In eight months, UK Health Secretary Wes Street has set up low-key reforms to health services, including the layoffs of new hospital league tables and poorly performed managers as part of a pledge to fix the “broken” NHS.
After Amanda Pritchard said on Tuesday he has left as the chief executive of the body that runs health services in the UK, he has now seen a more dramatic view of his vision for the government's much-known “plan of change.” Parts revealed: narrower white hole control.
“We do.. Streeting needs a new relationship between the Ministry of Health, the Ministry of Social Care and the NHS England. Pritchard's successor, Ir James Mackey, said, “It's fundamentally changing the shape.” “It had a mission for,” NHS England added.
The senior health sector figures were hoping for Pritchard to leave, but not before Streeting unveiled his 10-year plan in the spring. They said the new relationship promise reflects the government hopes that without a detailed strategy they will look serious about NHS reform.
“They wanted to make it look like they were doing something, so they removed Amanda,” said one person who advised the government. “It's clear that for anyone in the industry, the WES team has come in without a plan.”
“It's about optics,” said another health department figure.
Last year, the government announced an increase of £22.6 billion in the NHS' daily budget over two years and an increase of £3.1 billion in the capital budget. Outside of the pandemic in 2010.
The hospital boss welcomed billions of pounds of new funds, but the NHS just stands still, and its commitment flies in the face of repeated street claims that further cash is conditional on reform That seemed to happen.
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Street allies, who were Shadow Health Secretaries between 2021 and last July, will take the initiative to plan to refer to the size and complexity of the NHS, as well as pressures on the aging and growing population of more complex health conditions. I defended the time. needs.
Streeting has set three “big shifts” to shift the NHS from “analog” to “digital” services, setting the focus of services from hospitals to more care from the community and “disease prevention” .
However, fellow Cabinet Ministers competed to make their mark more visible. Deputy Prime Minister Angela Rayner, for example, has introduced radical reforms in the planning and mandate system.
One health sector figure said, “If a lot of reforms include big discussions with unions and you look to Labour's leadership, is he happy with those big moves?”
Pritchard's resignation, which comes a day after she met on the street, suggested he was pushing for her departure, one health official proposed.
Streeting never asked reporters on Tuesday to resign from Pritchard, but only two parliamentary committees last month questioned her leadership, saying she was “pleased” and “ideas.” “Outside,” he said.
One government official said Pritchard “choose to resign, it was all very friendly,” and from last summer he hoped for a closer working relationship between the NHSE and DHSC. He said he made it clear that there is.
Streeting's reform agenda would inevitably mean that the two organizations will shrink, the person added.
Mackey, the CEO of the Newcastle Hospital NHS Foundation Trust and a variety of health services roles, is expected to be mailed for several years, overseeing a widespread restructuring and decline in the number of health authorities. It's there.
Richard Srogett, a special adviser to then-conservative health secretary Matt Hancock and now runs a health consulting firm, said Mackey “has been binding on perhaps the most important agenda.” Selective recovery in 2021.
In that role, Mackey points out how the government and NHS England can work together, and plans to reduce the backlog that he positioned as “places gyms as operational leads but appointed by the minister.” was devised.
Another healthcare executive who worked with Mackey said he would be “a lot more practical and far more results-oriented” than Pritchard.
One way this would be revealed was that it was in a different attitude than the private sector, he predicted, “Amanda doesn't really understand or like it, but he didn't tolerate the private sector. But Jim sees them as part of the solution.”
This month, Streeting announced Penny Dash, former hospital physician and partner at McKinsey, as the new chairman of the NHS England from March. He also brought in several NHS Trust Chairman Tom Kibasi to draft a 10-year plan. This is a move that health authorities interpreted as being on the sidelines.
Sarah Ooolnow, chief executive of Kings Fund, a health and social care think tank, said Mackey is at the helm “at a very important time for the NHS.” Demand and budgetary pressure.
“Two organizations are important [the health department and NHS England] While we will continue to work together, it is equally important that NHS leaders maintain operational and clinical independence for the day-to-day operation of their services,” she added.
