The Health and Care Bill

The Health and Care Bill 2021 / 2022 is currently being pushed through Parliament by Boris Johnson’s Conservative government. It’s a piece of legislation that will entrench privatisation within the NHS, harming patients and doctors while increasing profits for private healthcare corporations, especially from the United States.

The signs are that the Labour Party will oppose the Bill, but so far the leadership have failed to make the arguments the public need to hear, or to come out in favour of renationalising the NHS. It’s also concerning that Kier Starmer recently stated his support for ‘partnering with the private sector’ to deliver healthcare. That’s why we must pressure both parties!

Given the huge public support that exists for the NHS, the privatisation agenda of the Health and Care Bill has been obscured by those wanting to turn it into law. This has sown confusion among MPs, journalists and the public. To counter this, we have gathered together resources from some of the country’s leading experts on the NHS, which expose the serious dangers hidden in this legislation.

Taken together, this research shows that the Bill:

 

  • Reduces access to medical services and emergency services.
  • Enables closures of services, pushing those who can afford to do so into paying for their healthcare.
  • Enables more public money to be diverted from patient care to private corporations and their shareholders.
  • Enables private companies to make decisions on allocating public healthcare budgets.
  • Completes the legal framework underpinning the transition of public healthcare assets into the private sector.
  • Moves us towards the United States model of privatised healthcare.
  • Abolishes the universal care guarantee long enshrined in the NHS.

 

The first piece of research comes from Professor Allyson Pollock and Peter Roderick from the Population Health Sciences Institute, Newcastle University. It was submitted to the Public Bill Committee in September 2021.

The second piece of research comes from the Health Policy Progress Group. It summarises the findings of a team of experts who have been studying the Bill, and provides some vital historical context.

Health and Care Bill 2021-22

Professor Allyson Pollock and Peter Roderick

 

The Bill is a ‘hands-off Bill’ which goes in the wrong direction.

It fails to address the serious challenges facing the NHS, public health and social care. We cannot see it making any difference to reducing waiting lists and waiting times for services, to reducing staff shortages, or to providing adequate funding to rebuild and restore capacity in public health services. The ‘integration and innovation’ narrative is tendentious.

It will neither reinstate the Secretary of State’s duty to provide key services throughout England, abolished by the 2012 Health and Social Care Act, nor will it restore and rebuild public services which have been exposed as seriously deficient during the pandemic.

Instead the Bill:

  • replaces the principles of universal and comprehensive coverage throughout England with the limited concept of ‘core responsibility’ for specified groups of people and the conferring of ‘discretions’ on providers,
  • enables further reductions in and closures of services, pushing those who can afford to do so into paying for their health care,
  • will lead to some 40+ integrated care boards (ICBs) which will cover areas that are too large to ensure local and public accountability which has already been degraded over many years,
  • allows more privatisation and leakage of public money to shareholders with insufficient safeguards over how that money is used,
  • will lead to greater variation in provision, access to and levels of services,
  • allows private companies to make decisions on allocating public expenditure through their membership of ICBs,
  • reduces provision and access to medical services and emergency services,
  • further undermines the rights to life and health, and
  • conflicts with the NHS constitution.

We urge MPs to oppose it.

 

To read the full report by Professor Allyson Pollock and Peter Roderick, click HERE.

Concerns about the Health and Care Bill 2021

Health Policy Progress Group

 

The Health and Care Bill now in parliament is the culmination of a decades-long series of legislative steps which have repurposed the NHS away from its original Beveridge-model, tax-funded universal comprehensive care delivered by employees of the state.

It creates the legal platform for the final transformation of the NHS by exposure to market forces within a legal framework that advantages large private sector actors.

The result is designed to destroy GP provision and NHS hospital care as we have known it, and will result in less effective, patchier, costlier care in future.

 

Context

The most strategically important legal changes buried in this legislation must be placed in historical context to be fully understood. In the 1980s, a privatisation blueprint was co-authored by Oliver Letwin and John Redwood — ‘Britain’s Biggest Enterprise’, which has been implemented by the various Acts of Parliament affecting the NHS since then.

The Health and Care Bill 2021 shows clear progression from the 2012 Health and Social Care Act, and no changes of direction away from the completion of the Letwin & Redwood NHS privatisation plan, which has over the last three decades deliberately brought the NHS to this point. It may have been helpful that Mrs Letwin reportedly became director of legal services at the Department of Health during this time.

This is not a Bill that could be amended to make it good, or even to make it barely acceptable: it is a privatisation bill. It needs to be discarded and we should instead seek legal changes which would move us toward restoration of Bevan’s NHS.

Further, it is important not to be confused by the current calls for more public money to pay for the NHS. The NHS has only become so expensive latterly because it is funding not only an unnecessary market administration, and Private Finance Initiative profiteers, but also an ever-increasing range of profit-driven health industry corporations.

 

To read the full report by the Health Policy Progress Group, click HERE.

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