London Daily

Focus on the big picture.
Friday, Mar 20, 2026

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
Apple issues an unusual warning: this is how your iPhone can be hacked without you doing anything
UK and Nigeria Reach Agreement to Accelerate Return of Irregular Migrants
UK Sets New Aid Priorities Following Significant Budget Reductions
Cyprus President Urges Open Dialogue Over Future of British Sovereign Base Areas
Cyprus President Urges Open Dialogue Over Future of British Sovereign Base Areas
UK Plans 50% Steel Tariffs in Bold Move to Protect Domestic Industry
Iran Conflict Sends Shockwaves Through UK Economy as Energy Costs and Trade Risks Surge
UK Health Officials Warn Kent Meningitis Outbreak Still Active as Cases Continue to Rise
UK Climate Progress Faces Scrutiny Over Reliance on Carbon Accounting Methods
UK Deploys Advisers to United States to Shape Plan for Reopening Strait of Hormuz
Amazon Bets on AI-Driven Alexa Upgrade to Revive UK Smart Speaker Market
UK Abortion Law Changes Spark Strong Response from Church Leaders and Pro-Life Advocates
UK Abortion Law Changes Spark Strong Response from Church Leaders and Pro-Life Advocates
GB News Faces Regulatory Complaints Over On-Air Remarks on ‘Genocide’ Claims
UK Signals Expanded Support for Gulf Allies as Iranian Attacks Intensify Regional Threats
UK VAT Decision Opens Path for Potential Refunds to U.S. Biopharma Firms
UK and Canada Advance ‘Middle Power’ Strategy to Shape Global Influence Beyond Superpowers
Google Explores AI Opt-Out Features in Search to Address UK Regulatory Concerns
Google Explores AI Opt-Out Features in Search to Address UK Regulatory Concerns
UK Fuel Prices Poised to Surge as Global Tensions Drive Oil Market Volatility
UK Fuel Prices Poised to Surge as Global Tensions Drive Oil Market Volatility
UK Holds Back on Hormuz Escort Mission While Continuing Talks with Allies
TrumpRx Pricing Platform Faces Scrutiny as Some Medicines Remain Costlier Than in the UK
UK, Netherlands and Finland Explore Joint Defence Investment Bank to Boost Military Capability
Deadly Meningitis Outbreak in Kent Raises Alarm as Cases Surge and Emergency Response Expands
UK Security Adviser Viewed US-Iran Nuclear Deal as Within Reach Before Sudden Escalation
UK Prime Minister Urges Continued Focus on Ukraine Amid Escalating Iran Conflict
UK Introduces New Safeguards to Shield Lenders from Bank Run Risks
UK Promotional Products Market Surpasses £1.3 Billion as Demand Strengthens in 2025
Reeves Pushes for Deeper UK-EU Economic Ties to Revive Growth
UK Security Adviser Saw No Imminent Iranian Nuclear Threat Days Before War Erupted
France Signals Warm Welcome for UK Return to EU Single Market Amid Renewed Cooperation Talks
UK Defence Official Criticises Boeing Over Delays to E-7 Wedgetail Programme
UK Urged to Secure Quantum Talent as Minister Warns Against Repeating AI Setbacks
UK Mayors Set to Gain New Spending Powers Under Reeves’ Fiscal Devolution Plan
Western Allies Urge Restraint as Israel Weighs Expanded Ground Operation in Lebanon
Trump Warns NATO Faces ‘Very Bad’ Future Without Stronger Allied Support in Iran Conflict
UK Minister Says Britain Not Bound to Support Every Demand From U.S. President
Starmer Tells Trump Britain Will Not Be Drawn Into Wider Iran War
Starmer Tells Trump Britain Will Not Be Drawn Into Wider Iran War
UK Set to Introduce Steel Tariffs of Up to 50 Percent in New Industrial Strategy
European Governments Decline Trump’s Call to Send Warships to Reopen Strait of Hormuz
Fears Over Iran Conflict Weigh on UK Consumer Confidence
Starmer Says UK Working With Allies on Hormuz Shipping Plan After Trump Raises Pressure
Iran War and Energy Shock Shake Britain’s Economy and Political Debate
Deadly Meningitis Outbreak at UK University Leaves Two Dead and Several Seriously Ill
Deadly Meningitis Outbreak at UK University Leaves Two Dead and Several Seriously Ill
King Charles and Queen Camilla Share Personal Tributes to Their Mothers on UK Mother’s Day
Prince William Honors Princess Diana with Mother’s Day Tribute
UK Economy Stalls in January as Households Cut Back on Eating Out
×