The decision to cancel NHS England, and end a 13 -year -old experience in delivering the operating independence for health service, left a large group of questions that were not answered about how to run it once the government takes direct control.

NHS historically has proven to be very troubled, and some experts have warned that the initial influence may be another decline in performance.

The latest data, published on Thursday, showed that NHS is still struggling with the accumulation of 7.43 million dates, while 47,623 people were forced to wait more than 12 hours in the A& E departments for the hospital bed.

Latest weeks have seen a series of tremors, each of which appears to indicate the government’s dissatisfaction with the way the service is operated. This ranged from the resignation of the CEO, Amanda BretshardThis week was followed by most of the great lieutenants of it, and warnings of the wide job losses in NHS England.

But a few, if anyone, expected to get rid of Wes in the streets, health and social care, completely in England.

However, a government official said that the street had reached a conclusion that NHSE needed to cancel earlier this year. “He decided that we had no time to waste, that is why we decided to do this now,” they noticed.

Officials said that there are employees working in both NHS England and the Ministry of Health who were doing the same job.

They added, “I cannot tell you how frustrating is that we see two organizations with repetitive roles and the gathering of everything double,” they added. “It is a large waste and a crazy way to prepare NHS. This has become more clear and more clear.”

On Thursday, Prime Minister Sir Kerr Starmer said that the cancellation of the body would return NHS “again in the heart of the government” and “hundreds of millions” of services on the front lines.

Government officials insisted that this did not rise to “reorganization from top to bottom” in the form of former conservative health minister Andrew Lansley, which was so widely that the NHS jump at the time that could be seen from space.

One of them said: “This will be annoying to employees in those organizations, but this is not related to the disruption of the entire NHS.”

The street and its team believed that the vast majority of changes can be completed without preliminary legislation. They expect the two years to fully integrate NHSE into DHSC and plan to present an invoice in Parliament during this time frame.

Siva Anandaciva, director of politics at the King’s Fund Fund, described the mood among the employees who spoke to him as a “shock.”

He said that hospital funds were that the relationships that were built with local integrated care councils and the regional teams of NHSE – the structures that were prepared to manage services and direct financing in their locations – may now be counted for nothing.

“They ask,” Will we even have an integrated care council or the regional NHS England team at the end of this? “NHS needed to provide 7 billion pounds and the measures announced so far will only draw hundreds of millions.” So who is the next or what is next? ”

Health officials said they were “under the impression” that the grip of the street that stresses NHSE will be more gradual, instead of “Big Bang” on Thursday.

One of them added: “It seems to be a little panic here, but the financial resources are in a very bad condition next year, so they have to lead from the front and strip all duplication at the national level. But this is a little bomb.”

Inside and outside NHS, there was concern about the lack of clarity about how NHS changes were able to provide its services given the tremendous pressures it was facing.

Nigel Edwards, former former NHS director who, until 2023, managed to manage the NFFIELD TRINK Center, that NHS England recently spent consultations to develop a new operating model but was based on the survival of the continuous body.

He said: “All this now is outside the window.” Besides functional discounts and difficult new savings goals, “There is a real risk of a significant decrease in the effort in a number of other repairs they are trying to already.”

Bill Morgan, who was a special consultant to Lansley when the decision to create NHS England was implemented as an weapons -length body, to cancel it, arguing that the relationship between NHS and DHSC has become deeply dysfunctional.

“You cannot have a world in which the Ministry of Health says they want to do something,” said Morgan, who was a health consultant to conservative Prime Minister Rishi Sonak.

However, he warned that although this step was necessary, it may take four or five years until the benefits became clear, while the negative aspects of such disorders are “very immediate because the disorder will be negative for performance.”

Even if the ministers did not realize after that, the government was actually “accepting the pain in the foreground. For somewhat incalculable benefit somewhere below the line,” Morgan added.

Additional reports from Anna Gross