London Daily

Focus on the big picture.
Monday, Aug 10, 2026

NHS: Government plans to reverse Cameron-era reforms

NHS: Government plans to reverse Cameron-era reforms

The government is planning to reverse reforms of the NHS in England introduced under David Cameron in 2012, a leaked document suggests.

The changes would aim to tackle bureaucracy and encourage health services from hospitals to GP surgeries and social care to work more closely.

The draft policy paper also says the health secretary would take more direct control over NHS England.

The Department for Health and Social Care said it did not comment on leaks.

A spokesman added that details would be set out in due course.

The reforms by Mr Cameron's government in 2012 saw the creation of NHS England - to run the health service - and the scrapping of primary care trusts in favour of GP-led clinical commissioning groups to organise local services.

Under the latest proposals, set out in a leaked document published by health news website Health Policy Insight, there will be "enhanced powers of direction for the government" to "ensure that decision makers overseeing the health system at a national level are effectively held to account".

Instead of a system that requires competitive tendering for contracts - sometimes involving private companies, the NHS and local authorities will be left to run services and told to collaborate with each other, says the draft White Paper, designed to set out proposed legislation.

There will also be more focus on GPs, hospitals and social care services working together to improve patient care.

The paper stresses that the Covid pandemic "demonstrated plainly that this broader approach to health and care is not only desirable, but essential".

Richard Murray, chief executive of health charity The King's Fund, said the proposals amounted to "major reform", giving ministers more direct control of the NHS and public health.

But he raised concerns around the timing of such a move.

"While many might agree with the ultimate objective of more integrated health and care services, there are clear risks in distracting the service when the NHS is still battling Covid-19 and in the midst of the biggest vaccination programme in our history," Mr Murray added.

The trade unions for doctors and nurses, the British Medical Association and the Royal College of Nursing respectively, would not comment on the leaked proposals.


A Conservative government headed by Boris Johnson is about to start reversing health reforms in England introduced under David Cameron.

That in itself is a significant moment, though it has been in the offing for a while.

The Health and Social Care Act of 2012 was highly controversial.

The left hated it because of the introduction of competitive tendering which was seen as a vehicle for private companies to undermine the NHS.

Many Conservative politicians came to dislike it because of bureaucratic costs and confused lines of accountability.

Sir Simon Stevens, head of NHS England, called for a redrafting of legislation to simplify the system.

Now Matt Hancock, the health secretary, is grasping the nettle and will soon publish a government White Paper with plans to give ministers more control over the complex web of health entities in England.

NHS organisations and local authorities will be told to focus on working together for the benefit of their local populations.

But the detail, as always, will be closely scrutinised.

Some will question why the government has chosen to launch the plans with the pandemic still raging.

Others may ask whether this is a power grab by ministers which won't necessarily improve patient care.

Nigel Edwards, chief executive of health policy think tank the Nuffield Trust, said the reforms should allow GPs, hospitals, community services and social care to "work better and more effectively together" in the longer term.

He told the BBC he hoped "the changes in the wiring behind the dashboard shouldn't be too noticeable to patients and when it is, it will be in the longer term because the results they're getting are better".

But he warned against over-optimism, saying structural change could help but was not "the magic ingredient" to better delivery of care.

Meanwhile, Dr John Lister, of campaign group Keep Our NHS Public, said: "The leaked draft of the White Paper has been interpreted as planning to 'scrap forced privatisation and competition within the NHS', but the draft makes clear that 'there will continue to be an important role for voluntary and independent sector providers'."

Former Health Secretary Jeremy Hunt welcomed the proposed changes.

He told BBC Breakfast: "Last year was the first year in history where, across the world, there were more over-65s than under-fives, so we are all having to deal with this big change in our health provision of the growth in older people and what that means is you need a lot more joined up care."

He added: "The structures need to be improved to make that possible and I think that's what these reforms are intended to do, so I think they could be very positive."

However, speaking to BBC Radio 4's Today programme, Mr Hunt warned against the emergence of "cosy local monopolies" and said the reforms needed to include "a proper accountability mechanism" - similar to Ofsted inspecting schools, he added.

"How we make sure that the NHS continues to be held accountable for these huge sums of public money is something that, I am sure, people will want to ask."

The 2012 Health and Social Care Act, brought in by the coalition government led by then-Conservative Prime Minister Mr Cameron, alongside his Health Secretary Andrew Lansley, put NHS England at arms length from the secretary of state.

It gave more control over budgets to GPs and other clinicians, while greater competition with the private sector was encouraged.

However, the changes attracted criticism from professional bodies representing doctors, nurses and other NHS workers as well as opposition MPs.

An NHS spokesman said the service had come together "to draw up practical proposals that will make it easier for those delivering health and care to work together to deliver the best possible care for patients, without some of the bureaucracy and fragmentation implicit in the 2012 act".

"These proposals were set out publicly in the NHS Long Term Plan in 2019 and further developed last year, drawing on what the best local health systems are already doing," they added.

Newsletter

Related Articles

0:00
0:00
Close
Alleged Cartel Boss Daniel Kinahan Extradited From Dubai to Face Criminal Charges
AI Chatbots Challenge Traditional News Consumption and Raise Job Concerns
Andy Burnham Government Promises Crackdown on Exploitative Business Practices
UK University Funding Model Faces Growing Pressure From Unsustainable Student Debt
Government Urged to Subsidise Energy Bills for Vulnerable UK Households
UK Military Spending Plans Threaten to Deepen Infrastructure Funding Gap
Israeli Government Rejects US Peace Framework for Gaza
New Labour Government Signals Closer Economic and Strategic Ties With European Union
Amber Heat-Health Alerts Issued Across England as Temperatures Threaten 36 Degrees
UK Economy Expected to Grow Despite Energy and Supply Chain Shock From Iran Conflict
Foreign Social Media Accounts Drove Disinformation During Belfast and Southampton Riots
Record Number of Migrants Cross English Channel in Single Vessel as Smugglers Deploy Mega-Dinghies
Russia’s A7 Builds a State-Linked Payments Network Beyond Western Sanctions
Reports of Mark Zuckerberg-Linked Superyacht Declining Rescue Assistance Draw Maritime Scrutiny
Preserving Three Banksy Artworks in London Has Cost Taxpayers Nearly £150,000
Four Ugandan Athletes Disappear From Delegation After UK Sporting Events
French Authorities Report Channel Interventions as Cross-Border Migration Dispute Continues
Home Office Admits Error in Settled Status Case Involving Long-Term Italian Resident
Unite Calls for Independent Review of UK Budget Watchdog's Fiscal Forecasting Rules
Thinktank Calls for £175 Annual Energy Bill Cut for Low-Income Households
Foreign-Linked Social Media Accounts Amplified Recent Unrest in Belfast and Southampton, Analysis Finds
London Mayor Sadiq Khan Orders Westminster to Drop Proposed Soho and West End Hospitality Ban
Royal Navy Deployments to Monitor Russian Activity in UK Waters Rise 25 Percent
UK Economy Expected to Grow 0.4 Percent in Second Quarter Despite Geopolitical Pressures
Andy Burnham Launches Cost-of-Living Measures Targeting Subscription Traps and Misleading Discounts
Hyper-Realistic Reborn Dolls Draw Collectors Seeking Comfort and Craft
Gen Z Cuts Back on Dating as a Night Out Nears $200
Patients Turn to Artificial Intelligence for Therapy as Psychiatrists Warn of Privacy and Clinical Risks
Couples Embrace ‘Sleep Divorce’ to Protect Rest and Reduce Tension
Meta Ordered to Pay $567 Million and Change Facebook and Instagram Safeguards for Children
Up to only 10 Months in Prison for Swedish Officer’s Murderer Sparks Anger
Success: Nvidia Turned Gaming Chips Into the Engine of the AI Boom
Jorge Messi, Lionel Messi’s Father and Longtime Agent, Dies at 68
AI’s Next Bottleneck Is Power, Not Just Nvidia Chips
Advertising trick: Pepsi’s Harrier Jet Commercial Led to a $700,000 Court Fight
Meta Raises AI Spending Target to as Much as $145bn Despite Pressure Over Returns
Danube Drought Exposes Nazi Wrecks and Pushes Central Europe’s Power System to the Brink
Joe Biden’s Cancer Has Spread Beyond His Bones, Hunter Biden Says
Air Traffic Control Outage Grounded Flights Across the Midwest
Why 2027 Could Be a Strong Year for Stocks—and Why the Forecast Is Fragile
Why Markets May Look Quiet in August After Big Tech Earnings
Partial Solar Eclipse Expected to Draw Interest Across Southwestern UK
UK Graduate Job Postings Fall 7% as Entry-Level Opportunities Remain Scarce
UK Private Sector Returns to Growth as July Activity Reaches Highest Level Since April
UK Summer Drought and Wildfires Raise Pressure for Stronger Environmental Measures
UK Household Credit Stress Rises as Credit Card Lending Growth Hits 12.5%
London Stock Exchange Revises AIM Rules to Make Growth Capital More Accessible
NHS England to Expand Mental Health Services With 155 New and Upgraded Facilities
UK Overhauls £90 Billion Public Procurement System to Reward Domestic Jobs and Apprenticeships
Andy Burnham Holds Strong Approval as Labour Maintains Narrow Lead Over Reform UK, Opinium Finds
×