What can the government do to improve how the NHS spends money?

What can the government do to improve how the NHS spends money?

Author: Institute for Government June 3, 2025 Duration: 1:00:10
After a decade of tight funding settlements and the Covid-19 pandemic, Wes Streeting is the latest health secretary trying to improve NHS productivity. But what can the government do to ensure the NHS spends its budget – due to be more than £200bn in 2025/26 – more effectively? This event, held in partnership with the Health Foundation, explored what the NHS can do to improve productivity – which is vital to improve the quality of services for patients, ensure the NHS is financially sustainable and provide value for money for taxpayers. What improvements in productivity and health outcomes can technology really deliver? What lessons are there from previous governments’ attempts to make efficiency savings? What options does Streeting really have to drive through reforms? What effect – if any – will the abolition of NHS England and cuts to integrated care boards’ budgets have on driving productivity to improve performance? To discuss these questions and more, we were joined by an expert panel including: Helen Buckingham, Chair of Trustees at National Voices Anita Charlesworth, Senior Economic Advisor at the Health Foundation Caroline Clarke, Regional Director of the NHS in London Rachel Sylvester, Political Editor at the Observer The event was chaired by Nick Davies, Programme Director at the Institute for Government. This event was held in partnership with The Health Foundation.

Ever wondered what really happens behind the doors of Whitehall? Institute for Government pulls up a chair at the table where policy is made and governance gets tested. This isn't about partisan politics or headlines; it's a deeper, more practical conversation about how the machinery of the UK government actually works-or sometimes, why it doesn't. Each episode brings you the experts from the Institute itself, along with senior civil servants, ministers, and analysts, for frank discussions that dissect the challenges of running a country. You'll hear specific case studies, analysis of major events as they unfold, and explorations of long-term issues like public service reform or the complexities of Brexit implementation. The goal is to move beyond theory and into the tangible details of effectiveness and accountability. Tuning into this podcast feels like gaining access to a privileged briefing, one that demystifies the processes that shape daily life. It’s for anyone curious about the structures of power, the art of the possible in policy, and the ongoing effort to improve how the nation is governed. Expect thoughtful, evidence-based dialogue that cuts through the noise to examine the levers of statecraft.
Author: Language: English Episodes: 100

Institute for Government
Podcast Episodes
How can the fast stream deliver more for the civil service? [not-audio_url] [/not-audio_url]

Duration: 59:47
The fast stream, the civil service’s flagship talent development programme, has recently seen a record number of applications and reclaimed the top spot in the Times Higher Education graduate scheme ranking. But exclusiv…
IfG DevoLab #3: How devolution can improve transport connectivity [not-audio_url] [/not-audio_url]

Duration: 1:32:53
The IfG DevoLab is a new initiative from the Institute for Government dedicated to exploring the innovations enabled by devolution, learning from the results, and sharing the lessons so that places can take better decisi…