NHS Long-Term Plan: Evidence review on legislative proposals

The Health and Social Care Committee held an evidence session on its inquiry into the NHS legislative proposals as part of the implementation of the NHS Long-Term Plan.


  • Dr Paul Williams (Chair)
  • Dr Sarah Wollaston
  • Mr Ben Bradshaw
  • Andrew Selous
  • Dr Philippa Whitford

In this evidence review session, the Committee’s objective was to build on the initial assessment of the NHS’s proposals for legislative change held earlier in April.

First session witnesses

  • Dr Amanda Doyle, Chief Officer, Healthier Lancashire and South Cumbria
  • Prof Chris Ham, Chair, Coventry and Warwickshire STP
  • Patricia Hewitt, Chair, Norfolk and Waveney STP
  • Jon Rouse, Chief Officer, Greater Manchester Health and Social Care Partnership

During the first session, the Committee explored the subjects of: agencies’ involvement in legislative proposals and their effectiveness, barriers to effective delivery of integrated healthcare, the NHS tariff, and accountability to the public.

The witnesses were able to provide evidence from specific Local Government Associations (LGAs) and argued that the suggested transition of authority from Clinical Commissioning Groups to Integrated Care Systems should not abolish the factor of the local authority. That, they noted, would be a key element for well-functioning, locally integrated systems.

Second session witnesses

  • Julie Wood, Chief Executive, NHS Clinical Commissioners
  • Chris Hopson, Chief Executive, NHS Providers
  • Niall Dickson, Chief Executive, NHS Confederation
  • Sarah Pickup, Deputy Chief Executive, Local Government Association

The second session revolved mostly around the LGAs involvement in the legislative proposals and the potential risk of the proposals not achieving integrated care systems. Subjects discussed also included the effectiveness of legislative proposals and the ‘best value’ test.

The witnesses argued that the key element to have in mind when conceiving new models is to avoid the creation of a two-tier system where citizens in the care of the NHS people have some rights, and those under local government have others.

Access the full evidence submission here.

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Published on 3. May 2019 in News, News UK