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  • Wednesday, 12 November 2025

Thousands of NHS staff in England to lose jobs after deal approved

Thousands of NHS staff in England to lose jobs after deal approved

Thousands of NHS workers in England have volunteered to pay for pay-offs after a deal was reached with the Treasury that would encourage the health service to overspend this year to pay the bill. The government revealed earlier this year that 18,000 admin and managerial positions with NHS England, the NHS's administrator, will be moved into the Department of Health and Social Care, as well as cuts to local health boards. NHS chiefs and health ministers were in discussions with the Treasury over how to pay for the £1 billion one-off bill, despite the health service needing additional funds. The Treasury denied that, but the BBC claims that a compromise has been reached, with the NHS allowing the NHS to postpone this year.

'Pragmatic step'

The NHS is expected to recoup the costs further down the line if the job cuts result in savings in subsequent years. Overall, government estimates indicated that no more money is going into the NHS beyond what was agreed at the spending review this year, an increase of £29 billion a year above inflation by 2028-29. Patients and NHS workers had told him that the health service had

too many layers of administration, with too many layers in bureaucracy,
according to Wes Streeting, the health minister's BBC Breakfast. In his address later Wednesday,
people want to see the front line prioritized, and that is just what we're doing,
he said, adding that he'll tell NHS leaders
We're finally on the road to recovery. Streeting is expected to state
I want to reassure taxpayers that every penny they are asked to pay will be spent wisely
in a speech to health care executives at the NHS Providers' conference in Manchester later this year.
We're now pushing the accelerator and slashing unnecessary bureaucracy in order to reinvest the funds in front-line care.
It won't happen overnight, but with our investment and modernization, we can rebuild our NHS so it is there for you when it needs it once more.
The reforms are expected to raise £1 billion a year by the end of the parliament to provide patients with better services. Every £1 billion invested in bureaucracy costs, according to the government, would fund an additional 116,000 hip and knee surgeries. NHS England is expected to be reinstated to the Department of Health within two years, but integrated care boards (ICBs), which plan health services for specific regions, will decrease their headcounts by half.
This is a pragmatic move that ensures planned redundancies can now take place,
NHS Providers' chief executive Daniel Elkeles said.
It reflects the flexibility of a three-year deal, allowing some funds to be brought forward in order to generate future savings to be directed to front-line care.
However, we must also acknowledge the position of workers affected by these changes, people who have pledged their service to the NHS and have a long future.
But Patricia Marquis of the Royal College of Nursing warned that the redundancies might lead to backfire.
Front-line services need more investment, but doing so on the backs of thousands of experts who have been made redundant is a false economy.
Expert registered nurses working in NHS England and ICBs don't only administer vital public health services and monitor care for the elderly; they also link the NHS and social care services together.
To say that these are administrators shows a complete lack of knowledge of their positions and how they can support patient care.

Why is NHS England being abolished?

NHS England - the body that controls the NHS in England — was established as part of the 2012 reforms introduced under former Tory health secretary Andrew Lansley. The intention was to remove political meddling from the health service, but ministers ended up dictating the overall scheme rather than being involved on a daily basis. However, Lansley's successor, Jeremy Hunt, said recently that NHS England has evolved into a bureaucratic monster that stifles innovation, with reports that several companies are at times filling out 250 forms a month to please both NHS England and the health department. And on the front line, one of the most common complaints was that NHS England was incredibly over-controlled, even suggesting individual NHS trusts request permission for something as mundane as granting media interviews. But let's not forget that this is also about control. Ministers have argued that it is only correct that a democratically elected government be in charge of the health service's day-to-day operation. However, Given that Labour, the Tory messing around with NHS services, embarking on its own reorganisation puts the party at risk. Many professionals in the health service are already discussing the disruption and chaos that these changes have caused, and given that NHS England is in charge of the day-to-day operation of the health facility, coordinates some specialty services, and has a hand in shaping and digital innovation, it is not difficult to see why there are some serious questions regarding the reforms. Patients and NHS workers told him the health service had

too many layers of administration, with too many layers in bureaucracy,
Streeting told BBC Breakfast that the health care had the health service neededtooooo many layersIn his address later today, he said,People want to see the front line prioritized, and that is just what we're doing," he told NHS leaders.

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