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The Conversation
The Conversation
Peter Sivey, Reader in Health Economics, Centre for Health Economics, University of York

Forty thousand more appointments per week and ‘surgical hubs’, but will this fix the NHS?

Chancellor Rachel Reeves’ debut budget pledged increases of £22.6 billion in day-to-day spending for the NHS and £3.1 billion in capital spending over the next two years. The increase in day-to-day spending is intended to fulfil Labour’s campaign promise of “40,000 more appointments per week” from their election manifesto.

This often-repeated promise gives the government a tangible short-term goal in its longer-term mission to meet the 18-week target for elective care. However, while 40,000 additional weekly hospital appointments may sound impressive, a closer look at NHS statistics suggests that this increase is less significant than it first appears.

NHS England conducted about 2 million outpatient appointments per week in 2023-24, meaning that 40,000 more appointments per week would represent only a 2% increase.
In recent years, the average annual increase in weekly outpatient appointments has been 2.9%, meaning that an extra 40,000 appointments per week would be a slower than usual increase.

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