Londonwide LMCs summary briefing: Health and Care Bill 2021
Innovation: working together to improve health and social care for all. Full draft text of the Bill.
Timing
The Health and Care Bill received its first reading on 6 July 2021.
Measures enabled by the Bill are scheduled for implementation by April 2022.
Next steps
The Bill received its Second Reading on Wednesday 14 July.
It will be followed by Committee Stage – the stage at which amendments will begin to be brought to the Bill – once the House returns after summer recess in September. It will progress through the House of Commons and House of Lords over the coming months. Dates for future stages and details of amendments tabled will be available here in due course.
Following representations from Londonwide LMCs on behalf of London general practice, we have worked with DHSC officials to expand on concerns and have been advised that as the Bill is taken through Parliament, we will be contacted with more information on the Bill including links to fact sheets on policy areas, and opportunities to comment further.
Summary
This is the first major health legislation since the Health and Social Care Act 2012.
The Bill was heralded by consultations in late 2020 regarding ICS, and in early 2021 concerning provider selection.
An overarching point throughout the Bill and explanatory notes is the conflation of effectiveness, safety and patient experience under the label of “quality”.
Londonwide LMCs has significant concern that not giving prominence to safety in any assessment of clinical service provision or service structure is unacceptable. You can read more in our response to previous Government consultation on ICS structures, linked from the further information section below.
Read our summary of the Bill and concerns.
Further reading, responses and comments on the bill
Londonwide LMCs:
- Response to provider selection regime consultation APRIL 2021
- Response to NHS England’s ICS proposals IN LATE 2020
- Response to consultation on proposals to reform regulation of healthcare professional
BMA:
- Primary Care ‘Asks’ of the Bill Committee
- Press response issued on publication of the Bill
- Member briefing providing a summary of changes and initial analysis
- Response to provider selection regime consultation
- Response to NHS England’s ICS proposals IN LATE 2020
- Dedicated Health and Care Bill webpage
NHS Confederation:
- Member briefing providing a summary of changes and initial analysis
Commons Health and Social Care Committee Select Committee:
- Report on White Paper proposals for the reform of Health and Social Care
- Oral evidence session transcripts
Department of Health and Social Care and NHS England consultations and statements
- DHSC press release, July 2021
- Provider Selection Regime, re rules on commissioning and competition.
- System Oversight Framework re regulation of statutory ICSs.
- ICS Design Framework setting out how ICSs are to prepare for statutory status.
- Regulating healthcare professionals, protecting the public setting out proposals affecting the UK regulatory landscape.
Londonwide LMCs' January 2018 newsletter (24 Jan 2018)
Get ready now for the General Data Protection Regulation (GDPR) (23 Jan 2018)
Data protection law changes in 2018. Practices need to be ready for the General Data Protection Regulation (GDPR), which comes into force on 25 May 2018. NHS guidance on what...LMC elections 2018 (23 Jan 2018)
It’s LMC election time again at Londonwide LMCs! This year every LMC seat is up for election. Any GP working in one of the 27 London boroughs we represent may...Obituary: Dr Param-Jeet Singh Sandhu 1947-2018 (23 Jan 2018)
General Practitioner, Hammond Road Practice, Southall, Middlesex. (Birth 1947 q. Punjabi University 1972 – Died on 5th January 2018 from metastatic carcinoma of the prostate at the age of 70...Tips of the week December/January 2018 (22 Jan 2018)
We provide weekly tips based on common queries which come through to us from London GPs and practice teams. These are shared via social media and collated for...Local authority reports and letters reimbursement under collaborative arrangements (22 Jan 2018)
Dr Elliott Singer, Medical Director at Londonwide LMCs, recently wrote to the local authorities (LAs) in the 27 London boroughs covered by Londonwide LMCs to raise the issue of practices not...Why being able to summarise medical records still matters in the digital age (22 Jan 2018)
High quality training for medical notes summarising remains vital for general practice says Hilary Andrews, Nurse Advisor/Freelance Trainer for HAT Training and Medical Services Training. Summarising medical records is hardly...GPC regional election nominations 2018 (18 Jan 2018)
Nominations are open for the round of GPC regional elections to cover terms from 2018-21. In London two seats are up for election: Enfield and Haringey, Camden and Islington,...Mword - Issue 34 (21 Dec 2017)
Londonwide LMCs' December 2017 newsletter (20 Dec 2017)
Guidance
We provide expert guidance for practices in our guidance section, as well as an archive of other materials you may find useful.
GP Support
Contact our GP Support team if you need help or advice.
The team provide professional and pastoral support to GPs and practice teams on a broad range of issues.