A cross-party group of lawmakers has warned the British government that its plan to abolish NHS England without a clear strategy for implementation and benefits to frontline care is unacceptable and risks undermining the National Health Service (NHS).
Public Accounts Committee’s Concerns
The Public Accounts Committee, which scrutinizes government spending, expressed concerns about the impact of abolishing NHS England on patient safety and care quality. Key points include:
- Job Cuts: There are alarming plans for massive job cuts at local health boards.
- Lack of Strategy: Lawmakers question whether the transfer of NHS England’s functions to the Department of Health and Social Care will yield tangible benefits for patients or frontline staff.
Meg Hillier MP, chair of the Public Accounts Committee, stated, "We are deeply concerned that there is no clear strategy for how this change will improve patient safety or outcomes." The committee has urged ministers to provide a detailed plan within three months.
Echoes of Concern in Parliament
Other lawmakers echoed these concerns during parliamentary discussions. An unnamed source from an organization expressed that last year’s healthcare spending figures were troubling, stating:
- Compensation Payments: Almost one-fifth (£2.8 billion) was spent on compensation payments due to clinical negligence claims.
- Legal Costs: Nearly one-fifth (£555 million) went towards legal costs associated with these claims.
This indicates that almost two-fifths (£2.355 billion) of all healthcare spending last year was allocated to compensating patients or paying lawyers rather than providing direct patient care.
Workforce Reduction
NHS trusts in England have been instructed to cut their workforce by 25% by April next year as part of a major overhaul aimed at increasing efficiency.
- Staff Reductions: Forty-two bodies responsible for planning services are expected to shed around half of their 25,000 staff under the newly unveiled plans.
- Potential Impact: Some MPs warn that these losses could be catastrophic if not managed properly. Labour MP Alex Norris remarked, "It would be disastrous if we lost experienced staff from these bodies. They play such an important role in ensuring our health service runs smoothly."
Call for Transparency
The Public Accounts Committee has called for greater transparency regarding the job cuts planned at local health boards, emphasizing that these changes should not compromise patient safety. Hillier added, "We need more information about what these changes mean for jobs across different parts of our National Health Service. And we need reassurance that they will not compromise patient care."

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