Briefing on the Health and Care Bill: House of Lords Second Reading Our briefing for the House of Lords on the Health and Care Bill 2021/22

2 December 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.

The Health Foundation has welcomed the Bill’s broad emphasis on increasing collaboration between different parts of the health and care system. However, opportunities have been missed to support the NHS to recover from the impact of the pandemic and improve productivity; and several aspects of the Bill require closer scrutiny.

This briefing explores the potential implications of the Bill, providing recommendations for how the Bill could be improved as it enters the House of Lords and how it can be effectively implemented in the context of wider reform. It covers:

  • the Bill’s proposals to improve integration and collaboration – and the potential barriers to realising these in practice

  • our proposal for how the Bill could be strengthened to tackle workforce shortages – by publishing independently verified assessments of future need every two years

  • further action the Bill could take to reduce health inequalities, including improved reporting and amending NHS’s ‘triple aim’

  • the importance of better data sharing, to improve outcomes and patient experience

  • how increased powers for the Secretary of State could threaten the speed and effectiveness of decision-making in the NHS

  • government’s last-minute change to the £86k cap on social care costs and how it will disproportionately impact people with lower assets.

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...

Press release

Government must be honest about consequences of not introducing new COVID-19 measures for the NHS

Press release

Health Foundation response to the latest NHS performance statistics.

Press release

Government must be realistic about the time and resources needed to clear the NHS backlog

Press release

Health Foundation response to the publication of the Health and Social Care Select Committee's...

Podcast

That was the year that was: health policy in 2021 – with Lord Victor Adebowale and Hugh Alderwick

Podcast

In another year shaped by the COVID-19 pandemic, we explore some key health policy developments and...

Kjell-bubble-diagramArtboard 101 copy

Get social

Last winter we released a short film exploring the pandemic's impact on the mental wellbeing of NHS workers and hig… https://t.co/LRpf0A3kAB

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