Campaigns
NHS job cuts: Health Bill
The government is cutting tens of thousands of jobs in the NHS in England. MiP is campaigning to amend the Health Bill to save as many jobs as possible and prevent further cuts.
Stand together against NHS cuts
The government is reorganising the NHS in England and ordering thousands of job losses, primarily targeting managers and support staff.
When these roles are in short supply, the work does not disappear. It falls on clinicians,
taking them away from patients, or is delivered by consultants at a much higher cost. This harms services and patient care.
The Health Bill, now before Parliament, is seeking to formalise these cuts. MiP wants it amended to protect jobs now and in the future.
Find out how you can support the campaign.
Not a member yet?
Join now to help us save as many NHS jobs as possible and make sure future NHS reforms are deliverable, operationally sound and fully assessed before implemented.
Actions for members
Use our briefing and write to your local MP
Only Parliament has the authority to lessen the worst effects of these cuts and amend the Health Bill. With your support, we can make sure that NHS managers have a voice in the chamber.
Consider becoming a workplace rep
In times like this our workplace reps are needed more than ever. Your union and your colleagues will be relying on you throughout this. You can find out more about the role by visiting the link below.
Tell colleagues to join now
A union is only as strong as its collective strength. Every member is another voice to challenge these cuts. Let your colleagues know about MiP’s campaign and encourage them to join.
NHS reforms to date
The government’s NHS restructuring is already underway. In March 2025, ICBs were asked to halve their headcount, alongside cuts to other services. These changes have added additional costs to providers, are harming service delivery, and are seriously impacting staff morale:
MiP submitted a joint response to the consultation alongside other health unions.
- NHS England’s CFO Julian Kelly told the Public Accounts Committee that these cuts mean around 12,500 ICB job losses and a further 7,500 from NHS England. Because ICBs are largely commissioning and management organisations, and the savings are designed to come primarily from Band 8a and above, these losses fall overwhelmingly on the NHS’s management capacity. Once trust-level cuts are added, total NHS job losses could exceed 100,000.
- NHS Confederation and NHS Providers put the redundancy bill alone at over £1 billion for 2025/26, a cost not funded in the NHS budget.
- MiP’s London ICB Reality Check survey (May 2026) found that 92% of staff reported these changes had a negative impact on their work and 46% have considered leaving, a loss of experience the NHS cannot afford. Very few staff believe the changes, as they are being implemented, are workable and safe.
Management is a core NHS function. By cutting it without a plan, and legislating in this bill, for yet further upheaval, the government is playing fast and loose with the NHS delivery capability and putting its own reforms at risk. What is needed is a more planned, evidence-led approach that treats management capability as essential to delivery.
Our objectives
Support members through redundancy processes
Thousands of MiP members were forced into a redundancy process last year with no clarity. Some have already gone and many more will go. Supporting them is our number one priority.
Hold NHS employers to account on the changes
The cuts were announced with no plan – leaving employers to make it up as they go along. While this is primarily a fault of the government, employers must still be held to account on their treatment of staff.
Brief MPs on the cuts
Government forced through cuts before Parliament had seen or approved the changes – many MPs didn’t even know it was happening. They have the authority to mitigate the worst effects of the cuts and ensure this can never happen again.
Amend the Health Bill
The Health Bill, now before Parliament, is an opportunity to ensure NHS reform is deliverable, operationally sound and properly assessed before implementation. MiP wants to see it strengthened to ensure the chaos of the last 18 months is never repeated.
Campaign resources
MiP Health Bill briefing for MPs
Read MiP’s briefing for Parliamentarians on the Health Bill.
MiP letter to Health Secretary
Read MiP Chief Executive Jon Restell’s letter to Health Secretary James Murray MP outlining our concerns about the reforms.
Latest news on the job cuts
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Precious few and far between: how the NHS job cuts are starting to bite
As well as bringing job losses, NHS restructuring puts more pressure on staff who stay, with bigger workloads, more responsibilities and the emotional dislocation of losing colleagues. Rhys McKenzie talks to MiP national officer Sam Crane about supporting staff to navigate this tricky transition period.
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Government must “come clean” about NHS shake-up, says MiP
A year after it ordered tens of thousands of job cuts in the NHS in England, MiP is urging the government to “come clean” about how the NHS will be run after the changes.
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Redundancy: know your rights to consultation
With redundancies happening all over the NHS in England, remember that your employer has a legal duty to consult with you and your union—and that consultation must be ‘meaningful’. Sarah Schnider explains.
Joining when work is going well means your union will be there if you ever need it
MiP can only offer one-to-one support on issues that occur after your first four weeks of membership. Join today to ensure you are protected if you ever need it in the future.
Contact
Get In Touch
Still have questions? Please get in touch via email or fill out an enquiry form. We’re here to help.
MEMBERS
Email us: info@miphealth.org.uk
Opening Times: 9am – 5pm, Mon – Fri
NON – MEMBERS
Find out if you’re eligible for MiP here. Still have questions? Send us an enquiry using the form opposite and we’ll get back to you as soon as we can.
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