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Arm's length bodies review

  • Last modified date:
    2 March 2007

Arm's length bodies (ALBs) are a key part of the health and social care system. Their work ranges from regulatory and advisory functions, to ethical and clinical-related roles. The former Secretary of State for Health, John Reid, announced his intention to carry out a review of the Department of Health's ALBs at the Health Select Committee on 30 October 2003. He announced overall parameters for the review on 20 May 2004:

  • a 50 percent reduction in the number of arm's length bodies
  • savings in expenditure of £0.5 billion
  • a 25 percent reduction in posts.

In July 2004 the Department of Health published Reconfiguring the Department of Health's Arm's Length Bodies which sets out the conclusions based on the analysis of the review and the input of the ALBs. On 30 November 2004, the Department of Health published the Implementation Framework document, which sets out the principles, processes and timescales by which the ALB change programme will be implemented.

The Department's review of its ALBs is intended to lead to a rationalisation of their numbers and remits in order to deliver:

  • appropriate impact for minimal bureaucratic burden for the health and social care system
  • more efficiency in the public sector and a reduction of unnecessary bureaucracy
  • devolution of powers to the frontline
  • health and social care organisations working closer together
  • re-location of ALBs outside London and the South East where possible.

Reconfiguring the Department of Health's arm's length bodies

The report sets out the first steps in reducing the number of bodies from 38 to 20.

Redistributing resources to the NHS frontline

The implementation framework sets out the final plans and timetable for change.

Review of ALBs providing services to the NHS

The Department of Health's Commercial Directorate helped a number of ALBs that provide central services to the NHS to work out their best business model and identify where savings could be made.

Additional links

ALB review FAQ

Questions and answers about the policy, human resources and finances.

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