Quango unchained: UK government to abolish NHS England

UK Prime Minister Sir Keir Starmer has announced plans to abolish NHS England (NHSE), a move aimed at reducing bureaucracy and improving government oversight of the NHS. Established in 2013 as an independent body, NHSE’s responsibilities will now return to the Department for Health and Social Care (DHSC). While the government argues this will streamline functions and cut waiting times, critics question its effectiveness and warn of job losses, with around 9,000 positions affected.

What is a quango and why does it matter?

A quasi-autonomous non-governmental organisation (quango) is a publicly funded body that operates independently of direct government control. NHSE was set up as a quango to manage NHS operations at arm’s length from politicians, aiming to provide greater autonomy in decision-making. However, the government now argues that NHSE has become redundant, duplicating DHSC’s work and limiting ministerial control over NHS performance.

Health Secretary Wes Streeting assures affected employees will be treated with “care and respect” but acknowledges the transition will be challenging.

Summary of industry reactions

• Chris Whitehouse, Whitehouse Communications: Sees the move as a way to accelerate NHS reforms and improve procurement for MedTech.
• Sarah Woolnough, The King’s Fund: Warns structural changes often distract from immediate patient care needs, such as GP access and hospital waiting times.
• Kate Davies, Osborne Clarke: Notes existing NHS contracts will need to be transferred to DHSC, potentially delaying procurement processes.
• Peter Rudd-Clarke, Osborne Clarke: Hopes integration will boost funding for medical innovation, aligning with new regulatory reforms.
• Dr. Sonia Szamocki, 32Co: Cautions against expecting rapid improvements, highlighting the complexity of major NHS reorganizations.
• Matt Skinner, CareCity: Advocates for a greater focus on preventative healthcare and digital solutions to improve outcomes.

What’s next?

This policy shift represents a major change in UK healthcare governance. While the government promises greater efficiency, industry leaders stress the need for clear plans to avoid disruption and ensure genuine improvements in patient care.

Resources

• MedTech Insights: NHS England Abolished – reaction from UK MedTech industry

 

 

Published on Apr 03, 2025 by Ella Thomas