87. Strictly fund the NHS - and prevention!


Author: Steve Brine & James Bethell March 5, 2026 Duration: 58:19
Podcast episode
87. Strictly fund the NHS - and prevention!

The £200bn Question: Why Isn’t the NHS Getting Healthier?


In this episode of Prevention is the New Cure, former Health Ministers Steve Brine and James Bethell take analyse the status quo of UK health policy. With NHS spending in England projected to reach £217 billion by 2025/26, the debate isn't about if we have the money, but how we are wasting it.


James Bethell argues that the doubling of the NHS budget over the last 17 years has had "zero impact" on the nation's healthy longevity. We dive deep into why the political obsession with "40 New Hospitals" was a strategic blunder and why the future of the NHS depends on a "Cavalier vs. Roundhead" battle over health data and early intervention.


Also inside This Episode:


  • The Hospital Trap: Why 80% of funding goes to acute care while community health "puddles" dry up.
  • The Weight-Loss Jab Dilemma: Is paying GPs to prescribe drugs like Monjuro a breakthrough or "pharma capture"?
  • The MAHA Movement: We look across the Atlantic at RFK Jr.’s "Make America Healthy Again" initiative as 18 US states move to ban candy and soda from food stamps.
  • UK Biobank Breakthrough: A major 2026 milestone as 500,000 GP records are finally unlocked for research. Steve Brine reveals the "political fear" that held this back for nearly a decade.
  • Fighting the Silent Killer: We discuss the £2.6m investment in 20 new DEXA bone scanners—a "tiny" spend that could save the NHS billions in fracture care.


  • Join the Conversation: Follow us on LinkedIn or X (formerly Twitter) under #PreventionIsTheNewCure.
  • WhatsApp the Show: Leave a voice note at 0333 4046507 to be featured in the next episode.
  • Email: preventionisthenewcurepodcast@gmail.com


Prevention is the new cure is produced by Shortbread Media. This week's producer is Calum Macdonald.


Hosted on Acast. See acast.com/privacy for more information.


More episodes

Duration: 47:07
This week Steve and Sarah are joined by Jennifer Dixon of the Health Foundation for a wide-ranging chat about the NHS Ten Year Plan, whether we really can prove there's a cost saving to preventing ill health and her rece…

Duration: 30:37
Conference season continues with a special LIVE episode of the podcast from The Pharmacy Show.Held at the NEC in Birmingham, it is the UK's major gathering for the Pharmacy sector and has been for over a decade. Former P…

Duration: 49:52
Steve Brine and Dr Sarah Wollaston discuss a wide range of stories including the drug pricing row engulfing our life sciences sector, more bad news for Ministers on NHS waiting lists, walk-in GP centres in Scotland and t…

Duration: 28:34
This week Steve is on his own for a special LIVE episode of the podcast from The CARE Show at the NEC in Birmingham.He is joined by two guests; Dr Jan Townson from the Homecare Association and Kehan Zhou from Camascope.…

Duration: 40:51
Steve & Sarah get together to discuss the Labour Party Conference after Steve's first visit to the party's annual gathering in Liverpool. They consider the health announcements made including a pay uplift for care worker…

Duration: 52:45
Sarah is away so Lord (James) Bethell joins Steve Brine as guest co-host. The pair reflect on the NHS Ten Year Plan two-months on, the return of provider league tables, the resignation of Claire Fuller as Director of Men…

Duration: 1:00:06
NHS England Chair, Dr Penny Dash, is in the hot-seat for a very special deep dive interview. This is a wide-ranging chat which covers Penny's journey from clinician to running the entire health service, the abolition of…

Duration: 18:42
Steve & Sarah are on their hols so Episode 65 is a special pre-recorded interview Steve did a few weeks back with Dr Andrew Murray from the Golf & Health Project.It’s a game Steve has played for over 40 years – and playe…

Duration: 44:11
This week Steve & Sarah are joined by head of health at the Tony Blair Institute, Dr Charlotte Refsum. They talk about their new report on the potential of the NHS App, obesity 'fat jab' drugs and the NHS Ten Year Plan f…

Duration: 47:47
As the dust settles on the recently published NHS Ten Year Plan, the team sit down for a deep dive interview with one of the most high profile voices in health; Matthew Taylor who leads the NHS Confederation. They unpack…

Duration: 36:14
A special 'pod drop' episode, 24-hours after Ministers publish their much anticipated NHS Ten Year Plan. Steve and Sarah discuss what they've spotted among its 168 pages, what they like, what they don't like and look at…

Duration: 39:32
A very special episode recorded in front of a live audience at Cannabis Europa London on Tuesday June 24 2025. Steve and Sarah are joined by Tonia Antoniazzi MP, Matt Hughes from the Medcan Family Foundation and Dr Diego…

Duration: 50:21
We return to the studio for Episode 59 and we're talking to Dr Kyle Stewart from Watercress Research about the fascinating work they are doing with watercress. Spoiler alert - it's more than you think! Sarah and Steve al…

Logo
Select station
VOL