Health and Care Bill: Commons Public Bill Committee Our briefing for the House of Commons Public Bill Committee on the Health and Care Bill 2021–22

7 September 2021

The Health and Care Bill 2021–22 outlines major changes to NHS rules and structures in England. The bill is the largest legislative shake-up of the NHS in a decade – and undoes many of the changes introduced by the Coalition government in the last round of major NHS legislation back in 2012. In this briefing, we focus on the key changes in the bill and highlight issues and questions for the committee to consider. We draw on our previous analysis of the reform proposals and their potential impacts.

Broadly speaking, the bill is a story of two halves. The first is a set of changes designed to promote collaboration in the health system. Encouraging collaboration to improve care makes sense – and goes with the grain of recent NHS policy. But the benefits of these changes should not be overstated and there is a risk that the new NHS structure is complex, vague, and not adequately designed to support the bill’s aims for better integration between NHS and wider services.

The second is a set of changes to increase the power of the Secretary of State for Health and Social Care over the day-to-day running of the NHS. These changes lack rationale and warrant scrutiny. The bill also includes a set of wider changes on workforce policy, social care, public health, and other areas. 

Read our response to a call to evidence from the House of Commons Public Bill Committee on the Health and Care Bill.

Further reading

Collection

Health and Care Bill

Collection

Our analysis of the key proposals in the Health and Care Bill 2021–22.

You might also like...

Newsletter blog

Up to the challenge?

Newsletter blog

Hugh Alderwick provides an overview of the government’s plans for spending and reform across the NHS...

Newsletter feature

Thoughts on the Spending Review

Newsletter feature

Exploring what the government’s recent Spending Review and related funding announcements mean for...

Podcast

Are we seeing the decline of general practice, or its rebirth? – with Professor Katherine Checkland, Dr Rebecca Fisher and Shaun Lintern

Podcast

Even before the pandemic, rising workloads and workforce shortages had left many GPs dissatisfied...

Kjell-bubble-diagramArtboard 101 copy

Get social

We're part of the Structural Inequalities Alliance, working on a programme for equitable renewal as the UK emerges… https://t.co/Yo78eljOEv

Follow us on Twitter
Kjell-bubble-diagramArtboard 101

Work with us

We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

View current vacancies
Artboard 101 copy 2

The Q community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more