Health and Social Care Bill 2010-11 (an update)

by Julia Evans on June 21, 2011

Latest news on the Bill[1]

On 21 June 2011 the House agreed a programme motion re-committing certain clauses to the Public Bill Committee to which it previously stood. The Committee will next meet on 28 June 2011 and 30 June 2011.

Summary of the Bill (from the Parliamentary web-site)

The Bill proposes to create an independent NHS Board, promote patient choice, and to reduce NHS administration costs.

Key areas

establishes an independent NHS Board to allocate resources and provide commissioning guidance

increases GPs’ powers to commission services on behalf of their patients

strengthens the role of the Care Quality Commission[2]

develops Monitor[3], the body that currently regulates NHS foundation trusts, into an economic regulator to oversee aspects of access and competition in the NHS

cuts the number of health bodies to help meet the Government’s commitment to cut NHS administration costs by a third, including abolishing Primary Care Trusts and Strategic Health Authorities.

Julia’s comments:

Note the emphasis is on cutting costs and the use of central totalising administrative systems to achieve this.

& they are going to invent central totalising systems to control access and competition (between outside contractors to be the Government’s only supplier) and produce ‘safeguarding of wellbeing and health’ (See what the Health Professions Order 2001 sets out to achieve)

& the CQC operates top-down centralising control as does Tesco’s.  So it is part of the Government’s High-Risk Health Industry as defined by Lord Donaldson when he was Chief Medical Officer.  See his 2006 paper ‘Good doctors, safer patients: Proposals to strengthen the system to assure and improve the performance of doctors and to protect the safety of patients’

& Monitor emerges from the practice of Accountancy.  It asserts it can from a central point monitor risk, (in practices involving the care of human beings), and step in to make the practice safe.

And the Government believes these fairy tales……  And your MP is one of them…


[1] Downloaded from Health and Social Care Bill 2010-11

[2] Care Quality Commission CQC

Mission:  Welcome to CQC.  We are the independent regulator of health and social care in England. We regulate care provided by the NHS, local authorities, private companies and voluntary organisations. We aim to make sure better care is provided for everyone – in hospitals, care homes and people’s own homes. We also seek to protect the interests of people whose rights are restricted under the Mental Health Act. And you are invited to: Find out how well your care services are meeting essential standards of quality and safety.

[3] Monitor the independent regulator of NHS foundation trusts  Monitor

Mission:  We regulate NHS foundation trusts based on the risks they face and how well they manage these, stepping in if problems are not being identified and addressed.