NHS England to go is Keir being unreasonable?

At the moment, ICBs and NHSE, and also CSUs can process, analyse and distribute all our NHS data. All controlled within the U.K. Slashing jobs and abolishing NHSE will hand control of all our data to a US company. What could possibly go wrong

“who in their right mind would buy NHSE”

Palantir. The US company being paid millions upon millions to create a data platform for NHS data. In a couple of years all NHS data will run through this platform. They’ll also create dashboards too. NHSE do this at the moment. That’s how the NHS is being sold off, sneakily underhand.

Have seen my local mental health trust are running a redundancy exercise to remove most occupants of two levels of operational management from what I had thought of previously as being the 'front line'.

As these are direct line managers of patient-facing staff, it could fall within one of the Wes Streeting statements I remember of not removing 'front line' staff from cuts but if that's the interpretation then it would put many nurses in the firing line.

It could be a local response to budgetary pressures rather than acting on direct instructions from the Departmental chain of funding and 'command'.

The current iteration of the new target operating model organisation chart has the flattest management structure and widest span of control I remember seeing in the NHS and across the Civil Service too. I don't envy the 'lucky' ones who pass the assessment centres! and interviews to keep their 'new and improved' roles. It remains to be seen if any of the current managers who know how difficult it is to keep the plates spinning managing insufficient staff and significant long term sickness and the personal legal risks then they will become responsible for many more multiples of staff numbers. The Directors appear to have escaped unscathed. HR have not impressed by driving through an interesting approach to 'consultation' so some of those affected have had an early reminder HR is not their friend,.

If I did anything it would be to undo the integrated care boards. They’re partisan often, and I’ve seen them totally blank the strong public opinion they have canvassed. Also the Tories brought the private sector on to them and set targets for their use, so they’d have to go.

We just heard it's delayed until either Fri or Tues now due to mayoral elections and then the BH.

I heard it’s expected Friday but then a friend in another ICB was told it’s delayed until next week so who knows.

Anyone else working for an ICB and wondering whether the department of health is going to reveal the new outline for ICB functions today?

PDS is the personal demographic service. Demographic record of every NHS number in England

https://digital.nhs.uk/services/personal-demographics-service

ALBs - Arms Length Bodies
CQC - Care Quality Commission (Health and Social Care Regulator)
MHRA - Medicines Healthcare products Regulation Authority (Medicines, medical devices etc... regulator)
No idea what PDS is unless the poster means PHE? Public Health England?

What the hell do all the "TLA's" that are being so freely bandied about actually stand for?

It's really annoying....

What proportion of problems found by cqc are caused by chronic understaffing and/or underfunding.

A lot more money will reach frontline services. Once again, some of the work is important. That doesn’t mean it needs to be done in a dedicated organisation.

Do people realise that these ALBs actually do really important work?! Yes there is a need for some streamlining and taking a look at functions but abolishing all ALBs is crazy. There will not be the improvement in front line services that is being bandied around as the benefit from abolishing NHSE.

The work the CQC does is important. It doesn’t need to be done by a separate organisation.

I hope not as CQC is very important!

We can but hope.

Getting rid of NHSE and 50% of the ICB staff is a huge mistake and now all other ALBs are now under review! I wonder if they will get rid of ALBs like CQC and PDS?

100% agree

if they’re that great jobs will soon be found for them elsewhere in the NHS.

Very interesting that Wes seems less confident than I've seen him previously. And the Chair at the start was excellent. The narrative about great people working in NHSE has come too late though.

If anyone does want to hear more, Wes Streeting is currently giving evidence about all this along with NHSE's Chief Exec and Chris Witty now to the Health Select Committee on parliamentlive.tv.

I’ve read that opinion piece before and it doesn’t say anything about only 200 or 300 being in duplicate roles.

The Reshaping Of NHS National Bodies Has Only Just Started. How Will It Finish? | The King's Fund

Any chance of a link to that article?

@Chelsea2026 would you prefer a tax rise instead. If so then who should we tax? Working people are already suffering increased taxes. Companies have already been taxed extra by raising NI, more corporation tax would hold back growth which is what would ultimately help increase tax revenues. Or raise more borrowing which is expensive and delays to problem to be dealt with by another generation.