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King’s Fund Warns NHS Trusts Face ‘Perilous’ Finances as 2024/25 Deficit Hits £780 Million

Analysts say government ambitions outstrip current budgets, risking cuts to staff or services.

Overview

  • New analysis reports NHS trusts ran a combined £780 million deficit in 2024/25, with pressures concentrated in hospitals.
  • Acute hospital trusts, which account for roughly three quarters of trust spending, saw 69% operating at a loss.
  • Deficits were recorded at 10% of ambulance trusts and 44% of community trusts, underscoring system-wide strain.
  • The King’s Fund says leaders face choices that affect patient care and warns job cuts could increase without relief.
  • The spring statement offered no health-specific measures, and critics say earlier funding pledges still fall short of stated NHS goals.