The Government's spending review on 25th November 2015 set out spending plans to 2020 and gave NHS England an initial additional 3.8 billion real increase next year out of a total of 8 billion real increase over the four years to 2020/21. Nurses training bursaries have been replaced by student loans and public health funding will be cut by another 3.8% in real terms to 2020/21 on top of a recent 7% cut.