Boris Johnson again pledges to deliver £350 million a week for the NHS

Boris Johnson (left) and Dr Liam Fox at a Vote Leave event. Photograph: Ben Birchall/PA.

Boris Johnson (left) and Dr Liam Fox at a Vote Leave event. Photograph: Ben Birchall/PA. - Credit: PA Archive/PA Images

Boris Johnson has again pledged £350 million a week for the NHS, and said he is 'determined to deliver' the promises of the Brexit referendum campaign.

The prime minister has been accused of lying about the claims on the side of the bus that both we send £350 milion a week to the European Union, and that the same figure could be spent a week on the NHS after Brexit.

But Johnson has again pledged the sum equivalent to roughly £3.5 million a week will be paid this year. It will add to Theresa May's £33.9 billion annual increase on the health service by 2023/24.

Labour, however, seized on the spending and said it "falls significantly short" of the amount needed to reverse Tory cuts.

And the Nuffield Trust health think-tank said the committed sum will "only be a fraction" of what is needed to upgrade 20 hospitals, as Johnson pledged on his first day as PM.

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Writing in the Sunday Times, Johnson praised the "astonishing achievements" of the NHS, but noted the pressures, delays and cancellations facing patients.

"Which is why I am so determined to deliver now on the promises of that 2016 referendum campaign: not just to honour the will of the people, but to increase the cash available for this amazing national institution," he said.

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The PM noted that his ability to pledge the cash was related to the economy.

He wrote: "It is thanks to this country's strong economic performance that we are now able to announce £1.8 billion more for the NHS to buy vital new kit and confirm new upgrades for 20 hospitals across the country."

Critics will point out that there are dire warnings over the effect on finances that a no-deal Brexit would bring.

Johnson has threatened taking that measure as part of his "do-or-die" commitment to exit the EU by the Halloween deadline.

This is despite the government's spending watchdog, the Office for Budget Responsibility, warning no-deal would increase borrowing by £30 billion a year and plunge the nation into recession.

Nuffield Trust chief executive Nigel Edwards said the money falls far short of what is required.

"This is a welcome down payment on the staggering £6 billion needed to clear the backlog of NHS maintenance but it will only be a fraction of what it would cost to really upgrade 20 hospitals," he added.

"Nobody should expect shiny new hospitals in their towns any time soon."

Labour accused the Tories of "smash-and-grab raids" by diverting money away from capital spending - used for equipment and repairs - in order to plug funding holes elsewhere in the NHS.

Shadow health secretary Jonathan Ashworth said: "This announcement - even if it's ever delivered - falls significantly short of what's needed to provide quality, safe care to patients after years of Tory cuts.

"Tory ministers have repeatedly cut capital investment budgets in recent years. These smash-and-grab raids have meant over £4 billion slashed and seen the NHS repair bill spiral to £6 billion putting patient safety seriously at risk."

Liberal Democrat health spokeswoman Baroness Jolly said Johnson's pledge "will not be worth the paper it's written on" when a no-deal hits.

The announcement comes in the week that a private prosecutor announced plans to appeal a decision not to take Boris Johnson to court over Vote Leave lies.

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