Advice & support
This page will be updated with the latest developments on the government’s plans to cut jobs in the NHS in England. It also sets out what MiP is doing to support members, how you can get involved and the latest activities from the union nationally and locally.
The government is reorganising the NHS and ordering thousands of job losses throughout the NHS in England.
This page will give you the latest information on the cuts and is updated regularly. It covers the latest news by sector on the cuts nationally, explains how MiP is challenging them and what your union is doing to support you.
It will also offer information about MiP’s activities locally and what members can do now to support the union and your colleagues.
Read our recently published guide to the consultation process, It’s Your Future, on how you can help yourself and support your colleagues during the re-organisation process.
MiP can only support members with workplace issues arising four weeks or more after their join date. If you think the planned cuts might affect you, then it’s important to join now to ensure you’re covered.
NHS England confirmed this week that it had reached an agreement with the Treasury on funding redundancies in the NHS in England.
Employers have now been given the green light to apply the national model VR scheme. The redundancy process must be completed by April 2026.
MiP is in now in the process of preparing for the launch of consultations. Despite the rushed timescale that will clash with the Christmas period – we still demand meaningful consultation on these changes.
The government is abolishing NHS England with remaining staff merging with the Department for Health and Social Care.
MiP submitted a joint response to the consultation alongside other health unions.
MiP and our partner union the FDA are working together to represent members in both NHS England and DHSC. The timelines for the changes and how they may affect individual posts remain unclear. Members must join MiP before the formal change programme starts to qualify for the union’s support.
MiP will write to members directly and update this page, as further information comes in. For MiP Chief Executive Jon Restell’s initial response to the abolition decision please see here.
The government has told Integrated Care Boards to reduce their running costs by 50% between October and December 2025 and move towards acting ‘primarily as strategic commissioners’.
Nationally, unions are raising concerns about:
Members must join MiP before any formal change programme starts to ensure they can access the union’s support.MiP will write to members directly and update this page when further information is received. For MiP Chief Executive Jon Restell’s initial response to the ICB cuts please see here.
NHS trusts were told in January to reduce base costs by 1% and make productivity improvements of 4% so the NHS as a whole achieves financial balance in 2025/26. NHS England has since demanded specific cuts to ‘corporate costs’.
Many NHS trusts have started redundancy processes ahead of other employers.
MiP is seeking clarity about these cuts and the associated guidance, both nationally and with local employers. Members must join MiP prior to any formal change programme beginning to ensure they can access union support.
MiP will write to members directly and update this page when further information is received.
The release of the 10 Year Health Plan has confirmed that Commission Support Units (CSUs) are set to be closed entirely.
A new governance structure has been established to manage the closure of CSUs. The Service Transfer and Closure (STaC) Programme Group will oversee the closure of the four remaining CSUs. MiP and trade union colleagues are seeking engagement from the group through the CSU partnership forum.
CSU consultations with trade unions on voluntary redundancy are expected to begin imminently. Further updates on CSUs will be posted here.
The government has published Penny Dash’s review of health and care regulatory bodies.
The review, which has been accepted by government, proposes:
The government will put forward legislation where necessary to implement the changes to organisations as a result of the review.
MiP is strongly opposed to cuts on the scale announced and shocked by the way the news has been delivered – with most staff finding out their jobs could be at risk through announcements made to the media. While structures are not set in stone and many of our members welcome reform, we are clear that cuts are not reforms. If the government wants to truly reform how the NHS works and make it work better, it must outline its plan before cutting thousands of dedicated staff. Form must follow function.
MiP has already written to members at large and at affected organisations. We advise members to make sure you are subscribed to our mailing lists to receive the latest updates. If you are not receiving emails or would like to resubscribe please contact info@miphealth.org.uk.
The Ten Year Health Plan for the NHS in England was published on 3 July 2025.
MiP’s National Committee, elected by our members, has released a statement on the Ten Year Health Plan. You can read the statement in full in the box to the right.
Read the MiP National Committee’s statement on the 10 Year Health Plan amidst the ongoing job cuts below.
Your union is taking action to challenge these cuts. Our immediate priority is to get a clearer picture of what the government has planned, particularly what staff will be affected, what functions will go, what processes will be followed to implement reductions and what the future NHS structure will look like. We are actively:
At this stage, most NHS employers have not started formal redundancy proceedings. That means many questions cannot be answered at this stage. MiP is seeking clarity and will inform members as soon as it is received.
We have written to Health and Social Care Secretary Wes Streeting to raise concerns directly. You can view this letter from the box to the right.
MiP has already hosted a number of member drop-in sessions and meetings to discuss the cuts in more detail. More of these are planned and this page will be updated with upcoming events. In the meantime, please check your email for the latest activity from MiP in your workplace.
Until written notices are presented it’s important to continue carrying on as normal. You may have concerns that you could be at risk, questions about your terms and conditions if transferred to a different employer or what options are on the table if your role is in scope of the cuts. At the moment, it is impossible to answer these as processes have not begun. We understand that this uncertainty creates anxiety, however your union will be there to support you through the process if and when it begins.
MiP will keep members updated on national developments as well as local ones, so please keep checking this page and your emails regularly.
MiP has written to the Secretary of State for Health and Social Care Wes Streeting MP directly to raise concerns about the job cuts and system changes.
Read our letter in full.
Update your membership details
Ensure your details are up-to-date to receive information on the latest developments via email. You can update your details by logging into this website.
Update your details here
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.
become a workplace rep
Tell colleagues to join now
A union is only as strong as its collective strength. Every member is another voice to challenge these cuts. But they need to join now prior to formal processes starting to access support.
colleagues can join here
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.
Plans to cut tens of thousands of management and support staff jobs at NHS trusts in England are “going under the radar” and risk damaging patient care and undermining efforts to reform services, MiP has warned.
MiP Chief Executive Jon Restell warns MPs that NHS reforms are at risk if the management capacity needed to make them happen is cut.
MiP says Health Secretary James Murray was right to recognise the innovation and creativity in the NHS, but the very people who drive it are the ones who are losing their jobs.
