A major restructuring of the NHS in England combining the July 2025 10 Year Health Plan (three shifts: hospital-to-community, analogue-to-digital, sickness-to-prevention) with the March 2025 decision to abolish NHS England and absorb its functions into DHSC, now being legislated through the Health Bill introduced on 14 May 2026.
The reform recasts the entire statutory architecture of NHS governance — abolishing the arm's-length commissioning body created in 2012/2022, repositioning integrated care boards as strategic commissioners, and abolishing Healthwatch and moving HSSIB to the CQC.
The Health Bill is in Parliament (Second Reading 1 June 2026) with extensive pre-legislative and committee scrutiny; the Public Accounts Committee and Health and Social Care Committee have repeatedly warned that reforms were announced without delivery plans or secured funding.
The government's flagship strategy reinventing the NHS through three radical shifts, co-developed via the Change NHS conversation; published 3 July 2025.
Primary legislation to dismantle NHS England and absorb functions into DHSC, recast ICBs as strategic commissioners, abolish Healthwatch and move HSSIB to the CQC.
Bill collection page bringing together the Bill, fact sheets and supporting documents.
The government's mandate setting the objectives NHS England should pursue (Jan 2025).
Uprates NHS-funded nursing care rates; made under the NHS Act 2006 as amended by the Health and Care Act 2022.
Brings sports- and culture-event medical treatment into CQC regulation by removing exceptions from regulated activities; commences Sept 2026 / Dec 2027.
Outlines how integrated care boards will focus on their role as strategic commissioners of local health services.
Describes the role and functions of the restructured DHSC after NHS England absorption.
How DHSC will set direction and maintain oversight once NHS England is abolished.
Transfer of digital and data functions from NHS England to DHSC.
Cross-Bill economic impact assessment summary published 14 May 2026.
EIA covering the abolition of Healthwatch.
DHSC memorandum to the Delegated Powers and Regulatory Reform Committee, 14 May 2026.
Public Accounts Committee warning that forthcoming staff cuts and abolition created uncertainty without a plan (1 May 2025).
Finds NHS England oversight is not reducing variation in frailty support across ICBs and has overloaded GPs.
Committee report on funding and viability of the NHS system (Jan 2025).
National Audit Office value-for-money report on NHS finances (Feb 2020).
Lord Darzi's diagnostic report on the state of the NHS that underpinned the reform programme.
Direct evidentiary basis for the 10 Year Health Plan and the reform programme.
The public engagement vehicle for the 10 Year Health Plan.
It sets out how the government will reinvent the NHS through 3 radical shifts: hospital to community; analogue to digital; sickness to prevention.
Why linked: Core commitment defining the 10 Year Health Plan reform package.
In March 2025, the government announced it would abolish NHS England and change the responsibilities of ICBs.
Why linked: Foundational structural commitment now being legislated through the Health Bill.
Why linked: Health Bill Second Reading parliamentary debate with referenced HSC Committee oral evidence on NHS England work; legislative scrutiny of NHS policy
Second Reading [Relevant documents: Oral evidence taken before the Health and Social Care Committee on 20 May, on the Work of NHS England, HC 583 ; Written evidence to the Health and Social Care Committee, on the Health Bill, reported …
Why linked: The Regulated Activities (Amendment) Regulations 2026 are a governing instrument expanding CQC regulation, directly on this thread.
These Regulations amend the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (“the 2014 Regulations”).
Why linked: Lords Chamber debate on the Health and Social Care Act 2008 (Regulated Activities) (Amendment) Regulations 2026, a governing instrument on this thread.
Lords Chamber debate | Lords
Why linked: Commons General Committee debate on the same Regulated Activities Regulations 2026.
General Committees debate | Commons
Why linked: Statutory instrument amending NHS Commissioning Board and CCG regulations; primary regulatory instrument governing NHS commissioning structure
These Regulations amend the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 S.I. 2012/2996 (“the Standing Rules”). They are made under the National Health Service Act 2006 (c. 41), as amended by the …
Why linked: The Health and Care Act 2022 (Consequential Amendments) Regulations 2025 operationalise the renaming of NHS England — core to the thread's statutory architecture.
These Regulations, which apply in relation to National Health Service functions that are exercisable in England only, make consequential amendments to the Down Syndrome Act 2022.
Why linked: Commons debate on Support for NHS Patients - policy scrutiny
Commons Chamber debate | Commons
Why linked: The Secretary of State's Commons statement on publication day is the key parliamentary event marking the plan's launch and sets the political record.
We launched the biggest consultation since the NHS began — over 270,000 contributions and almost 2 million visits to the change.nhs.uk website.
Why linked: Lords debate on NHS England Update, parliamentary scrutiny of NHS strategic direction
Lords Chamber debate | Lords
Why linked: Lords debate on NHS England Update, parliamentary scrutiny of NHS strategic direction
Lords Chamber debate | Lords
Why linked: Lords debate on NHS England Update, parliamentary scrutiny of NHS strategic direction
Lords Chamber debate | Lords
Why linked: Statutory instrument amending NHS Commissioning Board and CCG regulations; regulatory instrument on NHS commissioning governance
These Regulations amend the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 (S.I. 2012/2996) (“the Standing Rules”). They are made under the National Health Service Act 2006 (c. 41) (“the 2006 Act”), as …
Why linked: Statutory instrument amending NHS Commissioning Board and CCG regulations; governs NHS commissioning responsibilities and standing rules
These Regulations amend the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 (S.I. 2012/2996) (“the Standing Rules”). They are made under the National Health Service Act 2006 (c. 41) (“the 2006 Act”), as …
Why linked: Commons debate on NHS Reform – parliamentary scrutiny
Commons Chamber debate | Commons
Why linked: Lords debate on NHS Plan Consultation - strategic planning document central to scope
Lords Chamber debate | Lords
Why linked: The Secretary of State's Commons statement on publication of the Darzi Report is the parliamentary record of the reform programme's starting point.
The NHS has not been able to meet its promises to treat patients on time for almost a decade; patients have never been more dissatisfied with the service they receive.
Why linked: Lords Chamber debate on Government Policy on Health; parliamentary scrutiny of health policy affecting NHS
Lords Chamber debate | Lords
Why linked: Commons Chamber debate on Government Policy on Health; parliamentary scrutiny of NHS policy
Commons Chamber debate | Commons
Why linked: Lords debate on NHS: Performance and Innovation, parliamentary scrutiny of NHS performance and strategic direction
Lords Chamber debate | Lords
Why linked: Lords debate on NHS: Performance and Innovation, parliamentary scrutiny of NHS performance and strategic direction
Lords Chamber debate | Lords
Why linked: Statutory instrument on CQC fees for Integrated Care System reviews; directly implements governance of NHS integrated systems
Section 85(1)(b) of the Health and Social Care Act 2008 (“the 2008 Act”) permits the Care Quality Commission (“the Commission”), with the consent of the Secretary of State, to make and publish provision requiring a fee to be paid by …
Why linked: Statutory instrument on NHS joint working and delegation arrangements—legal mechanism governing NHS structure and operations
Section 65Z5(1) of the National Health Service Act 2006 (c. 41) gives certain bodies, including NHS England and integrated care boards, the power to arrange for their functions to be exercised by, or jointly with, one or more specified bodies …
Why linked: Statutory Instrument amending NHS Commissioning Board and Clinical Commissioning Groups Responsibilities (2023), key governance regulations
The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 (S.I. 2012/2996) (“the Standing Rules”) make provision for, amongst other things, NHS funded nursing care.
Why linked: Amendment regulations to NHS Commissioning Board and CCG standing rules; core governance instrument for NHS commissioning structure
The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 (S.I. 2012/2996) (“the Standing Rules”) make provision for, amongst other things, NHS funded nursing care.
Why linked: Parliamentary debate on Future of the NHS - directly on-topic policy scrutiny
Commons Chamber debate | Commons
Why linked: Lords debate on NHS: Access to Treatments, covers service delivery and clinical governance
Lords Chamber debate | Lords
Why linked: Statutory instrument establishing Integrated Care Boards' core responsibilities; directly governs NHS organisational structure within scope
Section 14Z31 of the National Health Service Act 2006 (c. 41) (“the NHS Act 2006”) provides that NHS England must, from time to time, publish rules for determining the group of people for whom an integrated care board has core …
Why linked: National Health Service (Joint Working and Delegation Arrangements) Regulations 2022, statutory instrument implementing Health and Care Act 2022
These Regulations provide that the power in section 65Z5(1) of the National Health Service Act 2006 (c. 41), as inserted by section 71 of the Health and Care Act 2022 (c. 31), does not apply to the functions of NHS …
Why linked: Ministerial correspondence on NHS pilots relating to service delivery and policy experimentation
The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 (S.I. 2012/2996) (“Standing Rules”) make provision for, amongst other things, NHS funded nursing care.
Why linked: Health and Care Bill Report debate - primary legislation governance
Report (2nd Day) 11:50:00 Relevant documents: 15th, 16th and 19th Reports from the Delegated Powers Committee, 9th Report from the Constitution Committee Clause 20: General functions Amendment 36 Moved by 36: Clause 20, page 21, line 25, at end insert— …
Why linked: Health and Care Bill Report debate - primary legislation governance
Report (2nd Day) (Continued) 16:03:00 Clause 39: General power to direct NHS England Amendment 83 Moved by 83: Clause 39, page 47, line 37, at end insert— “(4) A direction under section 13ZC may not be given in relation to …
Why linked: Statutory instrument on NHS England competition law exclusions during coronavirus; governs NHS commissioning arrangements
This Order excludes from the Chapter I prohibition in the Competition Act 1998 (c. 41) agreements between the National Health Service Commissioning Board (NHS England) and providers who are not part of the NHS, between other NHS bodies and independent …
Why linked: Health and Care Bill Committee debate; directly addresses 2022 legislation governing NHS structure and operations
Committee (9th Day) 16:11:00 Relevant documents: 15th, 16th and 19th Reports from the Delegated Powers Committee, 9th Report from the Constitution Committee The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Kamall) (Con): My Lords, I should …
Why linked: Westminster Hall debate on Future of the NHS—parliamentary scrutiny and strategic direction
Westminster Hall debate | Commons
Why linked: Health and Care Bill Committee debate with focus on NHS England mandate; directly addresses 2022 legislation affecting NHS
Committee (2nd Day) 12:10:00 Relevant documents: 15th and 16th Reports from the Delegated Powers Committee, 9th Report from the Constitution Committee Clause 3: NHS England mandate: general Amendment 11 Moved by 11: Clause 3, page 2, line 20, at end …
Why linked: Westminster Hall debate on NHS Efficiency—parliamentary scrutiny of operational and organisational policy
Westminster Hall debate | Commons
Why linked: Parliamentary debate on NHS update; parliamentary scrutiny of current NHS policy and performance
Commons Chamber debate | Commons
Why linked: Statutory Instrument amending NHS Commissioning Board and Clinical Commissioning Groups Responsibilities (2020), governance and commissioning regulations
The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities’ and Standing Rules) Regulations 2012 (S.I. 2012/2996) (“Standing Rules”) make provision for, amongst other things, NHS funded nursing care.
Why linked: Lords debate on NHS Targets - service delivery standards and performance
Lords Chamber debate | Lords
Why linked: Commons debate on NHS: New Technology, covers NHS service innovation and delivery
Commons Chamber debate | Commons
Why linked: Commons debate on NHS: New Technology, covers NHS service innovation and delivery
Commons Chamber debate | Commons
Why linked: Lords debate on NHS Mandate, covers strategic planning and governance of NHS England
Lords Chamber debate | Lords
Why linked: Commons debate on Government Mandate for the NHS; directly concerns NHS strategic direction and government accountability
Commons Chamber debate | Commons
Why linked: Parliamentary debate on Health and Social Care Act 2012 - primary legislation governance
Question 11:28:00 Asked by Lord Hunt of Kings Heath: To ask Her Majesty’s Government, in the light of the Prime Minister’s criticism of the regulatory framework established under the Health and Social Care Act 2012, what plans they have, if …
Why linked: Lords debate on NHS Equitable Access – service delivery policy scrutiny
Lords Chamber debate | Lords
Why linked: Westminster Hall debate on NHS 70th Anniversary - contextual policy discussion
Westminster Hall debate | Commons
Why linked: Parliamentary debate on NHS in England, core scrutiny of NHS policy and performance
Commons Chamber debate | Commons
Why linked: Lords debate on NHS Debt – parliamentary scrutiny of NHS financial sustainability
Lords Chamber debate | Lords
Why linked: Parliamentary debate on Health and Social Care Act 2012 Consequential Amendments Order, implementation of key NHS legislation
Considered in Grand Committee 16:20:00 Moved By Earl Howe: That the Grand Committee do report to the House that it has considered the Health and Social Care Act 2012 (Consequential Amendments) Order 2013. Relevant documents: 16th Report from the Joint …
Why linked: Health and Social Care Bill Report stage debate on NHS Commissioning Board; foundational legislation debate
Report (4th Day) Relevant documents: 18th and 22nd Reports from the Constitution Committee 15:39:00 Clause 22 : The NHS Commissioning Board: further provision Amendment 71 Moved by 71: Clause 22, page 24, line 27, at end insert— “( ) For …
Why linked: Health and Social Care Bill Report stage debate (2012), foundational NHS legislation
Report (3rd Day) Relevant documents: 18th and 22nd Reports from the Constitution Committee 15:15:00 Clause 19 : Regulations as to the exercise of functions by the Board or clinical commissioning groups Amendment 38A Moved by 38A: Clause 19, page 14, …
Why linked: Health and Social Care Bill Committee debate - primary legislation instrument
Committee (10th Day) 15:07:00 Relevant documents : 19th r eport from the Delegated Powers Committee , 18th r eport from the Constitution Committee . Clause 27 : Appointment of directors of public health Amendment 225 Moved by 225: Clause 27, …
Why linked: Health and Social Care Bill Committee debate (2011), primary legislation foundational to NHS governance
Committee (10th Day) 20:34:00 Clause 33 : Effect of code Amendments 236AB and 236AC not moved. Clause 33 agreed. Clauses 34 to 36 agreed. Clause 37 : After-care Amendment 236B Moved by 236B: Clause 37, leave out Clause 37 and …
Why linked: Health and Social Care Bill Committee debate (2011); foundational legislation debate affecting NHS governance
Committee (7th Day) (Continued) 21:28:00 Amendment 104 Moved by 104: Clause 20, page 17, line 14, at end insert— “( ) In discharging its duty under this section the Board shall, after consultation with Monitor under subsection 171(4) and the …
Why linked: Health and Social Care Bill Committee debate (2011), primary legislation foundational to NHS governance structure
Committee (1st Day) Relevant document : 19th Report from the Delegated Powers Committee . 15:08:00 Amendment 1 Moved by 1: Before Clause 1, insert the following new Clause— “Principles of the Health Service in England (1) Any person or body …
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NHS policy in England is dominated by a single coherent reform package: the July 2025 10 Year Health Plan for England 1 and the March 2025 decision to abolish NHS England and absorb its functions into the Department of Health and Social Care (DHSC) 2. Both are now being legislated through the Health Bill, introduced on 14 May 2026 3 and given Second Reading on 1 June 2026 4. The Bill recasts integrated care boards (ICBs) as strategic commissioners 5, abolishes Healthwatch England 6 and transfers the Health Services Safety Investigations Body (HSSIB) to the Care Quality Commission (CQC) 7. The reform sits on three layered statutes — the National Health Service Act 2006, the Health and Care Act 2022 and the Health and Social Care Act 2008 — and is shadowed by repeated Public Accounts Committee (PAC) warnings that change has been announced without delivery plans or secured funding 8.
The Health Bill is the live legislative vehicle. Introduced on 14 May 2026 with a full suite of impact assessments 1 and fact sheets covering ICBs as strategic commissioners 2, the restructured DHSC 3, system oversight 4 and data and digital functions 5, it received Second Reading in the Commons on 1 June 2026 6. The Bill was preceded by an intensive pre-legislative scrutiny period in which DHSC gave repeated oral evidence to the Health and Social Care Committee 789. A Delegated Powers Memorandum was submitted to the Delegated Powers and Regulatory Reform Committee on 14 May 2026. Underneath the Bill, secondary legislation continues to operationalise the existing architecture: the NHS Standing Rules (Amendment) Regulations 2026 (SI 2026/207), made 3 March 2026, uprated NHS-funded nursing care rates 10, and the Regulated Activities (Amendment) Regulations 2026 expand CQC registration to sports- and culture-event medical treatment. The 10 Year Health Plan 11, built on Lord Darzi's independent investigation 12 and the Change NHS conversation 13, remains the strategic frame. The PAC's structural critique — abolition without a plan 14 — remains the dominant accountability theme as the Bill proceeds.
The most material recent development is the publication of the Health Bill and the start of its parliamentary passage. The Bill collection went live on 14 May 2026 1, accompanied by the impact assessments summary 2, the Healthwatch abolition equality impact assessment 3 and the HSSIB-to-CQC equality impact assessment 4. Second Reading followed on 1 June 2026 5. On scrutiny, the PAC published a report on 3 June 2026 finding that NHS England is not reducing unacceptable variation in frailty support across ICBs and has overloaded GPs with expanding priorities 67. The Health and Social Care Committee's 22 May 2026 report on physical activity recommended national standards through Modern Service Frameworks and an ICB-led national framework 89. On 19 May 2026 the government announced the appointment of Michelle Welsh MP as a Maternity Advisor to DHSC via written ministerial statements in both Houses 1011. The DHSC group accounting manual 2026 to 2027 was published on 2 June 2026 12.
The central thing to watch is whether the Health Bill's structural ambition is matched by delivery and funding detail. The PAC has warned repeatedly — in November 2025 1, May 2025 2 and again in June 2026 — that DHSC and NHS England announce major reforms 'without either delivery plans or secured funding'; the Bill's committee stage is where members will press for the redistribution of duties between a restructured DHSC and ICBs to be pinned down. Watch for the Government response to the Health and Social Care Committee's May 2026 physical activity report 3, conventionally expected within two months and not yet in the corpus. On secondary legislation, the Regulated Activities (Amendment) Regulations 2026 commence in two tranches — 7 September 2026 for application functions and 6 December 2027 for remaining purposes — bringing sports- and culture-event medical treatment into CQC registration; providers in those sectors should prepare. The ONS Health Insight Survey on patient experiences of NHS services is due 10 September 2026 4 and will be an early read on the reform's patient-facing impact. The statutory ten-year review of the NHS Constitution, raised in PQs in April and June 2026 56, remains unconfirmed as commenced. Finally, watch how the abolition of Healthwatch 7 and the transfer of HSSIB to the CQC 8 are challenged in Lords stages, given their implications for patient voice and safety-investigation independence.
The dominant risk is execution: the PAC's consistent finding that abolition proceeds without a secured funding settlement or delivery plan 12 threatens the deliverability of the 10 Year Plan's three shifts. Inferred from corpus gap: there is no NAO value-for-money study of the abolition itself in the readable corpus (the most recent NAO item is the 2020 financial-management report 3), so the regime's headline structural change has not yet been independently audited. Several written ministerial statements are attributed by event chip rather than retrieved body text — the Maternity Advisor announcement 45 is grounded but cross-house attributions should be treated cautiously. The precise scope of functions transferring from NHS England to DHSC versus remaining with ICBs is described in fact sheets 67 but is not yet settled in enacted law. Healthwatch abolition 8 removes a statutory patient-voice body, a contested point likely to surface in Lords scrutiny.
This briefing covers NHS-in-England structural and strategic policy. Social care policy is in scope only where integrated with NHS policy; devolved health services in Scotland, Wales and Northern Ireland are out of scope, as are individual NHS trust operational decisions except where systemic. Note that the corpus surfaces the Lord Mann review of antisemitism and racism in the NHS (June 2026) and a targeted prostate cancer screening programme; these are adjacent NHS-policy items but are not part of the structural reform/10 Year Plan thread that is the briefing's spine.
Bills and Acts this regime substantively depends on. Links go to the bill's own thread on this site (where available) and to bills.parliament.uk.
Primary legislation abolishing NHS England, recasting ICBs as strategic commissioners, abolishing Healthwatch and transferring HSSIB to the CQC; introduced 14 May 2026.
Renamed the NHS Commissioning Board as NHS England, abolished CCGs and established integrated care boards — the arm's-length model the Health Bill partly reverses.
Principal NHS statute providing the commissioning architecture and Standing Rules powers under which mandates and NHS-funded nursing care SIs are made.
Provides the CQC registration and regulated-activities regime amended by SI 2026/495.
The NHS-in-England regime is built on three layered statutes. The National Health Service Act 2006 is the bedrock: it defines the commissioning architecture and confers the Standing Rules power (ss.6E, 272) under which DHSC issues binding requirements on NHS England and integrated care boards. The Health and Care Act 2022 sits on top, renaming the NHS Commissioning Board as NHS England (s.1), abolishing clinical commissioning groups and creating integrated care boards (s.19), and adding information-standards powers (s.95). The Health and Social Care Act 2008 runs in parallel as the quality-regulation spine, registering providers and listing regulated activities subject to CQC oversight.
The present reform package operates by re-cutting these layers rather than replacing them. The March 2025 decision to abolish NHS England — the body the 2022 Act had only recently consolidated — is being executed through the Health Bill, which transfers NHS England's commissioning, oversight, data and digital functions back into a restructured DHSC, abolishes Healthwatch England and local Healthwatch, and moves the Health Services Safety Investigations Body to the CQC.
Below the primary layer, secondary legislation does the operational work. The Standing Rules (Amendment) Regulations 2025 and 2026 uprate NHS-funded nursing care rates and adjust commissioning responsibilities; the Consequential Amendments Regulations 2025 tidy references following the 2022 Act's renaming; and the Regulated Activities (Amendment) Regulations 2026 expand CQC regulation to sports- and culture-event medical treatment by removing carve-outs.
The 10 Year Health Plan is the policy framework above all of this — non-statutory but agenda-setting, articulating the three shifts (hospital-to-community, analogue-to-digital, sickness-to-prevention) that the Bill and mandates are meant to deliver. What the Plan cannot do is itself change duties; that requires the Bill and the SIs.
The critical doctrinal tension, repeatedly flagged by the PAC, is that the structural change (abolition) is proceeding through the Bill while delivery plans, funding and the redistribution of duties between DHSC and ICBs remain incompletely specified — a gap between statutory scaffolding and operational reality.
Statutory NHS body that, since 1 July 2022, succeeded clinical commissioning groups in arranging health services for its area, now being repositioned as a 'strategic commissioner' under the Health Bill.
The transfer of NHS England's functions into a restructured DHSC, announced March 2025 and legislated via the Health Bill.
An activity listed in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 that triggers mandatory CQC registration.
Commencement of the Regulated Activities (Amendment) Regulations 2026 for application functions, bringing sports/culture-event medical treatment into CQC registration.
Publication of ONS Health Insight Survey statistics on experiences of NHS healthcare services in England.
Health Bill committee stage and onward passage following Second Reading on 1 June 2026.
Full commencement of the Regulated Activities (Amendment) Regulations 2026 for remaining purposes.
On NHS England abolition and financial sustainability: the Committee has repeatedly warned that major reforms were announced without delivery plans or secured funding, that abolition created uncertainty for patients and staff, and that NHS England is failing to reduce variation in ICB-level frailty support while overloading GPs.May 2025Nov 2025Jun 2026Jan 2025
Tension with NHS England, Department of Health and Social Care (DHSC)
On prevention and the 10 Year Plan: the Committee argues physical activity remains insufficiently prioritised and recommends national standards via Modern Service Frameworks and an ICB/local-authority framework, and scrutinised the NHS England reorganisation through oral evidence.May 2026May 2026Mar 2025
On the reform package: DHSC's position is that abolishing NHS England, recasting ICBs as strategic commissioners and restructuring the department will deliver the 10 Year Plan's three shifts, set out across the Bill fact sheets and the Secretary of State's reform speech.May 2026Jun 2026Mar 2026
Tension with Public Accounts Committee
On NHS reform: the Secretary of State frames abolition and restructuring as necessary to reform the health service, set out in his March 2026 reform speech.Mar 2026
On its own abolition and ICB oversight: as the body being abolished, NHS England's engagement is operational — issuing mandates and Standing Rules — but PAC found its oversight arrangements are not improving GP frailty support.Jun 2026Jun 2026
Tension with Public Accounts Committee
On health inequalities: made the June 2025 written ministerial statement on reducing health inequalities in England, framing prevention and equity within the reform agenda.Jun 2025