Home Government Government efficiency, transparency and accountability Government spending. Policy paper Autumn Budget and Spending Review documents. Request an accessible format. If you use assistive technology such as a screen reader and need a version of this document in a more accessible format, please email digital. Please tell us what format you need.
It will help us if you say what assistive technology you use. Table 5. Distributional analysis This document sets out the distributional impact on households of tax, welfare and public service spending decisions announced since Spending Round , including those announced at Autumn Budget and Spending Review Data sources This document details all of the data sources used throughout the Autumn Budget and Spending Review document.
Statement of funding policy: funding the Scottish Government, Welsh Government and Northern Ireland Executive This document sets out how the UK Government funds the devolved administrations and explains the other sources of funding available to them when they set their spending plans.
Download full report. Download a list of abbreviations. Download data. Home Publications Spending Review plans, promises and predicaments. Figure 1. In other words, despite the substantial pressures placed on public services by the pandemic, the Chancellor is planning to spend no more overall than he was prior to COVID These plans imply a tight settlement for many areas of government over the next two years.
Last month, Mr Sunak scrapped plans for an autumn Budget in favour of the review, which would have set out how much each government department can spend but would not have included any changes to taxation.
The review had been due to set departments' resource budgets for to and their capital budgets for to The devolved administrations' block grants were also due to be set for to Sharon Taylor, of the District Councils Network, which represents local authorities across England, said it was "disappointing to see a one-year rather than three-year settlement".
She urged the government to give local authorities "long-term financial certainty" as they deal with the effects of Covid While an NHS People Plan was subsequently published, it did not come with the multi-year funding that would be needed to translate this plan into increased numbers of staff. The government has set out ambitious manifesto commitments to increase numbers of nurses, as well as GPs and other primary care professionals.
To make progress on these commitments and ensure that access to services recovers after the pandemic, the Comprehensive Spending Review should be used to clarify and allocate resources for training, development and other support needed to deliver a multi-year workforce plan. Increasing recruitment will be an important part of this, and the government have taken important steps on re-introducing student maintenance grants and investing in training places.
It is also vitally important to address chronic excessive workloads and improve retention of staff, especially with so many NHS staff suffering from burnout and significant numbers, particularly nurses , intending to leave. Health Education England has been asked to review long-term trends for the health and care workforce, to help ensure these sectors have the staff they need to deliver high quality services.
This wider focus is welcome - any strategy for shoring up the NHS and social care workforce cannot be viewed in isolation from the need to invest in and support the wider health and care workforce, including voluntary and community sector organisations. Addressing shortages in the NHS must not come at the expense of other parts of the system.
The NHS continued efforts to improve its productivity by improving how services were organised and delivered. But rising demand for services and constrained funding still led to significant financial deficits in frontline NHS organisations and longer waits for patients over this period.
Even before the Covid pandemic, the limitations of the previous five-year NHS funding deal , which was announced in July , were becoming clear. The funding deal excluded important areas of day-to-day spending — including budgets for the education and training of clinical staff. Continued uncertainty for these budgets contributed to the NHS being locked into a staffing crisis and spiralling waits for treatment.
It is still unclear to what extent these areas of spending are included within the new September funding deal, or how previous funding boosts announced in the Spring Budget will be allocated over the rest of this parliament. Underinvesting in capital programmes has stored up problems for the future, and there is a significant opportunity cost from failing to invest in the transformational change needed to deliver new and more productive models of care.
Failing to give the NHS the investment it needs means staff and patients will increasingly be exposed to safety risks from unreliable equipment and deteriorating facilities. But the government has only published multi-year plans for some elements of capital funding and has repeatedly promised — but failed to deliver — a multi-year capital investment budget for health services in England. For the government to be able to deliver on manifesto pledges to improve the NHS estate and build new hospitals it should set out a more coherent and sustainable capital investment strategy as part of the multi-year capital programme promised for the Autumn Budget.
Despite repeated promises to strengthen public health and prevention, government funding for local authority public health budgets has been substantially cut in recent years. This shortfall in funding has led to reductions in vital services such as health visiting, stop-smoking support and sexual-health clinics, putting people at risk of poorer health and storing up problems for the future.
This has been compounded by the pandemic, which disrupted delivery of services and has created a backlog of demand for public health services. As such, if the government wants to ensure adequate delivery of public health services and help improve population health, it will need to use the Comprehensive Spending Review to increase the public health grant.
Beyond health promotion and improving service delivery, local authority public health teams have faced unprecedented health protection challenges through the Covid pandemic. Recognising these additional pressures on local authorities, government introduced the Contain Outbreak Management Fund , which has been allocated to local authorities on the basis of need and prevalence of Covid infections.
As it stands, this funding is due to end in March
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