United Kingdom Secretary of State for Health and Social Care | |
---|---|
Department of Health and Social Care | |
Style | Health Secretary (informal) The Right Honourable (within the UK and Commonwealth) |
Type | Minister of the Crown |
Status | Secretary of State |
Member of | |
Reports to | The Prime Minister |
Seat | Westminster |
Nominator | The Prime Minister |
Appointer | The Monarch (on the advice of the Prime Minister) |
Term length | At His Majesty's pleasure |
Formation |
|
First holder | Benjamin Hall (as President of the Board of Health) |
Salary | £159,038 per annum (2022) [1] (including £86,584 MP salary) [2] |
Website | www |
This article is part of a series on |
Politics of the United Kingdom |
---|
United Kingdomportal |
The secretary of state for health and social care, also referred to as the health secretary, is a secretary of state in the Government of the United Kingdom, responsible for the work of the Department of Health and Social Care. [3] The incumbent is a member of the Cabinet of the United Kingdom.
The position can trace its roots back to the nineteenth century, and has been a secretary of state position since 1968. For 30 years, from 1988 to 2018, the position was titled Secretary of State for Health, before Prime Minister Theresa May added "and Social Care" to the designation in the 2018 British cabinet reshuffle. [4]
The officeholder works alongside other health and social care ministers. The corresponding shadow minister is the shadow secretary of state for health and social care, and the secretary of state is also scrutinised by the Health and Social Care Select Committee. [5]
The position is currently held by Wes Streeting, who has served since 5 July 2024.
Corresponding to what is generally known as a health minister in many other countries, the health secretary's remit includes the following:
The first Boards of Health were created by Orders in the Council dated 21 June, 14 November, and 21 November 1831. In 1848, a General Board of Health was established with lay members in leadership roles [7] and the first commissioner of woods and forests as its president. In 1854, this board was reconstituted, and the president was appointed separately. However, the board was abolished in 1858, and its function of overseeing local boards was transferred to a new Local Government Act Office within the Home Office. From 1871, that function was transferred to the new Local Government Board.[ citation needed ]
The Ministry of Health was created by the Ministry of Health Act 1919 as a reconstruction of the Local Government Board. Local government functions were eventually transferred to the minister of housing and local government, leaving the Health Ministry in charge of health matters.
From 1968, it was amalgamated with the Ministry of Social Security under the secretary of state for social services, until the de-merger of the Department of Health and Social Security on 25 July 1988.
Since devolution in 1999, the position holder's responsibility for the NHS is mainly restricted to the health service in England, while the holders' counterparts in Scotland and Wales are responsible for the NHS in Scotland and Wales. Prior to devolution, the secretaries of state for Scotland and Wales had those respective responsibilities, but the Department of Health played a larger role than it does now in the coordination of health policy across Great Britain. Health services in Northern Ireland have always had separate arrangements from the rest of the UK and are currently the responsibility of the health minister in the Northern Ireland Executive.
A small number of health issues remain reserved matters, meaning they are not devolved.
According to Jeremy Hunt, the department receives more letters than any other government department, and there are 50 officials in the correspondence unit. [8]
Colour key (for political parties):
Whig Conservative Radical Peelite Liberal Labour Unionist National Labour National Liberal
President of the Board | Term of office | Political party | Prime Minister | ||||
---|---|---|---|---|---|---|---|
As First Commissioner of Woods and Forests | Lord John Russell | ||||||
The Earl of Carlisle | 1848 | 17 April 1849 | Whig | ||||
Lord Seymour MP for Totnes | 17 April 1849 | 1 August 1851 | Whig | ||||
As First Commissioner of Works | |||||||
Lord Seymour MP for Totnes | 1 August 1851 | 21 February 1852 | Whig | ||||
Lord John Manners MP for Colchester | 4 March 1852 | 17 December 1852 | Conservative | The Earl of Derby | |||
William Molesworth MP for Southwark | 5 January 1853 | 14 October 1854 | Radical | The Earl of Aberdeen (Coalition) | |||
President of the Board of Health | |||||||
Benjamin Hall MP for Marylebone | 14 October 1854 | 13 August 1855 | Whig | ||||
The Viscount Palmerston | |||||||
William Cowper MP for Hertford | 13 August 1855 | 9 February 1857 | Whig | ||||
William Monsell MP for County Limerick | 9 February 1857 | 24 September 1857 | Whig | ||||
William Cowper MP for Hertford | 24 September 1857 | 21 February 1858 | Whig | ||||
Charles Adderley MP for Staffordshire Northern | 8 March 1858 | 1 September 1858 | Conservative | The Earl of Derby | |||
Board of Health abolished in 1858; responsibilities transferred to the Privy Council (1858–1871), then the Local Government Board (1871–1919). |
Secretary of State | Term of office | Political party | Ministry | ||||
---|---|---|---|---|---|---|---|
Richard Crossman MP for Coventry East | 1 November 1968 | 19 June 1970 | Labour | Wilson II | |||
Keith Joseph MP for Leeds North East | 20 June 1970 | 4 March 1974 | Conservative | Heath | |||
Barbara Castle MP for Blackburn | 5 March 1974 | 8 April 1976 | Labour | Wilson III | |||
David Ennals MP for Norwich North | 8 April 1976 | 4 May 1979 | Labour | Callaghan | |||
Patrick Jenkin MP for Wanstead and Woodford | 5 May 1979 | 14 September 1981 | Conservative | Thatcher I | |||
Norman Fowler MP for Sutton Coldfield | 14 September 1981 | 13 June 1987 | Conservative | ||||
Thatcher II | |||||||
John Moore MP for Croydon Central | 13 June 1987 | 25 July 1988 | Conservative | Thatcher III | |||
Post split into Secretary of State for Social Security and Secretary of State for Health in 1988. |
Secretary of State | Term of office | Political party | Ministry | |||
---|---|---|---|---|---|---|
Jeremy Hunt MP for South West Surrey | 8 January 2018 | 9 July 2018 | Conservative | May II | ||
Matt Hancock MP for West Suffolk | 9 July 2018 | 26 June 2021 | Conservative | |||
Johnson I | ||||||
Johnson II | ||||||
Sajid Javid MP for Bromsgrove | 26 June 2021 | 5 July 2022 | Conservative | |||
Steve Barclay MP for North East Cambridgeshire | 5 July 2022 | 6 September 2022 | Conservative | |||
Thérèse Coffey MP for Suffolk Coastal | 6 September 2022 | 25 October 2022 | Conservative | Truss | ||
Steve Barclay MP for North East Cambridgeshire | 25 October 2022 | 13 November 2023 | Conservative | Sunak | ||
Victoria Atkins MP for Louth and Horncastle | 13 November 2023 | 5 July 2024 | Conservative | |||
Wes Streeting MP for Ilford North | 5 July 2024 | Incumbent | Labour | Starmer |
The secretary of state for the Home Department, more commonly known as the home secretary, is a senior minister of the Crown in the Government of the United Kingdom and the head of the Home Office. The position is a Great Office of State, making the home secretary one of the most senior and influential ministers in the government. The incumbent is a statutory member of the British Cabinet and National Security Council.
There has not been a government of England since 1707 when the Kingdom of England ceased to exist as a sovereign state, as it merged with the Kingdom of Scotland to form the Kingdom of Great Britain. The Kingdom of Great Britain continued from 1707 until 1801 when it merged with the Kingdom of Ireland to form the United Kingdom of Great Britain and Ireland, which itself became the United Kingdom of Great Britain and Northern Ireland (UK) in 1922 upon independence for most of the island of Ireland.
The Home Office (HO), also known as the Home Department, is a ministerial department of the Government of the United Kingdom. It is responsible for immigration, security, and law and order. As such, it is responsible for policing in England and Wales, fire and rescue services in England, Border Force, visas and immigration, and the Security Service (MI5). It is also in charge of government policy on security-related issues such as drugs, counterterrorism, and immigration. It was formerly responsible for His Majesty's Prison Service and the National Probation Service, but these have been transferred to the Ministry of Justice.
The Welsh Office was a department in the Government of the United Kingdom with responsibilities for Wales. It was established in April 1965 to execute government policy in Wales, and was headed by the Secretary of State for Wales, a post which had been created in October 1964. It was disbanded on 1 July 1999 when most of its powers were transferred to the National Assembly for Wales, with some powers transferred to the Office of the Secretary of State for Wales, a department popularly known as the Wales Office.
The Welsh Government is the executive arm of the devolved government of Wales. The government consists of cabinet secretaries and ministers. It is led by the first minister, usually the leader of the largest party in the Senedd, who selects ministers with the approval of the Senedd. The government is responsible for tabling policy in devolved areas for consideration by the Senedd and implementing policy that has been approved by it.
The Department for Culture, Media and Sport (DCMS) is a ministerial department of the Government of the United Kingdom. It holds the responsibility for culture and sport in England, and some aspects of the media throughout the UK, such as broadcasting. Its main offices are at 100 Parliament Street, occupying part of the building known as Government Offices Great George Street.
The Department of Health and Social Care (DHSC) is a ministerial department of the Government of the United Kingdom. It is responsible for government policy on health and adult social care matters in England, along with a few elements of the same matters which are not otherwise devolved to the Scottish Government, Welsh Government or Northern Ireland Executive. It oversees the English National Health Service (NHS). The department is led by the Secretary of State for Health and Social Care with three ministers of state and three parliamentary under-secretaries of state.
Politics of England forms the major part of the wider politics of the United Kingdom, with England being more populous than all the other countries of the United Kingdom put together. As England is also by far the largest in terms of area and GDP, its relationship to the UK is somewhat different from that of Scotland, Wales or Northern Ireland. The English capital London is also the capital of the UK, and English is the dominant language of the UK. Dicey and Morris (p26) list the separate states in the British Islands. "England, Scotland, Northern Ireland, the Isle of Man, Jersey, Guernsey, Alderney, and Sark.... is a separate country in the sense of the conflict of laws, though not one of them is a State known to public international law." But this may be varied by statute.
Jeremy Richard Streynsham Hunt is a British politician who served as Chancellor of the Exchequer from 2022 to 2024 and Foreign Secretary from 2018 to 2019, having previously served as Secretary of State for Health and Social Care from 2012 to 2018 and as Secretary of State for Culture, Olympics, Media and Sport from 2010 to 2012. A member of the Conservative Party, he has been the Member of Parliament for Godalming and Ash, formerly South West Surrey, since 2005. Hunt also served as Shadow Chancellor of the Exchequer in the Shadow Cabinet of Rishi Sunak from July to November 2024.
Politics in Wales forms a distinctive polity in the wider politics of the United Kingdom, with Wales as one of the four constituent countries of the United Kingdom (UK).
NHS Wales is the publicly-funded healthcare system in Wales, and one of the four systems which make up the National Health Service in the United Kingdom.
NHS Scotland, sometimes styled NHSScotland, is the publicly–funded healthcare system in Scotland and one of the four systems that make up the National Health Service in the United Kingdom. It operates 14 territorial NHS boards across Scotland, supported by seven special non-geographic health boards, and Public Health Scotland.
The Ministry of Justice (MoJ) is a ministerial department of the Government of the United Kingdom. It is headed by the Secretary of State for Justice and Lord Chancellor. Its stated priorities are to reduce re-offending and protect the public, to provide access to justice, to increase confidence in the justice system, and to uphold people's civil liberties. The Secretary of State is the minister responsible to Parliament for the judiciary, the court system, prisons, and probation in England and Wales, with some additional UK-wide responsibilities, e.g., the UK Supreme Court and judicial appointments by the Crown. The department is also responsible for areas of constitutional policy not transferred in 2010 to the Deputy Prime Minister, human rights law, and information rights law across the UK.
Regional health authorities (RHAs) were National Health Service (NHS) organisations set up in 1974 by the National Health Service Reorganisation Act 1973 to replace regional hospital boards and to manage a lower tier of area health authorities (AHAs) in England. AHAs were created for Wales but not RHAs. Separate legislation was passed for Scotland. In 1996, the regional health authorities were abolished and replaced by eight regional offices of the NHS Executive as a result of the Health Authorities Act 1995.
The Health and Social Care Act 2012 is an act of the Parliament of the United Kingdom. It provided for the most extensive reorganisation of the structure of the National Health Service in England to date. It removed responsibility for the health of citizens from the Secretary of State for Health, which the post had carried since the inception of the NHS in 1948. It abolished primary care trusts (PCTs) and strategic health authorities (SHAs) and transferred between £60 billion and £80 billion of "commissioning", or healthcare funds, from the abolished PCTs to several hundred clinical commissioning groups, partly run by the general practitioners (GPs) in England. A new executive agency of the Department of Health, Public Health England, was established under the act on 1 April 2013.
The National Health Service Reorganisation Act 1973 is an Act of the Parliament of the United Kingdom. The purpose of the act was to reorganise the National Health Service in England and Wales. Separate legislation was passed a year earlier for Scotland. This was the first time the NHS had been reorganised in the UK since it was established in 1948. The next major reorganisations would be the Health Services Act 1980 and the Health Authorities Act 1995 which repealed the 1973 Act.
Area health authorities (AHAs) were 90 National Health Service (NHS) administrative organisations set up in England and Wales in 1974 by the National Health Service Reorganisation Act 1973. Separate legislation was passed for Scotland. In England, they were responsible to an upper tier of regional health authorities (RHAs). In 1982, the AHAs were abolished and replaced by 192 smaller district health authorities but the RHAs remained. Both the district and regional health authorities were then themselves abolished in 1996 as a result of the Health Authorities Act 1995.
Theresa May carried out the first reshuffle of her minority government in January 2018. Following the resignation of her deputy, Damian Green as First Secretary of State in December 2017, the reshuffle had been highly anticipated and briefed in the press. There were reports of "up to a quarter" of her cabinet ministers who might lose their positions, including Boris Johnson, who had been seen to cause a number of political gaffes during his term as Foreign Secretary. The reshuffle was seen as an opportunity for May to reassert authority, greatly diminished following the result of the snap general election the previous year. Despite being described by 10 Downing Street as a chance to "refresh" the Cabinet, few changes were made to the ministerial line-up. On 9 January, newspaper headlines reflected the chaotic nature of May's reshuffle, with The Daily Telegraph describing it as, "The Night of the Blunt Stiletto", a reference to the 1962 reshuffle carried out by Harold Macmillan.
Exercise Cygnus was a three-day simulation exercise carried out by the UK Government in October 2016 to estimate the impact of a hypothetical H2N2 influenza pandemic on the United Kingdom. It aimed to identify strengths and weaknesses within the United Kingdom health system and emergency response chain by putting it under significant strain, providing insight on the country's resilience and any future ameliorations required. It was conducted by Public Health England representing the Department of Health and Social Care, as part of a project led by the "Emergency Preparedness, Resilience and Response Partnership Group". Twelve government departments across Scotland, Wales and Northern Ireland, as well as local resilience forums (LRFs) participated. More than 950 workers from those organisations, prisons and local or central government were involved during the three-day simulation, and their ability to cope under situations of high medical stress was tested.
The Minister for Mental Health and Wellbeing is a minister of the Welsh Government, accountable to the cabinet secretary for health and social care. Established as a cabinet position in 2020 during the COVID-19 pandemic in Wales, it was moved to a junior position in 2021. The current officeholder is Sarah Murphy since July 2024.
Jeremy Hunt has kept his job as Health Secretary, despite overseeing what is widely viewed as a winter crisis in the NHS. However, Theresa May has added social care to his responsibilities, to signal her determination to sort out one of the biggest issues facing the country.
Matt Hancock MP, Secretary of State for Health and Social Care, answers questions from MPs on the Government's handling of the COVID-19 pandemic.