The NHS is unlikely to hit waiting time targets despite getting an extra £29billion a year in the Spending Review, health chiefs said last night.

Economists described the real-terms rise as 'substantial', with the health service budget now equal to the entire annual income of Portugal.

But patients were yesterday told to brace for cuts to services, with much of the extra cash set to be swallowed up by inflation-busting pay rises and higher drugs costs.

Rachel Reeves told the Commons she is making a 'record cash investment' in the NHS, worth an extra 3 per cent a year in real terms.

The Chancellor insisted this would lead to 'more appointments, more doctors and more scanners' as Labour seeks to deliver on its manifesto promise to get the NHS 'back on its feet'.