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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

NHS England to go is Keir being unreasonable?

479 replies

43percentburnt · 13/03/2025 11:25

I don’t work for the NHS but have friends who do (and are increasingly looking at leaving - in some cases to move abroad).

https://www.bbc.co.uk/news/live/cx29lrl826rt

Is the removal of NHS England a good thing? Or is this a Labour gimmick?

To include an Aibu for Keir -

Yes Keir - you are being unreasonable

Or

Good job Keir, please get rid of NHS England - you are NOT being unreasonable

Keir Starmer scraps NHS England to bring health service back under 'democratic control' - live updates

The PM says abolishing "the arms-length body" will reduce duplication and save money that can then be spent on frontline services.

https://www.bbc.co.uk/news/live/cx29lrl826rt

OP posts:
Chelsea2026 · 13/03/2025 14:28

itsnotabouthepasta · 13/03/2025 11:29

To be honest, I can see the logic.

Everyone has known for a long time that a key problem within the NHS is overcomplication of management. From private GP services to CCGs (are they even still a thing?!) to the individual trusts and then the devolved areas, it's clear that it does need rebuilding.

How they'll do this, I have no idea. But as a process, I think I agree with the overall rationale why.

I spent 14 years working for NHS England in different teams and left during the last restructure in 2023. Devastated for colleagues still working there! At least 6,500 jobs will disappear! If any NHS England staff are on here you have my sympathy and support. I know how difficult this will be for you! Does anyone have the internal email that went out! How are internal NHSE staff reacting? Is everyone in shock? xx

GoodOldTrayBake · 13/03/2025 14:28

43percentburnt · 13/03/2025 11:41

@JasmineTea11

The new quangos created by Labour -

Regulatory Innovation Office
National Infrastructure and Service Transformation Authority
Great British Energy
Mission Control
National Energy System Operator
Solar Taskforce
Border Security Command
Jet Zero Taskforce
British Infrastructure Taskforce
Creative Industries Taskforce
Circular Economy Taskforce
Tree Planting Taskforce
Child Poverty Taskforce
Flooding Resilience Taskforce
Motor Insurance Taskforce
New Towns Taskforce
Onshore Wind Industry Taskforce
Skills England
Industrial Strategy Council
Passenger Standards Authority
National Jobs and Careers
Ethics and Integrity Commissioner
House of Commons Modernisation Committee
School Support Staff Negotiating Body
Independent Football Regulator
Fair Work Agency
Defence Innovation Agency

The majority of these aren’t quangos though. …

Chelsea2026 · 13/03/2025 14:30

Annoyeddd · 13/03/2025 11:40

NHS england is not frontline staff but mainly overpaid managers.
The few clinical people can be transferred to trusts

They arent managers they are mostly analysts - who else is going to do the Business Intelligence analytics for the NHS from 2027 when NHS England disappears.

MellowPinkDeer · 13/03/2025 14:33

GottaWork · 13/03/2025 11:42

I work for an ICB (commissioner) and we have been called to an emergency meeting today. We went through a restructure last year and lost 20% of our workforce. We are on our knees with overwork and now there is talk of a further reduction by 50%.

I know the NHS is in a mess and needs overhauling but as someone who loves their job and works hard to make things as good as they can be, I am gutted.

Incidentally, I spent 20 of my 37 hour work week last week responding to MP enquiries - oh the irony.

I heard this too today ( i work in a similar sector) 50% cuts of all management in ICBs nationwide ...

Hope you are ok there @GottaWork

Alexandra2001 · 13/03/2025 14:34

TheBrightJadeReader · 13/03/2025 14:25

yes because thats the way its headed, the amout of companies outsourcing, then Ai taking roles, more population growing , then global businesses

in the end it all comes to a point that you will only need a few major companies doing x,y,z and the rest are not necessary

plus businesses are always looking to cut costs when ever so then whats , the answer make more jobs for the purpose of jobs or you cut all but essentials similar to when covid was and then what do you do with all the people ?

The AI jobs revolution hasn't happened yet and may never do, IF it does, it will mean massive tax changes and perhaps there will be the need for Job Creation but we are no-where near that atm.

Plus its got nothing to do with abolishing NHS England.

TinklySnail · 13/03/2025 14:34

ForPearlViper · 13/03/2025 13:39

Clearly you can't have large organisations run with no managers and admin, are frontline clinical staff supposed to also organise the catering, cleaning, finance, HR, legal, etc, etc. It derails constructive discussion when the knee jerk 'sack the overpaid managers' crew turn up in every debate. I thought Darsi gave a balanced view saying that the problem isn't too many managers but too few in the right parts of the system to be effective. Abolishing duplicated non patient facing roles seems a sensible start.

I've been involved in similar reorganisations in the public sector before and people in the 'abolished roles' tend to pop up again in the new structures, elsewhere in the larger organisation or in closely associated organisations so the skills aren't necessarily lost.

Of course you need people to manage those things.
You need people who actually understand and know what they are doing. Not just someone who was able to say the right things at interview.
Anyone who has worked on frontline knows that a lot of managers are actually clueless.
Maybe they need to work their way up in a company. Old school I know but at least you’d have a manager who knows the role they are managing.

43percentburnt · 13/03/2025 14:39

Lots to read later.

@GoodOldTrayBake

Someone else said they aren’t quangos and I asked why. I posted a bbc explanation of quangos earlier on this thread - just cut and paste it below.

Why is a task force different to a quango?

I presumed a task force researches an area and gives advice and info to the gov so falls under Quango as per the BBC article. Is this incorrect?
What do quangos do?
They can deliver public services, give advice or regulate behaviour. Quangos can range from tiny committees that meet a few times a year to organisations with multi-million pound budgets and thousands of staff. There are several different types:
Those with executive powers to actually do something. Examples include the Environment Agency, Regional Development Agencies, national galleries and museums, regulators such as Ofcom
Advisory bodies which give independent, expert advice to ministers on a range of matters - such as the Committee on Standards on Public Life, Boundary Commission
Watchdogs that set standards and regulate behaviour, such as bodies which look at prisons, immigration removal centres etc.

OP posts:
TheBrightJadeReader · 13/03/2025 14:39

Alexandra2001 · 13/03/2025 14:34

The AI jobs revolution hasn't happened yet and may never do, IF it does, it will mean massive tax changes and perhaps there will be the need for Job Creation but we are no-where near that atm.

Plus its got nothing to do with abolishing NHS England.

i was responding to a question another poster asked, i was not going to say that on here unless it matches with the ops; op

43percentburnt · 13/03/2025 14:43

Sorry to those who are worrying about redundancy. I hope you find new (and better) positions quickly.

Someone above said they think this is cutting government ‘Doge’ style. Do you think he has got this idea from the USA in order to make savings? I don’t remember it being in Labours pre election manifesto.

Do you think more cuts and redundancies are to follow then?

OP posts:
Chelsea2026 · 13/03/2025 14:44

MellowPinkDeer · 13/03/2025 14:33

I heard this too today ( i work in a similar sector) 50% cuts of all management in ICBs nationwide ...

Hope you are ok there @GottaWork

Must be so tough in the ICB world along with NHSE colleagues. I thought NHSE was delegating more work to ICBs - obviously with NHSE going to DHSC and ICBs losing 50% of the workforce that wont know happen. What a mess Labour are causing to Healthcare. So many crucial fantastic colleagues are losing their jobs.

Chelsea2026 · 13/03/2025 14:45

43percentburnt · 13/03/2025 14:43

Sorry to those who are worrying about redundancy. I hope you find new (and better) positions quickly.

Someone above said they think this is cutting government ‘Doge’ style. Do you think he has got this idea from the USA in order to make savings? I don’t remember it being in Labours pre election manifesto.

Do you think more cuts and redundancies are to follow then?

Labour made no mention of abolishing NHS England or slashing ICBs in half in their manifesto! ! What is going on ? are they trying to emulate Trump ?

twistyizzy · 13/03/2025 14:45

43percentburnt · 13/03/2025 14:43

Sorry to those who are worrying about redundancy. I hope you find new (and better) positions quickly.

Someone above said they think this is cutting government ‘Doge’ style. Do you think he has got this idea from the USA in order to make savings? I don’t remember it being in Labours pre election manifesto.

Do you think more cuts and redundancies are to follow then?

I mean, crashing the economy wasn't in their manifesto either, so they have to make more cuts than they planned. Maybe if they hadn't increased the super massive black hole through their own actions....

TheCatsTongue · 13/03/2025 14:45

Only Labour could do this, because you would get the typical calls of "don't privatise the NHS" if the Tories did it, the Tories last proposed nationalising GPs and were met with howls of "don't privatise the NHS".

The NHS employs 1.34 million people, is the world's fifth largest employer and I estimate that 1 in 20 works in the UK works for the NHS in some manner.

itsnotabouthepasta · 13/03/2025 14:47

43percentburnt · 13/03/2025 14:43

Sorry to those who are worrying about redundancy. I hope you find new (and better) positions quickly.

Someone above said they think this is cutting government ‘Doge’ style. Do you think he has got this idea from the USA in order to make savings? I don’t remember it being in Labours pre election manifesto.

Do you think more cuts and redundancies are to follow then?

I don't think it has anything to do with Doge.

The NHS is broken. We all know this.

The definition of insanity is doing the same thing again and again.

If NHS England was introduced by the Tories in 2012, and under its work has seen spending increase, patient waiting lists increase, health records worsening and generally deliver worse services, then clearly something isn't right somewhere along the way within the infrastructure.

Throwing money at it won't solve the problem if it's not rebuilt and started again.

Fanacapan · 13/03/2025 14:47

GottaWork · 13/03/2025 11:42

I work for an ICB (commissioner) and we have been called to an emergency meeting today. We went through a restructure last year and lost 20% of our workforce. We are on our knees with overwork and now there is talk of a further reduction by 50%.

I know the NHS is in a mess and needs overhauling but as someone who loves their job and works hard to make things as good as they can be, I am gutted.

Incidentally, I spent 20 of my 37 hour work week last week responding to MP enquiries - oh the irony.

I worked in the NHS for 25 years, also in an ICB for the last couple but took MARS in a restructure 2 years ago. In that time I have survived several ‘restructures’ and efficiency measures. Every time staff were made redundant or moved elsewhere, sometimes to be rehired later on. The same people just get recycled in the NHS. No savings are made on staff costs!

43percentburnt · 13/03/2025 14:48

The task force vs quango is interesting so I’ve googled it.

The independent mention Task Forces in this article. It’s an old article but very enlightening. It suggests Blair started using Task Force as a term. They suggest task forces are another name for quango but still ‘jobs for politicians friends’.

https://www.independent.co.uk/news/task-force-a-quango-by-any-other-name-1139307.html

Task force: a quango by any other name

Mark Rowe looks at a phenomenon with some strangely familiar echoes

https://www.independent.co.uk/news/task-force-a-quango-by-any-other-name-1139307.html

OP posts:
Alexandra2001 · 13/03/2025 14:49

TheCatsTongue · 13/03/2025 14:45

Only Labour could do this, because you would get the typical calls of "don't privatise the NHS" if the Tories did it, the Tories last proposed nationalising GPs and were met with howls of "don't privatise the NHS".

The NHS employs 1.34 million people, is the world's fifth largest employer and I estimate that 1 in 20 works in the UK works for the NHS in some manner.

Err Abolishing NHS England is exactly the sort of thing the Tories should have done years ago... cutting unnecessary bureaucracy... is supposed to be their "thing" isn't it?

Nowt to do with Privatisation.

safetyfreak · 13/03/2025 14:49

The NHS needs a big shake up and Labour are willing to do it.

Hopefully, the jobs lost are one which are not truely needed.

GasPanic · 13/03/2025 14:50

TheCatsTongue · 13/03/2025 14:45

Only Labour could do this, because you would get the typical calls of "don't privatise the NHS" if the Tories did it, the Tories last proposed nationalising GPs and were met with howls of "don't privatise the NHS".

The NHS employs 1.34 million people, is the world's fifth largest employer and I estimate that 1 in 20 works in the UK works for the NHS in some manner.

If the Tories were doing it everyone would be shouting about how they are the "nasty party".

EasternStandard · 13/03/2025 14:53

43percentburnt · 13/03/2025 14:43

Sorry to those who are worrying about redundancy. I hope you find new (and better) positions quickly.

Someone above said they think this is cutting government ‘Doge’ style. Do you think he has got this idea from the USA in order to make savings? I don’t remember it being in Labours pre election manifesto.

Do you think more cuts and redundancies are to follow then?

Cuts including welfare cuts are also due to wiping out all spending headroom, thanks to their budget and policies.

Alexandra2001 · 13/03/2025 14:56

GasPanic · 13/03/2025 14:50

If the Tories were doing it everyone would be shouting about how they are the "nasty party".

What on earth has cutting out an unnecessary body like NHS England, which has nothing to do with direct patient care, got to do with the Tories and the Nasty Party claim...

Numbers working in admin in the NHS has doubled since 2010, yet patient care has gone down and waiting lists up...

Talk about clutching at straws....

Ha thought you'd be for keeping NHS England @EasternStandard

Pamalarrr · 13/03/2025 14:57

Alexandra2001 · 13/03/2025 14:56

What on earth has cutting out an unnecessary body like NHS England, which has nothing to do with direct patient care, got to do with the Tories and the Nasty Party claim...

Numbers working in admin in the NHS has doubled since 2010, yet patient care has gone down and waiting lists up...

Talk about clutching at straws....

Ha thought you'd be for keeping NHS England @EasternStandard

Edited

Sorry but non-clinical staff play a valuable role too.

Saddens me reading this post as a NHS worker and the narrative around non-clinical bashing.

GoodOldTrayBake · 13/03/2025 14:58

43percentburnt · 13/03/2025 14:39

Lots to read later.

@GoodOldTrayBake

Someone else said they aren’t quangos and I asked why. I posted a bbc explanation of quangos earlier on this thread - just cut and paste it below.

Why is a task force different to a quango?

I presumed a task force researches an area and gives advice and info to the gov so falls under Quango as per the BBC article. Is this incorrect?
What do quangos do?
They can deliver public services, give advice or regulate behaviour. Quangos can range from tiny committees that meet a few times a year to organisations with multi-million pound budgets and thousands of staff. There are several different types:
Those with executive powers to actually do something. Examples include the Environment Agency, Regional Development Agencies, national galleries and museums, regulators such as Ofcom
Advisory bodies which give independent, expert advice to ministers on a range of matters - such as the Committee on Standards on Public Life, Boundary Commission
Watchdogs that set standards and regulate behaviour, such as bodies which look at prisons, immigration removal centres etc.

Perhaps you’re right, but my understanding is that a quango is a body that sits outside of the relevant government department - so a non-public body delivering public services. Of the list you’ve written, some are just bodies or committees within existing government departments eg the Fair Work Agency.

neighbours123 · 13/03/2025 14:59

You do realise NHSE came from DHSC, and they are taking it back? A lot of people in NHSE will be going full circle and back to the civil service.

The government are stupid, because how they have conducted this means the good and talented ones will leave and go elsewhere. It's the people who sit on their laurels without other options who will sit tight and be TUPE'd back to DHSC.

It could be good if managed well, but the government have already shown they are going to mismanage this.

InveterateWineDrinker · 13/03/2025 14:59

Fanacapan · 13/03/2025 14:47

I worked in the NHS for 25 years, also in an ICB for the last couple but took MARS in a restructure 2 years ago. In that time I have survived several ‘restructures’ and efficiency measures. Every time staff were made redundant or moved elsewhere, sometimes to be rehired later on. The same people just get recycled in the NHS. No savings are made on staff costs!

All too true.

When the number of PCTs was halved in 2006, the number of people employed in PCTs actually went up.

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