A new survey conducted by the NHS Alliance among 187 leaders reveals that nearly two-thirds (64 per cent) of NHS organisations anticipate cutting or reducing services this year, with more than half (57 per cent) also expecting to slash jobs. The findings highlight widespread concerns about the impact on patient experience and staff morale.
Survey Findings
According to the poll, 64 per cent of leaders are worried about patient experience, while 93 per cent expressed concerns about staff morale. Additionally, 96 per cent of GP leaders feared that day-to-day access to services would be affected. Three-quarters of respondents (75 per cent) believe financial pressures will worsen in 2026/27.
One trust chief executive warned that an 'overriding focus' on finances will have 'repercussions on patients and staff'. Sir Ciaran Devane, NHS Alliance chief executive, acknowledged that the NHS has made “remarkable” progress in improving performance and balancing budgets, but cautioned that these 'hard-won gains' are now at risk due to the focus on targets and efficiency savings. He called for political backing and financial support to protect services.
Government Response
The Department of Health and Social Care acknowledged the challenges but highlighted record government investment, improved productivity, and a reduction in waiting lists. A spokesperson pledged to continue working with leaders to enhance frontline care.
The survey underscores the deepening crisis in the NHS, with leaders warning that cuts could have severe consequences for both patients and healthcare workers.



