The Spending Review on 11 June 2025 will be a defining moment for public health funding. As the first multi-year spending review under the new Labour government, it will set out priorities for public service performance and economic growth. Will the government take decisive action to strengthen public health funding?
Public health funding is a cornerstone of maintaining and improving the wellbeing of communities across England. The Public Health Grant, allocated to local authorities, plays a crucial role in supporting services such as smoking cessation programs, health visiting, sexual health clinics, drug treatment initiatives, and broader health promotion efforts. However, the adequacy of this funding has been a topic of ongoing debate, particularly as we approach the Spending Review on 11 June 2025.
For the 2025-2026 financial year, the total Public Health Grant allocated to local authorities stands at £3.858 billion, with the funding ring-fenced for public health functions. This ensures that local councils can continue to provide essential services aimed at improving health outcomes and reducing inequalities.
While the recent 5.4 per cent increase was welcomed, many across public health argue that it does not fully compensate for the real-term reductions in public health funding over the past decade. Between 2015 and 2024, the Public Health Grant received by councils was reduced by £858 million in real terms. This has placed significant pressure on local authorities, forcing them to prioritise statutory obligations while scaling back other vital services.
The Spending Review on 11 June 2025 will be a defining moment for public health funding. As the first multi-year spending review under the new Labour government, it will set out priorities for public service performance and economic growth.
The LGA have consistently called for a long-term sustainable funding plan to ensure that local authorities can plan services effectively and meet the needs of their communities. We continue to emphasise the importance of investing in prevention, arguing that a well-funded public health system can help bridge health inequalities, reduce NHS and social care pressures, and improve overall population health.
Despite these calls, public health funding has faced years of cuts, with spending per person significantly lower than a decade ago. The Spending Review provides an opportunity for the government to reassess its commitment to public health and ensure that funding keeps pace with rising demand and inflationary pressures.
The 10-Year Health Plan, currently being developed by the government, aims to create a modern, sustainable health system that meets the evolving needs of the population. This plan focuses on three key shifts: Moving care from hospitals to communities, ensuring more accessible and preventative healthcare. Leveraging technology, including AI and digital health solutions, to improve efficiency and patient outcomes. Prioritising prevention, tackling health inequalities and reducing the burden on emergency services.
The Spending Review will play a crucial role in determining how well this long-term vision is funded and implemented. Without adequate investment, the ambitious goals of the 10-Year Health Plan may struggle to materialise.
Public health services are not just about treating illness—they are about preventing disease, promoting healthier lifestyles, and tackling the root causes of health inequalities.
With the 11 June 2025 Spending Review fast approaching, it is crucial that the government recognises that public health funding is an investment, not an expense. A well-supported public health system benefits individuals, communities, and the economy as a whole.
While the recent increases in the Public Health Grant are a step in the right direction, they do not fully address the historic funding challenges faced by local authorities. The Spending Review must provide a clear, long-term strategy that ensures public health services are adequately funded and able to meet the evolving needs of the population.
Will the government take decisive action to strengthen public health funding? The answer will shape the future of health services across England.