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The Conversation
The Conversation
Judith Smith, Professor of Health Policy and Management, University of Birmingham

Abolishing NHS England could shift power from the centre – but health service overhauls rarely go well

The UK prime minister, Keir Starmer, has announced plans to abolish NHS England, the organisation that oversees and manages the NHS in England, employing 19,000 people.

He declared he was bringing the NHS back under “democratic control” and cutting unnecessary bureaucracy by moving oversight of the NHS back into the Department of Health and Social Care (DHSC). This will reverse plans put in place by the Conservative-led coalition government in 2013 when it tried to “take the politics out of the NHS” by having NHS England as an independent body.

The NHS is the largest public sector organisation in England, seeing 1.7 million people each day including in patients’ own homes, local GP surgeries, pharmacies and hospitals. It employs 1.7 million people, is funded largely out of general taxation, and has an annual budget of about £190 billion.

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