Future of Health and Care

Margaret Greenwood Excerpts

Thursday 11th February 2021 Commons Chamber

[Matt Hancock]

Yes, absolutely. It is important that, while the NHS continues to evolve and must evolve, it is there to serve our constituents. For a reform to take place, it needs to make the argument for why that is better for our constituents. Ultimately, when such a large amount of taxpayers’ money is spent on a public service, it is right that there is accountability to Ministers, and through Ministers to the House, for the services that are provided—that is the essence of a democracy—while preserving clinical independence, for instance, for individual decisions, and for the National Institute for Health and Care Excellence and decisions about appropriate advice on drugs. That is the settlement that the White Paper proposes and that I hope garners widespread support.

[Margaret Greenwood (Wirral West) (Lab) [V]]

Integrated care systems have their roots in accountable care organisations, such as those used in America, in which individuals take out private health insurance. It is therefore hardly surprising that there is a great deal of concern about the introduction of integrated care systems here. Will the Secretary of State give a cast-iron guarantee that he will legislate to ensure that NHS patient data cannot be used to promote or sell private health insurance or services to patients?

[Matt Hancock]

I do not understand the logic of the hon. Lady’s question. I have not seen the sorts of concerns that she raises about integrated care systems, which, in the UK, have provided the joined-up care that people have been looking for for so long. I am happy to look at the details she raises on the provision of data, but the White Paper is about NHS provision, not the provision of healthcare through insurance, other than the national insurance that we come together as a society to pay in order to provide healthcare free at the point of use. That is a belief that I hold dear and is shared by the vast majority in the House and the country. I am happy to reaffirm that and reassure the hon. Lady.