When Theresa Might confronted the BBC Query Time viewers on Friday, one of many trickiest questions got here from a nurse.
The prime minister was requested how she might anticipate their help given the 1% cap on pay rises, leaving Theresa Might battling to elucidate why such restraint was essential.
In any case, in its manifesto, the Conservatives stated that NHS spending was to extend.
By the top of the Parliament, the Tories have promised that funding in England will probably be £8bn larger a yr as soon as inflation is taken under consideration.
It doesn’t set out how this can be paid for, though the social gathering insists financial progress is vital to spending extra.
Nevertheless, as with all manifestos, you must take a look at what is just not being stated in addition to what’s.
The £8bn refers to just one a part of the general price range – the cash allotted to entrance-line providers. This accounts for simply over three-quarters of all the well being finances.
There was a scarcity of element about a lot of the remainder of the pot, which fits on issues like employees coaching and public well being programmes resembling stopping smoking, aside from the promise of additional funding in buildings.
Over the past Parliament these pots have been minimize to assist pump extra money into the entrance-line providers. The identical might occur once more – albeit with some safety this time for the buildings price range.
What can also be not apparent is that the £8bn is far lower than the well being service has been used to. Earlier than 2010, the NHS had been getting an additional four% a yr over its historical past.
This displays the truth that the well being service faces rising prices from elements such because the ageing inhabitants, the price of new medicine and way of life points like weight problems.
However these rises dried up between 2010 and 2017. Since then the NHS has been getting about 1% a yr.
What distinction will the £8bn for the subsequent Parliament make to that development? Little or no.
Forecasts recommend the spending plans quantity to only over 1%.
However the Tories are usually not alone on this. The Nuffield Trust assume tank has been wanting on the spending plans set out by all three foremost events – and concluded there’s little or no between them. And all three fall nicely in need of the four% common.
It explains why, regardless of the guarantees of additional cash, the Tories have felt it essential to proceed with the pay cap.
It isn’t within the manifesto – as an alternative that talks about “advantages” reminiscent of versatile working and new help for workers with psychological well being issues – nevertheless it stays very a lot part of their wider NHS coverage.
Following the final election, the then chancellor George Osborne announced public sector pay was to be capped at 1% till 2019.
That, because the nurse identified on reside tv, continues to stay in place.
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