Wes Streeting said the NHS is “addicted to overspending”, as he confirmed he is seeking cuts within Integrated Care Boards (ICBs).

The health secretary told Sky’s Sunday Morning with Trevor Phillips that ICBs – which are responsible for planning local health services – have been tasked with finding 50% savings to boost efficiency.

Politics latest: Streeting denies Labour ‘changing into Tories’

It’s part of the government’s plans to slash bureaucracy in the health service – which Mr Streeting acknowledged on Sunday would cause anxiety among administrators facing job losses.

He said he was “genuinely sorry” for people worried about the future, but efficiency savings would divert money to the frontline of the NHS.

Confirming that Jim Mackey, head of the soon-to-be abolished NHS England, had written to ICBs asking them to halve their running costs, Mr Streeting said: “Financial plans to us would have involved an overspend between £5bn and £6bn before the new financial year is even begun.

“And I’m afraid this speaks to the culture that I identified before the general election, where the NHS is addicted to overspending, is addicted to running operating deficits with the assumption that someone will come along to bail them out, which local councils would never be able to do.”

Reports of the cuts have sparked concerns among health leaders.

Matthew Taylor, head of the NHS Confederation, said it will require “major changes” and make the task of delivering “long term transformation of the NHS much harder”.

Mr Streeting denied the cut was effectively a form of austerity, saying the government is going after a culture of “waste and inefficiency” which “isn’t just frustrating patients and taxpayers” but staff working for the NHS too.

“They can see layer upon layer upon layer of bureaucracy and accountability,” he said.

“That’s not the fault of the people working in the system. They are also victims of it.

“And that’s why we’re going hard at achieving those savings in order to redeploy money into frontline services, which benefit patients.”

The government also announced this week it would be scrapping NHS England, the world’s biggest quango, saying there is too much duplication with the work that the Department of Health and Social Care (DHSC) does.

Scrapping NHS England ‘beginning not the end’

Mr Streeting has since indicated he will look to scrap other health-related bodies, writing in The Sunday Telegraph that axing NHS England is “the beginning, not the end”.

Asked what other organisations could be for the chopping board, Mr Streeting said he did not want to “get ahead” of a review by Dr Penny Dash into the operational effectiveness of NHS regulators.

“What I will do is look at how we can reduce the number of regulators, reduce the number of regulations wherever possible… and try to reduce the amount of money we are spending,” he said.

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The cabinet minister defended the language being used to describe the plans, after he described the NHS as being “bloated” by bureaucracy and Prime Minister Sir Keir Starmer called it “flabby”.

Streeting ‘genuinely sorry’ about job losses

Mr Streeting stressed he was “talking about the system, not the people who work in it” – adding that he was “genuinely sorry” about the job losses that will come down the line.

The government has not yet said how many jobs it expects to axe under the reforms.

Mr Streeting acknowledged lots of people will be anxious about their futures, adding: “I’m genuinely sorry about that, because I don’t want them to be in that position. But I’ve got to make the changes.”

The government’s plans have generally received support from opposition parties, though there have been calls for more details.

Shadow education secretary Laura Trott said reorganisation reforms introduced by the Tories in 2013 were “well-intentioned but didn’t work” and she agrees “in principle” with what Labour has put forward.

However she said the changes aren’t a “silver bullet” and could result in further costs and disruption so “we’ll need to see a very clear plan from the government for how that won’t affect waiting lists further”.

Meanwhile, the Liberal Democrats said the government must “take the same sense of urgency shown here to social care, and complete their review by the end of the year rather than continuing to kick the can down the road”.

Since taking office nine months ago Sir Keir Starmer has weathered party rows about winter fuel payments, the two child benefit cap, WASPI women, airport expansion and cuts to international aid.

All of these decisions have been justified in the name of balancing the books – filling that notorious £22bn black hole, sticking to the fiscal rules, and in the pursuit of growth as the government’s number one priority.

But welfare reform feels like a far more existential row.

Health Secretary Wes Streeting argued on Sunday Morning With Trevor Phillips that the current system is “unsustainable”.

Ministers have been making the point for weeks that the health benefits bill for working-age people has ballooned by £20bn since the pandemic and is set to grow by another £18bn over the next five years, to £70bn.

But the detail of where those cuts could fall is proving highly divisive.

One proposal reportedly under consideration has been to freeze personal independence payments (PIPs) next year, rather than uprating them in line with inflation.

Charities have warned this would be a catastrophic real-terms cut to 3.6 million people.

Concerned left-wing backbenchers are calling on the government to tax the rich, not take from the most vulnerable.

The Sunday Times and Observer have now reported that Work and Pensions Secretary Liz Kendall has dropped the idea in response to the backlash.

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What cuts could be announced?

Wes Streeting denied reports of a cabinet row over the plan, insisting the final package of measures hasn’t yet been published and he and his cabinet colleagues haven’t seen it.

Not the final version perhaps – but given all backbench Labour MPs who were summoned to meetings with the Number 10 policy teams for briefings this week, that response is perhaps more than a little disingenuous.

In his interview with Sir Trevor Phillips, he went on to make the broader case for PIP reform – highlighting the thousand people who sign up to the benefit every day and arguing that the system needs to be “sustainable”, to “deliver for those that need it most” and “provide the right kind of support for the different types of need that exist”.

To me this signals the government are preparing to unveil a tighter set of PIP eligibility criteria, with a refocus on supporting those with the greatest needs.

Changes to incapacity benefit to better incentivise working – for those who can – are also clearly on the cards.

The health secretary has been hitting out at the “overdiagnosis” of mental health conditions, arguing that “going out to work is better for your mental and physical health, than being spent and being stuck at home”, and promising benefit reforms that will help support people back to work rather than “trapped in the benefits system”.

Turning Tory?

Starmer said this week the current welfare system couldn’t be defended on economic or moral grounds.

The Conservatives don’t disagree.

Before the election, they proposed £12bn in cuts to the welfare bill, with a focus on getting people on long-term sickness back to work.

This morning, shadow education secretary Laura Trott claimed Labour denied that welfare cuts were needed during the election campaign and had wasted time in failing to include benefits reform in the King’s Speech.

“They’re coming to this chaotically, too late and without a plan,” she said.

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Notwithstanding the obvious critique that the Tories had 14 years to get a grip on the situation – what’s most striking here is that, yet again, the Labour government seems to be borrowing Conservative clothes.

When challenged by Sir Trevor this morning, Streeting denied they were turning Tory – claiming the case for welfare reform and supporting people into work is a Labour argument.

But, from increasing defence spending and cutting the aid budget to scrapping NHS England, there’s a definite pattern emerging.

If you didn’t know a Labour administration was in charge, you might have assumed these were the policies of a Conservative government.

It’s a strategy which makes many of his own backbenchers deeply uncomfortable.

But it’s doing a good job of neutering the Tory opposition.