According to a survey carried out in the United Kingdom in 2023, 40 percent of respondents believed poor funding was a main reason in causing the increased strain on NHS services. Furthermore, staff shortages and inadequate government policy were also see as large contributors to strain on NHS services.

According to a survey carried out in the United Kingdom in 2023, over half of those under 35 years old believed a lack of funding was primarily responsible for the strain on NHS services. Furthermore, a significant share believed that poor government policy was to blame, while over a fifth said the impact of Brexit was causing a strain on NHS services.

In 2023, according to those aged over 65 in the United Kingdom, staff shortages and poor NHS management were the main causes of health service strain. Around a third of respondents also pointed to a lack of capacity and increased demands from an aging population. In comparison, the same survey carried out on young people found they believed the main cause of strain on services was a lack of funding, and put a larger emphasis on the impact of Brexit and government policy.

This report contains results from the latest survey of secondary school pupils in England in years 7 to 11 (mostly aged 11 to 15), focusing on smoking, drinking and drug use. It covers a range of topics including prevalence, habits, attitudes, and wellbeing. This survey is usually run every two years, however, due to the impact that the Covid pandemic had on school opening and attendance, it was not possible to run the survey as initially planned in 2020; instead it was delivered in the 2021 school year. In 2021 additional questions were also included relating to the impact of Covid. They covered how pupil's took part in school learning in the last school year (September 2020 to July 2021), and how often pupil's met other people outside of school and home. Results of analysis covering these questions have been presented within parts of the report and associated data tables. It includes this summary report showing key findings, excel tables with more detailed outcomes, technical appendices and a data quality statement. An anonymised record level file of the underlying data on which users can carry out their own analysis will be made available via the UK Data Service later in 2022 (see link below).

Legacy unique identifier: P00842

In 2023, a survey in the UK revealed the problem which was causing the most dissatisfaction among users of the NHS was the length of time it takes to get a GP or hospital appointment with 71 percent of respondents choosing this reason. A further 54 percent of responses mentioned the lack of NHS staff as a reason for their dissatisfaction with NHS. Waiting times increasing In every month in 2023 in England, less than 60 percent of patients who attended an A&E department were seen within four hours. This is well below the NHS’s target that 95 percent of attendees to A&E should be seen within four hours. Since 2011, the share of patients seen within four hours has been declining. In addition, since 2016 there has been an overall marked increase in examples of patients waiting for more than twelve hours at A&E to be admitted, with a slight decline on the previous two years.  Increased strain on General Practices The average number of patients per GP practice in the UK has been increasing over the last ten years, a possible reason for increased waiting times and the perceived lack of NHS staff. In 2008, there were under 6.4 thousand patients per practice in the UK, by 2017 this had increased to over 7.6 thousand per general practice.

Novel coronavirus (COVID-19) is a new strain of coronavirus first identified in Wuhan, China. Clinical presentation may range from mild-to-moderate illness to pneumonia or severe acute respiratory infection. The COVID-19 pandemic has wider impacts on individuals' health, and their use of healthcare services, than those that occur as the direct result of infection. Reasons for this may include: * Individuals being reluctant to use health services because they do not want to burden the NHS or are anxious about the risk of infection. * The health service delaying preventative and non-urgent care such as some screening services and planned surgery. * Other indirect effects of interventions to control COVID-19, such as mental or physical consequences of distancing measures. This dataset provides information on trend data regarding the wider impact of the pandemic on hospital admissions. Data are shown by age group, sex, broad deprivation category and specialty groups. Information is also available at different levels of geographical breakdown such as Health Boards, Health and Social Care partnerships, and Scotland totals. This data is also available on the COVID-19 Wider Impact Dashboard. Additional data sources relating to this topic area are provided in the Links section of the Metadata below. Information on COVID-19, including stay at home advice for people who are self-isolating and their households, can be found on NHS Inform. All publications and supporting material to this topic area can be found in the weekly COVID-19 Statistical Report. The date of the next release can be found on our list of forthcoming publications.

Ventilatory strategies and outcomes for patients acutely admitted to hospital

Dataset 14.0 Version 1.0 15.2.2021

Background. Acute respiratory failure is commonly encountered in the emergency department (ED). Early treatment can have positive effects on long-term outcome. Non-invasive ventilation is commonly used for patients with respiratory failure during acute exacerbations of chronic obstructive lung disease and congestive heart failure. For other patients, including neuromuscular dysfunction, mechanical ventilation may be needed. For refractory hypoxemia, new rescue therapies have emerged to help improve the oxygenation, and in some cases mortality. This dataset summarises the demography, admitting complaint, serial physiology, treatments and ventilatory strategies in patients admitted with hypoxaemia. Management options and rescue therapies including extracorporeal membrane oxygenation are included.

PIONEER geography The West Midlands (WM) has a population of 5.9 million & includes a diverse ethnic & socio-economic mix. There is a higher than average percentage of minority ethnic groups. WM has a large number of elderly residents but is the youngest population in the UK. Each day >100,000 people are treated in hospital, see their GP or are cared for by the NHS.

EHR. University Hospitals Birmingham NHS Foundation Trust (UHB) is one of the largest NHS Trusts in England, providing direct acute services & specialist care across four hospital sites, with 2.2 million patient episodes per year, 2750 beds & 100 ITU beds. ITU capacity increased to 250 beds during the COVID pandemic. UHB runs a fully electronic healthcare record (EHR) (PICS; Birmingham Systems), a shared primary & secondary care record (Your Care Connected) & a patient portal “My Health”. The electronic record captures ventilatory parameters.

Scope: All hospitalised patients with hypoxaemia requiring ventilatory support from 2000 onwards. The dataset includes highly granular patient demographics & co-morbidities taken from ICD-10 & SNOMED-CT codes. Serial, structured data pertaining to care process (timings, staff grades, specialty review, wards), severity, ventilatory requirements, acuity, all physiology readings (pulse, blood pressure, respiratory rate, oxygen saturations), all blood results, microbiology, all prescribed & administered treatments (fluids, antibiotics, inotropes, vasopressors, organ support), all outcomes.

Available supplementary data: Synthetic data. Post discharge care contacts.

Available supplementary support: Analytics, Model build, validation & refinement; A.I.; Data partner support for ETL (extract, transform & load) process, Clinical expertise, Patient & end-user access, Purchaser access, Regulatory requirements, Data-driven trials, “fast screen” services.

Legacy unique identifier: P00866

Cost-effectiveness results for FlowOx™ therapy (one dose per annum) compared to standard care over five years.

The Health Survey for England series was designed to monitor trends in the nation's health; estimating the proportion of people in England who have specified health conditions, and the prevalence of risk factors and behaviours associated with these conditions. The surveys provide regular information that cannot be obtained from other sources. The surveys have been carried out since 1994 by the Joint Health Surveys Unit of NatCen Social Research and the Research Department of Epidemiology and Public Health at UCL. Each survey in the series includes core questions, e.g. about alcohol and smoking, and measurements (such as blood pressure, height and weight, and analysis of blood and saliva samples), and modules of questions on topics that vary from year to year. The trend tables show data for available years between 1993 and 2016 for adults (defined as age 16 and over) and for children. The survey samples cover the population living in private households in England. In 2016 the sample contained 8,011 adults and 2,056 children and 5,049 adults and 1,117 children had a nurse visit. We would very much like your feedback about whether some proposed changes to the publications would be helpful and if the publications meet your needs. This will help us shape the design of future publications to ensure they remain informative and useful. Please answer our reader feedback survey on Citizen Space which is open until 18 June 2018.

This open data publication has moved to COVID-19 Statistical Data in Scotland (from 02/11/2022) Novel coronavirus (COVID-19) is a new strain of coronavirus first identified in Wuhan, China. Clinical presentation may range from mild-to-moderate illness to pneumonia or severe acute respiratory infection. This dataset provides information on demographic characteristics (age, sex, deprivation) of confirmed novel coronavirus (COVID-19) cases, as well as trend data regarding the wider impact of the virus on the healthcare system. Data includes information on primary care out of hours consultations, respiratory calls made to NHS24, contact with COVID-19 Hubs and Assessment Centres, incidents received by Scottish Ambulance Services (SAS), as well as COVID-19 related hospital admissions and admissions to ICU (Intensive Care Unit). Further data on the wider impact of the COVID-19 response, focusing on hospital admissions, unscheduled care and volume of calls to NHS24, is available on the COVID-19 Wider Impact Dashboard. There is a large amount of data being regularly published regarding COVID-19 (for example, Coronavirus in Scotland - Scottish Government and Deaths involving coronavirus in Scotland - National Records of Scotland. Additional data sources relating to this topic area are provided in the Links section of the Metadata below. Information on COVID-19, including stay at home advice for people who are self-isolating and their households, can be found on NHS Inform. All publications and supporting material to this topic area can be found in the weekly COVID-19 Statistical Report. The date of the next release can be found on our list of forthcoming publications. Data visualisation is available to view in the interactive dashboard accompanying the COVID-19 Statistical Report. Please note information on COVID-19 in children and young people of educational age, education staff and educational settings is presented in a new COVID-19 Education Surveillance dataset going forward.

Novel coronavirus (COVID-19) is a new strain of coronavirus first identified in Wuhan, China. Clinical presentation may range from mild-to-moderate illness to pneumonia or severe acute respiratory infection. The COVID-19 pandemic has wider impacts on individuals' health, and their use of healthcare services, than those that occur as the direct result of infection. Reasons for this may include: * Individuals being reluctant to use health services because they do not want to burden the NHS or are anxious about the risk of infection. * The health service delaying preventative and non-urgent care such as some screening services and planned surgery. * Other indirect effects of interventions to control COVID-19, such as mental or physical consequences of distancing measures. This dataset provides a weekly summary of people attending A&E departments (Emergency Departments and Nurse/GP led minor injury units) in the recent past, along with historical activity for comparison purposes. The recent trend data is shown by age group, sex and broad deprivation category (SIMD). Information is also available at different levels of geographical breakdown such as Health Boards, Health and Social Care partnerships, and Scotland totals. This data is also available on the COVID-19 Wider Impact Dashboard. Additional data sources relating to this topic area are provided in the Links section of the Metadata below. Information on COVID-19, including stay at home advice for people who are self-isolating and their households, can be found on NHS Inform. All publications and supporting material to this topic area can be found in the weekly COVID-19 Statistical Report. The date of the next release can be found on our list of forthcoming publications.

BackgroundThe COVID-19 pandemic led to the implementation of a national policy of shielding to safeguard clinically vulnerable patients. To ensure consistent care for high-risk patients with hypertension, NHS England introduced the BP@home initiative to enable patients to self-monitor their blood pressure by providing them with blood pressure monitors. This study aimed to identify barriers and facilitators to the implementation of the initiative based on the experience and perspectives of programme managers and healthcare professionals (HCPs) involved in its implementation in London.Methods and findingsWe conducted five semi-structured focus groups and one individual interview with a total of 20 healthcare professionals involved at different levels and stages in the BP@home initiative across four of the five London Integrated Care Systems (ICSs). All focus groups and interviews were audio-recorded, transcribed and analysed thematically following the Framework Method. Respondents reported being challenged by the lack of adequate IT, human and financial resources to support the substantial additional workload associated with the programme. These issues resulted in and reinforced the differential engagement capacities of PCNs, practices and patients, thus raising equity concerns among respondents. However respondents also identified several facilitators, including the integration of the eligibility criteria into the electronic health record (EHR), especially when combined with the adoption of practice-specific, pragmatic and opportunistic approaches to the onboarding of patients. Respondents also recommended the provision of blood pressure monitors (BPMs) on prescription, additional funding and training based on needs assessment, the incorporation of BP@home into daily practice and simplification of IT tools, and finally the adoption of a person-centred care approach. Contextualised using the second iteration of the Consolidated Framework for Implementation Research (CFIR), these findings support key evidence-based recommendations to help streamline the implementation of the BP@home initiative in London’s primary care setting.ConclusionsPrograms such as BP@Home are likely to become more common in primary care. To successfully support HCPs’ aim to care for their hypertensive patients, their implementation must be accompanied by additional financial, human and training resources, as well as supported task-shifting for capacity building. Future studies should explore the perspectives of HCPs based in other parts of the UK as well as patients’ experiences with remote monitoring of blood pressure.

According to a survey conducted in the United Kingdom (UK) in 2023, 68 percent of people thought that pressure on or the workload of NHS staff was going to get worse in the near future. Overall, very few respondents were optimistic about any aspects of NHS services getting better in the future.

Diagnostic and ambulance services have grown at a projected compound annual rate of 3.2% to £13.8 billion over the five years through 2024-25. The ageing population is putting a strain on healthcare services, boosting demand and requiring public funding to be ramped up by the NHS for healthcare services. Still, government spending has risen at a slower rate than demand for healthcare services, stretching the budget. Growing waiting lists for NHS appointments, exacerbated by the COVID-19 outbreak, have boosted demand for private healthcare operators. This is despite disposable income falling in the two years through 2023-24, since affordable care plans are more readily available. The COVID-19 outbreak reduced demand for services such as pathology and radiology, but the introduction of mass testing prevented a more significant decline in revenue during 2020-21. The easing of lockdown restrictions led to a significant recovery in demand for pathology and radiology services, resulting mainly from the backlog of patients that postponed appointments during the outbreak. Moreover, the government has provided additional funding to help tackle waiting lists and funneled investment into diagnostic centres and new mental health ambulances, which has supported projected revenue growth of 4.2% during 2024-25. Diagnostic and ambulance services' revenue is anticipated to grow at a compound annual rate of 5.4% through 2029-30 to reach £18 billion. Diagnostic services are benefitting from growing demand for medical services caused by Britain's ageing population and targeted funding from the NHS. The backlog of medical care caused by the COVID-19 pandemic is still boosting revenue in the short term. Higher levels of public awareness regarding early diagnostic screening is strengthening demand, but this will be offset by rising health consciousness leading to healthier lifestyles, reducing the number of people being diagnosed with diseases like cancer. Profitability is expected to reach 4.6% in 2029-30 due to digital upgrades to diagnostic equipment and the rise in private services.

Novel coronavirus (COVID-19) is a new strain of coronavirus first identified in Wuhan, China. Clinical presentation may range from mild-to-moderate illness to pneumonia or severe acute respiratory infection. The COVID-19 pandemic has wider impacts on individuals' health, and their use of healthcare services, than those that occur as the direct result of infection. Reasons for this may include: * Individuals being reluctant to use health services because they do not want to burden the NHS or are anxious about the risk of infection. * The health service delaying preventative and non-urgent care such as some screening services and planned surgery. * Other indirect effects of interventions to control COVID-19, such as mental or physical consequences of distancing measures. This dataset provides information on trend data regarding the wider impact of the pandemic on Primary Care Out of Hours cases. The Primary Care Out of Hours service provides urgent access to a nurse or doctor, when needed at times outside normal general practice hours, such as evenings, overnight or during the weekend. An appointment to the service is normally arranged following contact with NHS 24. The recent trend data is shown by age group, sex and broad deprivation category (SIMD). Information is also available at different levels of geographical breakdown such as Health Boards, Health and Social Care partnerships, and Scotland totals. This data is also available on the COVID-19 Wider Impact Dashboard. Additional data sources relating to this topic area are provided in the Links section of the Metadata below. Information on COVID-19, including stay at home advice for people who are self-isolating and their households, can be found on NHS Inform. All publications and supporting material to this topic area can be found in the weekly COVID-19 Statistical Report. The date of the next release can be found on our list of forthcoming publications.

Legacy unique identifier: P00840

Probability of cost-effectiveness at various WTP thresholds: One dose per annum.