What does Sir Keir Starmer’s announcement about abolishing NHS England mean for staff and patients?

Earlier on Thursday morning, the Prime Minister said the move will put the NHS “back at the heart of government where it belongs, freeing it to focus on patients, less bureaucracy, with more money for nurses.”

Sir Kier Starmer announces NHS restructure

A London-based GP has explained to City London News what this actually means.

‘Uncertain future could impact on care’

‘Efficiencies and streamlining systems is welcome, but frequent change and the resulting uncertainty is stressful’

The GP said the knock-on effect of more change in the NHS is likely to add to the stress on staff and affect morale – and in turn affect the quality of care patients receive.

‘Patient-facing services benefit from strong central expert guidance’

The Health Secretary Wes Streeting told MPs that “frontline NHS staff are drowning in the micromanagement they are subjected to by the various and vast layers of bureaucracy.”

He claimed that the focus on local heathcare providers will be on “providing the outcomes that really matter, cutting waiting times and managing their finances responsibly.”

Health Secretary Wes Streeting stated that local NHS providers will be “set free”.

Starmer said the reformed NHS will “refocus” on cutting waiting times at “your hospital”.

The London-based GP agrees that frontline staff should be the priority – especially in a healthcare service funded by public money.

However, they said that clinical patient-facing services benefit from strong expert guidance provided centrally.

“These include promoting quality-improving activities, sharing best practice to areas where care is not optimal, horizon scanning for new developments and treatments and evaluating their efficiency and cost-effectiveness.”

‘Savings over long-term strategy?’

‘I had thought the whole idea of having NHS England was to aim for longer term planning for the NHS, avoiding too frequent changes in direction and strategy with each new government’

Streeting told the House of Commons: “Over the next two years, NHS England will be brought into the department entirely.

“These reforms will deliver a much leaner top of the NHS, making significant savings of hundreds of millions of pounds each year.”

But the doctor questioned whether this would lead to “frequent changes in direction and strategy with each new government”

They admitted that they did not know any details of the next steps and that their colleagues await further news with a degree of apprehension.