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The first draft of a “high-level plan” for merging NHS England into the Department of Health and Social Care has been delayed, officials have acknowledged.

NHSE’s new leaders Sir Jim Mackey and Penny Dash told staff a month ago they wanted the restructure to move quickly.

They had hoped to deliver an initial picture of “what the new organisation might look like by the end of April”, but “this is taking slightly longer than we’d hoped”, according to a note to staff today.

The internal message said: “We expect to run an all staff briefing for NHS England and DHSC later in May [with an update].” 

HSJ understands NHSE and DHSC have also so far failed to recruit a national transition director to oversee the merger. They had hoped to quickly bring in a senior and experienced manager, but discussions with at least one potential recruit have fallen through.

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Source: HSJ, 1 May 2025

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