It we consider the role of the UK Secretary of State for Health and Social Care, who as we know is currently Wes Streeting, then it is worth a brief gander at the complexity of what he is supposed to do. How he is supposed to provide political oversight of the NHS?
For example, the vast size of the NHS AfC workforce as detailed in the Thirty-Eighth Report of the NHS Pay Review Body - all 120 pages of it.
Appendix A Data appendix
Workforce
AfC workforce across England, Northern Ireland and Wales...
2. In September 2024, the most recent date for which data is available for all three countries, there were 1.36 million FTE AfC staff in England, Northern Ireland and Wales, of which approximately 1.21 million were working in England, 61,000 in Northern Ireland and 89,000 in Wales. On a headcount basis there were approximately 1.54 million AfC staff as of September 2024, of which approximately 1.37 million were in England, 69,000 in Northern Ireland and 104,000 in Wales. We also track the trends in the workforce and Figure A.1 shows the change in staffing numbers in each year since 2019.
Workforce
AfC workforce across England, Northern Ireland and Wales...
2. In September 2024, the most recent date for which data is available for all three countries, there were 1.36 million FTE AfC staff in England, Northern Ireland and Wales, of which approximately 1.21 million were working in England, 61,000 in Northern Ireland and 89,000 in Wales. On a headcount basis there were approximately 1.54 million AfC staff as of September 2024, of which approximately 1.37 million were in England, 69,000 in Northern Ireland and 104,000 in Wales. We also track the trends in the workforce and Figure A.1 shows the change in staffing numbers in each year since 2019.
There is an executive summary of the whole document, but the question of political oversight remains.
It seems vanishingly unlikely that Wes Streeting has time to oversee the NHS in any meaningful sense while at the same time engaging in the the political machinations of the Cabinet, especially if he has his sights on Keir Starmer's position.
It seems vanishingly unlikely that Wes Streeting has time to oversee the NHS in any meaningful sense while at the same time engaging in the the political machinations of the Cabinet, especially if he has his sights on Keir Starmer's position.
It's a small reminder that describing politicians as actors on the political stage is not an excessive exaggeration. The complexity of government is likely to be overwhelming for most government ministers. Even a cursory examination of what the UK government does tells us that. It is far easier to play politics and probably more rewarding.















