1) This is the letter sent to the local press
Dear Sir or Madam
We are dismayed that the Barking Havering and Redbridge University NHS Trust (BHRUT) responsible for Queens & King George Hospitals is facing a £50M cut to its 25/26 budget which will put 770 NHS jobs at risk as disclosed at the BHRUT March board meeting papers. The source of these cuts at BHRUT appears to be national NHS guidance dated 30th January 2025 which states “Overall, this means NHS organisations will need to reduce their cost base by at least 1% and achieve 4% improvement in productivity...the NHS will need to reduce or stop spending on some services and functions” Mr Trainer said at the March board meeting about these national cuts: “this is about less for less in some instances as well. Some of the decisions that are going to have to come to this board where we can expect to access the service in a way that we think will cause the least harms and outcomes.” The BHRUT catchment area has some of the poorest wards in England and has a rapidly growing population. In contrast, over in Surrey, the richest county in England, while the budget for Frimley Health NHS Foundation Trust has also been cut, the Chief Executive issues no warnings about services being reduced in their March board papers despite national guidance saying to “to stop spending on some services” There has to be a concern that these national cuts are being spread uniformly by area, without poverty and planned population increases caused by new developments being taken into account. That BHRUT is facing these cuts must be wrong and we call on Wes Streeting MP, the Secretary of State to intervene and stop the cuts to our local hospitals. More information about the campaign and references for the information above is at the Save King George Hospital blogspot.
Bob Archer – Redbridge Trade Unions Council
Councillor Gillian Ford - Cranham Ward
Redbridge Councillor Rosa Gomez
Cllr Graham Williamson Havering Cabinet Lead for Development & Regeneration (HRA)
Andy Walker
2) Guardian Article 100,00 NHS jobs at risk
https://www.theguardian.com/society/2025/apr/08/hospitals-england-shed-jobs-cost-cutting-nhs is the articile
This is the key extract
"In recent days several NHS trusts have outlined plans to shed hundreds of posts each, in a bid to meet what Taylor has called “challenging” efficiency savings targets for 2025-26.
The trusts, which provide care in Portsmouth and the Isle of Wight, plan to cut 798 whole-time equivalent posts, or about 7% of their combined workforce. They hope to save £39m, almost half their combined £82m savings target, the Health Service Journal reported.
Similarly, the trust that runs Bristol’s hospitals intends to shrink its workforce by 2%, in a move that could lead to more than 300 job losses.
NHS England told all 215 trusts to save 5% of their budget for this year through “cost improvement programmes” amid fears the service could overspend its budget by £6.6bn."
I am unsure at time of writing whether this is an additional cut to the one announced by NHS England in January 2025 per extract below:
2025/26 priorities and operational planning guidance
Or the press story in the Guardian is an additional cut.
3) BHRUT Stakeholder letter 4th April 2025 at BHRUT site
Thank you to the Councillor who sent me positive newsletter from Mr Trainer to stakeholders. It strikes a different tone to the March 2025 BHRUT board papers, but when read carefully does not contradict the board papers. This appears key extract to me
As I mentioned, the money is extremely difficult – we are anticipating having to make around £60m of savings, around £5m a month which is double the amount we’ve had to save in the previous two years.
We’re focusing on reducing the £90m bill we face for bank and agency staff and reducing our non-staff costs (drugs, medical equipment etc).
We know we need to make some difficult decisions over the weeks and months ahead, and there are challenges around urgent and emergency care, and waiting lists for planned treatment. Despite these challenges, however, I’m pleased to finish on the positive note that we expect to meet the latest performance targets set out by NHS England in this year’s planning guidance.
4 Freedom of Information request
I am seeking the formula used by NHS England to distribute cuts across England, partilcualry for BHRUT as against Frimley Health NHS Foundation Trust. Trump has a formula for his tariffs, so I expect the NHS will have a formula to distribute cuts to make sure they are fairly distributed.
It is best to have no cuts, but if they take place it is vital that BHRUT is not discriminated against because of its poor areas and growing population.
https://www.whatdotheyknow.com/request/formula_for_nhs_cuts#incoming-2979840
Dear NHS England,
The Guardian reported on the 8th April 2025 the following:
"Hospitals in England could axe more than 100,000 jobs as a result of the huge reorganisation and brutal cost-cutting ordered by Wes Streeting and the NHS’s new boss.
The scale of looming job losses is so large that NHS leaders have urged the Treasury to cover the costs involved, which they say could top £2bn, because they do not have the money.
Sir Jim Mackey, NHS England’s new chief executive, has told the 215 trusts that provide health care across England to cut the costs of their corporate functions – such as HR, finance and communications – by 50% by the end of the year." ENDs Quote
I seek under the environmental regulations or freedom of information law the following:
1 - The formula used by NHS England to allocate the cuts across the 215 trusts.
2 - How this formula is calculated at Barking Havering & Redbridge University Hospitals NHS Trust
3 - How this formula is calculated at Frimley Health NHS Foundation Trust
On 30th January 2025 the NHS England site announced "2025/26 priorities and operational planning guidance"
I quote:
"Overall, this means NHS organisations will need to reduce their cost base by at least 1% and achieve 4% improvement in productivity, in order to deal with demand growth. NHS England will transfer a higher proportion of funding than ever before directly to local systems and minimise ringfencing, allowing local leaders maximum flexibility to plan better and more efficient services. And, to be clear, all parts of the NHS must now live within their means."
I seek under the environmental regulations or freedom of information law the following:
4 The formula used by NHS England to allocate the cuts across the 215 trusts to "reduce their cost base by at least 1% and achieve 4% improvement in productivity"
5- How this formula is calculated at Barking Havering & Redbridge University Hospitals NHS Trust
6 - How this formula is calculated at Frimley Health NHS Foundation Trust
7- The Equality Impact Assessments for both the cuts order by Sir Jim Mackey at points 1-3 and the cuts to reduce "their cost base by at least 1% and achieve 4% improvement in productivity" per points 4 - 6
Yours faithfully,
Andy Walker