NHS runs up £80million bill on translators for patients who don't speak English in just five years

Importance Score: 72 / 100 🔴

The National Health Service (NHS) has allocated nearly £80 million to language and translation services since 2020, primarily to assist patients who are not proficient in English. This significant expenditure on healthcare translation services highlights the ongoing costs within the public sector to ensure effective communication with all patients, regardless of their linguistic background.

Significant Public Sector Investment in Translation

These figures follow recent revelations that the Department for Work and Pensions (DWP) is spending £8 million each year on interpreting services, covering 90 different languages. This demonstrates a broader trend of substantial investment in translation across various government departments.

Widespread Use of Translation Services Across Government

Over the last five years, the public sector has awarded over 300 translation contracts valued at £403 million. These contracts span numerous departments, including the Ministry of Justice and the Home Office, indicating the extensive need for language support within governmental operations.

Concerns Regarding Expenditure Priorities

John O’Connell from the TaxPayers’ Alliance expressed concern, stating, ‘Taxpayers will be astounded by the significant funds allocated to translation. Given the current pressures on the NHS, including record ambulance response times and A&E delays, it is crucial to prioritize resources to address service backlogs. NHS Trusts should explore cost-saving measures, such as increased utilization of pre-translated materials and resource sharing.’

Breakdown of NHS Translation Costs

Government contract data reveals that NHS England has averaged £15.8 million annually on language services over the past five years. This includes face-to-face interpretation, translation of documents and transcription services. Since the onset of the pandemic, total spending on such contracts by the health service has reached £78.9 million, with the largest single annual contract valued at £19.5 million.

Public Reaction to NHS Spending

Jason Brown, founder of The Waste Files, a group that scrutinizes government spending, commented, ‘The public will be incredulous at the sheer amount of their tax contributions being directed towards NHS translation services.’

Call for Resource Reallocation

He further added, ‘With persistent lengthy waiting lists, unprecedented A&E waiting times, and millions struggling to access GP appointments, government ministers and NHS leaders must consider reallocating these funds to frontline patient care.’

Broader Public Sector Spending Concerns

Brown emphasized that ‘This issue extends beyond the NHS; substantial sums, totaling hundreds of millions, are being spent on translation services across the entire public sector portfolio.’

Alternative Funding Priorities Suggested

Arguing for a shift in priorities, Brown suggested, ‘In light of increasing global instability, the Government should explore redirecting these funds to bolster the national defence budget.’

Government and NHS Responses

A Department of Health spokesperson clarified, ‘This expenditure encompasses services ensuring accessibility to the NHS for individuals with hearing and visual impairments. We are committed to ensuring efficient and effective utilization of every public penny.’

NHS Defends Necessity of Services

An NHS spokesperson defended the spending, stating, ‘Translation and interpretation services are a legal obligation and are indispensable for delivering effective and safe patient care.’

Commitment to Inclusive Healthcare

The spokesperson affirmed, ‘It is appropriate for the NHS to provide these necessary services to those who require them, including translation, sign language interpretation, and translated documents,’ underscoring the commitment to inclusive healthcare access.


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