NHS England Update

Kevin McKenna Excerpts

Thursday 13th March 2025 Commons Chamber

[Wes Streeting]

I can give my hon. Friend that assurance. That is the objective of what we are doing: to make better use of taxpayers’ money so that we can deliver better care for patients. That is not through bloated central bureaucracy, but through more frontline capability and services.

[Kevin McKenna (Sittingbourne and Sheppey) (Lab)]

I draw Members’ attention to my entry in the Register of Members’ Financial Interests. Of the more than 26 years that I worked in the NHS, six and a half were in NHS England, in its brilliant strategy team and with brilliant people. That is why my heart goes out to so many people who will have insecurity about their jobs following this announcement, even though I believe it to be the right one. This comes after years and years of chopping and changing at NHS Improvement and NHS England, as political leadership has switched from one person to another.

One of the things I am concerned about is the need to ensure that clinical leadership is still heard at the centre. As a nurse, I found it harder to get into NHS England. Doctors find it easier in their career structures. Moving NHS England functions into the Department, and moving off NHS terms and conditions, will make it harder for nurses, allied health professionals and other clinicians working in the NHS. What will my right hon. Friend do to ensure that the clinical voice comes right into the centre of Whitehall, along with the patient voice?

[Wes Streeting]

I am extremely grateful to my hon. Friend, and I echo what he said about the talents of people at NHS England. I did not take this decision with the Prime Minister lightly. Indeed, it was not my instinct coming into government, but it has been shaped by what I have seen and experienced over the past eight months. Clinical leadership is vital, and that is not just doctors; it is also nurses and other clinical leadership. We have a brilliant chief nursing officer, who remains in place and will be part of that clinical leadership team. I can assure my hon. Friend that we do not want any political interference in what should be decisions for clinicians. What we need is the right political leadership to give that clinical leadership the tools, power and freedom to do the job that only they can do, and that they do best.