The Guardian view on Labour’s NHS reform: structural change while slashing waiting lists is a big ask | Editorial

Over the holidays, this column will explore next year’s urgent issues. Today, the battle over the government’s contradictory plans for the health service

The British government’s 10-year health plan is still some months off. So is the multi-year spending review that will set the parameters around funding. But the three themes around which Labour plans to build its NHS reforms are set. Each involves a change in emphasis: from treatment to prevention, hospital to community and analogue to digital.

As health policy is devolved, these plans apply directly only in England. Their impact, though, will be UK-wide, since the largest health system is bound to influence the others, and what happens to the NHS is so crucial to the UK government. In 2025 – Labour’s first full calendar year in office since 2009 – there is arguably no area in which the party is more urgently in need of results.

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Republican support wavers for Mike Johnson’s re-election as House speaker

Despite Donald Trump’s endorsement, Johnson is facing criticism for his handling of the government budget battle

A senior Texas Republican congressman has said that the House speaker, Mike Johnson , does not yet have the votes to be re-elected to the speakership ahead of an election to be held later this week.

Representative Chip Roy told Fox Business’s Varney & Co that he was undecided on supporting the Louisiana Republican , despite Donald Trump issuing a full-throated endorsement of Johnson on Monday.

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Welcome To The New PoliticusUSA

The New PoliticusUSAWelcome to the brand new PoliticusUSA. We have been bringing you the news since 2009, and the changes that we have made might be the biggest and most