# Why isn’t the NHS improving faster? Page: https://stenobird.com/podcast/ifs-zooms-in-the-economy-638796/why-isn-t-the-nhs-improving-faster Text version: https://stenobird.com/podcast/ifs-zooms-in-the-economy-638796/why-isn-t-the-nhs-improving-faster.md Podcast: [IFS Zooms In: The Economy](https://stenobird.com/podcast/ifs-zooms-in-the-economy-638796) Published: 2026-01-16T15:28:45+00:00 Episode link: https://ifs.org.uk/podcasts-explainers-and-calculators/podcasts Audio file: https://sphinx.acast.com/p/open/s/5ea004d9fbcc383829c71657/e/696a4c9a98f7a1123ec56f24/media.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/ifs-zooms-in-the-economy-638796/episodes/why-isn-t-the-nhs-improving-faster Duration seconds: 2264 ## Resource The NHS holds a unique place in British life: a source of national pride, and the single biggest public service in England. This year it’s set to cost over £200 billion, around £3,500 per person, more than we spend on education, defence, justice and transport combined. And yet, despite sustained funding increases and around a quarter of a million more staff than in 2019, concerns about performance haven’t gone away. Labour came into office promising to get a grip on record waiting times, but progress so far looks limited. The waiting list stands at 7.3 million, only slightly down from around 7.6 million when the government took office a year and a half ago. With winter pressures, flu surges, and resident doctors taking strike action, it raises a big question: what’s actually going on inside the system, and is improvement realistically on the horizon? In this episode, Helen is joined by IFS colleagues Olly Harvey-Rich and Max Warner to unpack the data and the trade-offs. We look at winter pressures and capacity, what the latest performance metrics tell us, and the real constraints facing the NHS in England - money, productivity and system design. Finally, we look ahead to the rest of the parliament: should we be hopeful about meaningful change, or are the obstacles bigger than the plans? Become a member: https://ifs.org.uk/individual-membership Find out more: https://ifs.org.uk/podcasts-explainers-and-calculators/podcasts Hosted on Acast. See acast.com/privacy for more information. ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/ifs-zooms-in-the-economy-638796/episodes/why-isn-t-the-nhs-improving-faster/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/ifs-zooms-in-the-economy-638796/why-isn-t-the-nhs-improving-faster.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.