Health policy experts give their verdict on the health pledges of previous governments - and whether they went on to deliver
drew immediate criticism after critics pointed out most of the projects were refurbishments or new wings to existing hospitals.
It said Tory attempts to use private money to build hospitals had failed to deliver and that it would overcome the problems that plagued Private Finance Initiative deals , and develop new forms of public/private partnership that would work better and protect the interests of the NHS. Waiting lists were reduced by 100,000, but this was not a radical improvement. The total list stood at over a million, and the way it was counted at the time failed to include most of the people who were actually waiting. After a brief improvement in public satisfaction the public mood turned sour once again and Labour would rethink their waiting times approach in favour of far more ambitious commitments.
Labour promised to “work with the private sector to use spare capacity, where it makes sense, for NHS patients create a new type of hospital – specially built surgical units, managed by the NHS or the private sector – to guarantee shorter waiting times and allow successful NHS hospitals to take over failing ones”.
By the end of the 2001 parliament, the number of NHS nurses in England rose by over 40,000, and the number of doctors by 20,000 – double what was promised by Labour in its manifesto And even if the commitment for all patients to see a GP within 48 hours was not fully realised, by 2007/8 nearly 90 per cent of surveyed patients would say they had been able to see a GP in two days. By the end of the parliament, through a combination of extra resources and policy reforms, the NHS had delivered and sustained major reductions in waiting lists for most hospital treatment.
By the end of 2008, patients whose GPs referred them for an operation would be able to choose from any hospital that could provide that operation to NHS medical and financial standards. There would be the choice of a convenient time and place for a non-urgent operation – for example a location close to relatives.
The pledge to tackle MRSA was a success, cutting deaths from more than 1600 in 2005 to under 500 in 2010. One of the biggest worries in NHS policy would almost fade away. GPs would be given the power to hold patients’ budgets and commission care on their behalf; have their pay linked to the quality of their results; and put in charge of commissioning local health services.
It pledged to prioritise dementia research within the health research and development budge and improve access to counselling for people with mental health problems. And although the Dilnot Commission developed concrete proposals on reforming adult social care, as with previous and subsequent attempts at reform, the proposals were never fully enacted.
The Liberal Democrats were the junior partner in the post-2010 coalition, and did not hold the role of Secretary of State for Health, so holding them to account for their manifesto may be unfair. It promised to Bbringing the NHS and social care closer together through the NHS’s Five Year Forward View plan.
It also pledged to raise the cost of care threshold from £23,000 to £100,000 – but include the value of a person’s home in the calculation of assets for home care as well as residential care But surely the story of this manifesto was adult social care. The Conservatives deserve credit for including specific plans to tackle the catastrophic costs of care some families and individuals face. But abandoning the previous plans for a cap on lifetime care costs in favour of a more complex scheme wrong-footed many and the resulting “dementia tax” debates helped stymie further progress.
The party said it would put 6,000 more GPs and hire 6,000 more primary care professionals, such as physiotherapists and pharmacists. This was on top of the 7,500 extra nurse associates and 20,000 primary care professionals already announced 2) A cross-party consensus in order to bring forward the necessary proposal and legislation for long-term reform.A manifesto that was written before Covid-19 and a cost-of-living crisis still fulfilled more ambitions than one might expect while also leaving some glaring holes.
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