Amend the Health and Care Bill to protect the NHS.

1. Make the NHS the default for NHS contracts and tender competitively if not; 2. Ensure governance by those whose fiduciary duty is to patients rather than to shareholders. 3. Retain the duty on the Health Secretary to provide a high quality health and care service, free at the point of use.

45,845 Signatures

Monday 6th September 2021
Last 24 hours signatures
Signature Deadline
Sunday 6th March 2022
Estimated Final Signatures: 46,761

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Recent Documents related to Amend the Health and Care Bill to protect the NHS.

1. Amend the Health and Care Bill to protect the NHS.
18/07/2021 - Petitions

Found: Make the NHS the default for NHS contracts and tender competitively if not; 2. Ensure governance by those

2. NHS Confederation - written evidence
24/07/2019 - Inquiry: UK trade in services - International Trade Committee
- View source

Found: evidence - NHS ConfederationWritten submission from NHS Confederation (TIS0023) EVIDENCE FROM THE NHS CONFEDERATION

3. Written evidence submitted by the British Medical Association (BMA) (HCB56)
15/09/2021 - Bill Documents

Found: Health and Care Bill Written evidence submitted by the British Medical Association (BMA) (HCB56) Submission

4. Written evidence submitted by Pam Richards (HCB55)
15/09/2021 - Bill Documents

Found: Health and Care Bill Written evidence submitted by Pam Richards (HCB55) Submission to the Parliamentary

5. Royal College of General Practitioners - written evidence
26/03/2019 - Inquiry: NHS Long-term Plan: legislative proposals - Health and Social Care Committee
- View source

Found: Honorary Secretary of Council Health and Social Care Select Committee: NHS Long-term Plan: legislative

Latest Documents
Recent Speeches related to Amend the Health and Care Bill to protect the NHS.

1. Health and Care Bill (Twelfth sitting)
23/09/2021 - Public Bill Committees

1: schedule 10, page 197, line 17, at end insert—“(1A) The NHS payment scheme must ensure that the price paid to - Speech Link
2: schedule 10, page 197, line 17, at end insert—“(1A) The NHS payment scheme must ensure that the price paid to - Speech Link

2. Health and Care Bill
14/07/2021 - Commons Chamber

1: seen than in our health and care system. Everyone delivering health and social care in this country has - Speech Link
2: that these figures are not addressed in the Health and Care Bill, so can I ask the Secretary of State what - Speech Link
3: Gentleman as he raises a very important issue. In this Bill, as I will come to, one of the central themes is - Speech Link

3. Health and Care Bill
22/11/2021 - Commons Chamber

1: Monday 22 November]; First Report of the Health and Social Care Committee, The Government’s White Paper - Speech Link
2: regulations require tobacco manufacturers to print health warnings on individual cigarettes and cigarette - Speech Link
3: regulations require tobacco manufacturers to display a health information message on a leaflet inserted in cigarette - Speech Link

4. Integrated Care Regulations
18/03/2019 - Commons Chamber

1: Amendments Relating to the Provision of Integrated Care Regulations 2019 (S.I. 2019, No. 248), dated 13 - Speech Link
2: services to offer seamless care to patients, because the demands on the NHS are of a different nature - Speech Link

5. Health and Care Bill (Eighteenth sitting)
27/10/2021 - Public Bill Committees

1: would require the Secretary of State for Health and Social Care to obtain the consent of the relevant devolved - Speech Link
2: powers for the Secretary of State to change the Bill or any Act of the devolved Parliaments relating - Speech Link
3: National party spokesperson. She is correct that the Bill gives the Secretary of State extensive powers—almost - Speech Link

Latest Speeches
Recent Questions related to Amend the Health and Care Bill to protect the NHS.
Latest Questions

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The NHS as a universal benefit, tax-funded and free at the point of use is a fundamental part of the UK's social contract. The Bill, as drafted, would give ministers the ability to modify governance and funding at will and migrate towards quite different systems including a US-style system (which is the worst performer in terms of effectiveness and efficiency, but the highest profit generator, in the developed world).

Petition Signatures over time

Government Response

Friday 29th October 2021

Protecting the NHS is of the utmost importance to the Government. We are committed to ensuring the NHS continues to provide excellent care that is free at the point of need for generations to come.

The Health and Care Bill delivers on the NHS’s own proposals for reform in its 2019 Long Term Plan, and makes permanent some of the innovations we have seen in the system as a result of Covid. It captures learning from the response to the pandemic and the vaccine rollout. And it goes even further, with a range of measures to level-up health outcomes across the country, enabling people to live longer and healthier lives.

The NHS has told us that the current competition and procurement rules are not well suited to the way healthcare is arranged. We are therefore changing the way the NHS arranges services in a way that provides more flexibility, reduces bureaucracy for both commissioners and providers and reduces the need for competitive tendering where it adds limited or no value.

The proposed new regime is being designed to allow transparency, scrutiny and due-diligence in decision-making, but without the barriers and limitations associated with running tender exercises.

The vast majority of NHS care has and will continue to be provided by public sector organisations. However, successive Governments of all political affiliations have allowed the NHS to commission services from the private and voluntary sector. Whether that is to improve accessibility and experience for patients, to increase capacity quickly, or to introduce innovation, NHS commissioners may commission services to meet the needs of their local area from any CQC-registered provider, regardless of their corporate status, provided they follow procurement rules and regulations.

We want to ensure that care is delivered in the best interest of patients, and it is the view not just of this Government but of the NHS that local commissioners are the best people to determine what services a local population needs.

Commissioners will continue to be responsible for managing contracts to ensure services are arranged with all providers, including those with the independent sector, to provide high quality of care at efficient prices.

The Bill establishes Integrated Care Boards (ICBs) to take on the commissioning functions of existing CCGs and some of NHS England’s commissioning functions. They will be directly accountable for NHS spend and performance, and will be NHS bodies. They will bring in representatives from a range of other NHS bodies including NHS commissioners and NHS providers. Local areas may choose to involve a range of providers, including the voluntary and independent sector, in their Integrated Care Partnerships. However, the work of ICBs will be driven by health outcomes, not profit.

It has never been the intention for independent providers, as corporate entities, to sit on Integrated Care Boards, nor for an individual to be appointed there to be a representative of such an interest in any capacity. The new commissioning bodies being set up are all public bodies and will not, and indeed cannot, be controlled by private providers. The Bill, as drafted, already provides for this.

The work of Integrated Care Boards is driven by health outcomes, not by profits. There are safeguards in place to ensure that the interests of the public and the NHS are always put first. The ICB chair has the power to veto members of the board if they are unsuitable, and NHS England has the power to issue guidance to ICBs in relation to appointments as part of its general guidance-making power. That sits alongside the robust requirements on ICBs to manage conflicts of interests, and NHSE’s wider duty to issue guidance to ICBs.

To put this matter beyond doubt, the Government is proposing to bring forward specific rules to protect the independence of ICBs by preventing individuals with significant interests in private healthcare from sitting on them.

NHS England will remain accountable to the Secretary of State and Parliament. The Health Secretary has duties, including to the continuous improvement of quality of services, and to the NHS constitution, which as one of its guiding principles has that NHS services are free of charge, except in limited circumstances when sanctioned by Parliament. Access to NHS services is based on clinical need, not an individual’s ability to pay.

The NHS is and always will be free at the point of use. The government has been steadfast in its commitment to the guiding principles of the NHS which mean the NHS is not and never will be for sale to the private sector.

Department for Health and Social Care

Constituency Data

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