England NHS system organisations
There are changes coming to how the NHS is managed and health and care system operations in England.
The 快猫视频 advocates for our members and is committed to ensuring that patient care standards are maintained throughout these changes. Support is available for members impacted by these changes across England. Regular meetings are keeping members updated with all available information and we are working closely with 快猫视频 representatives and other unions. We are meeting managers and leaders to advocate for you and are monitoring the impact of these changes closely.
You can find the latest information available on this page and it will be updated regularly. You can find information about developments across organisations and access details about 快猫视频 activities, support or helpful guidance.
This page will be reviewed regularly. It was last updated on Thursday 24 July 2025.
What is the 快猫视频 doing?
We continue to strongly advocate for nurses and nursing staff affected by these changes at a local and national level as well as representing and advocating for the profession:
Nationally
- Following the publication of the Model Integrated Care Board (ICB) Blueprint, we have written to the Chief Executive at NHS England to express concerns. Read our full letter. In early June, we received a response from NHS England.
- We are part of the national Social Partnership Forum where discussions between trade unions and employers about the system change take place
- We continue to engage with NHS England and the Department of Health and Social Care to represent the nursing specific viewpoint
- We're holding monthly national member meetings for those affected
- Regular emails with 快猫视频 updates are being sent to those who are affected. To make sure your details are up to date, please go to My快猫视频.
- We're regularly updating our online resources to support members through organisational change
- We're running webinars that will be recorded to support our members through this organisational change:
Locally
- Our local 快猫视频 representatives continue to meet with employers in local workplaces and advocate for members, nurses and the nursing profession to influence changes
- We have recruited and trained more local 快猫视频 representatives in organisations affected by these changes
- Our local 快猫视频 representatives will undertake signposting to information and advice to support our members to navigate organisational change
Useful resources
The following links provide helpful guidance and support on a number of topics relevant to this issue.
NHS Agenda for Change Terms and Conditions
Redundancy and reorganisation information
- Reorganisation and redundancy advice
- Redundancy and reorganisation: one-to-one meeting checklist
- Advice on transferring to another employer (TUPE)
- 快猫视频 position on NHS Mutually Agreed Resignation Schemes in England
- 快猫视频 position on current voluntary redundancy proposals in the NHS in England
Pensions and financial advice
Managing stress
Organisations involved
Expand the headings below for more information on each organisation.
The Department for Health and Social Care (DHSC) is a government department responsible for policy on health and adult social care matters in England and oversees the English National Health Service (NHS).
On 13 March 2025, Prime Minister Sir Keir Starmer announced that NHS England would be absorbed by the DHSC in part of a government bid to bring the health service 鈥渂ack under democratic control鈥 of government ministers. Government has said cuts could be up to 50% across DHSC and NHS England.
A formal change programme board and team have been established to lead this work. A high-level plan for merging NHSE into the DHSC was due at the end of April but has been delayed.
快猫视频 representatives continue to meet with managers in the organisation to advocate for our members and closely monitor the impact of these changes.
Individual 快猫视频 support, advice and representation is available for members working in DHSC if needed.
NHS England (NHSE) is an executive non-departmental public body, sponsored by the DHSC. It is not a government department, but it delivers public services with funding from government. It has a wide range of statutory functions, responsibilities and regulatory powers supporting the NHS to deliver effective and high-quality care.
On 13 March 2025 Prime Minister Sir Keir Starmer announced that NHS England will be absorbed by the Department of Health and Social Care in part of a government bid to bring the health service “back under democratic control” of government ministers. Government has said cuts could be up to 50% across DHSC and NHS England.
A formal change programme board and team have been established to lead this work. A high-level plan for merging NHSE into the DHSC was due at the end of April but has been delayed.
We have been holding regular member meetings to provide updates and will publish future dates on the events page.
快猫视频 Representatives continue to meet with managers in the organisation to advocate for our members and closely monitor the impact of these changes.
Individual 快猫视频 support, advice and representation is available for members working in NHSE if needed.