Department of Health and Social Care written question – answered at on 5 February 2026.
Charlie Dewhirst
Conservative, Bridlington and The Wolds
To ask the Secretary of State for Health and Social Care, Pursuant to the answer of 5 January 2026, to Question 96853, on NHS England: Costs what estimate he has made of the (a) gross and (b) net number of civil servants who will leave the Civil Service due to redundancy.
Karin Smyth
Minister of State (Department of Health and Social Care)
The Government’s ambition remains to reduce staff numbers by up to 50% across the Department, NHS England, and the integrated care boards, which is the equivalent to up to 18,000 posts, including a number of Civil Servants, through paid exits via voluntary exits and redundancies, natural attrition, and recruitment controls, combined together. These reductions will be made by March 2028. The overall cost of paid exits across organisations is estimated at approximately £1 billion to £1.3 billion. The calculations remain subject to ongoing policy development and refinement, and are also subject to actual take-up of exit schemes and calculated individual costs. Relevant, material financial information relating to this active policy development will be published in due course in line with transparency obligations. The Government remains committed to reducing unnecessary bureaucracy and duplication, to save more than £1 billion a year by the end of Parliament, which will go directly to improving patient outcomes.
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Secretary of State was originally the title given to the two officials who conducted the Royal Correspondence under Elizabeth I. Now it is the title held by some of the more important Government Ministers, for example the Secretary of State for Foreign Affairs.