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NHS England: Costs

Asked by Ben Obese-JectyConservativeDepartment of Health and Social CareTabled Answered 5 January 2026UIN 96853

The question

To ask the Secretary of State for Health and Social Care, what the projected cost is of the abolition of NHS England, including staff redundancy packages, consultancy fees, administration and restructuring costs.

Answered by Karin Smyth

The abolition of NHS England will involve some upfront costs associated with organisational change. £1 billion is the estimated overall cost of redundancy exits across the Department, NHS England, and the integrated care boards. In the 2025 Autumn Budget, my Rt. Hon. Friend, the Chancellor of the Exchequer announced that HM Treasury would bring forward £860 million of the Department’s SR25 settlement to support with the upfront costs. By reducing unnecessary bureaucracy and duplication, the Government will unlock savings of £1 billion per year by the end of the Parliament, equivalent to the cost of over 115,000 extra hip and knee operations.

The Government is committed to ensuring that Parliament and the public are appropriately informed of exit costs, as well as material consultancy, administration, and restructuring costs. Information will be published at the appropriate time, in line with established reporting mechanisms, to ensure transparency and accountability. The Department will continue to provide updates as the reforms progress.

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