Sir Keir Starmer, the UK prime minister, announced on March 13 that the government will move to abolish NHS England in the next two years. During this period, the government plans to bring its functions under the UK’s health ministry, with the aim of bringing the health service “into democratic control”. What does this mean, and what difference will it make?
When the NHS was established in 1948, part of the aim was to make the local health problems of patients across the country the concern of the national government. The plan succeeded. Today, the NHS is politically highly important – it matters enormously to patients and the public, and has one of the largest spending budgets in the UK.
At the same time, it is technically difficult to manage, with local needs and opportunities and complex organisation that are hard and sometimes inefficient to manage centrally.
