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The role of emotion in health communication
The role of emotion in health communication

Posts Tagged ‘Budget’

Budget Analysis

Rachel Reeves has delivered the first Budget of this Labour Government to fix the UK’s foundations and deliver on the promise of change.

The Budget follows months of warnings from the Chancellor and Prime Minister that “difficult decisions” will be necessary to embrace the harsh light of fiscal reality and address the £22 billion black hole, which Rachel Reeves has claimed was left by the previous administration. While the Government’s intention is to protect ‘working people’, decisions such as the scrapping of winter fuel payments for millions of pensioners and increasing the cap on single bus fares means those on the lowest incomes will also be impacted.

Much of the pre-Budget debate has centered on the Government’s decision to increase Employer National Insurance Contributions (NICs). They have faced criticism as to whether this is an outright breach of their pre-election pledge not to increase taxes on working people, or a technical loophole that keeps them within the margins of the manifesto. Either way, this represents the Budget’s largest tax rise and will generate more than £20bn which the Chancellor hopes will go some way towards changing the outlook for public services.

Ultimately, the stakes for business are high in this Budget. Some commentators have argued the combination of increasing Employer NIC contributions and the National Living Wage, as well as legislative measures such as the Employment Rights Bill, could all stifle the pro-growth agenda just weeks after the landmark International Investment Summit. Criticism has been levied at Government from a range of industries who warn these measures will squeeze smaller and medium-sized businesses and result in fewer jobs at a time when Government is striving to dramatically increase economic participation.

The changes announced today will raise taxes by £40 billion. Reeves’ central message to business is to pick up the bill now in return for a steadier operating environment in the long-term.

To find out more about what today’s announcements mean for your sector, and how your organisation can shape the discussion, get in touch at contact@wacomms.co.uk.

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Fiscal frameworks and macro-politics – the insider view on delivering a budget

WA’s Senior Advisors draw on their experience at the heart of Whitehall — reflecting perspectives as a special adviser in the Treasury and Department of Health, and senior Treasury civil servant, and Permanent Secretary in the Department for Business, and Department for Transport.

Sir Philip Rutnam, Chair of WA’s Advisory Board and former Whitehall Permanent Secretary

Budgets always matter. The British state raises and spends £1.2 trillion a year – £7 million just in the time it takes you to read this blog – so the way it does that affects everyone. But the Budget on Wednesday matters even more: it’s a once in ten or twenty years event, the first Budget at the start of a new Government. Here are five things I’ll be looking for to make sense of what happens on Wednesday.

First, is the overall narrative linked to a convincing plan? Expect a narrative all about boosting growth – the only practical way for us to get out of the spiral of poor public services, low aspirations and high inequality. But will the narrative be matched by plans that have enough breadth and depth? And will those plans involve building the dull but necessary capability to deliver, not least local and regionally?

Second, can the Chancellor really manage the politics successfully? Budgets are fraught with political risk. And that’s not just true about the macro-politics of Manifesto promises. It’s also about little things and unintended consequences. Are her team sufficiently adept (and lucky) to spot accidents before they happen?

Third, what’s the message for public services? This Budget will only settle current spending for one year, though capital budgets may go out further. We know some budgets are going to be protected – expect health to be top of the list, followed by schools. But public services everywhere are under pressure and in some places that’s acute: local government, criminal justice, defence. Who’s going to be disappointed? Look out for Cabinet Ministers keeping a low profile.

Fourth, and linked to that, what’s the message on reform? Labour needs a serious plan for how it will get more out for whatever it puts in – a mix of technology, transformation, and leadership. Any sign of that?

And finally, what about the framework for all of this? The Chancellor has said that she’s changing the fiscal rules, conveniently making room for more borrowing and investment? But on average the fiscal rules change every 2½ years. Is there any reason to suppose these rules will last longer? And what is she doing to change the Treasury, to give it as much focus on growth as on finance?


Jennifer Gerber, Senior Political Advisor and former Labour Treasury Special Advisor

After 14 long years and three intense months of speculation, Labour’s first budget in government is just 2 days away. Yet to many it may feel like it’s been a neverending budget debate since July 4th, when Labour won with a mandate for change.

Many ministers and advisers across government, with hindsight, now regret the decision to delay the budget for so long, nor introduce a emergency budget in the summer. What this meant was months of speculation about what the Chancellor would do, and the limited ability for Cabinet Ministers to say too much about some of their plans, without knowing what their financial settlement or the Government’s spending priorities will be.

Of course there were good reasons to hold off and take stock of public finances, not least because both the PM and Chancellor wanted to make clear where the blame lies when it came to the perilous state of the public purse. With public services on their knees, prisons full to bursting and local councils going bust, the new government needed time to explain to the public how challenging things will be. However, the political doom and gloom may have felt too much to those in the Labour party who wanted to also show that, as the song says, things can only get better.

How to communicate how bad things are without scaring people or scuppering growth has been a hard balancing act, and many around the Chancellor and PM will want the budget to clarify Labour’s vision for government and what it hopes to achieve. This is hard when the endless chat has been focused on which taxes will and won’t be fiddled with (CGT, IHT etc) and what is the exact definition of ‘working people’.

With all eyes on parliament this Wednesday, the PM and Chancellor hope that with financial clarity the government can move on from the budget speculation noise and show the public how things are really changing. Though if Health and Education will be the only vaguely happy departments, the noise really doesn’t go away, it just changes!

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Spring Budget: warm words, limited progress for the life sciences industry

It is no surprise that the Chancellor called out the importance of the life sciences industry to the UK in today’s Spring Budget. Intensive industry engagement over recent months made its inclusion as a critical industry inevitable.

During his lengthy speech, he gave a few positive signals on the Government’s intent to boost the sector. He went out of his way to praise industry, particularly for its role during the pandemic, before making two new headline announcements.

First, Hunt announced an enhanced tax credit scheme for small and medium sized R&D businesses.

20,000 companies will receive £27 for every £100 they spend. This has already been celebrated by the UK BioIndustry Association (BIA), and is clear recognition of the need to do more to support biotech companies to develop breakthrough treatments in the UK.

Second, he announced new reforms to regulatory approvals in an attempt to speed up access to innovative treatments.

From 2024, the Medicines and Healthcare products Regulatory Agency (MHRA) will allow for fast-track approval of medicines and technologies already approved by trusted international regulators, such as the US, Europe and Japan.

The intention is to support companies to bring innovative treatments to patients faster, while encouraging further investment and priority launches in the UK.

This announcement comes as industry has become increasingly vocal over their concerns that the UK is losing ground as a launch market. In 2023 alone, AstraZeneca cited a sub-optimal business climate as the main reason for building a new $400m plant in Ireland, instead of the UK, and AbbVie and Eli Lilly exited the Voluntary Scheme for Branded Medicines Pricing and Access (VPAS).

This pressure has clearly cut-through, and industry should be pleased their voice is being heard.

But, will this new MHRA process actually make the difference the Government hopes and change the direction of travel? Potentially not.

As heralded by Hunt in his speech, the MHRA was the first in the world to approve a vaccine for COVID-19. The regulator is already efficient and new schemes to speed up regulatory approval, such as Project Orbis and the Innovative Licensing and Access Pathway (ILAP), are already in place.

The biggest barrier to providing swift access to innovative treatments is NICE’s capacity to swiftly appraise the increasing volume of company submissions, and the subsequent potential for protracted negotiations with NHS England. Quicker licensing will do nothing if the resource and full system alignment are not in place.

There are also questions around how the process will be implemented. It could easily become a perverse incentive, with companies prioritising regulators with more appealing launch markets, such as the FDA, in the knowledge that the MHRA will fall in behind any license anyway.

It would also be naïve to view any announcement of this kind outside of challenging VPAS negotiations, kicking off in earnest this month as the ABPI set out their proposal of a 6.88% fixed rebate rate, which was swiftly, and strongly rebuffed by both the Department of Health and Social Care and NHS England. Ultimately, companies remain deeply concerned about the attractiveness of the UK.

Labour could steal a march if they take a bolder, whole medicines pathway approach to access. Because while it is a good sign that the Government still acknowledges the critical importance of the life sciences sector, whether the bigger issues are addressed any time soon remains to be seen.

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