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.
Lemn Sissay OBE pens powerful poem about Manchester City for Black History Month
Danny Jones
Lauded local poet Lemn Sissay MBE has penned a moving poem in collaboration with Manchester City, looking back on the club’s cultural past and key persons of colour for Black History Month.
Born in Orrell in the borough of Wigan, the published author, playwright, and BAFTA-nominated broadcaster has made a name as one of our region’s most notable wordsmiths, so it’s no wonder that he was selected by the Cityzens to touch on this particular topic.
Teaming up not only with Man City but the club’s first-ever Black footballer, Stan Horne, as well as other senior stars from the Maine Road days, all the way up to the modern Etihad era.
‘The Stadium Speaks’ by Lemn Sissay – a poem commissioned by Manchester City for Black History Month 2025
Entitled The Stadium Speaks, the public reading of the verses runs for just under two minutes, but even in the relatively short space of time, there is so much power in this poignant poem.
Roping in help from other past players like Nedum Onuoha, Shaun Wright-Phillips and Shaun Goater, as well as current stars like Ruben Dias, Khadija ‘Bunny’ Shaw and Jeremy Doku, each line leaves just as much impact as the last.
Just as importantly, they were also joined by Jahmal Williams-Thomas, City Matters’ Black and Mixed Heritage representative, Bing Findlater – the Official Supporter Club’s Equality and Inclusion Lead, as well as several other City fans and staff who work throughout the Eithad Campus.
Each individual who lends themselves to the performance delivers their part perfectly and from the heart; after all, Black culture isn’t something strictly celebrated during the month of October, but throughout communities all year round – as it should be.
Sissay, 58, clearly relished the chance to dive into how Greater Manchester‘s history intersects with not only football, but racism, equality, progress and more.
One stands and we all stand One falls and we all fall We are Manchester City And we stand tall
To celebrate Black History Month Manchester City Football Club commissioned me to write this poem to reflect on the club's journey from Maine Road to today. I have called it…
Speaking via a statement on the club website: “Manchester felt like home to me, the moment I stepped foot across the boundary. I came here very early on, when I think I was 13, I came to see Manchester City play. The first time I came to this city was to see City.
“I want the poem to be owned by the person who’s in the stand watching the game. And I wanted the poem to be owned by the person on the pitch who’s playing it. And I want them to feel proud reading it.”
The post goes on to reiterate that just like all teams throughout the football pyramid, racism and discrimination in all its forms should not and WILL not be tolerated.
Asking supporters to step up and speak as and when needed, City fans can report abuse and/or inappropriate behaviour to 07700151894, which will make security aware of what has been witnessed.
Feedback can also be shared anonymously by texting the specific block, row, seat number and a short description of the incident to the number; if in doubt, talk to a steward or police officer at the game.
Elsewhere, the official MCFC Supporter Charter sets out their zero-tolerance policy when it comes to discrimination, and fans can also report online discriminatory abuse they see targeted at Premier League players, managers, coaches, match officials and their families directly HERE.
Salford City set to reverse kit colour following clear-cut fan vote
Danny Jones
Salford City FC are set to make a historic change, or rather turn back time, as the Greater Manchester side looks set to change its main kit colour back to orange.
The Ammies are undergoing another big overhaul – the most significant since the ‘Class of 92’ bought the club back in 2014 – with supporters being invited to give their thoughts on the direction they want to see the club going in.
Currently sitting ninth in the third tier after making a positive start to the 2025/26 campaign, Salford City have been met not only with fresh investment in recent months but a fresh push for change from the ground up.
Including, as it turns out, the kit colour. After genuine calls to reverse the kit colour from the fans, the Salford board took a fan poll, with over three-quarters of all those who took part voting to return the City jersey to orange.
As you can see, 77.1% of Ammies confirmed that they were in favour of bringing back the predominantly orange and black shirt, shorts and socks; the switch is expected to happen before next season.
The League Two side has made it clear that promotion to the Championship is the big target over the next few years, and as the new consortium headed up by Gary Neville and David Beckham continues to try and transform the club once again, they’re looking to make big statements.
It doesn’t get much more foundational than restoring the orange shirts that Salford City wore for the best part of four decades prior to the initial takeover.
The decision itself comes after a thorough ‘heritage consultation’ process, where the older Neville brother and other key figures took supporter feedback into consideration, including the majority kit vote.
In terms of announcing the change, they’ve had plenty of fun revealing the outcome on social media, too.
Sharing a full statement on the club website, SCFC went on to detail that there is “significant work to be undertaken at the Peninsula Stadium to update cladding and seats, amongst other infrastructure upgrades that are already due to take place.”
Hoping to combine their “tangerine heritage with modern style to create a striking orange identity”, the overall brand aim is now simpler than ever: “when you see orange, you will know what it means. This is Salford. Proud. Unmistakable.”
Long-time supporter, Richard Kedzior – who also owns the recognisable orange and black flag that hangs in the west stand – said of the news: “I’m delighted that we’ve reverted back to orange, which over a 40-year period was the colour we were always associated with prior to the change to red.
“It’s a welcome return to tradition as well as giving us back our unique identity that will once again identify us all as proud supporters of Salford‘s premier football club.”
Before the reversal was fully confirmed, co-owner Neville discussed the potential change in a room full of passionate Salfordians.
Old Dead Tree fanzine committee member, Kev Wright, continued in the statement: “The orange kit represents Salford’s true identity. It sets us apart and reminds everyone that we are our own Club, not just a shadow of Manchester United.
“When we play in red, the comparisons are inevitable, and people can mistake us for something we’re not. Salford is different. It’s about local pride, about belonging to a community with its own history and its own future. Orange gives us a distinct voice and a colour we can call our own. It’s more than just a kit – it’s a statement that we are Salford, and proud!”
Signing off, fellow Ammie Deb Sculthorpe believes that this could be the ‘fresh start’ that the 85-year-old footballing outfit needs, adding that “timing is everything and now is the time.”
A further consultation is set to take place regarding the club crest, too, as some have also suggested reverting the modern logo to the old Salford Central-style badge, with more information to be shared as and when.
What do you make of the decision to swap the modern Salford red for Greater Manchester‘s second city classic orange strip, Ammies?
Georgina Pellant -
23rd November 2021 
