Department's White Paper on health and social care

Health and Social Care Committee Closed Inquiry
Opened: 25 Feb 2021 Closed: 5 Nov 2021 Parliament page
This inquiry will examine the proposals in the White Paper Integration and Innovation: working together to improve health and social care, and the extent to which the proposals will deliver integrated health and care services throughout England. The inquiry will also consider the extent to which the White Paper delivers … Read more
19 Recommendations
17 Conclusions
1 Report
3 Oral sessions
5 Letters
3 Events
Activity timeline 12 events
8 Jul
2021
Correspondence
25 May
2021
Correspondence
14 May
2021
Report published
27 Apr
2021
Correspondence
20 Apr
2021
Correspondence
16 Mar
2021
Oral evidence
16 Mar
2021
Correspondence
16 Mar
2021
Formal meeting (oral evidence session) · Virtual meeting
9 Mar
2021
Oral evidence
9 Mar
2021
Formal meeting (oral evidence session) · Virtual meeting
2 Mar
2021
Oral evidence
2 Mar
2021
Formal meeting (oral evidence session) · Virtual meeting
Oral evidence sessions 3 sessions
16 Mar 2021
View on parliament.uk
Jason Yiannikkou · Department of Health and Social Care Rt Hon Matt Hancock · Department of Health and Social Care
9 Mar 2021
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Amanda Pritchard · NHS England Sir Simon Stevens · NHS England and NHS Improvement
2 Mar 2021
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Chris Hopson · NHS England Danny Mortimer · NHS Employers Hugh Alderwick · The Health Foundation Nigel Edwards · The Nuffield Trust Richard Murray · The King's Fund Sarah Pickup · Local Government Association Sir Robert Francis · HealthWatch England
Title HC No. Published Items Response
First Report - The Government’s White Paper proposals for the re… HC 20 14 May 2021 36 Overdue
Recommendations & Conclusions
36 results
1 Conclusion
First Report - The Government’s Wh…
We support the proposals in the White Paper that will be included in the new...
We support the proposals in the White Paper that will be included in the new Bill and welcome the direction of travel in the Government’s reform of health and social care. Provided that proper accountability mechanisms are put in place, … Read more
Department of Health and Social Care
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2 Conclusion
First Report - The Government’s Wh…
We welcome the Secretary of State’s confirmation that the statutory right of a patient to...
We welcome the Secretary of State’s confirmation that the statutory right of a patient to choose where they receive treatment will be retained in the forthcoming legislation. We welcome the Secretary of State’s commitment to this and look forward to … Read more
Department of Health and Social Care
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3 Conclusion
First Report - The Government’s Wh…
We welcome the Secretary of State’s commitment to include in the Bill, at our suggestion,...
We welcome the Secretary of State’s commitment to include in the Bill, at our suggestion, provisions to enable the Care Quality Commission to undertake ratings of Integrated Care Systems. As an independent regulator it must for the CQC to decide … Read more
Department of Health and Social Care
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4 Recommendation
First Report - The Government’s Wh…
We recommend that the CQC’s assessment of ICSs includes consultation with patient groups and consideration...
We recommend that the CQC’s assessment of ICSs includes consultation with patient groups and consideration of patient outcomes, and that all relevant data is published.
Department of Health and Social Care
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5 Recommendation
First Report - The Government’s Wh…
We further recommend that the CQC rating includes progress ICSs make on the integration of...
We further recommend that the CQC rating includes progress ICSs make on the integration of information technology between primary care, secondary care and the social care sector.
Department of Health and Social Care
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6 Recommendation
First Report - The Government’s Wh…
While we accept the importance of the timely implementation of the proposed Bill, we recognise...
While we accept the importance of the timely implementation of the proposed Bill, we recognise the concerns raised by our witnesses about the effect this may have on the NHS and the care sector; both of which have been put … Read more
Department of Health and Social Care
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7 Recommendation
First Report - The Government’s Wh…
Different parts of England will be further along the journey towards integration than others.
Different parts of England will be further along the journey towards integration than others. In order for all areas to benefit from Integrated Care Systems, we recommend that: The Government’s White Paper proposals for the reform of Health and Social … Read more
Department of Health and Social Care
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8 Conclusion
First Report - The Government’s Wh…
The success of ICSs will, in no small part, be dependent on good working relations...
The success of ICSs will, in no small part, be dependent on good working relations between the NHS Body and Health and Care Partnership. While we agree with Sir Simon Stevens that the proposals provide flexibility for local decision-making, clear … Read more
Department of Health and Social Care
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9 Recommendation
First Report - The Government’s Wh…
We therefore recommend that the Government include in the Bill a more detailed framework that...
We therefore recommend that the Government include in the Bill a more detailed framework that sets out the roles and responsibilities of both the NHS Body and the Health and Care Partnership and of the Chair of the ICS. NHS … Read more
Department of Health and Social Care
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10 Conclusion
First Report - The Government’s Wh…
It is vital that local populations have confidence in the boards of the NHS Body...
It is vital that local populations have confidence in the boards of the NHS Body and the Health and Care Partnership and transparency in the appointment process for those boards will be a key factor in that. If NHS Bodies … Read more
Department of Health and Social Care
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11 Conclusion
First Report - The Government’s Wh…
The White Paper will give the Secretary of State the ultimate responsibility for appointments to...
The White Paper will give the Secretary of State the ultimate responsibility for appointments to NHS boards. Given the concerns about the potential politicisation of the NHS, there will need to be full transparency in the appointment process. We therefore … Read more
Department of Health and Social Care
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12 Conclusion
First Report - The Government’s Wh…
We conclude that the Bill provides a timely vehicle to introduce reforms to the fit-...
We conclude that the Bill provides a timely vehicle to introduce reforms to the fit- and-proper persons test for appointments to NHS boards. We therefore recommend that the Bill is used to establish a UK-wide public register of people that … Read more
Department of Health and Social Care
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13 Conclusion
First Report - The Government’s Wh…
We were concerned that the White Paper did not set out a long-term plan for...
We were concerned that the White Paper did not set out a long-term plan for social care. The absence of a fully funded plan for social care has the potential to destabilise Integrated Care Systems and undermine their success. However, … Read more
Department of Health and Social Care
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14 Recommendation
First Report - The Government’s Wh…
The social care sector needs reassurance that both the structural and financial problems it faces...
The social care sector needs reassurance that both the structural and financial problems it faces will be tackled by the Government in a timely way. For that reason, we recommend that a duty is included in the Bill for the … Read more
Department of Health and Social Care
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15 Recommendation
First Report - The Government’s Wh…
Unpaid carers are partners in care and it is deeply concerning that the White Paper...
Unpaid carers are partners in care and it is deeply concerning that the White Paper does not mention unpaid family carers at all. We welcome the commitment by the Secretary of State to consider what support and representation can be … Read more
Department of Health and Social Care
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16 Conclusion
First Report - The Government’s Wh…
The involvement of the CQC in Ofsted-style rating of social care provision by local authority...
The involvement of the CQC in Ofsted-style rating of social care provision by local authority area would create parity in accountability with the new ICSs and shine a much-needed light on local variation in the provision of social care. However, … Read more
Department of Health and Social Care
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17 Recommendation
First Report - The Government’s Wh…
We recommend that, following consultation with local government on its implementation, the Bill gives the...
We recommend that, following consultation with local government on its implementation, the Bill gives the CQC powers to give Ofsted-style ratings for local authority social care.
Department of Health and Social Care
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18 Recommendation
First Report - The Government’s Wh…
We further recommend that the CQC ratings includes consideration of food standards in social care...
We further recommend that the CQC ratings includes consideration of food standards in social care settings to better align social care and the NHS in relation to the proposals in the White Paper on food and nutrition standards in the NHS.
Department of Health and Social Care
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19 Recommendation
First Report - The Government’s Wh…
We recommend that the new Bill gives the CQC powers to give Ofsted-style ratings for...
We recommend that the new Bill gives the CQC powers to give Ofsted-style ratings for local authority social care provision but that these are not enacted until the 10 year social care plan is published later this year and there … Read more
Department of Health and Social Care
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20 Conclusion
First Report - The Government’s Wh…
We do not believe that the duty to publish an update on the roles and...
We do not believe that the duty to publish an update on the roles and responsibilities once every five years is an adequate response to workforce shortages that are endemic in the NHS. We are very sympathetic to the detailed … Read more
Department of Health and Social Care
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21 Recommendation
First Report - The Government’s Wh…
We therefore recommend that the Government include in the Bill, provisions to require Health Education...
We therefore recommend that the Government include in the Bill, provisions to require Health Education England to publish objective, transparent and independent annual reports on workforce shortages and future staffing requirements that cover the next five, ten and twenty years … Read more
Department of Health and Social Care
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22 Recommendation
First Report - The Government’s Wh…
We further recommend that workforce reports be undertaken in consultation with the Devolved Administrations to...
We further recommend that workforce reports be undertaken in consultation with the Devolved Administrations to ensure that a clear picture is given on the health and care workforce throughout the United Kingdom. (Paragraph 88) Additional powers for the Secretary of … Read more
Department of Health and Social Care
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23 Conclusion
First Report - The Government’s Wh…
The Secretary of State for Health and Social Care is responsible to Parliament and the...
The Secretary of State for Health and Social Care is responsible to Parliament and the taxpayer for health and social care. It is therefore reasonable that the Secretary of State has the appropriate levers to ensure that Government policy is … Read more
Department of Health and Social Care
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24 Recommendation
First Report - The Government’s Wh…
We recommend that the Bill includes provisions that set out in detail, both the range...
We recommend that the Bill includes provisions that set out in detail, both the range and restrictions that will apply to each of the additional powers proposed including provisions for transparency around ministerial interventions and the operation of the public … Read more
Department of Health and Social Care
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25 Recommendation
First Report - The Government’s Wh…
We recommend that the Bill sets out in detail, the scope and areas of decision-making...
We recommend that the Bill sets out in detail, the scope and areas of decision-making that will apply to this power. We further recommend that the Bill places a duty on the Secretary of State to publish any direction made … Read more
Department of Health and Social Care
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26 Conclusion
First Report - The Government’s Wh…
The Secretary of State already has the power to intervene in reconfigurations and therefore the...
The Secretary of State already has the power to intervene in reconfigurations and therefore the proposal is an extension of that power in relation to the timing of an intervention. However, the White Paper is not clear on the criteria … Read more
Department of Health and Social Care
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27 Recommendation
First Report - The Government’s Wh…
We recommend that provisions be included in the Bill that set out the criteria under...
We recommend that provisions be included in the Bill that set out the criteria under which the Secretary of State may intervene in reconfigurations. We further recommend that a duty be placed on the Secretary of State to lay before … Read more
Department of Health and Social Care
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28 Recommendation
First Report - The Government’s Wh…
The additional powers proposed for the Secretary of State have the potential to provide a...
The additional powers proposed for the Secretary of State have the potential to provide a more agile response to the changing health and care landscape. However, that power requires a commensurate level of Ministerial accountability and Parliamentary scrutiny. We believe … Read more
Department of Health and Social Care
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29 Recommendation
First Report - The Government’s Wh…
We recommend that the Bill includes schedules setting out the use and restrictions of the...
We recommend that the Bill includes schedules setting out the use and restrictions of the power to transfer responsibilities of Arm’s Length Bodies -including a list of bodies outwith the scope of the power. We further recommend that the affirmative … Read more
Department of Health and Social Care
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30 Conclusion
First Report - The Government’s Wh…
We are broadly supportive of the proposals in the White Paper on public health although...
We are broadly supportive of the proposals in the White Paper on public health although did not consider them in detail. Therefore, we do not make detailed recommendations on the potential merits of the individual proposals. However, we conclude that … Read more
Department of Health and Social Care
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31 Recommendation
First Report - The Government’s Wh…
We recommend that the Bill include provisions to place a core duty on ICSs to...
We recommend that the Bill include provisions to place a core duty on ICSs to have regard to public health and mental health; and to include in ICSs’ public health duties, a requirement to develop strategies to ensure the prevention … Read more
Department of Health and Social Care
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32 Conclusion
First Report - The Government’s Wh…
We welcome the direction of travel in the White Paper’s proposals to tackle obesity.
We welcome the direction of travel in the White Paper’s proposals to tackle obesity. If this is to be successful, the proposals on food advertising should reflect the fact that the viewing habits of children and young people are not … Read more
Department of Health and Social Care
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33 Conclusion
First Report - The Government’s Wh…
We did not consider the fluoridation proposals during our evidence session.
We did not consider the fluoridation proposals during our evidence session. That said, it was covered by a number of submissions from both individuals and organisations that were opposed to the proposal and several clinical bodies that were in favour … Read more
Department of Health and Social Care
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34 Conclusion
First Report - The Government’s Wh…
We welcome the proposals to reduce bureaucracy in NHS procurement, which have been broadly well...
We welcome the proposals to reduce bureaucracy in NHS procurement, which have been broadly well received by stakeholders. If they are implemented in a clear and transparent way, they have the potential to both streamline Trusts’ procurement practices and reduce … Read more
Department of Health and Social Care
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35 Recommendation
First Report - The Government’s Wh…
We recommend that alongside the proposals to remove competition regulation, the Department establishes a framework...
We recommend that alongside the proposals to remove competition regulation, the Department establishes a framework that formally monitors and makes public annually: f) the proportion of contracts which change from year to year and the companies that were awarded contracts … Read more
Department of Health and Social Care
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36 Conclusion
First Report - The Government’s Wh…
Because of the importance of implementation, the Committee puts the Government on notice that we...
Because of the importance of implementation, the Committee puts the Government on notice that we will return to these issues before the end of the Parliament in time to assess how effectively the plans have been put in place. We … Read more
Department of Health and Social Care
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Correspondence 5 letters
8 Jul 2021 Correspondence with the Secretary of State for Health and Social Care on the Health and Care Bill
Parliament page
25 May 2021 To committee Letter from the Secretary of State on the Health and Social Care Bill and integrated systems
Parliament page
27 Apr 2021 To committee Letter from the King's Fund, Health Foundation and Nuffield Trust on a proposed new clause in the NHS Bill
Parliament page
20 Apr 2021 Correspondence with the Secretary of State on the rights of unpaid carers
Parliament page
16 Mar 2021 To committee Letter from the Secretary of State on the Health and Social Care Bill
Parliament page