So long, NHS England, and thanks for nothing
- The PM’s NHS reform is welcome, but unlikely to reduce bureaucracy
- To sort out our healthcare system properly, it must be decentralised
- Bureaucratic restructuring is not the wholesale reform the NHS needs
NHS abolition was not on my bingo sheet for Keir Starmer’s Government. But here we are. A political earthquake. Kissinger has gone to China. The party most closely associated with Britain’s healthcare system are the ones who finally be replacing it with a much more successful European-style social insurance system. Finally, fewer Britons will die compared to world-leading healthcare systems, like Australia’s.
Reader, I have fooled you. None of this is true.
What Starmer has in fact abolished is NHS England. While this may be a gift to headline writers, it is not a radical step, it’s a bureaucratic reorganisation. A separate quango will no longer be responsible for overseeing the budget, planning and delivery along with commissioning GPs and some other services. Instead, this function will be bought in-house to the Department of Health and Social Care. The nameplates on several buildings will be changed, new stationery ordered and different email addresses in use. But fundamentally, the NHS will remain the same.
The whole piece is well worth reading as a reminder that “Sir” Keir Starmer has no notion of a world beyond the corporate state and no notion of any world beyond his ideology. This useless bureaucratic fiddling is merely a pale and irrelevant attempt to share a tiny fraction of Trump’s radicalism.
Source: https://akhaart.blogspot.com/2025/03/so-long-nhs-england-and-thanks-for.html
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