Wes Streeting accused of ‘chaotic and incoherent approach’ to NHS reform

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https://www.theguardian.com/politics/2025/nov/15/wes-streeting-accused-of-chaotic-and-incoherent-approach-to-nhs-reform

The Institute for Government report says positive steps by Wes Streeting had been undermined by his attempts to reform the health service. Photograph: Phil Noble/Reuters

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Wes Streeting has been accused of taking a “chaotic and incoherent approach” to reforming the NHS, which makes it unlikely the government will hit its own targets, according to a damning report by the Institute for Government (IfG).

The report praises elements of how the health secretary has managed the health service in his first year in office, including improving performance and staff retention in hospitals. The pay settlement he reached with resident doctors last year avoided a winter plagued by NHS strikes

But it also criticises significant aspects of his performance, including the way he handled the abolition of NHS England and his lack of action to stem the exodus of senior GPs.

Stuart Hoddinott, the IfG’s associate director and the author of the report, said: “There have been some positive steps: performance is trending slowly upwards in hospitals, there’s been a genuinely large increase in GPs and the rate at which hospital staff are leaving their jobs is the lowest on record outside the pandemic.

“But that has been undermined by a chaotic and incoherent approach to reforming the service. The announcement of NHS England’s abolition was abysmally handled and management cuts in integrated care boards have been a needless distraction.”

Original article at https://www.theguardian.com/politics/2025/nov/15/wes-streeting-accused-of-chaotic-and-incoherent-approach-to-nhs-reform

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