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Transforming our health service
12 November 2025
Type
Written Ministerial Statement
Department
Department of Health and Social Care
At a Glance
Issue Summary
The statement addresses the Government's plans to reform the health system in England by abolishing NHS England and restructuring Integrated Care Boards (ICBs) to improve efficiency and patient care.
Action Requested
The government proposes to abolish NHS England by March 2027, reduce staff numbers across DHSC, NHSE, and ICBs by up to 50% by March 2028, and designate high-performing trusts as Advanced Foundation Trusts. Additionally, the best trusts will be given Integrated Health Organisation (IHO) contracts to manage local health budgets.
Key Facts
- NHS England is set to be abolished by March 2027.
- Staff numbers across DHSC, NHSE, and ICBs are expected to be reduced by up to 50% by March 2028.
- 18,000 posts will be abolished with over £1 billion per annum saved by the end of Parliament.
- Eight high-performing trusts will be assessed for Advanced Foundation Trust designation.
- Two advanced Foundation Trusts will go forward as candidates for IHO designation.
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