By Nick Triggle
Health correspondent
Patients are not ever getting the attraction they deserve, says the caput of NHS England.
Amanda Pritchard told a league the pressures connected hospitals, maternity attraction and services caring for susceptible radical with learning disabilities were of concern.
She adjacent suggested the situation facing the wellness work present was greater than it was astatine the tallness of the pandemic.
Despite making savings, the NHS inactive needs other wealth to cope, she said.
Next twelvemonth the fund volition emergence to much than £157bn, but NHS England believes it volition inactive beryllium abbreviated of £7bn.
Ms Pritchard told the King's Fund yearly league successful London that request was rising much rapidly than the NHS could header with.
"I thought that the pandemic would beryllium the hardest happening immoderate of america ever had to do," she said.
"Over the past year, I've go truly clear.... it's the months and years up that volition bring the astir analyzable challenges."
'Budgets volition lone agelong truthful far'
She said the happening that kept her and wellness leaders awake astatine nighttime was whether patients were getting the modular of attraction they deserve.
"We cognize we cannot ever reply yes to that question."
She told delegates astatine the league that discussions were nether mode with the authorities astir wealth up of the 17 November Budget.
She said the NHS continued to find ratio savings, ensuring it spent each £1 of payer wealth wisely.
But she added: "NHS budgets volition lone agelong truthful far."
Ms Pritchard's warnings travel arsenic the backlog for infirmary attraction has deed a grounds 7 million, and long waits for ambulances and successful A&E proceed to origin concern.
But she praised the "sheer hard enactment and ingenuity" of staff, saying without their efforts the interaction connected patients would beryllium worse.
Speaking aboriginal astatine the event, shadiness wellness caput Wes Streeting said "significant" other concern was needed.
"Given that the NHS is going done the biggest situation successful its past it would beryllium outrageous if patients are near paying the terms for the information the Conservatives person crashed the economy.
"We've got to marque definite that the NHS receives the resources it needs to woody with the biggest backlogs successful its history.
"But we are besides wide arsenic the past Labour authorities showed that concern has to spell alongside reform.
"We've got to displacement the exemplary of attraction from 1 that does precocious diagnosis and costly attraction to 1 of that does faster diagnosis, amended attraction and amended worth for the taxation payer successful the process."