London Daily

Focus on the big picture.
Wednesday, Jun 03, 2026

NHS privatisation to be reined in under secret plan to reform care

NHS privatisation to be reined in under secret plan to reform care

Proposal expected to feature in Queen’s speech after spending on private firms passes £9bn

Privatisation of NHS care will be significantly curbed under confidential plans that health service bosses expect Downing Street to include in the Queen’s speech next month.

Local NHS bodies in England would no longer have to put out to tender any contract worth at least £615,278. That requirement has contributed to a big increase in outsourcing of services and a record £9.2bn of the NHS’s budget now being handed to private firms.

Under NHS England’s proposals, Boris Johnson would have to scrap key elements of Andrew Lansley’s shake-up of the NHS in England in 2012, which bitterly divided the then coalition government.

The Guardian has obtained an NHS England document which summarises 22 key changes it believes will be included in an NHS reform bill due to be published next month.

A twin-pronged attempt to severely restrict future privatisation would involve scrapping section 75 of the Health and Social Care Act 2012 and removing the commissioning of healthcare services from the remit of the Public Contracts Regulations 2015.

The proposals also seek to limit the role of competition between different parts of the NHS, which critics claim has proved costly, damaging and a distraction from caring for patients.

The proposals are likely to gain government backing because NHS England was asked to draw them up by Theresa May when she was prime minister, in order to allow changes in how the health service operates to go ahead as part of its ambition under the long-term plan to integrate care.

“This is long overdue. These proposals would protect the NHS from the worst excesses of privatisation and end the situation where different parts of the health service have had to compete against each other,” said Sara Gorton, the head of health at the union Unison.

“Our precious NHS needs to be in the best possible state so it’s protected when the UK leaves the EU, whether it’s with or without a deal. It must be able to fend off the circling vultures who would see it torn up in pursuit of profit.”

Section 75 of the 2012 act led to NHS clinical commissioning groups (CCGs) tendering thousands of mainly small-value contracts, 40% of which were won by private firms. That led to an increased fragmentation of NHS care, with profit-driven companies taking over key types of diagnostic and treatment services.

The plans are likely to become public at NHS England’s board meeting on Thursday.

Dr Tony O’Sullivan, the co-chair of Keep Our NHS Public and a retired paediatrician, backed the repeal of section 75. “Some of the most controversial clauses have led to the carve-up of the NHS into contracts and a competitive market.”

But the bill should go further and outlaw all privatisation of any clinical services and reinstate the NHS as the sole provider of its own array of services, he added.

NHS England’s controversial attempt to take PET-CT cancer scanning services in the Thames Valley away from the Oxford University Hospitals NHS trust and hand them to the firm InHealth showed that it could not be trusted, he suggested. The plan caused an outcry and NHS England was forced to back down.

In a break with normal procedure NHS England officials, led by its national director of strategy Ian Dodge, have drafted the bill, rather than the Department of Health and Social Care.

It will also include proposals to:

• Allow the creation of a new type of NHS trust, called “integrated care providers”.

• Let NHS England and NHS Improvement, the service’s financial regulator, extend their already close working relationship into a full, legal merger.

• End the Competition and Markets Authority’s role in the NHS, which could lead to more NHS trusts merging.

The cross-party Commons health and social care select committee has already given its backing to NHS England’s proposed legislative changes.

Newsletter

Related Articles

0:00
0:00
Close
Japanese Technology Firm Fujitsu Launches Advanced Artificial Intelligence Tool for Corporate Disclosures
South Africa Officially Launches Nationwide Campaign for Highly Contested Local Government Elections
United Kingdom Commits Additional Funding for Unexploded Ordnance Clearance in Laos
Singapore Announces Stringent New Greenhouse Gas Regulations for Commercial Cooling Systems
Cambodia and Thailand Hold High-Level Border Security Talks at United Nations Headquarters
Myanmar Military Government and China Sign Major Agreement to Upgrade Media and Cultural Cooperation
Knife Attack at Swiss Train Station Leaves Three Injured in Suspected Act of Domestic Terrorism
Transnational Extortion Gang Threatens Canadian Police With Army of One Thousand Armed Operatives
Australia Imposes Forty-Two-Day Quarantine on Cruise Ship Passengers Following Deadly Hantavirus Outbreak
International Monetary Fund Unlocks Seven Hundred Million United States Dollars for Sri Lanka Following Economic Reforms
Australia Launches Record One Point Four Billion Dollar Lawsuit Against Chemical Giant 3M Over Contamination
China and Canada Foreign Ministers Meet in Ottawa in Effort to Stabilize Strained Diplomatic Ties
Indonesia Demands Urgent United Nations Security Council Reform Amid Escalating Global Conflicts
Extreme Weather Patterns Trigger Severe Drought in Madagascar and Destructive Flooding in East Africa
Indian State of Karnataka Faces Political Upheaval as Chief Minister Siddaramaiah Abruptly Resigns
Philippines and Japan Reaffirm Defense Ties as Crucial for Indo-Pacific Regional Stability
Norway Joins French Nuclear Deterrence Initiative in Major Shift for European Security Architecture
Global Critical Mineral Alliances Expand as Western Nations Move to Counter Chinese Supply Dominance
United States Imposes Fifty Percent Tariffs on Mexican Steel and Aluminum Ahead of Trade Pact Review
European Union and China Head Toward Major Trade Conflict Over Clean Technology Exports
United States Economic Growth Severely Downgraded to One Point Six Percent as Stagflation Fears Mount
World Health Organization Warns Central African Ebola Epidemic is Outpacing Containment Efforts
United States Treasury Department Conditions Sanctions Relief on Reopening of the Strait of Hormuz
Iranian Air Defenses Intercept and Destroy United States Military Drone Over Bushehr Province
Iranian Armed Forces Launch Ballistic Missiles Toward Unspecified Targets Prompting Regional Condemnation
United Nations Secretary-General Warns Global Order Facing Highest Level of Conflict Since 1945
Israel Issues Sweeping Evacuation Orders in Southern Lebanon Amid Intensified Hezbollah Conflict
Russia Announces Systemic Military Strikes Targeting Ukrainian Defense and Energy Infrastructure
United States and Iranian Negotiators Reach Draft Agreement to Extend Ceasefire and Resume Nuclear Talks
United Nations Security Council Deeply Divided Over United States Capture of Venezuelan President
US and Iran Exchange Direct Military Strikes Amid Fragile Gulf Ceasefire
World Health Organization Warns of Catastrophic Ebola Outbreak in DR Congo
Russia Threatens New Wave of Strikes on Ukrainian Infrastructure and Embassies
Scientists Warn Atlantic Ocean Currents Could Collapse Faster Than Projected
Anthropic Reaches $900 Billion Valuation in Historic AI Funding Round
Washington Imposes Crippling Sanctions on Iranian Maritime Authority
Japan and the Philippines Initiate Strategic Intelligence-Sharing Pact
Microsoft Deploys Autonomous Computer-Using AI Agents to Global Markets
Anthropic Secures $45 Billion Compute Infrastructure Agreement With SpaceX
U.S. Director of National Intelligence Resigns Amid Administration Shakeup
Micron Technology Crosses Trillion-Dollar Valuation Amid Unprecedented Hardware Demand
Canada and Germany Finalize Historic Long-Term LNG Export Agreement
China Expands International Travel Restrictions on Domestic AI Researchers
Japan Approves Sweeping Overhaul of National Intelligence Apparatus
Global Airlines Scramble Logistics as Middle East Airspace Remains Fractured
Japan's Naphtha Imports Plunge 47 Percent Amid Strait of Hormuz Closure
Global Crude Prices Retreat Below $96 as Gulf Tensions Momentarily Ease
Generative AI Outperforms Human Baselines in Landmark Global Creativity Study
NASA Partners With Private Aerospace to Unveil Permanent Lunar Base Architecture
South Korean Equity Markets Surge on Next-Generation Memory Chip Frenzy
×