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vitalfork.com > Blog > Health & Wellness > NHS England: Why the world’s largest Quango is being axed
NHS England: Why the world’s largest Quango is being axed
Health & Wellness

NHS England: Why the world’s largest Quango is being axed

VitalFork
Last updated: March 13, 2025 3:39 pm
VitalFork
Published March 13, 2025
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NHS England: Why the world’s largest Quango is being axedCan Starmer’s Regulation Shake-Up mean ‘A bonfire of Quangos’?Bureaucratic monstersignificant risk

NHS England: Why the world’s largest Quango is being axed

47 minutes ago
Nick triggal
Health correspondent,@nicktriggle
Getty Image NHS SignGetty images

The world’s largest Quango is scattered.

Similarly, the government unveiled the move to bring NHS England, which runs a majority of healthcare in the country, under the control of the Department of Health and Social Care (DHSC).

With over 14,000 employees, it is about four times the size of DHSC.

But this is only because in recent years NHS England has absorbed health education England, which oversees the training of employees, and NHS Digital, which is responsible for data collection and technology.

NHS England also plays a role in organizing some major frontline services, including GPS and expert hospital care, while distributing the funds provided by ministers, as well as observing the day-to-day walk of healthcare.

Most of this will now be under the control of the Health Department. but not all. Expect some to develop for regional health boards.

However, it is expected to lead for half of jobs in two organizations – around 9,000 roles.

This is expected to save at least £ 500m. While yoga seems to be a lot, it is about 0.25% of the health budget. The respected Kings Fund Think-Tank called it “The Ocean in the Ocean” which will not go far on the frontline.

Can Starmer’s Regulation Shake-Up mean ‘A bonfire of Quangos’?

Bureaucratic monster

But it is also about reducing bureaucracy – something that cannot be measured in really numbers.

In his address by the House of Commons, Streeting cited an organization, which was to be filled in 250 forms in a month to satisfy both the Health Department and NHS England.

Reacting to the announcement on Thursday, former Health Secretary Jeremy Hunt reported that BBC NHS England has become a “bureaucratic monster” that prevents innovation.

And talk to those working in hospitals and other frontline services, one of the most common complaints is that NHS England was unreliable controlling, even asks for permission for some as worldly as giving media interviews to request individual NHS trusts.

But do not make any mistake, it is also about control. It was a point that was clarified by the Prime Minister Sir Kir Stmper when he set the plan, which could take two years to fully implement it.

He said that it was only true that a democratically elected government was in charge of day to day in charge of healthcare.

significant risk

Quangos – “semi -healthy non -governmental organizations” – are established by the government to maintain rules and operate independently of politicians.

NHS England was designed as part of the 2012 reforms introduced under former Tory Health Secretary Andrew Lamps.

This idea was to free healthcare from political care – rather than determining a comprehensive strategy with ministers, but withdrawing on a daily basis.

In later years, NHS England has used that freedom. This was the most notable under the leadership of Sir Simon Stevens, who challenged and suppressed the government in Theresa.

In the late 2010, Lamle, after leaving the government, conservative health ministers privately expressed disappointment that the single largest part of his brief was out of his control.

As soon as Streeting took charge at DHSC in the last summer, it was clear that he felt the same and NHS England was on time.

On Monday, it was announced that NHS would play half of the roles in England – and it came after the current Chief Executive Officer Amanda Pitchard, and many of his top managers announced that they would step down.

But in view of labor, in protest, it was important for torizes playing with NHS structures, starting at its own reorganization with significant risk. The public is asking what difference will it make in services.

The government says it will help improve services and reduce the waiting time – and, given that one of its top priorities is no longer a hidden place.

NHS

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