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NHS England changed

(90 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

Wyllow3 Fri 14-Mar-25 14:28:57

Barleyfields

spabbygirl

Great idea!!! There's nothing tories like better than creating a quango with highly paid executives.
An MP who is also a GP (Tory, Luke Evans) was on question time last night and he said when he offered to help with covid vaccinations he was interviewed by 4 people and several times who would be responsible for his appointment and they said all of them! It's a ridiculous duplication of work and these managers won't be on minimum wage, thats for sure.

Actually Labour have created 27 quangos since the election.

Check out the thread "bonfire of Quangos". The term is well past its sell by date, really, when it can include the NHS, our Supreme Court - all the OfComs....

.... or a small working group on Forestry (which is one of the "new" so called "quangos")

Summysoom Fri 14-Mar-25 15:32:45

Sarnia

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.

I disagree on the comment about reducing admin staff. So you would prefer to have highly trained medical staff doing their own admin? Inviting patients to appointments, inputting notes and writing letters?
I worked for the NHS for many years and I’m now retired. I lead a highly efficient admin team undertaking recruitment and retention work for a large trust.
We took the burden of admin tasks relating to recruitment off of the shoulders of very hard-working medics.
I believe what the NHS needs is highly professional managers actually managing - dealing properly with immense sickness absence that cripples teams. We need good managers who can effectively procure across a large number of trusts. The way the NHS procures and undertakes capital projects is often inefficient.
Our trust, for example, has a procurement team of about 10 people and less than 3 miles away, another trust had an equally large procurement team procuring the same things. Surely it makes sense to have region wide procurement teams purchasing in large quantities.
To achieve this, I don’t believe we need teams of consultants from PWC or KPMG to tell us what staff members already know.

orly Fri 14-Mar-25 15:43:25

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?

Speaking from experience there will be lots of "golden handshakes" as people leave theirgolde jobs on a Friday followed by "

orly Fri 14-Mar-25 15:45:04

"golden hellos" as they are reemployed under a new job title on the following Monday

orly Fri 14-Mar-25 15:47:03

Please excuse the disjointed posting. I'm on my tablet!

David49 Fri 14-Mar-25 15:55:27

orly

"golden hellos" as they are reemployed under a new job title on the following Monday

For half the pay.

I think it is intended that half go immediately, some of the remaining will have to be taken on, who and how many we will see.

Barleyfields Fri 14-Mar-25 15:55:51

Something which Labour are going to stop I believe.

David49 Fri 14-Mar-25 16:01:17

Barleyfields

Something which Labour are going to stop I believe.

Civil servants arent the best sympathy subjects, I don’t see the public getting behind any campaign

Sarnia Fri 14-Mar-25 16:12:23

Summysoom

Sarnia

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.

I disagree on the comment about reducing admin staff. So you would prefer to have highly trained medical staff doing their own admin? Inviting patients to appointments, inputting notes and writing letters?
I worked for the NHS for many years and I’m now retired. I lead a highly efficient admin team undertaking recruitment and retention work for a large trust.
We took the burden of admin tasks relating to recruitment off of the shoulders of very hard-working medics.
I believe what the NHS needs is highly professional managers actually managing - dealing properly with immense sickness absence that cripples teams. We need good managers who can effectively procure across a large number of trusts. The way the NHS procures and undertakes capital projects is often inefficient.
Our trust, for example, has a procurement team of about 10 people and less than 3 miles away, another trust had an equally large procurement team procuring the same things. Surely it makes sense to have region wide procurement teams purchasing in large quantities.
To achieve this, I don’t believe we need teams of consultants from PWC or KPMG to tell us what staff members already know.

As an ex-admin worker for the NHS I know first hand how bloated the NHS became with pen pushers in the 20 years before Covid.
Sir Keir is intending to streamline it.
One suggestion is to pay the retained admin staff a better wage so they can attract and keep them in their roles and to stop using outside agencies in admin, nursing and midwifery roles.

Barleyfields Fri 14-Mar-25 17:04:27

David49

Barleyfields

Something which Labour are going to stop I believe.

Civil servants arent the best sympathy subjects, I don’t see the public getting behind any campaign

The unions will. However if fire and rehire is to be banned that should include all employees, no matter who the employer.

Casdon Fri 14-Mar-25 17:21:30

Unless we see a breakdown of the grades, qualifications and past experience of the staff affected, it is difficult to predict what will happen. I would think a lot of the people affected will be relatively new NHS employees, on low grades. no doubt NHS England pulled in senior experts in their fields from all over the NHS, and rather than lose experience and expertise, particularly of people with clinical qualifications and experience, re absorbing them into the remainder of the NHS would be the right way forward. It isn’t just administrators who work for NHS England.

petra Fri 14-Mar-25 17:32:45

Summysoom
My daughter works for the top company in the 4 big auditing companies.
She has just signed off on a program that will simplify hiring staff.
It would probably have been on stream sooner but she was working with NHS staff who wouldn’t/ couldn’t take instructions.

pen50 Fri 14-Mar-25 17:33:10

About time too. Heaven knows how many unneeded bureaucrats were funded by our tax receipts.

Wyllow3 Fri 14-Mar-25 19:36:25

Summysoom good example admin wise about the procurement procedures streamlined on a better scale. I think a lot of admin is essential to back up clinical staff, it's a matter of making the right choices.