Top-down reorganisation of the NHS

  • Coalition pledges to “stop the top-down reorganisations of the NHS” – Coalition Agreement, 20 May 2010
  • NHS ‘to undergo radical overhaul’ – BBC, 12 Jul 2010

The Coalition Agreement stated:

“We will stop the top-down reorganisations of the NHS that have got in the way of patient care.”

However, health secretary Andrew Lansley’s white paper contains proposals for huge changes to the service, as the BBC reports:

The NHS in England is to undergo a major restructuring in one of the biggest shake-ups in its history, the government has announced.

Hospitals are to be moved out of the NHS to create a “vibrant” industry of social enterprises under the proposals.

And, as expected, GPs are to take charge of much of the budget.

The move will lead to the abolition of all 10 strategic health authorities and the 152 management bodies known as primary care trusts.

Meanwhile, responsibility for public health will be passed to local authorities.

In many ways, the plans outlined in a White Paper go further than expected. The coalition agreement had promised no top-down reorganisations.

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