Bankrupt local authorities heap pressure on primary care, say GPs

The Financial Times memorably dubbed the crises faced by an incoming Labour government as “Sue Gray’s shit list”1: the set of challenges laid out in May in a dossier by Sue Gray, now Downing Street chief of staff.The list includes universities, beleaguered water company Thames Water, the prison estate, and of course the NHS, which was facing an estimated £12bn funding shortfall on the eve of the 4 July general election. Also on the list are local authorities,2 which are facing an overall deficit of £6bn over the next two years without an emergency bailout from the incoming Labour government, according to the Local Government Association.In 2010 Michael Marmot published his influential paper Fair Society, Healthy Lives,3 which called for measures to tackle health inequalities that result from poor living and working conditions. Marmot told The BMJ that, in the 13 years from 2010 to 2022, inequalities in health had…
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