MacKey added: “In the end, it is to know how we get a better value for money for the money we have. And we will have a certain growth in the expenditure examination, but it is never enough.”

The Institute for Public Policy Research Thinktank, which is close to work, said that MacKey's remarks have shown that the 215 care trust in England were faced with a “painful new reality”.

Sebastian Rees, head of health of the IPPR, said: “Obviously, the very difficult state of public finances confronted with the government means that the days of the NHS obtaining significant almost automatic increases in its budget each year are completed, at least at the moment.

“Keir Starmer and Wes Streting simply do not have financial flexibility to give the NHS the annual increases of 6% and 7% that it was under Tony Blair and Gordon Brown.”

But Rees added: “High -quality NHS services expenses are ultimately an investment in the health and prosperity of the nation. We know that the resolution of many Treasury tax misfortunes, such as the fight against economic inactivity and the reduction of the bill on Social Security, will require expenses more On health care, no less.

MacKey's remarks arise as the government is developing its 10 -year health plan. The document is set up by a team of Street advisers, the Secretary of Health, and should be published in early July, near the 77th anniversary of the creation of the NHS in 1948 by the post-world labor government.

MacKey also defended the budget cuts that the trustees do this year, which senior personalities warned on Friday were “alleged” and would cause service closings and endowment reductions. They are the result of a brutal “financial reset” for the service he ordered in March.

Without such a difficult action, the NHS was about to spend 6.6 billion pounds sterling this year, although its budget is about 200 billion pounds sterling, Mackey told MJA. “”[There was] The shock that it created [in Whitehall]the concern that created, [and] Anxiety about what it meant for the economy and [with] The international instability we have, what it meant for a broader society. »»

He has also warned the leaders of the NHS that, although he understands their concerns concerning the fact of operating in financial constraints, the huge drop in public satisfaction with regard to the service in recent years should be their main concern. Only 21% of people are satisfied with the NHS, revealed the last British survey on social attitudes last month.

MacKey added: “What we should all really care is the British investigation into social attitudes in all of this. It was really terrible last year [when satisfaction was 23%]. We all thought we had the lowest, then it got worse in the last one. So it was a very big shock; A very big sign that we are in danger of losing this link with the public. [That] We will lose this correctly. We are in very serious trouble.

The Ministry of Health and Social Coins has approved CEO's opinions on funding. “The brutal financial reality described by Jim Mackey reflects the extent of the challenge we have inherited,” said a spokesperson. “The Prime Minister and the Secretary of State have been clear that the NHS must reform to offer better value for taxpayers.”

In rue January critical What he called the “cultivation of routine spending of the NHS without consequences”. The service had to “learn to live according to his means,” he told Health Service Journal.

In other remarks to the MJA, during its first public appearance since the start of its role, MacKey:

• An alarm expressed that situations that have not been tolerated before, such as “old ladies being in corridors next to an emergency service for hours”, have become “normalized”.

• The said minister had come to see the existence and independence of the NHS in England as “a complication”, due to the “tension” and the “frustration” of not being able to order it to do what they wanted, before they decide to abolish it.