![]() As was covered in last year’s evidence, SR21 specifically included: The Chancellor’s Autumn Statement 2022 reiterated the government’s priorities on delivering the long-term plan ( LTP), improving health outcomes for patients by ensuring the NHS can tackle the elective backlog, and having the resources to continue its response to the COVID-19 pandemic. Due to these changes, and last year’s pay award being significantly above the government’s affordability envelope, NHS England ( NHSE) is undergoing significant reprioritisation. While the government has continued to prioritise investment into the NHS, these factors have increased the costs of delivering services, and the financial pressures systems are facing. At the time of SR21 inflation was forecast to peak at over 4% but, due to higher energy prices and the invasion of Ukraine, looks to have peaked at just over 11% this winter (His Majesty’s Treasury ( HMT) have provided further evidence on the economic outlook). Inflation has been much higher than previously forecast. This will continue to have consequences for the productivity of services and bed occupancy rates. The prolonged impact of the COVID-19 pandemic has been significantly higher than assumed in SR21, with more COVID-19 patients occupying beds in 2022 than in 2021 or 2020. Since the evidence we provided last year, the context in which the NHS operates has been rapidly changing. In addition to the long-term NHS settlement announced in 2018 and the additional funding announced at the last Spending Review ( SR21), funding confirmed at the 2022 Autumn Statement means the NHS resource budget will increase to £160.4 billion in 2023 to 2024, and to £165.9 billion in 2024 to 2025, up from £123.7 billion in 2019 to 2020. In the challenging economic and fiscal context in which pay recommendations will be made this year, decisions on pay awards will have a particular impact on the spending review settlement and the commitments made within it. This year, the government is again inviting the DDRB to make a pay recommendation for doctors and dentists not in multiyear deals. ![]() This follows the 2022 to 2023 pay round, in which the government looked to the DDRB for a recommendation on pay for staff not in multiyear deals, and after careful consideration, and reprioritisation of existing departmental funding, accepted the recommendations in full. Note: The trainer is designed to be used with the Steam version of They Are Billions.This chapter sets out the wider context for the department’s evidence for the 2023 to 2024 pay round and provides an overview of this year’s written evidence to the Review Body on Doctors’ and Dentists’ Remuneration ( DDRB). Naturally, you can also reduce research time and make your workers finish jobs in a matter of seconds. Hence, you can add every type of resource you want, as well as make your troops invincible to any kind of damage. This trainer is designed to help you overcome every challenge ahead, as well as blast through the content and see what the end game looks like without putting too much effort into it. Research is a big thing as well, because better technologies allow you to gather more resources and make your workers complete their tasks faster as well. These resources include food, stone, iron and a few others, each one of which becomes more important later on. In fact, walls are a must if you want to survive past the introductory missions, otherwise you are quickly overrun.īesides energy, you also have to collect a few other resources in order to unlock better units and more advanced buildings. Various facilities provide you with extra stuff, and it's also possible to build walls and defensive structures in order to keep the infected bay. The bigger your colony, the more things you have to keep track of, and the enemies become more numerous later on as well.īuilding a base is pretty straightforward if you are a regular of the genre, which means that you need resources and workers to do your bidding. ![]() Your underlying goal is to build a colony and protect it from the infected, but there are all sorts of other mechanics that come into play later on in the game. They Are Billions is part strategy and part survival, with a steampunk theme on top of it all in order to set itself apart from most titles in the genre.
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