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People would be happy to pay more tax if it went directly to the NHS

572 replies

Blackcats7 · 06/03/2024 02:54

I think people would be happy to pay more tax if it was guaranteed to go to the NHS.

OP posts:
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Newbutoldfather · 06/03/2024 08:18

People who keep saying ‘it needs reforming first’, what do you want to happen if you or your child needs A&E next year?

Reform isn’t an immediate thing, especially in an organisation of that size..l

makeanddo · 06/03/2024 08:15

Nope not happy to pay any more tax at all. There needs to be widespread reform in this country.

Tattletwat · 06/03/2024 08:14

I would however having worked within the NHS it needs reforming first as it will just get swallowed up in the bottomless pit otherwise.

Sunnnybunny72 · 06/03/2024 08:12

Alexandra2001 We can reassess how feasible it is at massive expense to prolong life at all costs.

Newbutoldfather · 06/03/2024 08:08

@Alexandra2001 ,

‘Labours Wes Streeting has, at every opportunity, been banging the reform drum, he has been to many EU countries and looked at Japanese, Aus and NZ healthcare systems to learn what we can do better with the NHS.’

https://labour.org.uk/missions/nhs/

So this is Labour’s urgent plan, all sound and fury, signifying nothing! Long on witter, very short on detail-in an election year.

Get the NHS back on its feet – The Labour Party

Labour’s third mission in government will be to build an NHS fit for the future: that is there when people need it; with fewer lives lost to the biggest killers; in a fairer Britain, where everyone lives well for longer.

https://labour.org.uk/missions/nhs/

cwanne · 06/03/2024 08:02

But what does Wes Streeting plan to do? What has he learnt from all these trips?

Newbutoldfather · 06/03/2024 08:02

@DaisyHaites ,

No, that is totally wrong.

Medical technology and our expectations of medicine have changed beyond belief in the last 30 years.

MRIs, PETs didn’t even exist until recently, and the idea of the state helping infertile people to have babies would have been considered ridiculous. We also treat older people and the demographic as a whole means people are older and need more treatment.

If we want modern medicine, we have to pay for it. The NHS has massive inefficiencies but also massive economies of scale. I don’t believe, on an international measure, we compare that badly in terms of overall efficiency.

Devilshands · 06/03/2024 08:02

I accidentally voted YANBU.

YABVVU. It’ll just be spent on more ‘HR equality/gender (aka trans) advisors and more pointless surgeries that should never be done on the NHS.

Spending is the highest ever. Number of staff are the highest ever. It’s all being sucked somewhere - and not to the benefit of the taxpayer. More money = more wastage.

bigageap · 06/03/2024 08:02

No the whole thing needs to be reformed. It doesn't need more money it needs to be run better.

BronwenTheBrave · 06/03/2024 08:01

Just give it directly to Baroness Michelle Mone and all the other Tory cronies.

Alexandra2001 · 06/03/2024 07:58

@Newbutoldfather Do you live under a stone?

Labours Wes Streeting has, at every opportunity, been banging the reform drum, he has been to many EU countries and looked at Japanese, Aus and NZ healthcare systems to learn what we can do better with the NHS.

@Lampslights on people struggling with CoL, well, if a poorer worker cannot get timely treatment, they will be off work and will then face even greater hardship, good healthcare should be a priority.

ZsaZsaTheCat · 06/03/2024 07:57

sunnydayhereandnow · 06/03/2024 06:25

It's not just about money - it's also the spending model. I live in an overseas country which has universal public healthcare, and as far as I can see the figures online, the spending is not that much different to the UK. Of course everyone has complaints here and there about their own system, but having experienced living here and living in the UK, the difference is night and day. If I need it I can almost always get a GP/paediatrician appointment the same day. There is a wait at A and E but nowhere near what people describe here. My 4 year old got a referral for ADHD diagnosis and the waiting time for the appointment was about 2 months. I can book pretty much every appointment via an app, access my medical records online. Etc etc etc.

So what is different about the system here that makes it more efficient?

  • Internal competition - we have 4 not-for-profit providers (like 4 mini NHSs), and everyone belongs to one of them. All of them have to offer the same basic services but can also offer extra. It's possible to transfer between them. Therefore there is competition for good service.
  • Healthcare isn't free at the point of delivery so people think twice about misuse. It costs something like £2 to see a doctor, £4 to see a specialist, £20 for out of hours centre, and there are penalties like a charge of about £200 if you go to A and E without a referral (you can get this via the equivalent of NHS 111 phone line; or if you arrive in an ambulance there is automatically no charge). Inpatient hospital care is free. Prescription charges are a certain percentage of the cost of the medicine (I think they are waived for things like insulin and cancer medication). Usually comes out at under £7 per item.
  • There is optional add-on private insurance within the public system. It's not very expensive, about £20-30 a month, but gives you access to things like choosing a private specialist for certain things.
  • There is a lot more emphasis on preventative medicine - you can get subsidised gym membership, "alternative" treatments like massages etc through your healthcare provider - because the healthcare providers are invested in keeping people healthy so they will cost them less money in medical treatment :)

What country is this please?

DaisyHaites · 06/03/2024 07:56

There was a stat on the radio the other day that said NHS spending was the highest it had ever been in real terms (and as a proportion of GDP I think) and staff numbers were higher than ever.

That indicates a productivity issue rather than a financial issue. So yes, while I think the NHS may need better funding, I’m not particularly keen for it to become a black hole that just swallows cash, which I think is the current risk.

Newbutoldfather · 06/03/2024 07:55

It isn’t make the NHS more efficient and then allocate more cash. They both need to happen simultaneously.

If we don’t provide more cash, the system will definitively fail, although arguably it has already (hours to wait for category one ambulance, someone dying unnoticed in an A&E waiting room).

And Labour not even discussing what they want to do to fix it.

People who fear the American system, don’t, as we already have it. Your average NHS hospital (with some honourable exceptions) has become a Blue Cross hospital and those who can afford it pay to be treated better.

The only difference is A&E and ambulances. I believe a private A&E is opening in London and I am sure someone will open an emergency private ambulance service soon….

Nomorebeer22 · 06/03/2024 07:52

Our budget on the Isle of Man was released a couple of weeks ago. This is what the government have decided to do. Increase of 2% on income tax rate to go to the Health Service.

People on a whole are not happy. Yes our health service has become absolutely shocking in the last 10 years and everyone what's an improvement but what we are not happy with is us tax payers having to pay more tax during a cost of living nightmare when the government have wasted 100s of millions on complete crap.

They go over budget on practically every project (one project of the top of my head started at something like 11m and is now close to 70m)! Zero accountability.

Lampslights · 06/03/2024 07:49

Such a privalged point of view op in a col crisis when so many are struggling to make ends meet.

Toooldforthis36 · 06/03/2024 07:48

@Alexandra2001 you are right of course and all of that needs addressed. I do wonder if there’s a societal aspect to it too though?

Newbutoldfather · 06/03/2024 07:48

@ConJob ,

Yes, but there were many ways around it, such as company cars, and even school fees, being tax deductible.

And the cash economy was huge. I remember my parents had £20k in a hidden draw in the 1970s!

People don’t pay such high taxes.

Alexandra2001 · 06/03/2024 07:47

Toooldforthis36 · 06/03/2024 07:39

I’d be interested to see how better faring healthcare systems prioritise preventative health care, and how social attitudes to looking after your own health differ. Strikes me many Scandi/Euro societies don’t feed themselves the junk food we do, and have a better wellness mentality. Not to mention a better work/life balance. They also pay heftily in tax, so there’s that. Not an easy fix, but we clearly can’t go on with the NHS like it is, getting ever more cash and not improving.

One reason the NHS is getting worse is because of crumbling buildings, old medical equipment, poor IT systems, staff sickness & lack of adult social care in the community.

Medical Inflation is also far higher than consumer inflation, yet funding doesn't account for this, real terms NHS spend is set to fall.

ConJob · 06/03/2024 07:46

HeraSyndulla · 06/03/2024 03:43

But we are more taxed than we have ever been and there comes a point where the tax burden acts as a drag on the economy, so it’s becomes a law of diminishing returns. Just look at Birmingham city council !.

Rubbish! The top rate of income tax in the 1950s and 60s was 90%! This was then cut to 75% in 1971 but was kept at 90% for investments.

ZsaZsaTheCat · 06/03/2024 07:45

NHS received 181 billion last year 😮 no more money until they have a shake up. My sister worked for NHS and freely admitted to skiving off and said everyone did it!

ThePoshUns · 06/03/2024 07:45

I wouldn't pay more into the NHS until they overhaul the whole system.
So much money is wasted on pointless bureaucracy, useless IT and crap managers.

Malarandras · 06/03/2024 07:43

If I see the evidence that more money means better services first. Until that happens then no I absolutely would not be happy about that.

Sharptonguedwoman · 06/03/2024 07:42

HeraSyndulla · 06/03/2024 03:43

But we are more taxed than we have ever been and there comes a point where the tax burden acts as a drag on the economy, so it’s becomes a law of diminishing returns. Just look at Birmingham city council !.

The city councils have been starved of money for at least 13 years. The NHS, ditto. More or less everything, ditto.

Newbutoldfather · 06/03/2024 07:42

@Toooldforthis36 ,

Yes I do, and you are right, it is a massive improvement, but not all hospitals upload results to it, and some only do it months after the relevant test.