Starmer makes healthcare more efficient


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Editorials
With the abolition of Nhs England, the British Prime Minister wants to cut bureaucracy. It's not about saving, but about spending better the 45 billion that will emerge thanks also to a reasoned use of AI and digitalization. And The Tories agree
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Keir Starmer brings the management of English healthcare back under the government umbrella – the Scots and Welsh must decide for themselves – with the abolition of NHS England , the parastatal body or “quango” that since 2012, at the behest of David Cameron , has had a £200 billion budget managed by external personnel despite having many “duplicates” with the Ministry of Health: communication and strategy are just two of the examples given by the prime minister who, emboldened by his new international profile, surprisingly announced the decision, dictated by reasons of “democratic control”. It is not about saving but about spending better the 45 billion that will emerge thanks also to a reasoned use of AI and digitalization in a process that will last two years and will lead to the loss of about 10 thousand administrative jobs - in NHS England there are 15,300, at the ministry there are 3,300 - in favor of nurses, medical staff, everything needed to reduce a waiting list back by 7.4 million appointments and improve a health service that the British count on "from the cradle to the grave".
It is not the idea of austerity that is driving the reform, Starmer tried to assure, which will still have to go through Parliament to achieve his goal of eliminating “the double layer of bureaucracy” that makes taking decisions impossible and the service so “frustrating”. The Tories are on his side, the public only fears the inevitable transition shock . “We need more people doing, and less people controlling,” said the minister Wes Streeting, echoing a very fashionable argument. No more “Watchdog State”, the state of controllers, Starmer summed up: we need to return to politics, not to officials appointed by politics to avoid making decisions .
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