London Daily

Focus on the big picture.
Sunday, Jan 04, 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
US Joint Chiefs Chairman Outlines How Operation Absolute Resolve Was Carried Out in Venezuela
Starmer Welcomes End of Maduro Era While Stressing International Law and UK Non-Involvement
Korean Beauty Turns Viral Skincare Into a Global Export Engine
UK Confirms Non-Involvement in U.S. Military Action Against Venezuela
UK Terror Watchdog Calls for Australian-Style Social Media Ban to Protect Teenagers
Iranian Protests Intensify as Another Revolutionary Guard Member Is Killed and Khamenei Blames the West
Delta Force Identified as Unit Behind U.S. Operation That Captured Venezuela’s President
Europe’s Luxury Sanctions Punish Russian Consumers While a Sanctions-Circumvention Industry Thrives
Berkshire’s Buffett-to-Abel Transition Tests Whether a One-Man Trust Model Can Survive as a System
Fraud in European Central Bank: Lagarde’s Hidden Pay Premium Exposes a Transparency Crisis at the European Central Bank
Trump Announces U.S. Large-Scale Strike on Venezuela, Declares President Maduro and Wife Captured
Tesla Loses EV Crown to China’s BYD After Annual Deliveries Decline in 2025
UK Manufacturing Growth Reaches 15-Month Peak as Output and Orders Improve in December
Beijing Threatened to Scrap UK–China Trade Talks After British Minister’s Taiwan Visit
Newly Released Files Reveal Tony Blair Pressured Officials Over Iraq Death Case Involving UK Soldiers
Top Stocks and Themes to Watch in 2026 as Markets Enter New Year with Fresh Momentum
No UK Curfew Ordered as Deepfake TikTok Falsely Attributes Decree to Prime Minister Starmer
Europe’s Largest Defence Groups Set to Return Nearly Five Billion Dollars to Shareholders in Twenty Twenty-Five
Abu Dhabi ‘Capital of Capital’: How Abu Dhabi Rose as a Sovereign Wealth Power
Diamonds Are Powering a New Quantum Revolution
Trump Threatens Strikes Against Iran if Nuclear Programme Is Restarted
Apple Escalates Legal Fight by Appealing £1.5 Billion UK Ruling Over App Store Fees
UK Debt Levels Sit Mid-Range Among Advanced Economies Despite Rising Pressures
UK Plans Royal Diplomacy with King Charles and Prince William to Reinvigorate Trade Talks with US
King Charles and Prince William Poised for Separate 2026 US Visits to Reinforce UK-US Trade and Diplomatic Ties
Apple Moves to Appeal UK Ruling Ordering £1.5 Billion in Customer Overcharge Damages
King Charles’s 2025 Christmas Message Tops UK Television Ratings on Christmas Day
The Battle Over the Internet Explodes: The United States Bars European Officials and Ignites a Diplomatic Crisis
Princesses Beatrice and Eugenie Join Royal Family at Sandringham Christmas Service
Fine Wine Investors Find Little Cheer in Third Year of Falls
UK Mortgage Rates Edge Lower as Bank of England Base Rate Cut Filters Through Lending Market
U.S. Supermarket Gives Customers Free Groceries for Christmas After Computer Glitch
Air India ‘Finds’ a Plane That Vanished 13 Years Ago
Caviar and Foie Gras? China Is Becoming a Luxury Food Powerhouse
Hong Kong Climbs to Second Globally in 2025 Tourism Rankings Behind Bangkok
From Sunniest Year on Record to Terror Plots and Sports Triumphs: The UK’s Defining Stories of 2025
Greta Thunberg Released on Bail After Arrest at London Pro-Palestinian Demonstration
Banksy Unveils New Winter Mural in London Amid Festive Season Excitement
UK Households Face Rising Financial Strain as Tax Increases Bite and Growth Loses Momentum
UK Government Approves Universal Studios Theme Park in Bedford Poised to Rival Disneyland Paris
UK Gambling Shares Slide as Traders Respond to Steep Tax Rises and Sector Uncertainty
Starmer and Trump Coordinate on Ukraine Peace Efforts in Latest Diplomatic Call
The Pilot Barricaded Himself in the Cockpit and Refused to Take Off: "We Are Not Leaving Until I Receive My Salary"
UK Fashion Label LK Bennett Pursues Accelerated Sale Amid Financial Struggles
U.S. Government Warns UK Over Free Speech in Pro-Life Campaigner Prosecution
Newly Released Files Shed Light on Jeffrey Epstein’s Extensive Links to the United Kingdom
Prince William and Prince George Volunteer Together at UK Homelessness Charity
UK Police Arrest Protesters Chanting ‘Globalise the Intifada’ as Authorities Recalibrate Free Speech Enforcement
Scambodia: The World Owes Thailand’s Military a Profound Debt of Gratitude
Women in Partial Nudity — and Bill Clinton in a Dress and Heels: The Images Revealed in the “Epstein Files”
×