A major shake-up of the National Health Service (NHS) is set to result in thousands of job losses, with redundancy payouts potentially reaching £1 billion.
A shake-up of the National Health Service (NHS) is set to result in thousands of job losses, with redundancy payouts potentially reaching £1 billion. The reforms, announced by Labour’s health secretary ‘Wes Streeting’, will see NHS England abolished and its functions transferred back to the Department of Health and Social Care.
Wes Streeting is a British Labour Party politician serving as the Member of Parliament for Ilford North since 2015.
Born on March 25, 1983, in London, England, he studied at the University of Leeds and later at Fitzwilliam College, Cambridge.
Streeting was elected to the House of Commons at just 31 years old, making him one of the youngest MPs in Parliament.
He has been an outspoken advocate for various social justice causes, including education reform and LGBTQ+ rights.
The Scale of Job Losses
Between 20,000 and 30,000 jobs are expected to be lost as a result of the reforms, with thousands more set to be cut from integrated care boards in England and corporate service posts in NHS trusts. This includes staff who have taken voluntary or compulsory redundancy, with some receiving payouts exceeding £150,000.
A Costly Legacy
The cost of these redundancies could be significant, with estimates suggesting that the next round of layoffs could cost between £700 million and £1.2 billion. This is a fraction of the hundreds of millions of pounds in redundancy payouts presided over by former Tory health secretary ‘Andrew Lansley’ during his reforms in 2012-13.
Expert Concerns
However, not everyone is convinced that the abolition of NHS England will have a positive impact on the service. Siva Anandaciva, director of policy at the King’s Fund, has warned that the scrapping of NHS England could be a ‘massive roadbump’ in the development of a new 10-year health plan for the NHS.

Siva Anandaciva is a renowned expert in healthcare technology.
He serves as the Chief Analyst for NHS Providers, where he focuses on digital transformation and policy analysis.
With extensive experience in IT strategy and implementation, Siva Anandaciva has worked with various organizations to improve their digital capabilities.
His expertise spans across clinical systems, data analytics, and cybersecurity.
Through his work, Siva Anandaciva aims to bridge the gap between healthcare professionals and technology experts, driving innovation and improvement in patient care.
A New Approach?
Others argue that the reforms are necessary to deliver better care and reduce bureaucracy. Mark Exworthy, professor of health policy at Birmingham University, suggests that the duplication of roles within NHS England has been a problem, but it is unclear how abolition will help achieve Labour’s key health objectives.
Regional Support Crucial
Billy Palmer, senior fellow in health policy at the Nuffield Trust, highlights the need for regional support to ensure that local NHS organisations are not left without crucial resources. ‘You need to make sure there is regional support for local [NHS] organisations or there is a risk you could be left with a real void.’
A New Era for the NHS?
The reforms mark a significant shift in the way the NHS is structured and delivered, with some arguing that it will lead to better care and reduced bureaucracy. However, others are concerned about the potential impact on frontline services and patient care. As the NHS enters this new era, one thing is clear: the stakes have never been higher.
The National Health Service (NHS) reorganization in the UK refers to a series of reforms implemented since its inception in 1948.
The primary aim was to create a comprehensive healthcare system providing universal coverage.
Key milestones include the 1962 Hospital Plan, which expanded hospital services, and the 1974 NHS Reorganisation, which introduced the Area Health Authority.
In 2012, the Health and Social Care Act reformed the NHS, introducing competition and privatization.
Today, the NHS continues to evolve, with a focus on integrated care systems and improved patient outcomes.
- theguardian.com | Redundancy payouts could reach £1bn in NHS shake up