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Health and Care Bill - Sitting 1
07 September 2021
Type
Public Bill Committee
At a Glance
Issue Summary
The MP is making preliminary announcements and procedural decisions for a Committee meeting on the Health and Care Bill. The statement discusses the Health and Care Bill's focus on workforce development and collaboration between health and social care systems. Sheryll Murray addresses concerns about workforce planning and employer roles under the Health and Care Bill. The statement discusses the Health Education England (HEE) response to proposed amendments regarding workforce planning under the Health and Care Bill. The statement discusses the Health and Care Bill's impact on cross-border healthcare services between England and Wales, including stakeholder engagement, workforce planning, and the importance of learning from other countries' approaches. Sheryll Murray is managing the time allocation for discussions in the Health and Care Bill Committee. MP Sheryll Murray is facilitating discussions and questions related to the Health and Care Bill, focusing on workforce issues, foundation year placements for medical students, and the impact of integration changes on frontline staff. The statement discusses the Health and Care Bill's provisions related to workforce planning and its potential role in addressing future healthcare needs. The speaker discusses accountability and funding allocation within the new NHS integrated care system. Sheryll Murray calls for input from Dr. James Davies on special interest groups and clinicians' representation on ICS boards. Sheryll Murray discusses the proposed merger of NHS England and NHS Improvement, addressing questions raised by Edward Timpson. The statement discusses the challenges facing the NHS and how the Health and Care Bill can support recovery from the pandemic. Sheryll Murray asks about the cost implications of reorganising NHS services as a result of the Health and Care Bill. The discussion revolves around the structure and role of Integrated Care Boards (ICBs) and Integrated Care Partnerships (ICPs), focusing on representation, accountability, and integration. Sheryll Murray is chairing a session of the Public Bill Committee on the Health and Care Bill, reminding MPs about time constraints and closing the morning sitting.
Action Requested
The MP requests that copies of written evidence be circulated by email and made available in the Committee Room. She also proposes moving into private session to discuss lines of questioning.
Key Facts
- The Committee shall meet at specified times between September 7 and November 2.
- Oral evidence sessions are scheduled from Tuesday, September 7 until Thursday, October 28.
- The Bill will be considered in the following order: Clause 1; Schedule 1; Clauses 2 to 13; Schedule 2; etc.
- The Bill focuses on workforce development and system integration.
- Health Education England (HEE) plays a unique convening role across educators, providers, regulators, professional bodies, and NHS employers.
- Collaboration during the pandemic led to flexibility, breaking down barriers between organisations, and accelerating the use of technology in learning.
- Sheryll Murray questions how the Health and Care Bill addresses employer roles and practices.
- The Bill does not change ICBs into direct employers or set standardised terms and conditions for staff.
- There is concern about differing terms and conditions that may affect staff recruitment.
- Dr Navina Evans represents Health Education England (HEE).
- The proposed amendment aims to make the workforce report annual rather than every five years.
- Dr Evans acknowledges HEE’s capability for iterative planning.
- There are important links between healthcare systems in England and Wales.
- Health Education England and Skills for Care have capacity to lead stakeholder engagement work.
- Professional staff mobility is an issue across the UK's countries.
- Sheryll Murray intends to move to the SNP spokesperson at 10:15 am.
- The session with the Minister is scheduled for 10:25 am.
- The session ends at 10:30 am.
- Sheryll Murray facilitates a discussion on the Health and Care Bill.
- The focus includes issues around workforce, foundation year placements for medical students, and integration changes affecting frontline staff.
- Concerns are raised about managing foundation places at a UK level while considering the needs of devolved nations.
- The Health and Care Bill prioritises workforce planning.
- There are concerns about potential bureaucratic burdens.
- The timing for implementing the legislation is seen as opportune due to lessons learned from the pandemic.
- £1.5 billion is spent in the local area under the new arrangements.
- The integrated care board carries statutory responsibility for spending, performance management, and service delivery within the system.
- Chief executives and finance directors of ICBs are accountable through NHS England and Improvement to Parliament.
- Sheryll Murray calls Dr. James Davies to address special interest groups' representation on ICS boards.
- Davies questions whether legislation should specify representatives for mental health and social care.
- There are concerns about the impact of local flexibility on addressing crucial issues.
- The merger aims to formalize how NHS England and NHS Improvement already work together in practice, removing bureaucratic barriers.
- The separation was formally established by the 2012 Act but is now being reconsidered for better integration.
- The merger will help manage tensions within the system and promote a consistent approach from top leadership.
- The NHS is currently treating over 400,000 covid in-patients.
- There are over 6,000 people with covid in hospitals today.
- Workforce support includes investment in new staff and skills development.
- The reorganisation does not come with large redundancy bills attached.
- There are clear messages and reassurances regarding job security for CCG staff.
- The cost envelope attributed to each CCG will be allocated similarly to ICSs.
- The ICB oversees resource allocation and service delivery within the NHS.
- The ICP involves other partners in the integration agenda.
- Guidance on representation of the clinical community was published last week.
- Local flexibility is encouraged for clinicians to determine how they best engage.
- The session is part of the consideration of the Health and Care Bill.
- There will be a hard stop at 11:25 am.
- The Committee will reconvene at 2 pm.
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