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Health and Care Bill - Sitting 21
28 October 2021
Type
Public Bill Committee
At a Glance
Issue Summary
The statement discusses the proposed amendment to the National Health Service Act 2006 to clarify the roles, powers, and duties of directors of public health (DPHs) by putting them on a statutory footing. The statement discusses the Health and Care Bill's impact on directors of public health (DPHs) and their roles within integrated care systems. The statement discusses a new clause in the Health and Care Bill that aims to place a duty on integrated care boards to consider NHS England's net zero commitment when procuring or commissioning goods and services. The statement addresses a new clause aimed at preventing NHS bodies from withholding information on commercial grounds under the Freedom of Information Act 2000. Alex Norris discusses the need for transparency within NHS bodies under the Freedom of Information Act. The statement discusses a new clause aimed at legally protecting the use of the title 'nurse' by restricting its usage to those registered with professional regulators. The statement addresses the issue of protecting the title 'nurse' to prevent unregistered individuals from misusing it and potentially harming public trust in healthcare. The statement discusses a proposed review of innovative medicines and medicinal products within the NHS to improve access for rare and less common conditions. Alex Norris proposes a new clause for the Health and Care Bill that would require the Secretary of State to review the assessment and use of innovative medicines and medicinal products, aligning with the government's commitment to allow doctors to use advanced treatments. The statement addresses the challenges faced by individuals with rare diseases in accessing necessary medicines and treatments. The Minister discusses the government's commitment to improving access to innovative medicines and medicinal products for NHS patients. Alex Norris is discussing a new clause that aims to require integrated care partnerships to prepare and deliver a 'Best Start for Life' strategy, focusing on early intervention services for expectant parents, infants, and young children. Alex Norris discusses the need for improved health outcomes and well-being in early childhood to prevent long-term pressure on the NHS. Alex Norris moves a new clause regarding the implementation of the Cumberlege review's nine recommendations. The statement addresses the harm caused by medical devices and drugs, particularly focusing on vaginal meshes and sodium valproate. The statement addresses the government's response to the independent medicines and medical devices safety review and the progress made on implementing its recommendations. Alex Norris is addressing the Health and Care Bill to propose new clause 53, which aims to involve women in decision-making related to reproductive healthcare. The statement discusses the importance of women's voices in reproductive health care and the development of a new section within the reproductive health strategy. Alex Norris discusses the importance of developing a single whole-system IT system for integrated care boards to improve data collection and sharing. The statement addresses the need for integrated care boards to provide specialist domestic violence and abuse training, support, and referral programmes universally to general practitioners. The statement addresses the issue of domestic abuse and the need for general practitioners (GPs) to receive specialist training in identifying and responding to such cases. Alex Norris is proposing new clauses to address cancer treatment and data reporting in the NHS. The statement addresses the need for a national-level cancer strategy to address backlogs and improve data access following the pandemic. Alex Norris discusses the Health and Care Bill, specifically addressing concerns about cancer waiting lists and data transparency.
Action Requested
The MP proposes to amend the NHS Act 2006 to insert new section 73AA, which would define DPH responsibilities, ensure their independence as officers of the Crown, allow them to appoint consultants in public health within joint arrangements or collectively with other directors, and guarantee their professional independence. The goal is to strengthen the system leadership role of DPHs and enhance public health response.
Key Facts
- New section 73AA would clarify roles, powers, and duties of DPHs.
- Directors of Public Health are already responsible for a broad range of things including measurable health improvement, health protection, and reducing inequalities.
- The new clause would use a corporation sole model to ensure scope for independent action by DPHs.
- The Government reshaped national public health bodies to face future challenges.
- Directors of Public Health (DPHs) should have a crucial role at the heart of the new system.
- Integrated care systems emphasize strategic population health emphasis.
- The Health and Care Bill includes a New Clause 45 proposing a duty on ICBs for net zero commitment.
- NHS direct emissions account for around 4% to 5% of UK emissions.
- Every trust is expected to have a green plan finalised by January 14, 2022 and consolidated by March 31, 2022.
- NHS England aims for net zero carbon footprint plus by 2045 and direct emissions by 2040.
- New Clause 46 would amend Section 43 of the Freedom of Information Act 2000.
- The amendment allows NHS England, integrated care boards, NHS Trusts, and NHS Foundation Trusts to withhold information only if it pertains to another organisation and poses a risk to their commercial interests.
- New clause 46 would amend the Freedom of Information Act 2000.
- The NHS is no longer run as individual businesses due to integrated care systems.
- FOI requests are often rejected on grounds of commercial confidentiality.
- In around 20 cases, trusts have formed subcos for facilities management services without real competition.
- openDemocracy's report “Access Denied” states that 2020 was the worst year on record for FOI transparency.
- The current legislation does not legally restrict the use of the term 'nurse'.
- Registered nurses, dental nurses, veterinary nurses, and nursery nurses are allowed specific designations.
- Those who contravene the new clause would be guilty of an offence and liable to a fine.
- The title of registered nurse is already protected in law.
- Other groups such as dental nurses and veterinary nurses also use the title 'nurse'.
- There are concerns about potential confusion if 'nurse' becomes a protected title.
- The Secretary of State must undertake a review of the use of innovative medicines and medicinal products by the NHS in England.
- The review must conclude before 31 December 2022.
- The review may consider improvements to assess medicines for rare conditions and accommodate patient experience.
- The new clause aims to review innovative medicines and medicinal products.
- The UK has a manifesto commitment to allow doctors to use advanced treatments.
- There are 8,000 rare diseases with each affecting fewer than 2,000 people.
- There are nearly 8,000 rare diseases affecting 3.5 million people in the UK.
- Approved medicines exist for only 5% of rare diseases.
- Patients often face difficulties accessing licensed treatments on the NHS.
- NHS Digital publishes a bi-annual report known as the innovation scorecard.
- AAC helped over 300,000 patients access proven innovations last year, resulting in more than £100 million of savings for the NHS.
- The innovative licensing and access pathway (ILAP) began operating in 2021, with over 50 applications received so far.
- The new clause would require each Integrated Care Partnership to prepare a 'Best Start for Life' strategy.
- Early interventions can impact physical and mental health issues, pressures on the NHS, crime, antisocial behaviour, and drug abuse.
- A child born in Nottingham North will live seven fewer years than one born in Westminster.
- The 1,001 critical days from conception are crucial for offering quality support to families.
- The UK loses 1,400 children annually due to poverty-related issues.
- England's infant mortality rate is currently at 3.8 per 1,000 live births compared to Scotland's 3.2.
- New clause 52 mandates a report within six months on implementing recommendations from the IMMDS review.
- The noble Baroness Cumberlege conducted an independent review into the experiences of people treated with Primodos, sodium valproate or pelvic mesh implants in February 2018.
- Only four out of nine recommendations have been implemented in full by the Government.
- Recommendation 3 calls for a new independent Redress Agency to address cases where families are left to rely on expensive and lengthy conventional civil and legal routes.
- The report commissioned by the Government has accepted fewer than half of its recommendations.
- Women who had vaginal meshes inserted and mothers of children harmed by Primodos or sodium valproate are directly affected.
- Sodium valproate is a critical anti-epileptic drug but must have clear warnings for women of child-bearing age.
- The Government issued a full and unreserved apology after the publication of the independent medicines and medical devices safety review.
- A consultation on the appointment and operation of the patient safety commissioner closed in August 2021.
- As of April 2021, there were eight specialist centres operating across England to provide comprehensive treatment for women affected by implanted mesh.
- The Medicines and Healthcare products Regulatory Agency is improving its system for reporting adverse incidents.
- A public consultation on the Medical Device Information System (MDIS) regulations will be held with plans to lay them before Parliament in due course.
- The new clause seeks to amend the National Health Service Act 2006.
- Almost half of British women have experienced poor sexual and reproductive health.
- Sexual and reproductive health services have seen a 14% real-terms reduction since the Health and Social Care Act 2012.
- The government is developing a new section within the existing reproductive health strategy.
- Statutory guidance will support Integrated Care Boards (ICBs) and NHS England in involving people throughout policy planning and delivery.
- Local areas have flexibility to determine further membership of ICBs beyond minimum legislative requirements.
- The National Health Service Act 2006 is being amended.
- New Clause 54 requires ICSs to develop digital data collection and sharing systems.
- Integrated care boards must use these systems to report regularly on performance against improving patient outcomes.
- The National Health Service Act 2006 would be amended.
- A new section 83C would be inserted after section 83B.
- Integrated care boards must provide universal availability of specialist domestic violence and abuse training to GPs.
- Two women are killed by current or former partners every week in England and Wales.
- A quarter of women will experience domestic abuse during their lifetime.
- 80% of women in violent relationships seek help from health services first, often only through GPs.
- In the Netherlands, a study found that 50% of women who did not speak to their GP about domestic violence would have done so with appropriate training for GPs.
- The IRIS programme led to up to six times more women receiving the help they needed and increased referrals to specialist agencies.
- 99% of service users felt listened to after IRIS training, while 87% felt safer.
- New Clause 57 requires the Secretary of State to publish a new cancer strategy within 12 months.
- New Clause 64 mandates monthly data publication on patients awaiting and diagnosed with cancer starting six months after the Act's passage.
- The Secretary of State must also publish biannual reports on actions taken to reduce patient waiting times for cancer treatment.
- 375,000 new cancer cases and 166,000 cancer deaths occur annually in the UK.
- Cancer investment is £5 billion a year but costs over £18 billion overall.
- Nearly 40% of cancers are preventable.
- Survival rates have doubled over the last four decades.
- 37% fewer endoscopies, 25% fewer MRIs and 10% fewer CT scans occurred between March 2020 and February 2021 due to the pandemic.
- There are an estimated 20,000 missing cancer diagnoses.
- Norris highlights that the system was distressed by the pandemic.
- The Health Secretary reportedly puts waiting lists up by another million each time he goes on the news.
- Norris withdraws the clause despite his concerns about current plans.
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