King's Fund: Boost in public satisfaction with the NHS for the first time since pandemic, but only one in four satisfied

• In 2025, around a quarter (26%) of people said they were ‘very' or ‘quite' satisfied with the NHS – a rise of 6 percentage points on previous year.
• Greatest fall in dissatisfaction with the NHS for more than quarter of a century.
• Despite overall satisfaction increase, individual services such as A&E, GPs and dentistry saw no significant change from previous year and remain low.
• Optimism that care will get better is lower than at any point in the past. Less than a sixth (16%) say they think the standard of NHS care will improve in the next 5 years.
• People under 35, supporters of Reform and people living in Wales were significantly less satisfied with the NHS than the average.

Public satisfaction with how the NHS is run has increased for the first time since the Covid-19 pandemic, according to analysis from The King's Fund and the Nuffield Trust.

The think tanks analysed data from the British Social Attitudes (BSA) survey, which was carried out by the National Centre for Social Research (NatCen) between August and October 2025, and is known as the ‘gold standard' measure of public attitudes in Britain.

In 2019, 60% of respondents said that they were satisfied with the NHS and this figure had been spiralling downwards, reaching a record low of just one in five (21%) in 2024.

The authors of today's Public satisfaction with the NHS and social care in 2025 report say the ‘year-on-year' falls in satisfaction seen since the pandemic ‘appear to have eased', and while these results will be a ‘welcome relief' for the government they do not offer a solid signal as to whether the bounce in NHS satisfaction marks a decisive turning point.

The findings highlight that age and political affiliation continue to be a key driver of public perceptions of the NHS. For example, just a fifth (20%) of people under 35 said they were satisfied with the way the NHS is run compared to over a third (35%) of people 65 and over.

Additionally, The King's Fund and Nuffield Trust can reveal that in 2025 public dissatisfaction with the NHS saw its biggest fall in more than 25 years, with around half of respondents (51%) saying they were ‘very' or ‘quite' dissatisfied, marking a drop of 8 percentage points from 2024. Despite this, only half of respondents (50%) said they were satisfied with the quality of NHS care in 2025 and only 16% of respondents thought the standard of NHS care would improve in the next 5 years.

The results show that access to services is still the major issue for the public, and only around a fifth (22%) said they were satisfied with A&E services. When asked what the top three priorities for the NHS should be, nearly half (46%) of respondents selected both ‘making it easier to get a GP appointment' and ‘improved A&E waiting times' as their top priorities.

As in previous years, a strong majority of respondents agreed that the founding principles of the NHS should ‘definitely' or ‘probably' apply : Nearly 9 in ten (89%) said that the NHS should be free of charge when you need to use it, around 8 in ten (81%) said that the NHS should primarily be funded through taxes and  nearly three quarters (74%) said the NHS should be available to everyone.

However, on the principle of whether the NHS should ‘definitely' be available to everyone, the authors found there were stark differences by political support.  While 68% of Labour supporters ‘definitely' agreed, just 45% of Conservative supporters and 30% of Reform supporters ‘definitely' agreed.

Other findings from Public satisfaction with the NHS and social care in 2025 include:

• Two-thirds (66%) of respondents said that the government was spending ‘too little' or ‘far too little' on the NHS. Only 13% of respondents agreed that ‘the NHS spends the money it has efficiently'.

• When asked about government choices on tax and spending on the NHS, the public remains closely divided between raising taxes and spending more on the NHS (45%) and keeping taxation and spending at the same level (43%). Only 8% would choose to cut taxes and spend less on the NHS.  

• As with previous years, social care satisfaction lags behind overall NHS satisfaction and just 14% of respondents said they were satisfied with social care. 49% said they were ‘very or ‘quite dissatisfied' with social care – a statistically significant decrease from 2024 of four percentage points.

Dan Wellings, Senior Fellow, The King's Fund said:

‘The rise in public satisfaction will be welcome relief for an NHS that has seen satisfaction plummet in recent years. But whether this marks the start of a genuine recovery or is just brief respite remains an open question. Much will depend on how quickly the government can improve access to care.

'Frustration with waiting times remains deeply embedded, and many people still feel that access to NHS care is difficult – either it is too hard to get through the front door or they are in a queue that barely moves.  The government's NHS reform programme is ambitious, but the real test is delivery: will these changes translate into better access to services, and will the public feel the difference?'

Bea Taylor, Fellow, Nuffield Trust said:

‘It's becoming more common for political figures to seriously mull over the possibility of changing the funding model of the NHS, but these survey results prove that there just isn't public appetite for such a drastic change. Strong support for the principles that the NHS should be funded through taxation and free at the point of use has endured. However, we found a close association between belief that immigration is bad for the economy and doubting whether the NHS should be “available to everyone”.

‘The boost in satisfaction with the NHS has not been felt equally across age groups. A stark generational divide remains, with older people still most likely to be optimistic about the health service. The government and NHS leaders should pay particular attention to figuring out what could improve younger people's perceptions of the service given this is now a longstanding trend.'

ENDS

Notes to editors

For further information, or to request an interview, please contact Rowan Walker, Media and External Engagement Manager, The King's Fund on 07986 464767 or The King's Fund media team on 020 7307 2585 or mediaoffice@kingsfund.org.uk. 

For media queries and interview requests for the Nuffield Trust, please emailpress.office@nuffieldtrust.org.uk or contact the team on 020 7462 0500.

• The most recent British Social Attitudes (BSA) survey was carried out between August and October 2025. It asked a nationally representative sample of 3,464 people (across England, Scotland, and Wales) about their satisfaction with the National Health Service (NHS) and adult social care services overall, and 1,460 people about their satisfaction with specific NHS services, as well as their views on NHS priorities, principles and funding.
• Since 1983, the National Centre for Social Research's (NatCen) British Social Attitudes (BSA) survey has asked members of the public across England, Scotland and Wales about their views on health and care services. The King's Fund and the Nuffield Trust sponsor the health and care questions and summarise the headline health results. NatCen will publish further results from BSA later in the year.
• The main question asked was ‘All in all, how satisfied or dissatisfied would you say you are with the way in which the National Health Service runs nowadays?' and the response options were ‘very satisfied', ‘quite satisfied', ‘neither satisfied nor dissatisfied', ‘quite dissatisfied', ‘very dissatisfied' and ‘don't know'. Satisfaction as reported here aggregates those who answer 'very' and 'quite' satisfied.
• The survey methodology is based on a randomly selected sample of the British public. It includes those who had recent contact with the NHS and those who had not. From 1983 until 2019 the survey was conducted face to face. This method was no longer possible in 2020 due to Covid-19 social distancing rules, and that year the BSA survey was conducted primarily online with a telephone option available. This method has continued since. 
• Satisfaction with the NHS was at 60% in the 2019 BSA survey results. The biggest fall in dissatisfaction with the NHS was between 1997 and 1998 when dissatisfaction fell from 50% to 36%.
• This survey shows satisfaction with individual health services has not increased significantly in line with overall satisfaction. In line with previous years, over a third of people (35%) said they were satisfied with GP services and just over a fifth (22%) said they were satisfied with A&E and dentistry. Of all the services the public were asked about A&E and dentistry had the highest levels of public dissatisfaction at 53% and 54% respectively.
• The report will be published here when the embargo lifts at 00.01, Wednesday 25 March.