Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what proportion of NHS England staff will be employed by successor organisations and other government bodies.

Subject to the passage of the NHS Reform Bill, NHS England will be abolished and most of its functions brought together in a new centre. Our ambition is to reduce staff numbers by up to 50% across the Department of Health and Social Care (DHSC), NHS England and integrated care boards, which will be largely accomplished through voluntary exits. These reductions will be made by March 2028. The NHS voluntary exit scheme includes clawback arrangements that would compel employees who leave under voluntary redundancy to repay all/some of their voluntary redundancy payment if they are re-employed in the National Health Service, other Government departments or arm's length bodies within six to 12 months of their exit, depending on seniority, size of package and length of time between exit and re-employment.

In general, DHSC is the successor body to NHS England, which means most of NHS England’s functions and staff will be transferred to DHSC. However, some functions could also be transferred elsewhere in the system where there is a strong rationale for doing so. Voluntary exit schemes have been launched to enable us to reduce headcount and meet our targets for a leaner and more efficient center.

We are assessing the full range of current functions across both organisations together with initial appraisal of options for future allocation of functions. At this stage, it is too early to determine what the precise changes in personnel and organisational design will be, but this work is taking place at pace between the two organisations.

As we progress with returning functions to DHSC, due process will of course be followed, including a comprehensive assessment of any impacts and risks associated with the reforms. We will ensure our decisions are guided by evidence, and above all, focused on improving patient care.