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Funding for hospitals could depend on patient feedback in Labour’s NHS reform

Labour will announce its 10-year plan for the NHS next week

Caitlin Doherty
Friday 27 June 2025 23:20 BST
File: Wes Streeting vows to increase NHS appointments available for patients

Hospitals could see their funding directly tied to patient satisfaction under new proposals set to be unveiled as part of Labour's ambitious 10-year plan for the NHS.

The comprehensive strategy, due to be announced next week, is touted by ministers as a blueprint to deliver a health service "fit for the future".

The government says this plan will be pivotal in rebuilding the health service and addressing widening health disparities across the nation.

This comes as the latest figures reveal a rise in NHS waiting lists for the first time in seven months.

According to reports in The Times, a key component of these proposals involves patients being contacted for feedback a few weeks after receiving hospital treatment.

Their responses would then directly influence the allocation of funds, potentially diverting money into local "improvement funds".

Sir Keir Starmer (left) and Health Secretary, Wes Streeting, say they are delivering on their plan to fix the NHS
Sir Keir Starmer (left) and Health Secretary, Wes Streeting, say they are delivering on their plan to fix the NHS (PA Wire)

The programme could at first be implemented in areas of the service that have a poor record of care.

The NHS Confederation have said that feedback from patients and communities “steers where improvements need to be made”.

Chief executive Matthew Taylor said: “NHS leaders will be keen to understand more about the proposal to allow patients to decide whether or not health services should be paid in full for the services their staff deliver.”

He also added: “Also, patient experience is determined by far more than their individual interaction with the clinician and so, unless this is very carefully designed and evaluated, there is a risk that providers could be penalised for more systemic issues, such as constraints around staffing or estates, that are beyond their immediate control to fix.

“At a time when the government has decided on a flat settlement in NHS capital investment in its recent spending review, this is concerning.”

It comes as the new head of NHS England has said that the service has “built mechanisms to keep the public away”.

Sir Jim Mackey told the Telegraph that the NHS has retained too many “fossilised” ways of working, some of which have barely moved on since its creation in 1948.

He said: “We’ve made it really hard, and we’ve probably all been on the end of it.

“You’ve got a relative in hospital, so you’re ringing a number on a ward that no-one ever answers.

“The ward clerk only works nine to five, or they’re busy doing other stuff; the GP practice scrambles every morning.

“It feels like we’ve built mechanisms to keep the public away because it’s an inconvenience.”

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