Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if his Department will ensure that people with (a) severe multiple disadvantage and (b) other rare conditions are included in the (i) design and (ii) delivery of services after the proposed abolition of local Healthwatch organisations.

Dr Dash’s report on patient safety across the health and care landscape was published in July 2025. The review recommends bringing together the work of local Healthwatch organisations with the engagement functions of integrated care boards and providers to ensure patient and wider community input into the planning and design of services.

These changes will improve quality, including safety, by making it clear where responsibility and accountability sit at all levels of the system. The changes will make it easier for staff, patients and service users, including those with severe multiple disadvantage and other rare conditions, to feed directly into the system to improve quality of care. We believe that patients and users will have a stronger voice once it is heard inside the system.