We know what happens when you end up giving workers a pay deal you had previously said was unaffordable 🖋️ IsabelHardman for ipaperviews
The Treasury still expects at least some of the award to come from the department’s existing budget, efficiencies, and underspends, but there will be some new cash too. How much Barclay manages to get will tell us a lot about the power dynamic both between him and Chancellor Jeremy Hunt – himself formerly very much a health type – and between health and the wider government.
When Hunt went to the Treasury after a sojourn on the backbenches campaigning for more money for the NHS and better conditions for staff, everyone expected him to favour the health service over other priorities.
There has always been profound resentment over the Cabinet table towards the Minister of Health: even back in the very early days of the NHS, Nye Bevan’s colleagues would mutter sourly about his “precious NHS” as the Labour minister who set up the service insisted that its spiralling costs were all justified, despite shortages elsewhere.
Hunt has his own meddler to deal with: as a former Chancellor, Rishi Sunak might talk a lot about his priority being driving down NHS waiting lists, but he has also been clear that he thinks the health service has about the right amount of money already, which makes it harder for Hunt to go off on NHS spending hobby horses.
The strikes by NHS workers – which aren’t over even for those Agenda for Change staff who are getting their extra pay right now – have undoubtedly made it much harder to clear the backlog, but so has the pressure on budgets, huge vacancy and sickness rates across the service, and crumbling hospital buildings. Resolving all those problems properly would require a much bigger overdraft – and a lot more noise.
Belgique Dernières Nouvelles, Belgique Actualités
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