Medicine and Science from The BMJ What does the death of NHS England, and the western alliance, mean for health?
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Mar 26, 2025 Nigel Crisp, former chief executive of the NHS, emphasizes the importance of aligning healthcare more closely with political decision-makers following the disbanding of NHS England. Illona Kickbusch, professor at the University of Geneva, discusses the impact of U.S. withdrawal from the WHO and the resulting instability in global health alliances. Zulfiqar Bhutta, an expert in global child health, highlights the double burden of malnutrition faced by adolescent girls in South Asia, advocating for societal and governmental change to improve their health outcomes.
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Lansley Reforms' Impact
- The Lansley reforms aimed to separate NHS management from political interference.
- However, this created a quasi-independent NHS England squeezed between the Department of Health and the NHS itself.
Risks of Reorganization
- NHS reorganizations often lead to wasted time, lost focus, and decreased morale.
- Acknowledge the risks of job worries, loss of corporate memory, and strained relationships.
Importance of Relationships
- Effective healthcare systems depend on strong relationships, not just good design.
- Trust and shared vision among politicians, senior staff, and the NHS are crucial.