Rishi Sunak says he will take ‘responsible’ decisions on public sector pay and borrowing ‘will make inflation worse’ – UK politics live

In his clip for broadcasters, Rishi Sunak reaffirmed his determination to take “responsible” decisions on public sector pay, even if that disappointed staff. He said:

I think everyone can see the economic context that we’re in, with inflation higher than we’d like it, and it’s important that in that context the government makes the right and responsible decisions on things like public sector pay …

People need to recognise the economic context we’re in and I’m going to make the decisions that are the right ones for the country. That’s not always easy. People may not like that, but those are the right things for everybody, that we get a grip of inflation, and that means the government not excessively borrowing too much money and being responsible with public sector pay settlements. That’s what I’m going to do.

When it was put to Sunak that public sector pay was not pushing inflation up, he replied:

Government borrowing is something that will make inflation worse. So the government has to make priorities and decisions about where best to target our resources.

This is what Rishi Sunak said in his clip for broadcasters in response to claims that today’s King’s Fund report (see 9.28am) showed the NHS was going “in the wrong direction” under the Conservatives. He replied:

One of the my five priorities is to count NHS waiting lists. That’s why we’ve put record sums into the NHS since I became prime minister, with record numbers of doctors, nurses, and new ways of doing things which are starting to make a difference.

But we also need to make the decisions that will modernise the NHS for the long term. Today’s example, rolling out lung cancer screening, will really help improve survival rates for lung cancer, something where we are behind other countries, but today’s announcement will help to fix that.

Also later this week we’ll be making a really important announcement. For the first time in its history, the NHS will have a long-term workforce plan to make sure that we hire the doctors, the nurses, and all the other GPs and medical staff that we need for the long term.

Sunak says it is too early to predict what will happen in Russia. But he is in close touch with allies, he says.

Q: Is the UK prepared for the collapse of Putin?

Sunak says the UK has been aware of the potential destabilising effect of the war on Putin’s regime for some time.

It’s too early to predict with certainty what the consequences of this might be, but of course, as we always would be, for a range of scenarios.

UPDATE: Sunak said:

I’ve spoken to the leader of the United States, but also France and Germany over the weekend. It’s a situation that we’ve been monitoring for some time, in the instability that will be caused by Russia’s illegal invasion of Ukraine.

And what we saw over this weekend as an example of that, coming to the fore, it’s obviously too early to predict with certainty what might happen as a result of this, but I’m in close touch with our allies and we’re monitoring the situation closely.

Jeremy Hunt, the chancellor, will ask industry regulators what they are doing about any companies exploiting rampant inflation by raising prices.

Helen Whately, the social care minister, was the voice of the government on the airwaves this morning and, when asked about the King’s Fund report (see 9.28am), she did not seek to contest its findings. On the Today programme, asked if she accepted that for many cancers, and for conditions such as strokes, outcomes in the UK were not as good as in many comparable countries, she did not challenge the premise of the question. Instead she replied:

We know there are conditions and cancers, for example, and other major conditions like heart disease where, if only we could diagnose and pick these things up earlier, we can help people have much better outcomes.

And that is one reason we are moving to a more integrated healthcare system, with areas across the country looking across whole populations to be able to intervene earlier and support people more preventively and [provide] earlier treatment.

And on LBC, when it was put to her that the performance of the NHS was “shambolic” by international standards, she replied:

One thing we are working on right now as a government is our major conditions strategy.

It is looking at the big killers across the country, that includes cancer and heart disease, and coming forwards with the things we can do to really move the dial on how effectively we manage to prevent, diagnose and treat people with these conditions.

Asked if the Conservatives were “failing on the NHS”, Whately replied:

I will challenge that and one thing I would say is, on our commitment to bring down the waiting times, we have made real progress in bringing down some of the longer waits that have developed following the pandemic.

Good morning. There are few institutions in the UK as loved and respected as the NHS. This is much discussed. But far less attention is given to a more unpalatable truth, which is that by international standards, the NHS is rather mediocre. It scores very well on equity (because it is funded by general taxation, and free at the point of use), but in terms of keeping people alive, it is “more of a laggard than a leader” on many measures, according to a report today from the King’s Fund, a health thinktank.

The King’s Fund has compared health systems in 19 wealthy countries. Here is an extract from its summary.

The UK has below-average health spending per person compared to peer countries. Health spending as a share of GDP (gross domestic product) was just below average in 2019 but rose to just above average in 2020 (the first year of the Covid-19 pandemic, which of course had a significant impact on the UK’s economic performance and spending on health services). The UK lags behind other countries in its capital investment, and has substantially fewer key physical resources than many of its peers, including CT and MRI scanners and hospital beds. The UK has strikingly low levels of key clinical staff, including doctors and nurses, and is heavily reliant on foreign-trained staff. Remuneration for some clinical staff groups also appears to be less competitive in the UK than in peer countries …

People in the UK receive relatively good protection from some of the catastrophic costs of falling ill. Relatively few core NHS services are charged for and certain population groups are exempt from charges. But financial protection is weaker for some services, such as dental care, and there is growing concern that people in the UK may be forced to choose between funding their own care or enduring longer waits for treatment.

But the UK performs noticeably less well than its peers – and is more of a laggard than a leader – on many important measures of health status and health care outcomes. These include health outcomes that can be heavily affected by the actions of a health system (such as surviving cancer and treatable mortality), and outcomes such as life expectancy, which are significantly affected by factors beyond the direct control of any health system.

Here is the full 120-page report. And here is my colleague Denis Campbell’s write-up.

Rishi Sunak is doing a health-related visit today and he is likely to be asked about these findings. He is publicising a new lung cancer screening programme for England, targeted at people aged 55 to 74 with a history of smoking, and in a statement released overnight he admits the NHS faces “long-term challenges”. He says:

We approach the 75th anniversary of the foundation of the NHS, I want to ensure that it continues to thrive for the next 75 years and beyond.

And while we focus on cutting waiting lists in the short term, we must also look to tackle some of the long-term challenges facing the NHS, including lung cancer which costs 35,000 lives every year. Rolling out screening to high-risk 55-74 year olds will save lives by detecting up to 9,000 lung cancers a year at an early stage.

Here is the agenda for the day.

11.30am: Downing Street holds a lobby briefing.

2pm: Dame Jenny Harries, chief executive of the UK Health Security Agency, gives evidence to the Covid inquiry.

2.45pm: Keir Starmer speaks at the India Global Forum.

After 3.30pm: MPs consider Lords amendments to the national security bill.

3.20pm: Peers consider Commons amendments to the retained EU law (revocation and reform) bill. It is the third time the bill has been sent back to the Lords, following its normal passage through both houses, because MPs and peers can’t agree on key issues.

And Rishi Sunak is on a health-related visit in Nottingham today.

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