Speeches by Johnson.

“That brings me to the fiscal case for abolition. In November, the Government announced that abolishing NHS England and restructuring ICBs would save £1 billion per year. Moving from two sets of comms, IT and human resources could of course reduce costs. They will no longer need data-sharing agreements, or have the Depa…”

“As things stand, the Government are not on track to deliver savings from headcount reductions, even ignoring the cost of redundancies. When previous Governments have tried to streamline arms of the state by axing hundreds of staff, they have often had to pay later down the line to regain the same expertise. Can the Min…”

“Yesterday, the Health Service Journal reported the Minister saying that it is “important” that the new Department of Health and Social Care is established by 1 April next year, but experts such as Ian Dodge, who is NHS England and NHS Improvement’s longest-serving executive board director, have said that it could take …”

“Ministers have chosen to ignore that warning, as though it were never made. When the Minister responds, can she explain what caused the Government to change their mind about reorganising the health service? They had access to the civil service before coming into Government, they said they had a plan, and they had Lord …”

““Constant reorganisations are costly and distracting. They stop the NHS structures from focusing on their primary responsibility to raise the quality and efficiency of care in providers.””

“He warned:”

““While a top-down reorganisation of NHS England and Integrated Care Boards is neither necessary nor desirable, there is more work to be done to clarify roles and accountabilities, ensure the right balance of management resources in different parts of the structure, and strengthen key processes such as capital approvals…”

“The Government have not been clear about why they changed their mind. One of the Ministers suggested the other day that it was because they found different things when they came into office. In fact, the Government commissioned an independent investigation into the health service. When I say “independent”, we should no…”

““we will not repeat the mistakes of top-down reorganisation. With the architecture of the system, we will take an approach of evolution rather than counter-revolution.”—[Official Report, 12 September 2024; Vol. 753, c. 994.]”

“The then Health Secretary also said that”

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“I am a member of the Royal College of Paediatrics and Child Health, a member of the British Medical Association and an NHS consultant paediatrician.”

“Q Good morning, Dr Dash. What effect is the abolition of NHS England having on its current day-to-day functioning? What sort of number of people are working solely or mostly on the transfer, and is that affecting your ability to deliver on your core business? Dr Dash: I do not believe it is affecting our ability to del…”

“Q You wrote a report about the CQC that was not hugely flattering, and you have also written a report about the patient safety landscape. First, why did you choose to roll HSSIB into the CQC, given what you said about the CQC and the clear and obvious conflicts of interest that it creates? Secondly, you identified in y…”

“Q What about the risks of that—the conflict? Dr Dash: I do not see a conflict. I think they are complementary and this is all about improving the regulatory landscape in the healthcare system.”

“Q Sarah, the King’s Fund report said that the potential cost savings of abolishing NHS England “would be minimal in the context of the entire NHS budget”. Many MPs across the House have struggled to get numbers and costings in questions both oral and written, particularly in relation to staff redundancies. We have not …”

“Q Yes, although yesterday we received an answer to a written parliamentary question saying that the abolition of NHS England is causing no disruption to the development of new services. That is the Government’s view. Sarah Woolnough: It is inevitable that, in any large-scale change in an organisation, there will be opp…”

“Q Thank you, Sarah. That was also the view of the Darzi report. He said that it was “neither desirable nor necessary”. Jacob, what effect will the abolition of Healthwatch have on people’s confidence in the independence and reliability of views of patient experiences? Jacob Lant: First, it is important to note that we …”