Will abolishing NHS England benefit women as patients and employees

[IwantToRetire]

Keir Starmer abolishes NHS England to bring health service back to ‘heart of government’
https://www.independent.co.uk/news/uk/politics/nhs-england-health-starmer-government-reform-b2714378.html

Of the articles I've skim read this aspect doesn't come up.

But the NHS comes up so often on FWR I wondered what other's thought.

Although NHS England is the only NHS that was arms length managment the culture it fostered towards women doesn't really seem to have been that different to those directly managed by Government eg NHS Scotland.

Not sure.

What would benefit women would be if doctors stopped dismissing women and their pain and instead actually treated them.

God knows how as it seems deeply embedded.

I know, its amazing how their is still this attitude of "women's problems" and women are expected to just live with them.

Which for me meant not being diagnosed with a condition that isn't a women's condition, but everyone (both male and female doctors and consultants) assumed it was.

I suppose I was thinking more in terms of the whole gender neutral approach ie not referring to mothers, but birthing people etc..

I suppose they can be more centralised. A disaster in the wrong hands but potentially good under Wes. Potentially….

It’s almost like a trump move. There is potential to streamline some things such as dei rubbish. So that different trusts aren’t so fragmented?

Even if it is better under Wes, an issue of putting the NHS under the control of a Minister, is that this will mean no continuity, and probably only short term planning. Ministers change regularly. Elections are very five years. But many things in the NHS and healthcare need a much, much longer planning horizon.

It would be good to get rid of the postcode lottery the current system has. But ideally be able to tailor services to needs of regional communities.

in an ideal world, it should be possible to achieve both…why am I sceptical?!

Effectively things are just being returned to the way they were pre lansley so the DHSC will be the single body

so the question I guess is, how captured is DHSC

https://www.gov.uk/government/publications/dhsc-equality-objectives-2023-to-2027/dhsc-equality-objectives-2023-to-2027

this was published under previous government

this is the current governance structure

www.gov.uk/government/organisations/department-of-health-and-social-care/about/our-governance

More digging required I think!

The minister is only a temporary figurehead. The actual day to day work in government departments is under the control of the mandarins and civil servants who often stay far longer than ministers, even decades or entire working lives.

One of the things that puzzles me is that some of the other NHS that have stayed under Government haven't performed any better.
https://fullfact.org/health/nhs-performance-four-nations-comparison/

So I wonder what Wes Streeting thinks England can do that will make the upheaval worthwhile.

Somehow it always seems to be that the management always expands, but the front line and basic service just get eroded away.

Or some smart tech guru persuades them then can automate something, but what is introduced is not reflective of how life actually works, but on how a techie thinks it would be more convenient.

How many people have a local surgery where you are all told to ring in at 8am to get and appointment.

Slightly tangential but piece by well-respected Roy Lilly.

myemail.constantcontact.com/Sensible.html?soid=1102665899193&aid=VYADl2bkzFE