London Daily

Focus on the big picture.
Tuesday, Dec 02, 2025

Charge patients for hospital stays to help fund NHS, says report

Charge patients for hospital stays to help fund NHS, says report

Health experts warn move would ‘depart from founding principles of a tax-funded public service’
Patients would be charged £8 a day when in hospital under proposals from a former health service boss to raise more money for the NHS.

Prof Stephen Smith is also urging ministers to bring in charges of £4 to £8 to help cover the costs of medical equipment that patients need, such as hearing aids and walking devices.

People over 60 should also start paying for their prescriptions, to help raise more revenue for an underfunded NHS that is under “unsustainable” pressure from rising demand, said Smith.

Rising public dissatisfaction with the health service and patients’ unprecedented waits for GP care, ambulances and routine operations mean ministers need to urgently instigate a review of how the NHS is funded, which should include the creation of “co-payments” for some services.

Smith, the former chair of the East Kent acute hospital trust, has set out his ideas in a new book published by the thinktank RadixUK. Its trustees include the ex-Conservative health secretary Andrew Lansley and the Labour MP Stephen Kinnock.

“I think the public would be prepared to pay some additional charges,” said Smith, who has also served on the boards of the Great Ormond Street and Imperial College Healthcare NHS trusts in London. Means-testing would ensure the poor were not affected unfairly, he added.

People should pay a fee of £8 for every day they are in hospital receiving medical care or undergoing rehabilitation, up to a maximum of 28 days a year, added Smith, who said his idea was based on the system in Germany, where patients are charged €10 a night.

More money could also be raised for the NHS through financial penalties for abusing the NHS by repeatedly missing appointments, a hypothecated tax to bring in extra income for the NHS and social care, and tax breaks for high earners who take out private medical insurance.

However, Dr John Puntis, the co-chair of the campaign group Keep Our NHS Public, accused Smith of advancing “harebrained ideas” and “zombie policies” which would end the basis on which the service has operated since its creation in 1948, including that it is paid for by general taxation.

“Charging people to cover part of the cost of a hospital stay would be a fundamental departure from the founding principles of the NHS and show that the longstanding consensus on a tax-funded public service model of healthcare has been truly abandoned,” said Puntis.

The government should instead generate more money for the NHS through capital gains tax, corporation tax and taxing private wealth, financial speculation and tax-dodging, he added.

Smith’s ideas come days after the head of the Royal College of GPs warned that family doctor services are under such strain that patients may have to start paying for them, in the same way that most already pay to see a dentist.

Prof Martin Marshall said: “We’ve ended up in a place where there is a very inadequate safety net [dental] service for those who can’t afford to pay and the majority of people do pay for their dentistry care. Could general practice go that way? It could do.”

Axel Heitmueller, a senior fellow at the Tony Blair Institute for Global Change and author of a recent report on the NHS, warned against co-payments. They “are effectively a regressive tax” which are expensive to operate, deter poor people from seeking care and do not reduce the demand for medical help, he said.

Politicians risk experiencing a “high political price for little actual gain” by ushering in charges because of resentment among voters, most of whom think that higher taxes are the best way to invest bigger sums in the NHS.

The Department of Health and Social Care declined to comment.
Newsletter

Related Articles

0:00
0:00
Close
Head of UK Budget Watchdog Resigns After Premature Leak of Reeves’ Budget Report
Car-sharing giant Zipcar to exit UK market by end of 2025
Reports of Widespread Drone Deployment Raise Privacy and Security Questions in the UK
UK Signals Security Concerns Over China While Pursuing Stronger Trade Links
Google warns of AI “irrationality” just as Gemini 3 launch rattles markets
Top Consultancies Freeze Starting Salaries as AI Threatens ‘Pyramid’ Model
Macron Says Washington Pressuring EU to Delay Enforcement of Digital-Regulation Probes Against Meta, TikTok and X
UK’s DragonFire Laser Downs High-Speed Drones as £316m Deal Speeds Naval Deployment
UK Chancellor Rejects Claims She Misled Public on Fiscal Outlook Ahead of Budget
Starmer Defends Autumn Budget as Finance Chief Faces Accusations of Misleading Public Finances
EU Firms Struggle with 3,000-Hour Paperwork Load — While Automakers Fear De Facto 2030 Petrol Car Ban
White House launches ‘Hall of Shame’ site to publicly condemn media outlets for alleged bias
UK Budget’s New EV Mileage Tax Undercuts Case for Plug-In Hybrids
UK Government Launches National Inquiry into ‘Grooming Gangs’ After US Warning and Rising Public Outcry
Taylor Swift Extends U.K. Chart Reign as ‘The Fate of Ophelia’ Hits Six Weeks at No. 1
250 Still Missing in the Massive Fire, 94 Killed. One Day After the Disaster: Survivor Rescued on the 16th Floor
Trump: National Guard Soldier Who Was Shot in Washington Has Died; Second Soldier Fighting for His Life
UK Chancellor Reeves Defends Tax Rises as Essential to Reduce Child Poverty and Stabilise Public Finances
No Evidence Found for Claim That UK Schools Are Shifting to Teaching American English
European Powers Urge Israel to Halt West Bank Settler Violence Amid Surge in Attacks
"I Would Have Given Her a Kidney": She Lent Bezos’s Ex-Wife $1,000 — and Received Millions in Return
European States Approve First-ever Military-Grade Surveillance Network via ESA
UK to Slash Key Pension Tax Perk, Targeting High Earners Under New Budget
UK Government Announces £150 Annual Cut to Household Energy Bills Through Levy Reforms
UK Court Hears Challenge to Ban on Palestine Action as Critics Decry Heavy-Handed Measures
Investors Rush Into UK Gilts and Sterling After Budget Eases Fiscal Concerns
UK to Raise Online Betting Taxes by £1.1 Billion Under New Budget — Firms Warn of Fallout
Lamine Yamal? The ‘Heir to Messi’ Lost to Barcelona — and the Kingdom Is in a Frenzy
Warner Music Group Drops Suit Against Suno, Launches Licensed AI-Music Deal
HP to Cut up to 6,000 Jobs Globally as It Ramps Up AI Integration
MediaWorld Sold iPad Air for €15 — Then Asked Customers to Return Them or Pay More
UK Prime Minister Sir Keir Starmer Promises ‘Full-Time’ Education for All Children as School Attendance Slips
UK Extends Sugar Tax to Sweetened Milkshakes and Lattes in 2028 Health Push
UK Government Backs £49 Billion Plan for Heathrow Third Runway and Expansion
UK Gambling Firms Report £1bn Surge in Annual Profits as Pressure Mounts for Higher Betting Taxes
UK Shares Advance Ahead of Budget as Financials and Consumer Staples Lead Gains
Domino’s UK CEO Andrew Rennie Steps Down Amid Strategic Reset
UK Economy Stalls as Reeves Faces First Budget Test
UK Economy’s Weak Start Adds Pressure on Prime Minister Starmer
UK Government Acknowledges Billionaire Exodus Amid Tax Rise Concerns
UK Budget 2025: Markets Brace as Chancellor Faces Fiscal Tightrope
UK Unveils Strategic Plan to Secure Critical Mineral Supply Chains
UK Taskforce Calls for Radical Reset of Nuclear Regulation to Cut Costs and Accelerate Build
UK Government Launches Consultation on Major Overhaul of Settlement Rules
Google Struggles to Meet AI Demand as Infrastructure, Energy and Supply-Chain Gaps Deepen
Car Parts Leader Warns Europe Faces Heavy Job Losses in ‘Darwinian’ Auto Shake-Out
Arsenal Move Six Points Clear After Eze’s Historic Hat-Trick in Derby Rout
Wealthy New Yorkers Weigh Second Homes as the ‘Mamdani Effect’ Ripples Through Luxury Markets
Families Accuse OpenAI of Enabling ‘AI-Driven Delusions’ After Multiple Suicides
UK Unveils Critical-Minerals Strategy to Break China Supply-Chain Grip
×