General election 2017: party manifesto pledges on health and care

With the general election manifestos published, GPonline looks at what the three main parties in England are promising for health.

Political party health leaders: Labour's Jon Ashworth, Conservative Jeremy Hunt, Liberal Democrat Norman Lamb
Political party health leaders: Labour's Jon Ashworth, Conservative Jeremy Hunt, Liberal Democrat Norman Lamb

Conservatives

Funding:

  • A minimum £8bn over the parliament - a figure the Nuffield Trust says would bring total spending in 2022/23 to £131.7bn.
  • Health spending would fall as a share of GDP to 7.0% compared with 7.3% today and 6.9% on current spending plans.
  • £10bn capital funding to back the proposals in the Naylor report on NHS infrastructure, including upgrading primary care facilities.
  • Recover the cost of medical treatment from people not resident in the UK.
  • Increase the immigration health surcharge for migrant workers and international students.

Primary care:

  • Seven-day access for every patient in England by 2019.
  • Support GPs to deliver innovative services including phone and online consultations and the use of technology to triage.
  • Appropriate funding for GPs to meet rising costs of indemnity in the short term and work with the profession to introduce a sustainable long-term solution.
  • Named GPs accountable for individual patients.
  • Support the new voluntary GP contract for integrated services.
  • Meet the target to recruit an additional 5,000 FTE GPs by 2020 compared with 2014.
  • A stronger role for community pharmacies.
  • Reform NHS dentistry contracts to pay for better outcomes.

Workforce:

  • Make securing the rights of EU NHS staff a priority in Brexit negotiations.
  • 10,000 more mental health professionals. 
  • Support an extra 1,500 medical students a year.
  • Develop new roles and diverse career paths.
  • Reform medical education and help universities work closer with local health systems.
  • Strengthen flexible working entitlements for careers.
  • More occupational health services. 
  • Reduce bullying.
  • Action against those who attack NHS staff.

Structure, governance and regulation:

  • Legislate to reform and rationalise health professional regulation including regulation of those performing cosmetic interventions.
  • Extend CQC to cover health-related services commissioned by local authorities. 
  • Set up an independent healthcare safety investigations body in the NHS.

Service transformation:

  • Continue to back the Five Year Forward View and its delivery through STPs. 
  • Consider legislative changes if necessary to assist accountability for improving care.
  • Review the internal market in time for 2018/19 and make non-legislative changes to remove barriers to integration.

Service delivery:

  • Retain the 95% A&E target and the 18-week elective care standard,
  • Make clinical outcomes more transparent.
  • Give patients more control including updating aspects of care records and controlling personal data.
  • Pilot live waiting times data of A&E and urgent care. 
  • Expand personal budgets.
  • Reduce obesity and support the National Diabetes Prevention Programme.
  • Consultant supervision every day of the week in hospitals and weekend access to the key diagnostics.
  • Reduce infant and maternal deaths.
  • Definitive cancer diagnoses within 28 days.
  • Give all trainees a chance to work in mental health. 
  • Improve co-ordination of mental health and other local services. 
  • Improve care standards for those with autism and learning disabilities. 
  • Implement in full the Transforming Care Programme.
  • Improve end-of-life care.
  • Introduce entitlement to child bereavement leave.
  • Implement recommendations of the Accelerated Access Review to ensure patients get new treatments faster.

Social care: 

  • Introduce a cost floor for all residential and home care of £100,000 on all assets and savings with freedom to defer payment.
  • A green paper will propose measures to improve social care and consider a cap on care costs.

Labour

Funding: 

  • £30bn revenue funding over five years, increasing the NHS in England’s funding by £12bn by 2022/23 compared with today.
  • The Nuffield Trust has said Labour’s plans would leave NHS funding at 7.2% of projected GDP by the end of the parliament, compared with 7.3% today and 6.9% on current spending plans.
  • £10bn capital funding for premises and IT.
  • £500m winter pressures fund.
  • An new office for budget responsibility for health to oversee and scrutinise health spending.
  • Funded by an increase in income tax for the top 5% of earners and tax on private medical insurance.

Primary care:

  • Increase funding for general practice.
  • Support new models of community care incorporating primary, social care and mental health.
  • Halt pharmacy cuts and review provision to ensure all patients have access to pharmacy services.

Workforce:

  • Long-term workforce plan for the next 10 to 20 years.
  • Scrap the 1% pay-cap for NHS staff, return decisions back to pay review bodies to 'give our NHS workers the pay they deserve', and apply the same principle to GP pay.
  • Legislate to ensure safe staffing levels.
  • Guarantee the rights of EU health and care staff after Brexit.
  • Restore bursaries and funding for health-related degrees.
  • New investment in training, education and development for doctors.
  • Support for NHS whistleblowers.
  • Make it an aggravated criminal offence to attack NHS staff.
  • Board-level representation for staff, health professionals and patients at every organisation providing NHS care services.

Structure, governance and regulation:

  • Reverse the privatisation of the NHS, return service to public control.
  • Repeal the health and social care act 2012.
  • Make NHS preferred provider of services.
  • Reinstate powers of health secretary with overall responsibility for NHS.
  • New legal duty for health secretary to ensure excess profits are not made out of the NHS.
  • New quality, safety and excellence regulator called NHS Excellence.

Transformation:

  • Halt and review STPs and ask local people to help re-draw plans with a focus on patient need rather than available finances.

Service delivery:

  • Guarantee access to treatment, waiting times and A&E targets.
  • End mixed-sex wards.
  • Deliver cancer strategy for England in full by 2020.
  • Properly fund ambulance services.
  • New model of integrated out-of-hospital care.
  • Tackle rationing and postcode lotteries.
  • Insist on value for money from pharma companies.
  • Ensure autistic people can access their community. 
  • Care plans for everyone with long-term conditions.
  • Personalised end-of-life care.
  • Complete the trial programme to provide pre-exposure prophylaxis and roll out the treatment to high-risk groups.
  • Free car parking at NHS facilities.

Public health:

  • £250m children’s health fund.
  • Introduce an index of child health.
  • Increase health visitor and school nurse numbers.
  • Childhood obesity strategy including advertising and food labelling proposals.
  • Implement the Soft Drinks Industry Levy.
  • Strategy for children of alcoholics.
  • Tobacco control plan focused on mental health and young smokers.
  • Work to tackle loneliness.
  • Public enquiry into contaminated blood.
  • Public inquiry into medicines, including Valproate, medical devices and medical
  • products licensing and regulation.
  • Reduce the rates of undiagnosed and late diagnosed HIV.

Social care:

  • Lay the foundations of a national care service.
  • Increase funding by £8bn over the parliament, including an additional £1bn for the first year.

Liberal Democrats

Funding: 

  • £6bn extra revenue funding for the NHS and social care across the UK. The Nuffield Trust calculated this would mean an extra £9bn for the NHS in England by 2022/23 compared to this year, bringing funding up to £132.2bn.
  • The plan would see NHS funding as a share of GDP fall to 7.1%, compared with 7.3% today and 6.9% on current spending plans.
  • Funded through an extra 1p on income tax.
  • Extra funds directed to primary care, mental health, social care and public health.
  • Commission a dedicated health and care tax.
  • Statutory independent budget monitoring agency for health and care.

Primary care:

  • Extra funding for primary care.
  • Produce a national workforce strategy.
  • Expand evening and weekend access to GP.
  • Encourage GP federation.
  • National support to GPs to prevent closures.
  • Support practice collaboration to provide services.
  • Promote GP-led multidisciplinary health and care hubs.
  • Patient premium to encourage clinicians to work in poor areas.
  • Ensure pharmacy funding changes do not leave areas without access.
  • Ensure prescription charge exemptions are fair for people with long-term conditions.

Workforce:

  • Guarantee the rights of EU staff.
  • End NHS pay freeze.
  • Reinstate nurse bursaries. Empower staff to learn from innovative social enterprises about delivering community and mental health services.
  • Protect whistleblowers.

Structure, governance and regulation:

  • Long-term aim to integrate health and social care with pooled, place-based budgets by 2020.

Service transformation:

  • Move funding away from activity, introduce tariffs to encourage integration and outcomes.

Service delivery:

  • Access and waiting time standards for children and young people in mental health services.
  • Increase access to talking therapies.
  • Consider a dedicated youth mental health service.
  • Improve mental health services for pregnant women and new mothers.
  • Better mental health crisis care in A&E.
  • End out-of-area placements in mental health.
  • Better mental health training for public service professionals.
  • National diversion programme to identify people with mental health conditions and learning disabilities when they come into contact with criminal justice.
  • Tackle stigma around mental health.
  • Give NHS legal duty to identify carers.

Public health:

  • National wellbeing strategy.
  • Implement O’Neill recommendations on antimicrobial resistance.
  • Make pre-exposure prophylaxis (PrEP) for HIV prevention available on the
  • NHS.
  • Support effective public awareness campaigns.
  • Keep public health within local government and reinstate cut funding.
  • Tackle childhood obesity, restricting TV advertising before 9pm for junk food and close sugar tax loopholes.
  • Encourage traffic light labelling for food.
  • Mandatory targets for sugar reduction in food.
  • Tobacco levy.
  • Regulate cosmetic surgery.
  • Minimum unit price for alcohol.
  • Self-care for wellbeing campaign.
  • Reward employers who improve employee health.
  • Settlement for haemophiliacs who were given contaminated blood, and for their families.

Find out what is in the Green Party, SNP and UKIP manifestos

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