The Labour government has embarked on a reorganisation of the NHS in England. And now the Health Bill (also known as the ‘NHS Modernisation Bill’) has been introduced in parliament to effect the changes.

Key provisions include merging NHS England into the Department of Health and Social Care, reforming data sharing to support creating a single patient record and shaking up patient voice functions by abolishing Healthwatch. But will any of this make a real difference to patients and the public?

We take a closer look at what’s in the bill and what it really means, and ask how Wes Streeting’s departure as health secretary is likely to affect the government’s reform agenda.

Hugh Alderwick, Director of Policy and Research at the Health Foundation, is joined by:

• Clare Gerada, a GP and a crossbench peer in the House of Lords.
• Nicholas Timmins, an author and journalist who writes about the welfare state and the NHS and a senior fellow at the Institute for Government.

Show notes

UK parliament. Health Bill.

Department of Health and Social Care (2024). Independent investigation of the NHS in England: Lord Darzi's report on the state of the National Health Service in England.

BMJ (2026). Health bill brings NHS management back into government.

NHS Assembly (2023). NHS in England at 75: Priorities for the future.

The King’s Fund (2026). Before the next bill lands: what history tells us about NHS reorganisation.

Health Foundation (2026). Health bill hands power to ministers, but misses the biggest health challenges.

Artificial intelligence is developing at breakneck speed, leaving governments around the world scrambling to respond. For a high-risk area like health care, safe, responsible use will be critical. But pressures on health systems mean governments can ill afford to delay adoption. So what's the right balance? And how can we ensure AI tools work in real-life health care settings and minimise unintended consequences?

Following the 10-Year Health Plan, the government has established a National Commission into the Regulation of AI in Healthcare to explore these questions and make recommendations for how regulations need to adapt.

To discuss, our Chief Executive Jennifer Dixon is joined by:

• Ricardo Baptista Leite, CEO of Health AI, a Geneva-based nonprofit that promotes equitable access to AI-powered health innovations.
• Alastair Denniston, Professor of Regulatory Science and Innovation at the University of Birmingham.

The National Commission into the Regulation of AI in Healthcare is established to advise the MHRA. It is co-chaired by Alastair Denniston. Ricardo Baptista Leite and Jennifer Dixon are members. Its final report is expected later in 2026.

Show notes

UK government. National AI Commission into the Regulation of AI in Healthcare.

Health Foundation (2025). AI in healthcare – staying ahead of the issues.

Health AI (2026). AI governance in health – Global landscape 2025 report.

Health Foundation (2026). AI in healthcare must earn the public’s confidence.

JAMA (2025). AI, Health, and Health Care Today and Tomorrow: the JAMA Summit Report on Artificial Intelligence.

In 1997, the New Labour government set up the social exclusion unit in the Cabinet Office. It was tasked with tackling what Tony Blair called ‘joined-up problems’ – social challenges like homelessness, school absence and exclusion, drug use and teenage pregnancy, which often have complex and interlocking causes. Analysis suggests many of the initiatives that followed had real positive impacts. So what lessons can be drawn for the considerable challenges we face today?

In conversation with our Chief Executive Jennifer Dixon, Moira Wallace – a former senior civil servant who led the unit – reflects on its work, the approaches it pioneered and how change was delivered on the ground. With near-record numbers of young people not in education, work or training – and public investment constrained – what options are available to the current Labour government? And how could changes to the wiring of government help to tackle this and other social challenges?

Show notes

Wallace M (2023). Trends in adolescent disadvantage: policy and outcomes for young people under Labour, the Coalition, and the Conservatives (1997 to 2019).

Wallace M (2025). Reducing school absence: innovation lessons from the last Labour government.

Health Foundation (2024). Sure Start: a model for long-term policymaking? – with Naomi Eisenstadt and Donna Molloy.

Health Foundation (2025). No child left behind: what the government’s child poverty strategy should aim to deliver.

Health Foundation (2026). Why are a growing number of young people who are NEET reporting work-limiting health conditions?

Resolution Foundation (2025). False starts: what the UK’s growing NEETs problem really looks like, and how to fix it.

Teenage Pregnancy Knowledge Exchange and University of Bedfordshire (2025). Teenage pregnancy and young parenthood: successes, challenges and opportunities.

Surveys show rock solid public support for the basic principles of the NHS – universal, free at the point of use and mainly tax funded. Yet given widespread public dissatisfaction with the status quo, and non-traditional challenger parties gaining ground in the polls, can we take consensus on the NHS model for granted?

In our second conversation exploring big trends in UK public opinion, we ask what public mistrust and a desire for change could mean for institutions like the NHS. How are policymakers to respond to the public’s concerns? And what could the rise of Reform UK mean for the NHS and wider health policy?

Our Chief Executive, Jennifer Dixon, is joined by Rachel Wolf, CEO of Public First, a policy and strategy consultancy that researches public attitudes.

Surveys show rock solid public support for the basic principles of the NHS – universal, free at the point of use and mainly tax-funded. Yet given widespread public dissatisfaction with the status quo, and non-traditional challenger parties gaining ground in the polls, can we take consensus on the NHS model for granted?

In the first of two episodes, we explore big trends in UK public opinion and ask what they reveal about attitudes to longstanding institutions, like the NHS. With 40% of the public saying it would let our public institutions ‘burn’, how should policymakers respond? And can pressure for quick results be balanced with long-term reforms?

Our Chief Executive, Jennifer Dixon, is joined by Luke Tryl, UK Executive Director of More in Common, a research agency focused on public attitudes.

• Rachel Sylvester, Political Editor of The Observer.
• Hugh Alderwick, Director of Policy and Research at the Health Foundation.

• Andrea Palm, former Deputy Secretary of the US Department of Health and Human Services (2021–25) where she led the development of the Department’s strategic plan for AI in health and care.
• Andrew Bindman, Executive Vice President and Chief Medical Officer at Kaiser Permanente, one of the US’s largest integrated health care systems.

• Health Foundation (2025). Event: AI in the NHS 2025.
• Health Foundation (2024). Priorities for an AI in health care strategy.
• NEJM Catalyst (2024). Ambient AI scribes to alleviate burden of clinical documentation.
• Kaiser Permanente (2025). AI in healthcare: 7 principles of responsible use.

• Michelle Mitchell, Chief Executive of Cancer Research UK
• Jesper Fisker, Chief Executive of the Danish Cancer Society.