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Streeting Rules Out VAT on Private Healthcare as Reeves Signals Tougher Budget Choices

A £30bn–£50bn shortfall now frames Reeves’s 26 November Budget.

Overview

  • Health Secretary Wes Streeting said the government will not impose VAT on private healthcare in the autumn Budget, responding to reports of Treasury discussions.
  • Multiple outlets report officials have examined ways to broaden the VAT base, including currently exempt services and a lower VAT registration threshold for small firms.
  • Chancellor Rachel Reeves said “the world has changed” and that decisions have become harder, while confirming she will set out choices at the Budget next month.
  • Chief Secretary Darren Jones said the manifesto “stands” but declined to pre-empt decisions, leaving open the possibility of future VAT-base changes without raising the headline rate.
  • Economists cite a funding gap variously estimated between £30bn and £50bn, with an OBR productivity update expected to influence the final tax-and-spend package.