NHS Chief forced to step down as Streeting plays innocent

While health secretary Wes Streeting insisted that he did not ask Ms Pritchard to step down, the NHS chief has come under intense scrutiny in recent months. As she has been at odds with sweeping government reforms tabled by the Labour Government. 

In a statement, she said it had been a “hugely difficult decision” to stand down and an “an enormous privilege to lead the NHS in England through what has undoubtedly been the most difficult period in its history”.

Mr Streeting, who is gearing up to take the health service through a period of major reform, said there must now be a “new relationship between the Department for Health and Social Care and NHS England”.

THE NHS has given management consultancy Accenture a £124m contract to support health secretary Wes Streeting’s agenda on patient choice, including supporting an increased use of private hospitals.

Accenture is a “digital delivery partner” and the contract was awarded via a “framework agreement” – meaning there was either no (or limited) competition among a select group of suppliers, via the usual channels of the NHS. Accenture is the same company that was awarded billions of contracts during the Track and trace scheme, which was criticised and opposed by Labour as a management consultancy contract, something Rachel Reeves has vowed to end.

A well-placed source said that the office of Christopher Wormald, the cabinet secretary – who until recently was the DHSC’s permanent secretary – had advised Streeting to “do it nicely” when announcing Pritchard’s exit, and “make it look like she was leaving on her own terms”.

Sir James Mackey, who is the national director of elective recovery for NHS England, will be taking over as interim chief executive.

Scathing report saying senior leadership at NHS

Ms Pritchard’s resignation comes just weeks after the House of Commons public accounts committee (PAC) issued a scathing report saying senior leadership at NHS England and also the DHSC were complacent and lacking in dynamism.

The following day, MPs on the health and social care committee issued a similar criticism, saying they were left “disappointed and frustrated” by Ms Pritchard’s appearance at an evidence session.

Days later, she admitted “we’re not all brilliant performers at committee hearings” as she was challenged on the issue.

During an interview by BBC Breakfast whether she was the right person to lead the health service, Ms Pritchard said: “We are far from complacent. I mean, particularly they were talking to us about productivity, and spending public money wisely is an absolute priority for us…

“Equally, I think I’ll be honest enough to say we’re not all brilliant performers at committee hearings, but it’s absolutely right that we are scrutinised by parliament.”

A line in the sand

The Liberal Democrats said her resignation “must be a line in the sand” for the NHS.

“The next leader must ensure that we deliver the improvement that patients so desperately need to see,” Helen Morgan, the party’s health and care spokesperson said.

“Millions of people trying to access GPs, routine appointments, or emergency care have been failed by the current system. People up and down the country deserve better – and the new top brass at the NHS must deliver that.”

But health secretary Wes Streeting said Ms Pritchard could be “enormously proud” of her tenure, saying she “led with integrity and unwavering commitment”.

Downing Street insisted that she resigned voluntarily, adding that the PM did not have any concerns about her ability to carry out her role.

Meanwhile, Richard Meddings, chair of NHS England, described it as “a huge loss” for the health service.

“Amanda can be enormously proud of the leadership she has given in the face of the biggest health emergency for our country in modern history, as well as steering NHS England during turbulent political waters and six secretaries of state in her time as chief executive,” Mr Streeting said.

“She has led with integrity and unwavering commitment. The start of the next financial year and the publication of the 10-year plan for health will be pivotal moments on the road to reform.”

He added: “We will also require a new relationship between the Department for Health and Social Care and NHS England.

“I am delighted that Jim Mackey has agreed to step up to provide new leadership for a new era for the NHS. He knows the NHS inside out, can see how it needs to change, and will work with the speed and urgency we need.”

Streeting making NHS reforms with US tech giants

Speaking at an event at Apple’s headquarters in London, the health secretary rebuffed suggestions that he asked Ms Pritchard to step down. Apple were demonstrating how there tech could be used by the NHS.

“No, I have so much respect and time for Amanda Pritchard,” he said, adding: “As we lead the NHS into a new era, I can well understand and support why she’s chosen this moment to step back to make way for new leadership.”

On Tuesday, the prime minister’s official spokesperson said: “The prime minister thanks Amanda for her leadership of the NHS and pays tribute to the dedication of public service she has shown throughout her tenure.

“Sir James Mackey will be taking over as CEO from 1 April on an interim basis until a permanent successor is appointed, and will continue to work closely with Amanda for the remainder of her time in post to ensure a smooth transition.”