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Labour pledges £2.5bn for 'overhaul to primary care estate'

The Labour party has promised to invest an extra £2.5 billion to overhaul the primary care estate, as part of a £26 billion 'rescue plan' for the NHS. 

If elected, the party has pledged to also create 27 million more GP appointments by increasing the number of GP training places to 5,000. 

It follows the Conservative party's pledge to create 50 million more GP appointments a year by recruiting 6,000 new doctors to general practice by 2024/25.

GP leaders have said they are pleased to see general practice as a 'big ticket' issue in this election, but warned that parties need to maintain long-term support and avoid short-term fixes. 

The BMA said whilst pledges for GP training and funding are welcome, it is 'disappointing' that there is no mention of pensions reform.

The Labour party's plan also includes: 

  • Free prescriptions;
  • An average annual increase of 4.3% to the Department of Health and Social Care's budget over the next four years;
  • £1 billion to public health services, including £100m for addiction services, £100m for obesity services, £100m for public mental health services, £75m for sexual health services, £75m for 0-5 services and greater investment in smoking cessation services;
  • An increase to NHS England’s resource budget to £154.9 billion in 2023-24 to improve waiting times, improve A&E performance and increase cancer survival rates;
  • Investment in mental health support for NHS staff;
  • Further investment in AI and digital within healthcare.

Labour shadow health minister, Jonathan Ashworth, said: ‘A decade of Tory underfunding and cuts has driven our NHS into year-round crisis. Over 15,000 beds have been cut, hospitals are crumbling and our NHS is chronically short of nurses and family doctors.’

He added: ‘We are announcing today the levels of investment our NHS needs to not only again provide the quality care our sick and elderly deserve but secures the NHS for the future as well. We’ll invest more to prevent people becoming ill in the first place and we’ll give mental health and wellbeing a greater priority than ever before.

‘This general election is about millions on waiting lists and hundreds of thousands who’ve waited on trolleys under the Tories – only Labour has a plan to rescue our NHS.’

BMA council chair Dr Chaand Nagpaul said it is 'promising' that Labour has recognised the need for sustained NHS investment.

He added: 'Pressures on services have been heightened by the workforce crisis within the NHS and while commitments to boost the GP training scheme and funding for additional nursing places are most welcome, it is disappointing that there is no mention of pensions reform. We need a future Government that will once and for all scrap the punitive pension taxation which is driving senior doctors out of the NHS.

'We know NHS buildings are in a woeful state of disrepair and we are glad to see a commitment to addressing the maintenance backlog in hospitals and investing more money in GP premises.'

RCGP chair Professor Helen Stokes-Lampard said: 'We are pleased to see that general practice and the enormous contribution of GPs to the NHS has become such a 'big ticket' issue in this general election, as demonstrated by the important announcements from the two main political parties in a matter of days.

'This recognition is long overdue: there are over 300 million consultations – and rising – in England alone every year, and without the hard work and dedication of GPs and our teams, the rest of the NHS would collapse.'

She added: 'The general practice estate - the GP surgeries where we provide care to our patients - has historically been neglected and underfunded in many areas so we are pleased to see this acknowledged in today's announcement, especially as 50% of practices say their premises are not currently fit for purpose.

'But it is critical that any pledges put forward by the political parties are about long term support for general practice, rather than short-term fixes that will merely serve as a sticking plaster.'

It comes as Labour recently pledged £845m for child mental health services as part of its Healthy Young Minds plan.

Meanwhile, the Conservative party has pledged 6,000 more doctors in general practice by 2024/25 and an investment of £2.5 billion over four years.

Readers' comments (15)

  • Thank God! ‘Primary Care’ is saved?

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  • Fantasy money, fantasy economics.

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  • Vinci Ho

    I stick to the simplicity of my spinning slogan in this general election :
    ‘Treat GPs like shit , you don’t get elected !’

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  • As the above have already said, the usual load of bilge/drivel/garbage spouting forth from the mouths of our politicians.

    Please can we have some that isn't utter fantasy to post comments on please.

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  • 2 possible outcomes if they win.
    1) Bankrupt the country, ruin the economy and more austerity and tax for 50 years.
    2)Lie. U turn once in power and say it was only an aspiration.

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  • Whatever happened to the Nicholson challenge of saving £20 billion in BHS efficiency savings?

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  • The issue i'm surprised hasn't been raised ,is that Labour or a coalition of lab,lib dem ,snp etc have all ready stated they will raise tax by 5/10% ? for everyone earning over 80K .
    Well that is all the full time GPs and consultants in this country ,the ones everyones trying to get to stay on. I guess that means they expect us to do the same difficult ,stressful job for up to 10% less income.
    I am no Tory lover,they most definitely have not treated us well.But i fear if anyone else gets in the race to the doctor exit doors will become a stampede .
    Please don't talk to me about vocation -that doesn't pay for my petrol ,holidays or kids upkeep.

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  • Politicians doing what they do best. Pledging more free stuff in exchange for votes. The sheeple will always vote to get something for nothing. This is tyranny and serfdom for those who always end up paying the bill.

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  • Fairy tales used to start with
    "Once upon a time"
    now it's
    "If elected I promise ..."

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  • Plus- all GPs who are keen growers of roses will get allocated 50kg of unicorn manure per financial year as a token of appreciation for being the bedrock of the NHS.

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  • to wickerman | GP Partner/Principal13 Nov 2019 9:32am

    The Labour party offer to increase tax slightly on those earning more than £80,000 TAXABLE INCOME p.a.
    After expenses, Superannuation payments, and £12,500 personal allowance, how much does an average GP have as taxable income nowadays?
    When I retired 5yrs ago, I was being taxed on less than £80,000 taxable income per annum anyway, at that time.
    I thought, with Locums taking a big chunk these days, that maybe GP pay hadn't gone up that much.
    With £100,000 pa taxable income, a 5-10% increase in tax is only £1000-£2000 pa -- and nothing at my previous rate of pay.
    Overall, given the promise of substantial monies to go into the NHS, I think, worth it.

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  • Keepthredflag 9:32 are you a stooge?

    Personal allowance? What’s that
    Most full timers don,t get personal allowance (or CHB for the kids they never see)
    Many of us are clobbered by the marginal tax rate, and tax on pension growth to boot, and 29% of income to superannuation if you are not at the cap.

    I own a share of my premises (or more correctly have a huge second mortgage), and have reinvested tens of thousands into it over the years for a lift, roof repairs, double glazing, heating, air conditioning, and shower curtains around the couches to keep the CQC happy. New money into the NHS Estate won’t benefit me at all, but the extra tax is at least twice your estimate, at around an extra month,s take home pay.

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  • Great.
    Break myself every day for this system and then get reamed by HMRC for my efforts to create a socialist workers paradise.
    No thanks.
    I'll drop my hours and kick back for once.
    Cheers comrades.

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  • copernicus | GP Partner/Principal13 Nov 2019 7:47pm

    No, not a "stooge".
    FYI, Everyone gets a "Personal Allowance" - that's the initial first part of your gross income which is not taxed - £12.500, last time I looked.
    The Superannuation shenanigans are completely different, and I agree that's needs to be sorted separately. My point was that monies paid into Superannuation comes off your highest rate of taxed taxable income, saving tax on those monies if you had otherwise kept them.
    Premises are again a separate thing, except that monies paid for premises service charges (heating, cleaning, etc) are again tax deductible from your highest rate of tax. If you own your premises, you are likely to gain a profit when you sell - this would be Capital Gains, taxed differently to Income Tax, with a different set of tax allowances.
    My point is that a small amount of extra tax on taxable income of £80,000 per annum, for GPs who probably don't earn masses more than that, is reasonable, I think. The "fat cats" earning £150,000 or more need to pay their fair share.
    Did you pay for your own medical education or did you benefit from the state paying your educational costs?
    If you went to private schools, did your school benefit from charitable status, courtesy of the state?
    Did you know that the funding for Grammar schools was greater per student than Secondary Modern Schools? Did you benefit from that? I know I did.
    Our society's biggest problem (next to climate change etc) is growing inequity, and our tax rates (at the very top) are historically very low. Money needs to be found to re-balance society, to all our benefit.
    My point is, we are only talking about a very small change - not taking us back to the very high rates in the 1960's.

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  • Bollocks to that red flag-I’ve worked my arse off giving every ounce in me to the nhs for 25 years and am drained and depleted. Never mind the thousands I lose in tax, pensions as above. I’ve worked about an extra years in free overtime and more than paid my dues.
    No I won’t pay a “small amount extra” in tax to benefit the current calamity that the nhs is.
    It’s a total free for all, poorly run and managed and should be free at the point of need. not free at the point of WANT as it currently is.
    I’m done. You can’t bite the hand that feeds you this long without it biting back. Speaking of inequity; labour is so Anti aspiration and all about dumbing down to the lowest common denominator. Does not encourage striving, success or betterment at all.

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