Since the Labor Party won the authority last July, Care Starmer He has repeatedly emphasized his deep affection for NHS, family relationships close to it, and the intention “reform” – as well as its determination to change it.
In a speech last September, he said that the health service in England is in such terrible straps.It is a reform or dies“His government plans to fix how it works” can reach the largest re -vision of our NHS since our birth “in 1948.
Wes Street, prominent Minister of Health, echoed the same message with cold eyes in His speech at the Labor Party conference After two weeks. He said that the option facing the country’s most vital service is “reform or death – we choose reform.”
However, this bold discourse, however, Starmer and Streeting – until now – have given little concrete details about what this plan will require exactly reform. Details will be determined in a 10 -year health plan, scheduled in late May, which is placed through the street and Coterie from the advisers. The meat will put on the bones of “three large transformations” in how to provide health care that both have promised: from analog to digital service, from hospital care to community care and from treating people’s disease to prevent them from the disease in the first place.
But the largest and most radical elements in the plan are now in the public domain: Cancel NHS Englandthat Prime Minister announced In a speech on Thursday on the re -engineering of the state. The Executive Authority has managed the health service in England since its establishment in 2012, when independence was delivered from ministerial control and granted the responsibility for operating its 220 boxes, which provides waiting times for treatment and making its disturbing budget.
Streeting integrates NHS England with the Ministry of Health and Social Welfare (DHSC) and half of its 15,000 employees. The unexpected step reaches the dramatic and brutal seizure of the authority that all the Minister of Health since Andrew Lansley – who The controversial health and social care law 2012 The organization, which was now signed, was born-it wanted to do, but it never tried, as the streets clearly reminded the deputies in the public statement on Thursday.
By making a decision to cancel NHS England Frankly, instead of cutting it, the street was distinguished as the most radical minister of health since Lanceli. Step “is” a surprise and exciting revolution in how NHS is directed and managed. A radical reshaping of how to lead the health service [mean] My seismic has turned in power to return towards ministers and government departments, who will have more control and guidance on how NHS works. “
The possible advantages of the ministers should be less frequent between NHS He adds that England and DHSC, the fastest decision -making and more ministerial supervision of how NHS work.
“Like many other state trustees who came before him in the afternoon of Lanceley, the street concluded that he needs more power to provide change in NHS. But unlike the conservatives who were hesitant to seize a lot of power, for fear of political repercussions, the street concluded that the NHS England acquisition is possible and necessary Indeed by a exhaustion government.”
The imminent departures of most of the leaders of NHS England such as CEO, Amanda Britishd, Medical Director, Professor Sir Stephen Boris, and President of the Finance, Julian Kelly, as evidence of “Street Night” from the long knives “. With more blood requesting the old Rome or Game of Thrones.
The cancellation is also a mystery and surprise. The street previously was explicitly excluded NHS. He insisted on his planned reform. Indeed, recently on January 30, he ruled out reorganization as costly, complex and political waste in an interview with the HSJ. “My conclusion at this stage is that I can spend a lot of time in Parliament and the hell of a lot of taxpayer money to change some job titles, TUPE-resisters on employees Change some email addresses and not create one difference in favor of the patient. “
He assured HSJ that he will not enter into legal scraps. He simply was doing more to “eliminate waste and duplication” through the two bodies. However, it has now begun in an undeniable reorganization that has recognized it will require legislation. The date of the legislation related to NHS does not inspire confidence that the draft law that followed will continue smoothly.
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There are also other risks: that restructuring will prove distraction, consume valuable energy and morale between NHS employees, among them already widespread discontent.
Why do you take such a gamble? Those who have his thinking, behind his respect for NHS himself and those who have led him in recent years, including Britthard, have become convinced that re-ministers are responsible-to pre-2012 model-the best way to ensure that ambitious plans for the Labor Party, “reform” the most prepared service for most of them can succeed. He reached this conclusion after developing “tremendous frustration” with what he sees as a clear deficit by NHS England to achieve meaningful progress in addressing continuous problems such as getting rid of hospitals and GPS by preventing more patients from the need for health care in emergency situations in the first place by caring for them better in the country.
She left the street, a paid character and patience, in “shock” by what he considered a mentality that could not be a mentality among the elderly who, when asked about their plans to face the main challenges, respond by emphasizing the difficulty of their reform.
Starmer pledged to re -wait for treatment to where they were under the last government of the Labor Party and made NHS work better in ways that patients notice. Both should happen in the upcoming general elections in 2029, both of which are huge tasks. Opinion polls show that nothing matters more than NHS. This absolute necessity has been convinced of experiments, which need to change the NHS performance clearly, to behave decisively, despite the cost and the risks concerned.
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Join Wes Streeting in a conversation with PipPa Cierar to discuss the health and social care system in England and how the Labor Party plans to convert it on Tuesday 25 March 2025, 7 pm to 8.15 pm (GMT). Book tickets here Or in Guardianive.com
