Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of the potential impact of the ongoing restructuring of NHS England and the reduction in Integrated Care Systems on (a) the pace of service development and transformation and (b) access to healthcare services for rural and semi‑rural communities (i) in Leicestershire and (ii) elsewhere in England.

The new Department will operate in a leaner, more agile, and more efficient way and will empower staff at all levels of the health system. These reforms will give more power and autonomy to local leaders and systems, stripping away red tape and bureaucracy and providing more freedom to better deliver health services for their local communities.

The 10-Year Health Plan sets out the need for a leaner national centre, one that sets clearer priorities, provides strategic direction, and supports local systems rather than relying on command and control. By integrating the Department and NHS England and significantly reducing duplication, the programme directly delivers this aspect of the 10-Year Health Plan vision, and compliments the other system changes happening at an integrated care board and provider level.

Delivery expectations are embedded throughout the plan, which will shift care from hospital to community, analogue to digital, and sickness to prevention, which will benefit local constituencies.

We are moving towards fewer but larger integrated care boards, with a renewed focus on the local level as part of our commitment to delivering care closer to home, and this includes rural and semi rural areas. As outlined in our 10-Year Health Plan, neighbourhood health plans will be created, including for Leicestershire, and will be brought together as part of the integrated care boards’ plans to improve population health locally. All integrated care boards will continue to focus on their role as strategic commissioners, supporting service transformation and development to deliver the priorities set out in the 10-Year Health Plan.