What the new Health and Care Bill means for the NHS and future privatisation
As the NHS prepares to face its toughest winter on record, the government has just passed a new Health and Care bill that will usher in a huge reorganisation of the health service
Despite following one of the most difficult periods in the health service’s history, at a time when the NHS faces its worst winter crisis on record and has a waiting list of over 6m patients, the bill does nothing to cut wait times, boost staffing levels, or put any money towards helping the 2,000 elderly people whose requests for care are refused every day.
Initially intended to combine social care with health and include local authorities, it was hoped that the bill would make adult social care free at the point of use and force the NHS and local authorities to pool their resources.
However, it’s changed quite a lot from its initial inception – leading to criticism from frontline NHS staff as well as a number of MPs and campaign groups, who say that the bill opens up the NHS to further privatisation.
Will the new Health and Care bill privatise the NHS?
A Unite spokesperson told The Big Issue earlier this month that the bill will bring about a ‘complete break up of the NHS as we know it’.
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The new bill effectively divides the single, central, and public National Health Service into 42 independently-run parts, allowing private companies to make decisions about public spending and health services for the first time in its history.
By making space for private firms on these newly-created boards, corporate interests will be given a vote on how health and social care is prioritised in each area of the country – leading to concern that profit motives could override public needs, not to mention the potential for conflicts of interest in the awarding of contracts.
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Doctor-led campaign organisation EveryDoctor tweeted that the new bill will ’embed private companies in the NHS in England – giving them the power to decide who gets what treatment when’.
Pointing out that 11% of the NHS budget already goes to private companies, campaigners added: “No one should be profiting from public healthcare, it’s as black and white as that.”
Does the bill enable ministers to interfere in the day-to-day running of the NHS?
The bill gives greater powers over the NHS to Sajid Javid, the Secretary of State for Health and Social Care, and creates scope for greater political interference in day-to-day decision making.
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There are concerns around this, as Mr Javid has previously questioned why people ‘go to the state’ for health care and said that they ‘have to take some responsibility’ too.
When he laid out his vision for the NHS at the Conservative party conference earlier this year, he said: “The state was needed in this pandemic more than any time in peacetime, but government shouldn’t own all risks and responsibilities in life.
“Health and social care it begins at home. It should be family first, then community, then the state.”
The new bill requires the Secretary of State to be notified of any and all proposed changes, dramatically reducing the ability of the NHS to manage its services day by day.
A report by The Kings Fund examining the bill concludes that this places ‘a significant burden on local and national NHS bodies awaiting decisions – and delaying changes to services that clinicians have already concluded would benefit patients’.
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It adds: “Affording such broad powers to the Secretary of State is at odds with the stated intent of the reforms to reduce bureaucracy and empower local decision-making.”
How does the bill address the big challenges facing the NHS right now?
Workforce shortages are one of the biggest challenges facing the sector right now, with staff across both the NHS and care sector currently experiencing high levels of stress, absenteeism and turnover.
However, the bill does very little to address these challenges – and only requires the Health Secretary to report ‘at least every five years’ on workforce needs.
Whilst integrating the system is key to providing better joined-up care, measures relating to the workforce have been criticised as ‘weak’ by the The Kings Fund, with the organisation adding that Sajid Javid ‘could wait until 2027 to produce such a report’.
Instead, it’s called for a “fully funded workforce strategy that addresses staff shortages, boosts retention by improving working cultures and includes a renewed commitment to providing compassionate and inclusive leadership.”
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How does the bill affect duties to provide hospital care and patient treatment?
Some experts have warned that the wording of the bill does away with the statutory duty to provide hospital care, meaning that if the bill passes through the House of Lords the NHS will no longer be obliged to care for people in a hospital setting.
Lawyer Peter Roderick and public health doctor Allyson Pollock both say it removes the current legal duty to look after people in hospital.
This also means that options for legal action when care is denied will be withdrawn, as the new bill provides no right to care in the first place.
Each of the 42 new bodies will be given strict budgets, meaning that decision-making powers will ultimately be limited to the short term.
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There is some concern that these strict spending limits could lead to longer wait times on care once the money runs out, leading to a potential postcode lottery as services and standards will be dictated by where you live.
Ultimately, the bill means that health care will differ for patients across postcodes as all decision-making will be centered around the needs of the local population with boards deciding what services to offer and what to omit.
How will the new bill benefit patients?
In theory, if the reforms succeed in creating an environment where separate organisations can work together more collaboratively, patients with multiple health issues could see a move towards joined-up care where the wider factors that influence health and wellbeing are taken into account.
Currently, services are provided by a range of different organisations that sometimes work together well but other times do not.
In the future, it is hoped that that bill will enable NHS organisations, local authorities, social care providers, VCS organisations, community leaders and others to work together on long-term health plans – but only time can tell on this.
Oasis address Glastonbury headline rumours – but heavily hint at something much bigger
Danny Jones
Oasis have come out to address the widespread rumour that they will be headlining Glastonbury 2025, playing down the speculation and instead hinting at something much bigger.
The world’s heartbeat has barely even settled since the Gallagher brothers confirmed they will finally be getting back together for a series of reunion shows next summer, but they have continued to get pulses raising with each and every social media update.
For instance, their most recent post is arguably much more momentous than playing the globally renowned music festival.
While the official Oasis account did dismiss talk of them being the Glastonbury headliners for 2025 rumours, they did seem to casually announce a world tour instead. As you do…
As you can see, the words are there in black and white (quite literally): “Oasis Live ’25 World Tour”.
While it feels premature to jump straight to the conclusion given how nonchalantly this supposed announcement was delivered, the post does suggest rather blatantly that plans for a world tour – i.e. separate from the limited number of dates already announced – do exist.
If that wasn’t their intention then they really should have chosen different words as the replies were quick to fill up with reactions like, “WORLD TOUR YESSSSS. KNEBWORTH HERE WE GO”, “World tour???” and many more to that effect.
Once again, while there has been no official standalone announcement post detailing tour dates, it looks like the 14 comeback shows are just the start of the reunion and that the Oasis boys will be heading back out on the road properly after the likes of Heaton Park and Wembley shows.
Questions have also been circling around whether this reunion will include other previous members of the legendary Britpop icons or just the Gallagher brothers.
For now, as much as we want it to be true, there’s nothing definite and we’ll just have to settle for still being absolutely over the moon that one of the greatest rock bands of all time is returning to our lives in the most important music news for a generation.
Meanwhile, fans are currently being tested on their Oasis trivia in order to access the red-hot pre-sale ticket ballot. They’re making us work for it.
As well as announcing massive gigs at Wembley Stadium, Murrayfield in Edinburgh, Cardiff’s Principality Stadium and Croke Park in Dublin, they will also be playing a total of four shows on home turf here in Manchester at the legendary Heaton Park, where they last played as a pair back in 2009.
We know Liam already played their musical mecca himself back in 2022, but this is as close to a proper Knebworth 2.0 as you could probably ever ask for. With that in mind, here’s how the world reacted to the biggest music news in a generation:
Well, despite having both maintained it would never happen for years, being publicly unpleasant about each other almost for sport at times, and supposedly having not spoken full stop for “about a decade”, it turns out the two have finally had a conversation – and quite a watershed one at that.
Noel famously said it would take a lot more than money for the two of them to even begin discussing a potential reunion, but did taunt Liam in June last year by saying, “I f***ing dare you to call me […] because then we have to be in a room together and we both know how that ends.”
In fact, rather than a merely transactional phone call to confirm that both parties are now willing to put on these biblical shows, it appears as though the Gallagher brothers have indeed met in person once again, with stills from the photoshoot promoting the reunion being shared online.
How surreal does this look all these years later?
This one yes but the photoshoot was real I don't know why they keep using this one pic.twitter.com/Pbufw6D4pi
Yes, understandably based on the chosen lead photo – which is almost certainly edited for whatever reason (probably because Liam preferred his hair better in one of them or something…) – fans were reluctant to believe they had even been in the same room as each other yet.
However, as per multiple reports, the secret photoshoot between the two long-feuding brothers is rumoured to have taken place sometime last month and those present were forced to sign NDAs to keep news of the reunion under wraps.
It’s still unknown as to exactly when and where these photos were taken but they look pretty bloody real, if you ask us, and are credited to notable British photographer Simon Emmett.
Speaking to the tabloids, a source said: “It was a pinch me moment to have Noel and Liam together. The shoot was top secret and barely anyone knew about it. For their fans to see them together again will be an amazing sight, the atmosphere in the room was fizzing, it was electric.”
Again, it’s unclear how much time the two have actually spent back in each other’s company at this point, but boy would we have loved to have been a fly on the wall during that moment.
If you don’t get the hype, that’s fine. There are bands that write better, play better, perform better. That are more inventive, more creative, more reflective. But for working class kids in the mid-90s, #Oasis were ours. And possession is nine tenths of the lore. #oasisreunionhttps://t.co/khAfGwURaX
Even more interestingly, now 15 years on from the infamous Paris storm-out which brought an abrupt end to the legendary Britpop band, Noel has actually been saying nice things about his younger brother for a change. I know, we’re as stunned as you are.
Chatting with industry journalist and fellow musician John Robb in a recent interview with Louder Than War, a chat held ahead of the deluxe Monnow Valley Recordings of Definitely Maybe being released for the debut album’s 30th anniversary, the 57-year-old was actually complimentary about Liam.
Released in full on YouTube last week, the songwriting genius and legendary guitar player conceded: “When I would sing the song, it would sound good, when he would sing it, it would sound great.”
He did go on to jokingly compare Liam’s voice to “10 shots of tequila on a Friday night” whilst he was more like “half a Guinness on a Tuesday”, but the significance of actually speaking positively about his counterpart on several occasions throughout the exclusive cannot be overstated.
And then came that first teaser played live not only at Reading and Leeds Festival but right after Blossoms’ headline slot at Live From Wythenshawe Park, where Noel played the exact same stage this time last year…
Liam had shared a number of cryptic tweets in the days leading up to that short teaser video including one post that simply read, “never did like that word FORMER”, and another in reply to a fan online saying, “See you in the front you big f***y.”
Besides both being rather importantly out of album and tour cycles following festival season, many fans have also speculated that several other wider factors have played into the stars finally aligning.
Everything from their mum Peggy (now 80) having once again urged the two to mend fences, to Noel’s split from his wife Sara MacDonald who also famously didn’t get on with Liam, and even the sheer timing of the dates and announcement – 15 years on, 30th anniversary and so on – were all put forward as evidence.
noel gallagher recently had an interview where he spoke of liam in a very kind and reminiscent manner. anyone who is a fan of oasis, or even just noel, knows this is very unordinary for noel. pic.twitter.com/J4cZ0Ce5eK
— billie with the lights up! (@youdfallapart) August 25, 2024