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The head of NHS England has announced she is standing down.

Amanda Pritchard was the first woman to take on the role in 2021, having previously served as NHS England’s chief operating officer, and before that, the former head of Guy’s and St Thomas’ NHS Foundation Trust.

Her decision to step down comes weeks after MPs on the cross-party Commons public accounts and health and social care committees accused her of lacking the “drive and dynamism” to radically reform the service.

It has been a “hugely difficult decision for me to stand down”, she said in a statement on Tuesday.

“I believe now is the right time – with the NHS making continued progress in our recovery, and with the foundations firmly in place to deliver the 10 Year Health Plan.”

She said it had been “an enormous privilege to lead the NHS in England through what has undoubtedly been the most difficult period in its history”.

“The NHS is full of extraordinary people, who do extraordinary things every day for patients,” she said, adding: “I am confident they will continue to achieve incredible things for patients now, and into the future.”

Ms Pritchard giving evidence to MPs earlier this month. Pic: PA
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Ms Pritchard giving evidence to MPs in the House of Commons earlier this month. Pic: PA

MPs on the health and social care committee earlier this month said they were disappointed and frustrated by the “lengthy and diffuse answers” Ms Pritchard and other officials gave them under questioning.

Last week, she admitted “we’re not all brilliant performers at committee hearings” as she was challenged on the issue on BBC Breakfast.

Health Secretary Wes Streeting said Ms Pritchard could be “enormously proud” of her tenure.

He said: “Amanda can be enormously proud of the leadership she has given in the face of the biggest health emergency for our country in modern history, as well as steering NHS England during turbulent political waters and six secretaries of state in her time as chief executive.

“She has led with integrity and unwavering commitment.”

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NHS England said that having discussed everything with Mr Streeting in recent months – and now that the NHS has “turned a corner on recovery from the pandemic and the foundations are in place to make the necessary changes to the centre to best support the wider NHS” – Ms Pritchard had “decided now is the right time to stand down”.

Sir James Mackey will take over as “transition” chief executive from the first of April on a secondment basis, it said.

He is the chief executive of Newcastle Hospitals Foundation Trust and national director of elective recovery.

Ms Pritchard, who is married with three children and studied modern history at St Anne’s College, Oxford, was also deputy chief executive at Chelsea and Westminster NHS Foundation Trust.

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Crypto’s path to legitimacy runs through the CARF regulation

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Crypto’s path to legitimacy runs through the CARF regulation

Crypto’s path to legitimacy runs through the CARF regulation

The CARF regulation, which brings crypto under global tax reporting standards akin to traditional finance, marks a crucial turning point.

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Tokenized equity still in regulatory grey zone — Attorneys

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Tokenized equity still in regulatory grey zone — Attorneys

Tokenized equity still in regulatory grey zone — Attorneys

The nascent real-world tokenized assets track prices but do not provide investors the same legal rights as holding the underlying instruments.

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Rachel Reeves hints at tax rises in autumn budget after welfare bill U-turn

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Rachel Reeves hints at tax rises in autumn budget after welfare bill U-turn

Rachel Reeves has hinted that taxes are likely to be raised this autumn after a major U-turn on the government’s controversial welfare bill.

Sir Keir Starmer’s Universal Credit and Personal Independent Payment Bill passed through the House of Commons on Tuesday after multiple concessions and threats of a major rebellion.

MPs ended up voting for only one part of the plan: a cut to universal credit (UC) sickness benefits for new claimants from £97 a week to £50 from 2026/7.

Initially aimed at saving £5.5bn, it now leaves the government with an estimated £5.5bn black hole – close to breaching Ms Reeves’s fiscal rules set out last year.

Read more:
Yet another fiscal ‘black hole’? Here’s why this one matters

Success or failure: One year of Keir in nine charts

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Rachel Reeves’s fiscal dilemma

In an interview with The Guardian, the chancellor did not rule out tax rises later in the year, saying there were “costs” to watering down the welfare bill.

“I’m not going to [rule out tax rises], because it would be irresponsible for a chancellor to do that,” Ms Reeves told the outlet.

More on Rachel Reeves

“We took the decisions last year to draw a line under unfunded commitments and economic mismanagement.

“So we’ll never have to do something like that again. But there are costs to what happened.”

Meanwhile, The Times reported that, ahead of the Commons vote on the welfare bill, Ms Reeves told cabinet ministers the decision to offer concessions would mean taxes would have to be raised.

The outlet reported that the chancellor said the tax rises would be smaller than those announced in the 2024 budget, but that she is expected to have to raise tens of billions more.

It comes after Ms Reeves said she was “totally” up to continuing as chancellor after appearing tearful at Prime Minister’s Questions.

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Why was the chancellor crying at PMQs?

Criticising Sir Keir for the U-turns on benefit reform during PMQs, Conservative leader Kemi Badenoch said the chancellor looked “absolutely miserable”, and questioned whether she would remain in post until the next election.

Sir Keir did not explicitly say that she would, and Ms Badenoch interjected to say: “How awful for the chancellor that he couldn’t confirm that she would stay in place.”

In her first comments after the incident, Ms Reeves said she was having a “tough day” before adding: “People saw I was upset, but that was yesterday.

“Today’s a new day and I’m just cracking on with the job.”

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Reeves is ‘totally’ up for the job

Sir Keir also told Sky News’ political editor Beth Rigby on Thursday that he “didn’t appreciate” that Ms Reeves was crying in the Commons.

“In PMQs, it is bang, bang, bang,” he said. “That’s what it was yesterday.

“And therefore, I was probably the last to appreciate anything else going on in the chamber, and that’s just a straightforward human explanation, common sense explanation.”

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