London Daily

Focus on the big picture.
Saturday, Jul 18, 2026

Why is Hancock pushing to reform the NHS in the middle of a pandemic?

Why is Hancock pushing to reform the NHS in the middle of a pandemic?

All too often it is easier to spot someone else’s bad idea than it is our own — whether it’s shaving your head, starting a podcast, or getting back together with an ex, it can be hard to shake the idea that this time really is different, or we really are the exception for whom it’ll work out brilliantly.

All too often it is easier to spot someone else’s bad idea than it is our own — whether it’s shaving your head, starting a podcast, or getting back together with an ex, it can be hard to shake the idea that this time really is different, or we really are the exception for whom it’ll work out brilliantly.

So it is with politicians and major top-down reorganisations of the NHS. When asked about them in general terms, almost every politician from every major party will acknowledge that they usually end up being a terrible idea. They are often unpopular with NHS workers, cause a lot of pain as they are implemented, and usually end up being unpicked within a decade or so.

Despite all that, Matt Hancock has become the latest health secretary to believe that this time is different — or his ideas are different — mooting a new set of reforms to how the NHS is governed.

Unusually, Hancock’s plans would not even be unpicking the changes of a previous Labour government: the Conservatives have been in power for so long that he is proposing to undo the NHS reforms of his Conservative predecessor Andrew Lansley.

The idea should not be dismissed out of hand — just because the health service has become the UK’s secular religion shouldn’t mean politicians stop trying to improve it and make sure it works as well as it can for patients.


It’s also clear that Lansley’s reforms left much to be desired: they are notorious for having created yet more layers of bureaucracy and for making it harder for politicians to run the UK’s biggest public service — in many ways one of the key things they are elected to do.

What is baffling is why on earth Hancock would announce this kind of grand-scale reform now, when the NHS is still in the middle of handling the largest public health crisis in a century.

Intensive care units are expanded far beyond their usual capacity. Test and trace — soon to become crucial again — is still barely effective. The NHS is managing a critical vaccine roll-out, and monitoring for new strains. The health service, in other words, has its hands full already — and if Hancock wants his reforms to be effective, he should recognise the need for honest engagement and buy-in from doctors, nurses and senior NHS leaders. None of those really have time to spare right now to look to the future.

Similarly, to suggest a series of long-term reforms right now looks grimly premature when the Government has refused to announce either a preliminary or a full public inquiry into how the UK has handled coronavirus. In the long run, the most important part of such an inquiry will not be which individuals or institutions are to blame for certain mistakes, but rather what changes need to be made to make sure crises are better handled in the future — to make sure we don’t see either the unnecessarily high death toll or the larger-than-necessary economic damage we did during this crisis.

Carrying out major reforms before such an inquiry is even convened sends out all the wrong signals: it either suggests you plan to ignore whatever it concludes, or else that you will be prepared to do yet another set of reforms in just a few years’ time — in which case, why put everyone through it now? Hancock argued yesterday that the pandemic provides the rationale for his timing. In reality, it just shows the states of getting the reforms right — something which won’t be helped by rushing.

As the UK vaccination roll-out continues to be a relative success, especially compared with the EU’s, Matt Hancock is getting some recognition and positive polling for his role. It is understandable in such circumstances that he is looking for good ways to spend that political capital, and — another inevitability for any politician — looking towards whatever legacy he might leave behind.

Perhaps, though, the best legacy would be being the health secretary who resisted the urge to engage in painful NHS reforms at the wrong time — the one who had the patience to save them for when NHS staff and organisations could properly engage, and when they could incorporate the lessons from a coronavirus inquiry.

Doing nothing, for now, is sometimes the best course of action. It’s just one that British politicians find notoriously difficult.

Newsletter

Related Articles

0:00
0:00
Close
For 36 Years, He Scammed About 300 Luxury Hotels — Until He Was Caught
Britain Nationalises British Steel to Protect Scunthorpe Production and Strategic Supply
Andy Burnham Takes Labour Leadership and Prepares to Become Britain’s Seventh Prime Minister in a Decade
Tech Companies Want to Move Computing Off Your Screen and Onto Your Body
White House Teleprompter Operator Earned More Than $100,000 From Bets Linked to the President's Speeches
French Prime Minister Survives No-Confidence Vote After Controversial Budget Cuts
European Commission Opens Excessive Deficit Procedure Against France
French Senate Blocks Key Immigration Reform Measures
French Government Pushes EU Action Against Ultra-Fast Fashion Imports
French Parliament Debates Expanded Autonomy Powers for Corsica
France Reopens Autonomy Talks With New Caledonia After Months of Unrest
Bordeaux Wine Producers Seek Three Hundred Million Euro Aid Package After Export Collapse
French Farmers Block Spain Border Crossings Over Imported Food Competition
Cannes Film Festival Bans Fully Artificial Intelligence-Generated Films From Competition
TotalEnergies Shifts More Than Three Billion Euros of Green Investment From Europe to the United States
LVMH Chief Executive Bernard Arnault Presents Succession Plan for Luxury Empire
Kering Reports Fifteen Percent Revenue Drop as Chinese Luxury Demand Weakens
Sanofi Reports Positive Results From Messenger RNA Respiratory Vaccine Trials
France Places Energy Price Caps Under Review to Protect Households Through Winter
EDF Connects Two New Nuclear Reactors to France’s Electricity Grid
Mistral Secures European Commission Contract for Sovereign Artificial Intelligence Models
Renault Opens Next-Generation Electric Battery Plant in Northern France
Air France Signs Two Billion Euro Sustainable Aviation Fuel Deal to Cut Emissions
Marseille Launches Three Billion Euro Port Expansion to Strengthen Mediterranean Trade Role
French-Owned Ubisoft Announces Global Restructuring With Nearly One Thousand Job Cuts
National Railway Operator Suspends Artificial Intelligence Ticket Pricing System After Consumer Backlash
United Kingdom to Ban Sales of High-Caffeine Energy Drinks to Under-Sixteens
Home Office Designates Iranian and Russian Paramilitary Groups as National Security Threats
National Health Service Launches Housing Plan to Retain London Healthcare Workers
British Heatwave Fuels Wildfires and Emergency Evacuations in Scotland
United Kingdom and Estonia Sign Defence Agreement to Strengthen NATO’s Eastern Flank
United Kingdom Cuts Bilateral Aid to African Nations by More Than Eighty Percent
Bank of England Overhauls Banking Rules to Encourage More Lending to Businesses
United Kingdom and India Free Trade Agreement Enters Into Force, Reshaping Bilateral Economic Ties
Andy Burnham Confirmed as New Labour Leader and Prime Minister-Designate
UK Government Faces Pressure Over Extreme Heat Workplace Rules
Lewisham Council Blocks Cooperation With Home Office Immigration Enforcement
UK Parliament Investigates Growing Pressures on Scotch Whisky Industry
Teen Hackers Sentenced Over Thirty-Nine Million Pound Transport for London Cyber Attack
Ministry of Defence Acquires Scottish Fuel Terminal to Strengthen Royal Navy Operations
Bank of England Eases Rules as Economic Growth Remains Weak
Bank of England Governor Warns Andy Burnham on Britain’s Long Economic Stagnation
UK Defence Ministry Buys Scottish Fuel Terminal to Secure Naval Energy Supplies
UK Secures Access to European Defence Contracts Through Ukraine Support Deal
Bank of England Plans Easier Capital Rules to Encourage More Lending
Met Office Says England and Wales Have Already Broken Summer Heat Records
Counter-Terrorism Police Lead Investigation Into Murder of Former Minister Ann Widdecombe
UK Government Nationalises British Steel to Protect Domestic Steel Production
French National Assembly Overrides Senate to Pass Historic Assisted-Dying Legislation
Spanish Prime Minister's Wife Ordered to Stand Trial as Corruption Probes Encircle Governing Party
×