Wes Streeting will be thousands of jobs at AXT in NHS England after his chairman’s expellion and Chief Executive in what health care staff are graceful.
The plan of the health secretary will follow the Schokkistation of Amanda Pritchard on Monday that she was retire as chief executive of the organization Next month.
She will be replaced for the near future by Sir Jim Mackey, the generally admired Chief Executive of the NHS Trust that the acute hospitals in Newcastle run on Tyne.
Streeting is planning to gain much more control over NHS England and to be regarded as part of his mission to be “a new era for the NHS” and to breathe new life into the public service that the voters give the most.
This includes reducing the size of the body in the operational charge of the health service due to deep cuts on its 13,000 stubborn workforce, and it will do much less in the future.
He is planning to terminate the situation in which individual teams of civil servants of NHS England and the Ministry of Health and Social Care (DHSC) cover the same area of health policy, such as primary care, which he regards as an unnecessary “duplication” of roles. Although those teams often agree on the necessary changes, disagreements between them have also stopped important policy initiatives.
NHSE staff, however, will be the victim of job losses, which will be “considerable” in scale, it is understood. Some teams will be merged, including the respective communication teams of the two organizations, in the midst of much poet joint work.
A source of Whitehall said: “In the future, NHS England will still play a crucial role, but it will play a smaller and slimmer role. It will be a smaller role than what it is currently doing, which is a lot, but that entails a lot of duplication.
“Historically, there have been too many disagreements [between the overlapping teams of officials] And duplication of tasks and roles and responsibilities. “
In an example of the tension that can occur, the wish of Streeting is to publish a new plan to tackle the long waiting patients who can be confronted for urgent and emergency help, as A&E was needed And what really new initiatives could be recorded, said a high official.
Streeting has already removed Richard Meddings, the conservative chair of NHS England. He has chosen Dr. Penny Dash – a doctor who shares his zeal to radically reform the NHS – to replace meddings, in a move that NHS insiders and experts in health policy say that the grip of streeting will strengthen.
Meddings was “disappointed” and “relieved” when the minister told him he wanted him to stop a year before the end of his four -year office, he recently told the Sunday Times.
Dash is the chairman of the North-West London Integrated Care Board-a regional grouping of NHS-Trusts and local councils. She is a “no-nonsense character who likes to offer a robust challenge to seniors in the NHS about the progress they are or not”, according to someone who has worked closely with her.
A former special DHSC consultant said that the resignation of Pritchard Streeting will give more power and “is another sign of power that goes back to DHSC and ministers. With Meddings and Pritchard, ministers are completely under control. “The dismissals will further weaken England, they added.
But Sarah Woolnough, the chief executive of the King’s Fund Thinktank, gave a veiled warning not to have too much influenced about the freedom that NHS England was given as a result of the then health secretary Andrew Lansley’s controversial commotion in 2012.
“It is crucial that the two organizations continue to work well together, but equally important that NHS leaders retain operational and clinical independence for the daily operation of the service,” she said.
Pritchard explained to her “extremely difficult decision for me to resign” and said it was belief that the NHS needed new leadership to implement the government’s coming 10-year health plan.
Streeting has denied that he had asked Pritchard to resign. During an event at Apple’s head office in London, he said: “No, I have so much respect and time for Amanda Pritchard. I have now enjoyed working with Amanda Pritchard for almost eight months since I became secretary and social care. She gave me a sensible advice, she led the NHS from the front … in the last more than half a decade now. “
NHS sources, however, said that streeting in recent meetings had encouraged her to consider her future, given the most important reforms he was planning, and that she concluded that she should go. In an unusual movement, two Commons Select committees criticized its alleged lack of drive and dynamics last month.
A well-placed source said that the office of Christopher Wormald, the cabinet secretary-die, until recently the permanent secretary of the DHSC WAS-HAD advised to “make it nice” when announcing the exit of Pritchard and “makes it look like it As if she continued her own conditions ”.
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