London Daily

Focus on the big picture.
Sunday, Dec 14, 2025

NHS reform: 'No better time than now' for changes, says Matt Hancock

NHS reform: 'No better time than now' for changes, says Matt Hancock

The NHS in England is to be reformed so health and care services can work more closely together, the government says.

Health Secretary Matt Hancock said the planned restructure will mean a focus "on the health of the population, not just the health of patients".

But Labour questioned the timing of the changes "in the middle of the biggest public health crisis our NHS has ever faced", saying staff were exhausted.

Mr Hancock said there was "no better time than now".

A full White Paper was published on Thursday, setting out the proposed future legislation.

"The pandemic has made the changes in this White Paper more not less urgent," Mr Hancock told MPs.

The shake-up will see the law changed to reverse reforms of the NHS in England introduced under Prime Minister David Cameron in 2012.

Ministers believe the changes will put the NHS in a better position to cope with an ageing population and a rise in people with complex health conditions.

One-in-three patients admitted to hospital as an emergency has five or more health conditions, such as diabetes, obesity or asthma, up from one-in-10 a decade ago.

Those working in the health service said many of the rules in place were time-consuming, frustrating and stressful.

Announcing the changes to MPs, Mr Hancock said the new system would see the NHS and local councils take decisions about local health together.

"The new approach is based on the concept of population health," he said.

Organisations called "integrated care systems" - which already exist in some parts of the country - will be set up in each part of England and be responsible for funding to support that area's health.

"They will provide not just for the treatments that are needed but support people to stay healthy in the first place," said Mr Hancock.

Responding to criticism over the timing, Mr Hancock said the pandemic had "brought home the importance of preventing ill health in the first place".

Nigel Edwards, of the Nuffield Trust think tank, said the changes would be a "re-wiring behind the dashboard" and should not be too noticeable to patients.

While it was not a "magic bullet", it could help different parts of the system work more closely together, he added.

Analysis: Why now and what does it mean for patients?


The public will be rightly asking what difference these reforms make and why they are being introduced now in the middle of a pandemic.

The concept predates Covid - councils and the NHS have been piloting these approaches to integrated care over the past few years.

But, in many ways, the pandemic has speeded up the process. With more care being done out of hospital because of the pressures from Covid, community NHS and council care teams have been working ever more closely.

There is much to recommend greater joined up working. The 21st century patient has multiple conditions.

Take a 70-year-old with heart problem and dementia who lives alone. They will need input from a heart specialist, support from community nurses and maybe the company of a befriending service.

The staff needed could come from three different organisations working and funded separately. It creates bureaucracy and it is not hard to see how the quality of care suffers.

The white paper is an attempt to re-wire the NHS. But those working for the NHS argue that is just one part of the solution - staffing and investment will also play a role.

The proposals include scrapping the tendering rule, which sees providers and private companies compete to win contracts to run services.

This rule made it complicated for councils and different parts of the NHS to set up joint teams and pool their budgets, with some having to set up separate bodies to bid for contracts.

Instead, the NHS and councils will be left to run services and told to collaborate with each other to pool resources.

It also gives the health secretary more control over NHS England and other national bodies, which had been given a large degree of autonomy under the 2012 changes.

Social care plan 'this year'


Shadow health secretary Jonathan Ashworth said Labour had long argued for more integrated care, but raised questions over the timing.

He also said the test of the reorganisation "will be whether it brings waiting lists and times down, widens access especially for mental healthcare, drives up cancer survival rates and improves population health".

Mr Ashworth added that "legislation alone of course is not the answer to integration.

"We need a long-term funded workforce plan. We've not got one. We need a sustainable social care plan. We were promised one on the steps of Downing Street. We still don't have one."

The UK's social care system is under pressure with past governments failing to reform or fund the council-run system properly.

In their 2019 election manifesto, the Conservatives pledged to find a cross-party solution to reduce pressures on the sector and provide long-term funding.

Mr Hancock told MPs the government was "committed to the reform of adult social care and will bring forward proposals this year".

Meanwhile, NHS England chief executive Sir Simon Stevens said the reform will create a "flexible can-do spirit" across the health and care system.

The White Paper will cite examples of good practice, such as a care team at the Royal Derby Hospital which sees nurses from the community, council care services and hospital staff working together to plan the discharge of patients.

Chris Hopson, of NHS Providers, which represents NHS managers, said it would end "an unnecessarily rigid NHS approach to procurement".

The Local Government Association welcomed the plans but said they did not provide the funding to put care services on a "sustainable and long-term footing".


Health Secretary Matt Hancock: 'We need to build a better, stronger NHS'


Newsletter

Related Articles

0:00
0:00
Close
UK Government Declines to Comment After ICC Prosecutor Alleges Britain Threatened to Defund Court Over Israel Arrest Warrant
Apple Shutters All Retail Stores in the United Kingdom Under New National COVID-19 Lockdown
US–UK Technology Partnership Strains as Key Trade Disagreements Emerge
UK Police Confirm No Further Action Over Allegation That Andrew Asked Bodyguard to Investigate Virginia Giuffre
Giuffre Family Expresses Deep Disappointment as UK Police Decline New Inquiry Into Andrew Mountbatten-Windsor Claims
Transatlantic Trade Ambitions Hit a Snag as UK–US Deal Faces Emerging Challenges
Ex-ICC Prosecutor Alleges UK Threatened to Withdraw Funding Over Netanyahu Arrest Warrant Bid
UK Disciplinary Tribunal Clears Carter-Ruck Lawyer of Misconduct in OneCoin Case
‘Pink Ladies’ Emerge as Prominent Face of UK Anti-Immigration Protests
Nigel Farage Says Reform UK Has Become Britain’s Largest Party as Labour Membership Falls Sharply
Google DeepMind and UK Government Launch First Automated AI Lab to Accelerate Scientific Discovery
UK Economy Falters Ahead of Budget as Growth Contracts and Confidence Wanes
Australia Approves Increased Foreign Stake in Strategic Defence Shipbuilder
Former UK Prime Minister Boris Johnson proclaims, “For Ukraine, surrendering their land would be a nightmare.”
Microsoft Challenges £2.1 Billion UK Cloud Licensing Lawsuit at Competition Tribunal
Fake Doctor in Uttar Pradesh Accused of Killing Woman After Performing YouTube-Based Surgery
Hackers Are Hiding Malware in Open-Source Tools and IDE Extensions
Traveling to USA? Homeland Security moving toward requiring foreign travelers to share social media history
UK Officials Push Back at Trump Saying European Leaders ‘Talk Too Much’ About Ukraine
UK Warns of Escalating Cyber Assault Linked to Putin’s State-Backed Operations
UK Consumer Spending Falters in November as Households Hold Back Ahead of Budget
UK Orders Fresh Review of Prince Harry’s Security Status After Formal Request
U.S. Authorises Nvidia to Sell H200 AI Chips to China Under Security Controls
Trump in Direct Assault: European Leaders Are Weak, Immigration a Disaster. Russia Is Strong and Big — and Will Win
"App recommendation" or disguised advertisement? ChatGPT Premium users are furious
"The Great Filtering": Australia Blocks Hundreds of Thousands of Minors From Social Networks
Mark Zuckerberg Pulls Back From Metaverse After $70 Billion Loss as Meta Shifts Priorities to AI
Nvidia CEO Says U.S. Data-Center Builds Take Years while China ‘Builds a Hospital in a Weekend’
Indian Airports in Turmoil as IndiGo Cancels Over a Thousand Flights, Stranding Thousands
Hollywood Industry on Edge as Netflix Secures Near-$60 Bln Loan for Warner Bros Takeover
Drugs and Assassinations: The Connection Between the Italian Mafia and Football Ultras
Hollywood megadeal: Netflix acquires Warner Bros. Discovery for 83 billion dollars
The Disregard for a Europe ‘in Danger of Erasure,’ the Shift Toward Russia: Trump’s Strategic Policy Document
Two and a Half Weeks After the Major Outage: A Cloudflare Malfunction Brings Down Multiple Sites
UK data-regulator demands urgent clarity on racial bias in police facial-recognition systems
Labour Uses Biscuits to Explain UK Debt — MPs Lean Into Social Media to Reach New Audiences
German President Lays Wreath at Coventry as UK-Germany Reaffirm Unity Against Russia’s Threat
UK Inquiry Finds Putin ‘Morally Responsible’ for 2018 Novichok Death — London Imposes Broad Sanctions on GRU
India backs down on plan to mandate government “Sanchar Saathi” app on all smartphones
King Charles Welcomes German President Steinmeier to UK in First State Visit by Berlin in 27 Years
UK Plans Major Cutback to Jury Trials as Crown Court Backlog Nears 80,000
UK Government to Significantly Limit Jury Trials in England and Wales
U.S. and U.K. Seal Drug-Pricing Deal: Britain Agrees to Pay More, U.S. Lifts Tariffs
UK Postpones Decision Yet Again on China’s Proposed Mega-Embassy in London
Head of UK Budget Watchdog Resigns After Premature Leak of Reeves’ Budget Report
Car-sharing giant Zipcar to exit UK market by end of 2025
Reports of Widespread Drone Deployment Raise Privacy and Security Questions in the UK
UK Signals Security Concerns Over China While Pursuing Stronger Trade Links
Google warns of AI “irrationality” just as Gemini 3 launch rattles markets
Top Consultancies Freeze Starting Salaries as AI Threatens ‘Pyramid’ Model
×