London Daily

Focus on the big picture.
Thursday, Aug 13, 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
China’s Kimi Launches AI-Focused Credit Card With Agricultural Bank of China and American Express
UK Residents Gather to Watch Rare Partial Solar Eclipse
Reform UK Deputy Leader Richard Tice Faces Criticism Over Legal Threat Against Guardian Journalist
Michael Forsyth Elected Speaker of the House of Lords
Cambridge Researchers Launch £20 Million Human Organoid Drug Testing Programme
Heathrow Loses European Passenger Traffic Lead to Istanbul Airport
Households Near New UK Electricity Pylons to Receive £250 Annual Energy Bill Discount
UK Government Estimates Zero-Hours Contract Ban Could Cost Employers Up to £3 Billion a Year
Robert Jenrick Leaves Conservatives for Reform UK in Major Parliamentary Defection
UK Police Chiefs Urge Government to Block Early Release of Andrew Harper Killers
UK Government Holds Emergency Cobra Meeting as Drought and Heatwave Raise Wildfire Risks
Former Labour Adviser Arrested on Suspicion of Spying for China Held Privileged Access as Top Party Donor
Turkish Parliament Passes Landmark Bill Granting Conditional Amnesty to Disarmed PKK Members
Donald Trump Warns FIFA Against Ousting Gianni Infantino Amid Revolt by Global Football Leaders
Jeff Bezos Joins Investor Group Closing In on $6 Billion Liverpool FC Stake
Police Conduct Cross-Border Raids Against Northern England Drug Network
Nicola Sturgeon Protested at Edinburgh Festival Fringe Event
Major UK Retail Chain Enters Administration With One Hundred Fifty-Four Stores Set to Close
Heathrow Renews Call for Runway Expansion After Losing Europe’s Busiest Airport Ranking
Government Condemns One Million Pound Thames Water Executive Bonus Amid Drought
NHS England Says More Than One Hundred Thousand Hepatitis C Patients Have Been Cured
UK Foreign Secretary Ed Miliband Calls for End to West Bank Settler Violence
UK Prepares for Deepest Partial Solar Eclipse Since Nineteen Ninety-Nine
UK Heatwave Triggers Amber Health Alerts as Economic Losses Reach Four Point Four Billion Pounds
UK Offers Electricity Bill Discounts to Communities Hosting New Power Infrastructure
Bank of England Expected to Hold Interest Rates at Three Point Seven Five Percent
UK Government Moves to Ban Subscription Traps and Misleading Retail Discounts
Andy Burnham Gives Councils New Powers to Block Betting and Vape Shops
UK Councils to Receive Sweeping Planning Powers to Ban New Vape and Betting Shops
Nicola Sturgeon Says She Has No Contact With Estranged Husband After SNP Embezzlement Case
Police Arrest Two Men After Aberdeenshire Defense Technology Office Break-In
Greater Manchester Councils Gain Powers to Restrict New Vape and Betting Shops
Coroner Finds Treasury Workplace Failures Contributed to Personal Assistant’s Suicide
English and Welsh Courts Ban Meta Smart Glasses Over Recording and Privacy Risks
Strait of Hormuz Disruption Could Double UK Inflation and Trigger Recession, Forecasters Warn
UK Expands Global Talent Visa Scheme to Support Research-Intensive Companies
UK Equity Funds Suffer Record One Point Six Billion Pound Outflow Amid Capital Gains Tax Fears
Three-Quarters of England Enters Drought as Fifth Summer Heatwave Raises Economic Risks
UK Hiring Stabilizes for First Time Since 2022 as Employers Adjust to Higher Payroll Costs
UK Chancellor Orders Whitehall Spending Cuts as Public Debt Exceeds Three Trillion Pounds
UK Manufacturing Output Records Fourth Straight Month of Growth
UK Condemns Russian Torture of Ukrainian Prisoners and Recruitment of Foreign Nationals
Long-Lost Royal Navy Warship HMS Tiger Found in English Channel After 118 Years
Northern Ireland Finance Minister Seeks Urgent Treasury Talks Over Regional Budget Pressures
UK Government Targets Subscription Traps and Misleading Discounts in New Consumer Rules
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
×