Commons Sense

House of Commons · Bill Debate

Health and Care Bill - Unspecified

14 July 2021 · 50 other contributors

Opened by Sajid Javid Con Constituency

NHS

Summarised by AI from the official record, so it can contain mistakes.

At a glance

Sajid Javid raised concerns about health and care bill - unspecified in the House of Commons. Other MPs contributed to the debate.

Key points

  • The Secretary of State for Health and Social Care moved the Second Reading of the Health and Care Bill on 2021-07-14
  • The Bill aims to learn from successes during the pandemic and promote integration and innovation in health and care services
  • The proposed legislation seeks to reduce bureaucracy and empower health and care workers to deliver better services for patients

How the debate unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said.

Opened the debate

Sajid Javid Con Constituency

The Secretary of State for Health and Social Care has moved the Second Reading of the Health and Care Bill, emphasising the need to learn from the successes during the pandemic. He highlighted the importance of integration and innovation in health and care services and stressed that the Bill supports improvements that are already underway. The proposed legislation aims to cut bureaucracy and empower those working in health and social care to deliver better services for patients.

Other contributors (50)
  • Jim Shannon DUP Strangford

    Asked the Secretary of State about support for people with dementia, noting recent statistics showing over 40,000 individuals under 65 in the UK have dementia. He expressed concern that these figures are not addressed adequately and sought clarity on what more will be done to offer support.

  • Edward Leigh Con Gainsborough

    Emphasised the need for a hard-hitting attitude towards NHS bureaucracy. He suggested that preserving the principle of being free at the point of delivery allows for innovative private sector solutions.

  • Munira Wilson Lib Dem Twickenham

    Critiqued the Secretary of State's proposal as a 'massive power grab', arguing it will lead to political interference in operational and reconfiguration decisions which may not be in patients' best interests.

  • Rachael Maskell Lab Co-op York Central

    Asked for confirmation that the Secretary of State has consulted trade unions, particularly on schedule 2 which allows integrated care boards to appoint employees to address remuneration, pensions and terms and conditions.

  • Bernard Jenkin Con Harwich and North Essex

    Welcomed part 4 of the Bill introducing the health services safety investigations body. Warned against changing boundaries of existing integrated care systems, citing Suffolk and north-east Essex as an example.

  • Tim Farron Lib Dem Westmorland and Lonsdale

    Did not provide a specific contribution in the given text but was seeking to intervene.

  • Kevan Jones Lab Co-op

    Asked why the Bill does not include Sir Bruce Keogh’s recommendations on cosmetic surgery industry safety, which have been pending for a decade.

  • Jon Ashworth Lab Co-op

    Responded briefly to Kevan Jones's intervention, reinforcing the point that recommendations for improving patient safety in cosmetic surgery have been outstanding for a decade.

  • Jon Ashworth Lab Dartford

    Raises concerns about the Bill's failure to address urgent issues like waiting lists, workforce shortages, and social care reform. Argues that restructuring will not lead to better integration or service delivery.

  • Kevan Jones Lab Durham

    Intervened to highlight the impact of budget cuts on public health, citing potential 19% loss in County Durham's public health funding if proposed changes are implemented.

  • Kevin Hollinrake Con Thirsk and Malton

    Asked Jon Ashworth about his stance on the Select Committees' recommendations for a German-style social care premium, questioning whether Labour would now be willing to explore such solutions.

  • Sought clarification from Jon Ashworth regarding support for watershed proposals for advertising restrictions on foods high in fat, salt, and sugar.

  • Jeremy Hunt Con Godalming and Ash

    Supports the Bill, stating it contains changes requested by the NHS. Emphasises that while the NHS needs more support in social care and independent safety inspections of integrated care systems, it lacks provisions to address workforce gaps, such as a shortage of 400 psychiatrists, 1,400 anaesthetists, 2,000 radiologists, midwives, emergency care consultants, GPs, and learning disability nurses. Urges the Secretary of State to consider legislating for Health Education England to publish annual independent workforce projections across health and care systems, aiming to reduce reliance on locum doctors and agency workers.

  • Philippa Whitford SNP Central Ayrshire

    Ms Whitford criticises the Health and Social Care Act 2012 for promoting competition over collaboration in NHS services. She supports removing section 75, which forced service outsourcing to commercial companies but expresses concern about ongoing preference for outsourcing seen in pandemic responses. She emphasises the need for local collaboration, integration with social care, and public funding of health services instead of private involvement. Ms Whitford points out the inefficiencies and conflicts of interest that arise from the purchaser-provider split and financial competition, calling for a shift towards safety, clinical audit, and peer review to improve patient care quality.

  • Stephen Hammond Con Westminster North

    Mr Hammond supports the clause by highlighting its alignment with NHS workforce priorities as outlined in the people plan. He welcomes the new powers of direction provided to NHS England and NHS Improvement, arguing they are necessary for accountability given their expanded functions. Mr Hammond also advocates for early reconsideration of reconfigurations by the Independent Reconfiguration Panel, emphasising that this can help overcome political barriers to beneficial changes. Additionally, he expresses support for preventive measures in the Bill aimed at tackling obesity.

  • Steve Brine Con Fareham

    Supports the Health and Care Bill due to its establishment of integrated care systems, addressing workforce issues in cancer services, and promoting prevention through measures like food and drink clauses and water fluoridation. The Bill includes positive reforms such as the removal of competition aspects but requires a robust healthcare workforce to be effective.

  • Christine Jardine Lib Dem Edinburgh West

    [INTERVENTION] Suggests offering indefinite leave to remain for NHS workers on visas to address staffing shortages, echoing Steve Brine's point about the necessity of workforce in primary care and integrated systems.

  • Jeremy Hunt Con Godalming

    [INTERVENTION] Acknowledges Steve Brine's past work on early cancer diagnosis, noting that the Health and Social Care Committee has launched an inquiry into workforce issues and early diagnosis.

  • Clive Efford Lab Eltham

    Critiques the Bill for potentially undermining NHS values by introducing market forces, which could harm patients' interests. The proposed integrated care systems may enable private sector dominance and hide commercial dealings from public scrutiny, leading to potential privatisation of NHS services.

  • Saqib Bhatti Con Meriden

    Believes in the NHS and wants to preserve its status. Supports putting ICSs on a statutory footing to improve accountability, tailor healthcare services for different communities, address mental health concerns, and enhance patient care.

  • Valerie Vaz Lab Walsall and Bloxwich

    Opposes the Bill due to lack of consideration for NHS staff and patients. Concerned about inadequate resources, governance issues without clinician or patient input, contracts with private healthcare companies, workforce planning, and the timing of the legislation during a pandemic.

  • Joy Morrissey Con Beaconsfield

    Welcomes changes to integrated care for disabled adults and carers. Advocates for parity between health and adult social care, effective collaboration, funding streams coordination, and critical rehabilitation services post-hospital discharge.

  • The Health and Social Care Bill will make healthcare more accountable, less bureaucratic, and allow local areas to develop practices suited to their needs. The Bill should promote greater collaboration between NHS, local authorities, and care providers in England but falls short by not extending this approach across all four nations of the UK.

  • Olivia Blake Lab Sheffield Hallam

    The Bill does not address issues such as soaring waiting lists, staffing shortages, and mental health problems among healthcare professionals. It increases the influence of private companies in NHS decision-making without reversing privatisation or addressing funding needs.

  • The Bill fails to implement Sir Bruce Keogh's recommendations for improving patient safety in cosmetic surgery, and it does not adequately support public health directors despite their crucial role during crises.

  • John Stevenson Con Cumbria South

    Supports the general aims of the Bill, including improvements to health service performance and rationalisation through ICSs. Concerned that clause 125 and schedule 16 may harm the food and drink sector by reducing investment in innovation and potentially impacting jobs and economic growth without significant health benefits.

  • Munira Wilson Lib Dem Twickenham

    Critiques the Bill for being inadequate in addressing social care reform, leading to a power grab by the Secretary of State. Argues that without sufficient resources and workforce planning, the Bill fails to deliver better joined-up care and exacerbates existing issues such as staff burnout and record waiting lists.

  • Luke Evans Con Hinckley and Bosworth

    Welcomes the Bill, noting it is an evolution rather than a revolution. Proposes practical amendments including annual virus drills for care homes, recognising mental wellbeing as a public health issue, and introducing a named person for change on the frontline to empower those at the grassroots level.

  • Alex Cunningham Lab Stockton North

    Cunningham criticises the Bill as a 'hotchpotch' that fails to address regional health inequalities and does not adequately tackle smoking, which is a leading cause of preventable premature death. He cites high asthma and chronic obstructive pulmonary disease rates in his constituency compared to England's average and urges for a new hospital in Stockton North.

  • Laura Trott Con Sevenoaks

    Trott supports the Bill, highlighting its improvements on patient care accountability through the involvement of the Care Quality Commission and Healthcare Safety Investigation Branch. She also advocates for greater political control in health service decisions.

  • Bill Esterson Lab Sefton Central

    Esterson criticises Conservative cuts to NHS funding and social care budgets, stating that these have led to long waiting lists for routine treatment and staff recruitment challenges. He argues the Bill will take money away from local services and cites a £253 per patient cut from Knowsley as an example.

  • Davies welcomes the Bill's intention to better integrate health and social care, particularly its restrictions on high fat, salt and sugar product advertising. He also proposes four key areas for improvement: data collection and interoperability, national-level inspection mechanisms, and equal access to healthcare services across the UK.

  • Zarah Sultana Lab Coventry South

    Sultana criticises the Conservative party's opposition to the NHS, arguing that it undermines public healthcare for private profit. She cites examples of past and current government actions that promote privatisation and highlights the financial ties between ministers and private companies. Sultana supports reinstating the NHS as a truly public service with better pay for workers.

  • Paul Bristow Party not specified

    Bristow supports the Bill, advocating for patient accountability and transparency in healthcare decision-making. He highlights issues such as the impenetrability of NHS commissioning policies and rationing practices, suggesting formal roles for patients on boards and a national appeals board to address these challenges.

  • Jon Trickett Lab Normanton and Hemsworth

    Trickett argues that the Bill continues the process of declining NHS resources, leading to more reliance on private healthcare. He highlights specific examples such as delayed cataract operations due to waiting lists and cuts in staff numbers and pay. Trickett warns against privatisation and criticises the Bill's potential for centralisation, making services less accessible.

  • Peter Aldous Party not specified

    Aldous supports the general aims of the Bill but raises concerns about specific issues such as retaining existing ICS boundaries and addressing NHS dentistry shortages. He advocates for greater accountability and protection of dental budgets, while urging caution against potential pitfalls like boundary changes.

  • Debbie Abrahams Lab Oldham East and Saddleworth

    Expresses concern over reorganisation of NHS during pandemic, worries about increased private healthcare involvement. Criticises removal of duties on reducing health inequalities from Secretary of State and NHS England. Disappointed with missed opportunity to address social care reform.

  • Daniel Zeichner Lab Cambridge

    Opposes Bill due to past attempts at privatising NHS, highlights previous failed privatisation efforts in Cambridgeshire. Worried about clause removing social work assessment prior to hospital discharges and data sharing concerns.

  • Supports Bill as it learns lessons from NHS working during pandemic, welcomes establishment of integrated care boards. Notes benefits in streamlining reconfiguration process for hospitals and proposes speeding up ability of foreign-trained physicians to join NHS.

  • Rachael Maskell Lab Co-op York Central

    Critiques Bill as ill-defined, blames architects for ignoring frontline staff. Expresses concern over shifting blame to NHS workers and increased private healthcare involvement. Calls for integrated health and social care wholly delivered in public sector.

  • Anne Marie Morris Con Newton Abbot

    Welcomes the Bill's aims but calls for explicit provisions for mental health and children’s social care. Proposes parity of esteem clauses, a comprehensive workforce plan covering both health and social care, and provision for commissioning of medicines and devices. Emphasises the need to review the big-picture strategy, including training and retention strategies.

  • Geraint Davies Lab Swansea West

    Critiques the Bill as a step towards privatising the NHS. Highlights high death rates and record waiting lists under current government policies, suggesting investment in workforce and beds instead of private sector funding. Argues that public procurement is more effective than crony contracts to Tory donors. Criticises the Bill for allowing private companies on NHS boards and outsourcing contracts without proper scrutiny.

  • Theresa Villiers Con Chipping Barnet

    Supports the bill as a response to NHS requests, emphasising integrated care systems and commitment to raise funding. Proposes conducting and funding research through the new structures and improving workforce planning, particularly for GPs.

  • Bell Ribeiro-Addy Lab Clapham and Brixton

    Criticises the Bill as a means to privatise the NHS. Calls for increased funding, reduction of outsourcing without proper scrutiny, transparency, and accountability. Argues that privatisation during the pandemic has led to contract failures and ineffective service delivery.

  • Bob Blackman Con Harrow East

    Supports the Bill but argues for a levy on tobacco companies to fund smoking reduction initiatives. Cites Cancer Research UK analysis showing that achieving smoke-free England by 2030 will be delayed in poorer communities without additional measures. Proposes a comprehensive plan including a 'polluter pays' levy and calls for amendments to tackle smoking addiction effectively.

  • Critiques the Bill as a top-down reorganisation of the NHS without guaranteeing better patient outcomes or carer rights. Suggests changes to put a duty on the NHS to consider carers in their own right and not just in relation to patients. Expresses concern over clauses undermining carers’ rights, particularly regarding hospital discharge assessments.

  • Welcomes the Bill as a means to integrate NHS and social care more effectively. Emphasises the importance of providing comprehensive support for people with lifelong conditions like diabetes, highlighting the need for joined-up care pathways from diagnosis throughout their lives.

  • Justin Madders Lab Ellesmere Port and Bromborough

    Mr. Madders criticises the centralization of power under the Secretary of State, lack of public consultation in setting up ICS boundaries, veto powers over funding decisions, absence of mental health representation on boards, transparency issues in decision-making processes, potential cronyism, insufficient safeguards for contract awards, and inadequate focus on workforce planning and social care integration. He also questions the need for another reorganisation during a pandemic.

  • Edward Argar Con Melton and Syston

    Argues that the Health and Care Bill is supported by the NHS and other key stakeholders, emphasising its collaborative nature. Mentions specific endorsements from the NHS Confederation, Age UK, and The King’s Fund. Challenges opposition claims of 'meddling' or privatisation, citing previous Labour government actions. Highlights the need to move at pace with implementation as per NHS requests.

  • Munira Wilson Lib Dem Twickenham

    Intervenes to correct a misstatement by Edward Argar regarding her stance on the principle of the Secretary of State taking powers in reconfiguration.

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