Title

HEALTH

Public health must not be downplayed by PHE's abolition

To start tearing down structures like PHE while the pandemic still rages and when the wider preventative issues of public health have been recognised as integral to slowing down the spread of the virus seems reckless, says Michael Burton.

To paraphrase Lady Bracknell, to lose one quango is a misfortune but to lose two looks like carelessness. Hard on the heels of scrapping Public Health England in order to cover up its own ineptitude the Government then finds it might have to do the same with Ofqual in the astonishing mess over A-level results.

There are only so many quangos a Government can abolish, then recreate, before the public begins to see that there is a pattern and that the real incompetence lies elsewhere.

This one-issue Government, elected on the basis of getting Brexit done, was a successful election machine in which loyalty to the leader was more important than being good at being a minister.

Coronavirus would have challenged even the most talented administration and this not very talented one has certainly stumbled. But to start tearing down structures like PHE while the pandemic still rages and when the wider preventative issues of public health have been recognised as integral to slowing down the spread of the virus seems reckless.

It may not have been a perfectly formed body since it was an amalgamation of many others but the creation of PHE in 2013 recognised the importance of public health and local government's key historic role in helping to improve it.

Third rate ministers can at least be covered by a first rate Whitehall machine. But a turnover of permanent secretaries, a lack of applicants for the crucial Cabinet secretary's post and Dominic Cummings smashing furniture at No 10 does not augur well for a stable civil service leadership.

Nor indeed does this Government appear to value one, preferring Maoist revolution at the top.

The one solid sector that continues to perform as ever during a time of crisis is local government.

Let's hope that the imminent White Paper proposing reorganisation does not plunge this high-functioning part of the public sector into chaos as well.

HEALTH

Building budgets around places

By Stephen Taylor | 12 February 2026

Stephen Taylor says that if place-based budgeting is done in the right way, people and communities will have the learning, satisfaction and joy of creating t...

HEALTH

Reaping the benefits of collaboration on technology and innovation piece by piece

By Eddie Copeland | 11 February 2026

There is a powerful logic to making intelligent use of data, technology and a wide range of transformation methods at a regional level through models such as...

HEALTH

Total Place requires total trust

By Lisa McNally | 09 February 2026

Councils can expand the Total Place ethos by joining up often fragmented policies and programmes, says Lisa McNally. She sets out how place-based working is ...

HEALTH

Prevention first: Why food insecurity must be addressed before crisis hits

By Vic Harper | 09 February 2026

Prevention is the only way to reduce the hardship caused by food insecurity at scale and support long term stability, says Vic Harper.

Michael Burton

Popular articles by Michael Burton