Speeches by Johnson.

““history shows that reorganisations on their own do not automatically improve care for patients.””

“Similarly, Sarah Woolnough of the King’s Fund said that”

““Previous reorganisations of the NHS have often delivered a lot of disruption for uncertain benefits.””

“Thea Stein of the Nuffield Trust said:”

““history tells us that rejigging NHS organisations is hugely distracting and rarely delivers the benefits politicians expect.””

“Dr Hugh Alderwick of the Health Foundation has said that”

“”

“I tabled a question on 18 May asking whether the Government expect NHS England’s review of the preference-informed allocation method to be completed by the time NHS England is abolished. I am sure you will be aware, Sir Jeremy, that that is the allocation method by which resident doctors in their foundation year are al…”

“The workforce plan, as I said earlier, faced extensive delays, and we are still waiting for it. I understand, from a response to a parliamentary question, that it is now due “imminently”. I am not quite sure what “imminently” means, but it is obviously quicker than “soon”. If the Minister could enlighten the House on w…”

“Ministers pledged that they would deliver universal fracture liaison services by 2030, yet, again, the Government are not on track. Could the Minister confirm whether the disruption from the abolition of NHS England is in part to blame for the failure to be on track with that manifesto commitment? The cancer plan also …”

“On the most basic level, this is a question of resource allocation. Let us consider other delayed projects that NHS England has been involved in. Ministers pledged in this House that 24/7 mechanical thrombectomy services would be rolled out universally by April 2026. That is a very important service for people who have…”

“During the evidence session on Tuesday, several other witnesses said that they were aware of disruption. Jeanette Dickson of the Academy of Medical Royal Colleges— I again declare my interest as a member of the Royal College of Paediatrics and Child Health—said that the abolition of NHS England is “increasing the time”…”

““DHSC has rated the risk of vacancies leading to delays as red, and capabilities affected included digital, legal, commercial, project delivery and technical knowledge. These capability gaps could slow delivery, cause over-reliance on the PDP and delay later waves, which include the larger schemes. DHSC recognises that…”

“It also wrote:”

“”

““the plans to dissolve NHSE have resulted in some disruption to the programme.””

“The cost is not all measured in finance; disruption carries a significant opportunity cost. I recently tabled a written question to ask the Minister about the disruption to new services resulting from the abolition of NHS England, and she responded by saying that it is not causing any disruption, but I am not sure that…”

“So, all things being equal, it will take some time just to break even. We know that cost savings—if they do exist—from top-down reorganisation take years to materialise and are often eclipsed by the financial toll of transition.”

““the estimated overall cost of redundancy exits across DHSC, NHSE, ICBs and Commissioning Support Units (CSUs) is estimated at approximately £1bn to £1.3bn”.”

“However, how can we be certain that fewer staff and less bureaucracy will save £1 billion a year? How can we be sure that those savings will be realised in the face of the substantial costs that come with reorganisation? The Department’s permanent secretary wrote to the Public Accounts Committee that”