Oral Answers to Questions

Damian Hinds Excerpts

Tuesday 20th October 2026 Commons Chamber

[Damian Hinds (East Hampshire) (Con)]

With a waiting list of more than 7 million, the NHS needs the sharpest focus on patient care and delivery, but Ministers have created disruption and distraction. I have some sympathy for the Secretary of State, because the right hon. Member for Ilford North (Wes Streeting) had said no to a top-down reorganisation and then abruptly changed his mind without, it seems, thinking it through much. Within an hour of the First Reading of the Health Bill, he had hopped it, and now it falls to the present Secretary of State. Does she believe in the right hon. Gentleman’s plan, and does she still believe that NHS England will be dissolved by 1 April?

[Yvette Cooper]

That is a little rich coming from a Member who voted for the 2012 Andrew Lansley reforms, having promised no top-down reorganisations then doing one of the worst and most damaging top-down reorganisations ever in the history of the NHS. We are taking the Health Bill through Parliament; it is currently going through the House of Lords. We want to focus on frontline care, rather than the huge expansion of bureaucracy that we saw under the right hon. Member’s Government, which ended up absorbing money, away from the frontline, and creating far too much duplication.

[Damian Hinds]

I did not hear the greatest statement of belief that the deadline for that quango would be hit. Since the original plan, we know that costs are up, that transfer functions out of integrated care boards have been delayed, even though 8,000 people have gone, and that multiple mergers are on hold. NHS England may be the mother of all quangos, but it seems instead we are to get the sister of the mother of all quangos. The special health authority is a new, regional management tier, so does the Secretary of State still expect a net benefit of £1 billion a year in this Parliament? If not, what does that do to frontline health funding on top of the pressures we know about on pay and medicines? Is not the real cost here to patient care?

[Yvette Cooper]

The right hon. Member’s party and the Government who he supported expanded the number of jobs in NHS England from around 5,000 to more than 20,000 in the space of just a few years. This Government are reducing the number of jobs in administration and bureaucracy in order to invest in expanding the number of clinical posts across the country and across our NHS. We are already making substantial savings, with further efficiency savings and productivity savings taking place this year. This Government are delivering lower waiting lists, more treatment, faster treatment and improvements for patients.