The King's Speech 2026 has confirmed the abolition of NHS England as part of a sweeping NHS Modernisation Bill, transferring its functions directly into central government. This represents the most significant structural change to the UK's health system in over a decade.
Ministers say the reform aims to cut duplication between national bodies and government departments, streamline decision-making, and improve oversight. The changes are part of a broader public service modernization agenda that also includes investments in digital infrastructure and criminal justice reform.
While no detailed timelines have been released, the government will introduce legislation to implement the new governance model. The bill is expected to reshape commissioning, strategic planning, and oversight structures across England's health system.
Further legislative details will emerge as the bill moves through Parliament.