Public Confidence in NHS Declines as Patients Hesitate to Seek Care

Emily Watson, Health Editor
5 Min Read
⏱️ 4 min read

A recent survey highlights a troubling trend among Britons regarding their interactions with the National Health Service (NHS). Nearly half of the population is avoiding or delaying contacting their GP when ill, primarily due to concerns over accessing timely appointments. This developing pattern raises significant questions about the future of healthcare access in the UK.

An alarming 48% of people across the UK reported that they refrained from seeking assistance from their family doctor over the past year. The reasons cited include a prevailing belief that obtaining an appointment would be challenging. More than a quarter of respondents—27%—chose to manage their ailments independently or simply waited for symptoms to resolve, a decision that healthcare professionals warn could jeopardise their health.

This information emerged from a survey conducted by Ipsos for the Health Foundation, shedding light on a pervasive public anxiety surrounding the accessibility of essential NHS services, including hospital care and emergency response.

Public Concern Over Healthcare Access

The findings underscore a deep-seated worry about the ability to access general practice and A&E services. Three in ten individuals expressed doubt about being offered a timely GP appointment, while 17% anticipated difficulties when reaching out to their practice. Professor Victoria Tzortziou Brown, Chair of the Royal College of GPs, emphasised the importance of general practice as the entry point to healthcare, stating, “It is worrying to hear that some might be delaying or avoiding seeking care because they think getting an appointment will be difficult.”

Public Concern Over Healthcare Access

In a separate poll conducted by Savanta for the Liberal Democrats, it was revealed that one-third of Britons had avoided A&E services despite needing treatment, largely due to expectations of prolonged waiting times.

Calls for Improvement from Health Advocates

Helen Maguire, a spokesperson for the Liberal Democrats on health matters, lamented the current situation, stating, “Patients deserve so much better. It is heartbreaking to think of elderly people or parents with sick children sitting at home in pain because they have lost faith that the system will be there for them.”

The Health Foundation’s report serves as a wake-up call for policymakers, particularly in light of the government’s strategy to decentralise healthcare from hospitals to community settings. The think tank suggested that ongoing public dissatisfaction with general practice and A&E services should prompt a reevaluation of healthcare priorities.

Public Sentiment on NHS Performance

The survey, which included responses from 2,214 adults in December, painted a grim picture of public sentiment towards the NHS. Key findings included:

Public Sentiment on NHS Performance

– Only 32% believe the NHS provides a satisfactory national service.

– 42% feel that the quality of NHS care has deteriorated over the past year, while a mere 12% perceive an improvement.

– Almost half of those surveyed (47%) anticipate a further decline in NHS care within the next year, contrasting sharply with only 15% who expect an upswing.

These statistics are troubling for health officials, including Wes Streeting, the Health Secretary in England, who must contend with the fact that only 15% of the public believe the government is pursuing effective policies to restore the health service, while 54% disagree.

As part of an effort to address these concerns, Streeting recently announced a new GP contract for 2025-26, which mandates that practices must see all patients with urgent needs on the same day. This initiative reallocates £300 million to enable the hiring of 1,600 additional doctors.

However, Dr Katie Bramall, Chair of the British Medical Association’s GP committee, voiced concerns regarding the unrealistic expectations set by this new contract. She highlighted the challenges faced by family doctors in managing increased demands while maintaining service quality.

Why it Matters

The findings of this survey are not just troubling statistics; they reflect a growing crisis of confidence in the NHS. As patients increasingly shy away from seeking necessary medical assistance, the implications for public health could be dire. If the perception of inaccessibility persists, more individuals may opt for self-treatment, potentially leading to worsening health outcomes. Addressing these concerns is crucial not only for the wellbeing of individuals but for the integrity and sustainability of the NHS as a whole.

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Emily Watson is an experienced health editor who has spent over a decade reporting on the NHS, public health policy, and medical breakthroughs. She led coverage of the COVID-19 pandemic and has developed deep expertise in healthcare systems and pharmaceutical regulation. Before joining The Update Desk, she was health correspondent for BBC News Online.
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