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.
After much talk of whether Old Trafford would be redeveloped or an entirely new stadium would take its place, Manchester United have confirmed their plans to build a brand-new home ground and revealed the first new images.
Put simply, it looks incredible.
Not only will a 100,000 capacity see it overtake Wembley (90k) as the biggest arena in the UK but co-owner Sir Jim Ratcliffe and the INEOS Sports group now spearheading the rebuild of the club aim for it to become “the world’s greatest football stadium”.
Unveiling the first official images along with a CGI concept video as somewhat of a teaser trailer for the new stadium, the ‘centrepiece of the Old Trafford Regeneration’ project, Stretford and beyond are set to look very different.
The first thing to note is the striking shape of the new stadium complex; while many fans were worried designs would resemble another shiny metallic bowl shape like many other new stadiums across Europe and the globe, chief architects Foster + Partners have gone for a much different visage.
Lord Norman Foster, the company’s executive chairman, said as part of the full announcement: “This has to be one of the most exciting projects in the world today. It all starts with the fans’ experience, bringing them closer than ever to the pitch and acoustically cultivating a huge roar.
“The stadium is contained by a vast umbrella, harvesting energy and rainwater, and sheltering a new public plaza that is twice the size of Trafalgar Square.”
Revolving around three tall spires – a trinity, if you will – the new Man United home campus will be covered by the large netting-esque feature which wraps around the main stadium structure itself.
Credit: Foster + Partners“Our current stadium has served us brilliantly for the past 115 years, but it has fallen behind the best arenas in world sport”, says Ratcliffe.
Set to cost in the region of £2 billion, it is believed the huge undertaking could be completed within the space of five years.
With support from the government as part of the official Old Trafford Regeneration Task Force, which Mayor Andy Burnham, the likes of Gary Neville, Lord Sebastian Coe and other notable figures serve on, the wider goal is for the redevelopment to transform the area and expand further into South Manchester.
The club claims ‘New Trafford’ (not an official name) will create 92,000 new jobs, involve the construction of 17,000 homes and bring an additional 1.8 million visitors to the area annually.
As per further particulars shared online, it is said that the ground would be visible from the Peak District and even the outskirts of Liverpool “in optimum conditions”; the tallest mast will be larger than Beetham Tower and 15.5% of the seats will be reserved for hospitality.
You can see more images of what they hope the stadium and atmosphere to look like during a night match down below:
“We are proud to be supporting that mission with this project of national, as well as local, significance”. (Credit: Foster + Partners)
Although millions of fans will be torn over the decision to leave the existing ‘Theatre of Dreams’, it has been widely reported that the cost of renovating Old Trafford as fans know it today could prove almost as costly as building the new sporting arena entirely.
Commenting on the plans, the club’s legendary manager, Sir Alex Ferguson, has backed the move. He said as part of the official statement: “Manchester United should always strive for the best in everything it does, on and off the pitch, and that includes the stadium we play in.
“Old Trafford holds so many special memories for me personally, but we must be brave and seize this opportunity to build a new home, fit for the future, where new history can be made.”
It’s also still unclear as to what will happen to Old Trafford, although the belief is that it will remain intact next to the new stadium nearby and be used for Man United Women’s fixtures as well as youth games.
You can hear Lord Foster talking through the plans and see the design in more detail down below:
Also remarking on the plans, Mayor Burnham, added. “Our common goal on the Task Force has been to try to unlock the full power of the club for the benefit of its supporters and for Greater Manchester as a whole – creating thousands of new homes and jobs.
“If we get this right, the regeneration impact could be bigger and better than London 2012 [something he’d already said this time last year]. Manchester United could, and indeed should, have the best football stadium in the world.”
“To me, that means a stadium that is true to the traditions of the club, affordable to all, with nobody priced out, and a stadium that sets new standards in the game globally. I believe this vision can be realised, and if so, the benefits for Greater Manchester, the North West and the country will be huge.”
How do you feel about the plans, Reds?
Featured Images — Manchester United (via club website)
UK News
Sir Jim Ratcliffe confirms Manchester United ticket prices will go up next season
Amid a number of financial confessions made on Monday, Manchester United co-owner Sir Jim Ratcliffe has revealed that ticket prices will go up next season.
The Failsworth-born billionaire sat down with club legend and fellow businessman Gary Neville for a lengthy interview on The Overlap, during which the two discussed everything from his first year in charge to Erik ten Hag, fan frustration, the Glazer family, the new stadium and more.
However, the biggest takeaway that supporters will no doubt be most concerned with is how things are going to directly impact them and their pockets, with Ratcliffe confirming that ticket prices will be going up heading into next year.
You can see how he dealt with the question by Neville down below.
Jim Ratcliffe’s full interview with Gart Neville on The Overlap.
As you can see, although he answers the questions very quickly and plainly, there’s still no indication as to what fans can expect to be paying for season tickets and single matchday admission.
Although Ratcliffe insists they will only jump up “a little bit, yes, but not a lot”, he couldn’t clarify what that amount will be and, more importantly, it wasn’t made clear if this was an increase on the existing number or the £66 limited fee that was introduced back in November after concessions were stripped.
That being said, given the “big picture” revelations regarding the club’s finances Ratcliffe mentions throughout the rest of the interview, you would assume it will be on top of that figure.
Undoubtedly the most alarming quote for fans to hear during the entire sit-down comes from 72-year-old disclosing that “Manchester United would have run out of money at the end of this year”, around Christmas or even November time.
Neville’s only response is to ask “Do you know how bad that is?”, assuring that he doesn’t doubt they are indeed the facts on the balance sheet given his knowledge of the club, before describing the present circumstances as “horrific.”
It is this reason, among many others related to the long-standing Glazer stewardship and what Neville labelled as nothing less than “neglect” that led United fans to hold yet another large-scale protest before the game against Arsenal on Sunday – a demonstration which saw thousands take over the streets.
Other notable comments from the discussion included Ratcliffe admitting that “mistakes” were made when it came to keeping ten Hag on after the FA Cup victory, the costly situation with Dan Ashworth – which he put down to a matter of “chemistry” – and the club’s continued issues with recruitment.
While the former right-back did credit his fellow entrepreneur for at least coming forward to do the interview and communicating these realities to the Old Trafford faithful, if you’re a Red, we’ll warn you it isn’t exactly a light-hearted listen.
Better yet, let us know your honest opinion of Jim Ratcliffe, INEOS and the decision they’ve made thus far down in the comments.
Georgina Pellant -
23rd November 2021 
