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NHS England changed

(89 Posts)
Wyllow3 Thu 13-Mar-25 13:26:00

Keir Starmer abolishes health service’s executive body NHS England
Prime minister brings health service back under ‘democratic control’ of ministers

“Keir Starmer has brought the health service back under the control of ministers by abolishing NHS England.
The prime minister said the NHS should be overseen by politicians rather than an arm’s-length body.

Starmer’s move is one step towards reversing a shake-up of the NHS carried out by former health secretary Andrew Lansley in the first years of the Conservative-Liberal Democrat coalition.

In a speech about reshaping the state, Starmer said NHS England would be abolished to “cut bureaucracy” and bring management of the health service “back into democratic control”.

He said the move would free up cash for doctors, nurses and frontline services, and cut red tape to help speed up improvements in the NHS, with the government aiming to slash waiting lists by the next election.

Wes Streeting, the health secretary, has already presided over plans to reduce the size of NHS England by half, and its chief executive, Amanda Pritchard, is leaving at the end of the month.
Streeting said on Thursday that the government was “abolishing the biggest quango in the world” by getting rid of NHS England. Its functions would be taken into the Department of Health

Includes a video with Starmer explaining.

www.theguardian.com/society/2025/mar/13/keir-starmer-abolishes-nhs-england-executive-body

AGAA4 Thu 13-Mar-25 14:08:21

I've bumped this as it was in 'unanswered' and is an important topic.
I hope this improves the health services in England. Doesn't affect me as I live in Wales.

Sarnia Thu 13-Mar-25 15:38:18

I didn't vote for Labour but I have to say that Sir Keir Starmer is doing a pretty good job at the moment.
Having worked for the NHS for the last 17 years of my working life it was glaringly obvious that the NHS, a wonderful organisation, if manged properly, was in crisis and this was pre-Covid. Various Governments have talked endlessly about the NHS but do nothing. It is crying out for reform and culling the admin staff which have grown at an alarming rate over the years is the place to start.
Keep going, Sir Keir. You may actually grow on me.

Wyllow3 Thu 13-Mar-25 15:47:17

The discussion got caught up in the general "quango" thread, which is a shame as its very specific.

Wyllow3 Thu 13-Mar-25 15:49:12

www.theguardian.com/society/2025/mar/13/why-has-nhs-england-been-abolished-and-what-does-it-mean-for-patients

this takes details of what could happen much further and "what it means to you".

Allira Thu 13-Mar-25 16:00:52

AGAA4

I've bumped this as it was in 'unanswered' and is an important topic.
I hope this improves the health services in England. Doesn't affect me as I live in Wales.

Reducing bureaucracy is a big step in the right direction. However, this is just one to go but Sir Keir has been setting up quangos since gaining power last year.

I wonder if this will affect cross-border healthcare?

FriedGreenTomatoes2 Thu 13-Mar-25 16:35:58

Fantastic news. It's going to take some tough decisions to undo 14 years of Tory rule and this is a great start.

Rula Thu 13-Mar-25 16:38:15

This really is excellent news. Keir is doing rather well.

Allira Thu 13-Mar-25 16:42:45

It is only one of many Quangos which come under the D of H.
www.adamsmith.org/blog/the-department-of-health-an-overview-of-its-quangos#:~:text=Remarkably%2C%20the%20DH%20has%20eight,for%20NHS%20staff%20pay%20and

Ilovecheese Thu 13-Mar-25 17:38:26

This is a good thing.

David49 Thu 13-Mar-25 19:23:29

NHS England employs over 15000 administrators, cuts on that scale are so similar to Musks “taking a chainsaw”to jobs, is Starmer taking a page out of Trumps playbook

Casdon Thu 13-Mar-25 19:38:31

Allira

AGAA4

I've bumped this as it was in 'unanswered' and is an important topic.
I hope this improves the health services in England. Doesn't affect me as I live in Wales.

Reducing bureaucracy is a big step in the right direction. However, this is just one to go but Sir Keir has been setting up quangos since gaining power last year.

I wonder if this will affect cross-border healthcare?

The way I read it, it won’t affect cross border healthcare arrangements, as the responsibility for decision making is devolved to local level. However, NHS England is responsible currently for producing the English NHS guidance on all manner of issues, I assume that function will be returned to the Department of Health?

Casdon Thu 13-Mar-25 19:40:25

David49

NHS England employs over 15000 administrators, cuts on that scale are so similar to Musks “taking a chainsaw”to jobs, is Starmer taking a page out of Trumps playbook

No, it’s nothing like Trump is doing at all. The functions of NHS England won’t be abolished, what this effectively does is remove a tier in the NHS control structure.

GrandmaRosie Thu 13-Mar-25 20:47:46

Absolutely agree, also having worked in NHS for many years
Too many jobs with meaningless titles and high salaries

Wyllow3 Thu 13-Mar-25 20:58:15

This is the official Govt statement, which is actually very helpful for the details of the changes and the reasons why and not long.

www.gov.uk/government/news/worlds-largest-quango-scrapped-under-reforms-to-put-patients-first#:~:text=Changes%20to%20NHS%20England%20will,deliver%20better%20care%20for%20patients.&text=Reforms%20to%20reduce%20bureaucracy%2C%20make,the%20Prime%20Minister%2C%20Keir%20Starmer.

Iam64 Thu 13-Mar-25 21:03:49

It’s nothing like taking a leaf out of trump’s plsybook. It’s exactly what we hoped for from Starmer’s government . Confident positive brave long term plans

Churchview Thu 13-Mar-25 21:24:29

The NHS change plans are based on independent investigations and research. They focus on clear objectives linked to the government's overall strategy.

Qualified and experienced leaders have been chosen It's to be a collaborative, empowering venture with measurable objectives designed to benefit the public.

Also, it's based on some key achievements already made since this government took power (bringing an end to the resident doctor strikes, delivering an extra 2 million appointments 7 months early and cutting waiting lists by 193,000 since July.)

So no, nothing at all like the chainsaw-wielding, unqualified tech bro led, random sacking of essential key players pantomime that Trump has laid on to distract the vacuous.

Wyllow3 Thu 13-Mar-25 21:28:28

Iam64

It’s nothing like taking a leaf out of trump’s plsybook. It’s exactly what we hoped for from Starmer’s government . Confident positive brave long term plans

Yes, the operative words here are "long term plans"

vegansrock Fri 14-Mar-25 05:53:43

Dido Harding used to be head of NHS England. enough said.

ronib Fri 14-Mar-25 06:13:58

Of course there’s been a population increase since 2010 of around 5 million people so it’s hardly surprising that the NHS is under strain is one thought.
Given that Labour has struggled to renovate the previous government’s list of hospitals, (as did that government ) it is right that duplication is removed from its administration.

ronib Fri 14-Mar-25 06:24:11

Can’t find any statement about redundancy for the 15000 NHS England staff. So where is the saving if they are still retained? Or have jobs gone completely?

petra Fri 14-Mar-25 07:44:33

ronib

Can’t find any statement about redundancy for the 15000 NHS England staff. So where is the saving if they are still retained? Or have jobs gone completely?

Well at least 2 at the top have gone.

ronib Fri 14-Mar-25 08:15:35

No they haven’t petra they’ve been replaced!

GrannyGravy13 Fri 14-Mar-25 08:17:26

ronib

Can’t find any statement about redundancy for the 15000 NHS England staff. So where is the saving if they are still retained? Or have jobs gone completely?

Breakfast news (ITV) are reporting that the government have confirmed that a minimum of 9,500 civil servants will be made redundant on the closure of NHS England.

Cossy Fri 14-Mar-25 08:27:30

I do feel sorry for those losing their jobs, however (hopefully) it shouldn’t be too hard for admin staff to find new positions either within the CS (they have internal schemes for situations such as this) or in the private sector.

However a huge shake up is required.