Rise in economic hardship and changes in attitudes towards migration could explain drop in support, experts say

Public support for the NHS’s founding principles – that it is free to use, available to everyone and tax-funded – has fallen over the last five years, research has shown.

Backing for all three pillars dropped between 2021 and 2025 across the UK population, except for a small rise in millennials’ support for the NHS being funded from taxation.

Exclusive: NHS Alliance’s acute care director says centralisation of services ‘inevitable’ to ensure safe care

• Why are some NHS maternity units facing closure?

Up to 20 maternity units in England will have to shut to ensure mothers and babies receive safe care amid shortages of doctors and rising caesarean section rates, an NHS leader has warned.

Matthew Hopkins, the NHS Alliance’s director for acute care, said centralising childbirth services into fewer hospitals was “inevitable” and the “right thing”, but would lead to a political backlash against unpopular changes.