UK Budget: Health & Defence Spending Prioritised
- The government's upcoming spending review will favor the NHS and defence, possibly leading to budget cuts for other crucial public services, including local councils and the police.
- Officials indicate that the NHS is slated to receive a 2.8% real-terms increase in annual day-to-day health spending over the next three years, starting in April.
- Matthew Taylor,who heads the NHS Confederation,acknowledged the strain on all public services.
NHS and Defence Prioritized in UK spending Review, services Face Squeeze
Updated June 08, 2025
The government’s upcoming spending review will favor the NHS and defence, possibly leading to budget cuts for other crucial public services, including local councils and the police. Chancellor Rachel Reeves is scheduled to present the government’s spending plans on Wednesday, outlining fiscal strategies until the next general election. The plan hinges on the political calculation that bolstering the health service is vital for Labor’s re-election prospects.
Officials indicate that the NHS is slated to receive a 2.8% real-terms increase in annual day-to-day health spending over the next three years, starting in April. While this is below the historical average, it translates to a £30 billion annual rise by 2028-29.
Matthew Taylor,who heads the NHS Confederation,acknowledged the strain on all public services. He noted that prioritizing NHS funding would create challenges for housing, education, and welfare, all of which impact healthcare needs. Defence is also expected to see increased funding, reflecting the UK’s shifting priorities amid pressure from the U.S. for European nations to invest more in their own military capabilities. The government aims to raise defence spending to 2.5% of GDP by 2027.
Economist Max Warner from the Institute for Fiscal Studies suggests that prioritizing the NHS and defence could result in approximately 0.3% annual real-terms reductions in day-to-day spending for other government sectors. While the 2.8% increase for the NHS is significant, it remains below the historical long-term growth rate of 3.6% annually.
Areas already facing budget constraints, such as courts, local councils, and transport, may experience further cuts. Treasury officials confirmed that some departments will see real-terms cuts over the next three years. However, one official stated that it is unrealistic to expect every department to receive a funding increase.
Reeves’ address will focus on security, health, and the economy. She will also highlight £113 billion in additional capital spending, made possible by adjustments to the government’s fiscal rules last autumn. Reeves will emphasize that these investments are a direct result of her “choices,” which include fiscal discipline and a plan to borrow for strategic investments.
“The government committing to provide a greater proportion of funding to the NHS is going to be incredibly tough for services such as housing,education and welfare,particularly as they can affect people’s healthcare needs,” said Matthew Taylor,chief executive of the NHS Confederation.
Pensions minister Torsten Bell dismissed claims of a return to austerity as “garbage.”
Among the key allocations, Reeves will announce an additional £4.5 billion annually by 2028/29 for core schools budgets, covering pupils aged 5 to 16. this translates to roughly a 7% increase over three years on an annual schools budget of £64 billion. One education expert suggested that schools would be relatively protected, pending further details.
The government also announced an allocation of £86 billion for research and development over four years, with the 2025-26 figure of £20.4 billion rising to £22.5 billion by 2029-30. Despite being touted as “transformative,” the Campaign for Science and engineering suggests that R&D spending will remain broadly flat in real terms.
While most departments have reached agreements with the Treasury, negotiations have been challenging. Home Secretary Yvette cooper is reportedly seeking a more favorable settlement for the police,while Deputy Prime Minister Angela Rayner has been engaged in last-minute negotiations regarding council funding.
What’s next
The full impact of the UK spending review will become clearer as departments release detailed budget breakdowns in the coming weeks. The focus will be on how local councils and police forces manage with potential budget constraints, and whether the investment in the NHS and defence translates into tangible improvements for citizens.
