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Plans to cut staff numbers in half at NHS England and the Department of Health and Social Care were revealed the other day amidst extreme cost-cutting measures.

The 'bonfire of bureaucrats' is focused on getting rid of duplication across the organisations after their workforces swelled during the pandemic.

Health secretary Wes Streeting is likewise looking for to tighten his control over the NHS, provide better worth for taxpayers and free-up money for the frontline.

Three more NHS England board members the other day announced they will quit at the end of this month, following the recent resignations of chief executive Amanda Pritchard and national medical director Professor Sir Stephen Powis.

The most recent leaders to sign up with the exodus are Julian Kelly, the chief monetary officer, Emily Lawson, the chief operating officer, and Steve Russell, the chief delivery officer and nationwide director for vaccination and screening.

NHS England is the national quango entrusted with supervising the daily running of the health service and its long-term method.

It was developed by the Tories in 2013 to provide it greater political self-reliance however Mr Streeting is keen to regain tighter control from within his Department.

NHS England stated in a statement: 'As part of the requirement to make best possible use of taxpayers' money to support frontline services, the size of NHS England will be drastically decreased and could see the size of the centre decline by around half.'

The deeper staffing cuts follow a reduction of about 4,000 to 6,000 employees at NHS England over the past 2 years and about 800 at the Department of Health and Social Care.

Health secretary Wes Streeting is also seeking to tighten his control over the NHS, amid plans to cut staff numbers in half at NHS England and the Department of Health

Former NHS England chief Amanda Pritchard will step down from her position at the end of this month

NHS England chief delivery officer Steve Russell (left) and chief operating officer Emily Lawson (ideal) are amongst the current bosses to sign up with the exodus

Sir Jim Mackey, who will become interim primary executive at the start of April, will establish a shift team within NHS England to 'lead the extreme reduction and improving of the centre with the Department of Health and Social Care'.

He stated: 'We understand that today's news is disturbing for our personnel, and we have substantial obstacles and changes ahead.'We intend to have a transition team in place to start on the 1st April 2025 to assist lead us through this period.'

Ms Pritchard stated in a note to personnel, seen by the Health Service Journal: 'In the last number of weeks, I have actually stated I think the time is right for extreme reform of the size and functions of the centre to best assistance regional NHS systems and suppliers to provide for patients and drive the government's reform top priorities.'

She stated Mr Streeting had asked Sir Jim and Penny Dash, the inbound NHS England chair, to 'lead this work, delivering considerable modifications in our relationship with DHSC to get rid of duplication'.

Mr Streeting stated: 'I want to put on record my thanks to Julian, Emily and Steve for their devotion as public servants, and their work in specific assisting guide the NHS through the pandemic.

'I have actually delighted in working with each of them over the last eight months and I have actually been impressed by their skill and focus on providing improvement for patients and personnel.

'We are entering a period of vital improvement for our NHS. 'With a stronger relationship in between the Department for Health and Social Care and NHS England, we will interact with the speed and seriousness required to satisfy the scale of the challenge.'

Since June in 2015, NHS England used just under 15,000 full-time comparable personnel, consisting of long-term, short-lived and consultancy. The Department of Health and Social Care had around 9,000, including the UK Health Security Agency. These are both around 30 percent more than in January 2020.

NHS England primary financial officer Julian Kelly has also included his name to leaders resigning from their positions

Professor Stephen Powis, the NHS nationwide medical director, revealed last week he would step down this summer season

UNISON head of health Helga Pile said: 'Staff will be naturally concerned about this sudden modification of direction.

'The number of redundancies being looked for at NHS England has actually trebled in simply a matter of weeks.

'Em ployees there have actually currently been through the mill with unlimited rounds of reorganisation. What was already a stressful possibility has actually now ended up being more like a headache.

'Fixing a damaged NHS needs a correct plan, with central bodies resourced and handled successfully so local services are supported.

'Rushing through cuts brings a danger of developing a further, more complex mess and might eventually hold the NHS back. That would pull down the very individuals who require it most, the patients.'

Matthew Taylor, chief executive of the NHS Confederation, said: 'These modifications are taking place at a scale and pace not anticipated to begin with, but given the substantial savings that the NHS requires to make this year it makes good sense to lower areas of duplication at a national level and for the NHS to be led by a leaner centre.

'NHS England has currently delivered considerable and helped to deliver improvements in efficiency, however national bodies and local NHS leaders understand that more is needed this year.

'These changes represent the biggest improving of the NHS's nationwide architecture in more than a decade. It is essential that local NHS organisations and other bodies are associated with this improvement as the immediate next steps end up being clearer, so that a maximum operating design can be developed.

'This should be about doing things differently for the benefit of regional communities as both patients and taxpayers, along with for personnel ahead of annual study results on Thursday that are yet once again expected to reveal the extreme obstacles they deal with.'

Wes Streeting