London Daily

Focus on the big picture.
Monday, Aug 31, 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
Royal Mail Keeps First-Class Stamps at £1.80 and Second-Class at 91p
Church of England Prepares Formal Apology Over Historical Forced Adoptions
UK Competition Regulator Caps Veterinary Prescription Fees at £21
UK Aviation Authorities Roll Out Airspace Changes to Reduce Flight Delays
England Makes School Allergy Policies Mandatory Under Benedict’s Law
England and Wales Tighten Child Safeguarding Checks by Removing Supervision Exemption
Cornwall Geothermal Plant Begins Commercial Power and Lithium Operations
UK Inflation Holds Near 2.9% as Energy Costs Remain a Risk
UK Productivity Growth Averages 1.1% Over Two Years, Resolution Foundation Says
England Introduces Nationwide School Smartphone Ban and Uniform Limits
UK Gives Border Officers New Powers to Seize Migrants’ Mobile Phones
Green Party Wins First Westminster By-Election in Gorton and Denton
UK and EU Advance Gibraltar Border Deal Allowing Spanish Guards to Conduct Arrival Checks
Robert Jenrick Joins Reform UK After Losing Conservative Whip
Andy Burnham Faces First Prime Minister’s Questions After Labour Cabinet Overhaul
ScottishPower Recycles Nearly All Materials From Historic Hagshaw Hill Wind Farm
Millions Travel Across England, Wales and Northern Ireland for Summer Bank Holiday
Met Office Issues Yellow Thunderstorm Warnings Across Southern England
Four Arrested After Bank Holiday Stabbing Violence in Kettering
Scottish Chamber of Commerce Warns Tax and Business Costs Risk Holding Back Scotland
UK Government Launches Youth Employment Drive With Major Retailers
UK and Ukraine Advance AI and Defence Technology Partnership
Prime Minister Andy Burnham Moves to Exclude Serious Offenders From Early Release
Twelve Arrested After A66 Crash Kills Seven, Including Two Police Officers
Bank of England Governor Warns AI Investment Boom Could Trigger Global Market Correction
London Science Museum Ends Long-Running BP Sponsorship
Scottish Homeowners Prepare Valuation Challenges Over Proposed Mansion Tax
UK Prosecutors Consider Charges Against Undercover Police in Spycops Scandal
James Cleverly Leaves Shadow Cabinet to Run for London Mayor
Avanti West Coast Drivers Agree 3.6% Pay Rise, Averting Strike Action
Allianz Explores £5 Billion Takeover of British Roadside Assistance Group AA
UK Government Retreats From Plan to Unfreeze Personal Income Tax Threshold
Northern Ireland Leaders Press UK Government for Sustainable Funding Settlement
UK Health Agency Warns Nationwide Salmonella Outbreak Could Worsen
NHS Warns Autism and ADHD Assessment Costs Have Become Unsustainable
UK Rejects Moratorium on AI Data Centres Despite Energy and Water Concerns
Thames Water Creditors Offer Government Golden Share in £10 Billion Rescue Plan
UK Warns Defence Executives of Russian Assassination and Sabotage Threats
Bank of England Holds Interest Rate at 3.75% Amid Inflation Risks
UK Restricts Early Prison Release for Serious Offenders as Jails Near Capacity
Genetic Study Finds Medieval Britain’s ‘Conquest Man’ Had Scandinavian Origins
Kemi Badenoch Plans Conservative Frontbench Reshuffle After Cleverly Departure
Nissan Sunderland Plant Highlighted as Key Economic Anchor for North East England
UK Arts Report Finds Women Face Persistent Barriers to Career Progression
Private Equity Consolidation of UK Veterinary Practices Raises Consumer Cost Concerns
South West Water Ranked Worst in England for Environmental Performance
British Train Drivers Secure 3.6% Pay Rise, Averting Strike Threat
UK Prosecutors Consider Charges Against Officers in Undercover Policing Scandal
James Cleverly Leaves Conservative Shadow Cabinet to Run for London Mayor
Allianz Explores £5 Billion Takeover of British Roadside Assistance Group AA
×