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.
Football Manager 25 has been officially cancelled following delays
Danny Jones
Beloved videogame simulator Football Manager 25 has been officially cancelled following continued delays.
The long-standing game where players take control as virtual managers of football teams has been a mainstay of digital sporting entertainment for more than three decades.
Developed by London-based studio Sports Interactive and published by gaming giants SEGA, the game hasn’t missed a single season since it began life as Championship Manager back in 1992.
However, following two significant delays to this year’s title, Sports Interactive have confirmed that Football Manager 25 has now been cancelled, despite countless pre-orders having already been made.
While the news doesn’t come as a total surprise, with FM25 having first been delayed ahead of its initial November 2024 release date and then moved again to March 2025, many fans would
The statement reads: “Sports Interactive [SI] regret to inform that, following extensive internal discussion and careful consideration with SEGA, we have made the difficult decision to cancel Football Manager 25 and shift our focus to the next release.
“For the large numbers of you who pre-ordered FM25, we thank you enormously for your trust and support – we’re very sorry to have let you down. Please see the FAQs below on obtaining your refund.
“We know this will come as a huge disappointment, especially given that the release date has already moved twice, and you have been eagerly anticipating the first gameplay reveal. We can only apologise for the time it has taken to communicate this decision.
“Due to stakeholder compliance, including legal and financial regulations, today was the earliest date that we could issue this statement.”
Insisting that they pride themselves on “delivering the best value for money games that bring you countless hours of enjoyment”, they simply didn’t feel like they were able to release the latest FM title to a good enough standard in its current state following playtesting.
They go on to add that ahead of working on this, the studio undertook the “biggest technical and visual advancement in the series for a generation, laying the building blocks for a new era”, hence why the significant delays. The news has been met with mixed reactions, to say the least.
Don’t worry only gotta wait till November!!! Only in February FFS
— Out of Context Football Manager (@nocontextfm1) February 7, 2025
You can read the statement in full HERE, in which they also rationalise that it simply no longer made sense or felt fair to expect people to buy FM25 when it was ready only to purchase the next instalment later in the year.
Fortunately, with regular updates as well as community mods and patches to the current Football Manager (FM24 was released back in November 2023), loyal fans have been more understanding about the delays and now the cancellation.
SI signed off by stating: “Through the cancellation, every effort is now focused on ensuring that our next release achieves our goal and hits the quality level we all expect. We will update you on how we are progressing with that as soon as we are able to do so.
“Thank you for reading, your patience and your continued support. Our full focus now returns to creating a new era for Football Manager.”
Lighting a candle for the people who collect a physical copy of every Football Manager, with no FM25 their collections will be ruined forever. pic.twitter.com/M1S5LiLJtQ
A Greater Manchester Wetherspoons has been revealed as ‘one of the UK’s most beloved pubs’
Danny Jones
Whatever you make of them, Wetherspoons remains the biggest pub chain in the UK and millions of Brits drink in them every week; in fact, as it turns out, one of their Greater Manchester locations has just been revealed as ‘one of the most beloved pubs’ in the country.
The J D Wetherspoon name is one you’ll typically see at least once if not more in most towns and cities and given that they boast more than 800 across the UK and Ireland, their dominance of the UK drinking scene remains pretty steadfast.
Although many have railed against the massive franchise over the past few years, with thousands famously flocking to use the ‘Neverspoons’ app within just a week of its launch back in 2020, an estimated 20.5 million visit every six months.
The point being, ‘Where is the nearest Spoons?’ is a very common query online and punters still regularly search for them on Google Maps – quite literally, as it happens, as the latest data from the tech giants has revealed just how popular one particular Manchester location is. Drum roll, please…
Marking 20 years of Google Maps’, those behind the website and app pooled together their stats on the best-loved pubs nationwide and, yes, Manchester’s very own Moon Under The Water managed to make the top 20.
The busy Deansgate boozer, famous for rowdy weekends and being one of if not the only Wetherspoons we know of that includes a built-in dancefloor (perhaps the only one full stop) is certainly a memorable watering hole – provided you don’t drink so much you struggle to recollect much of anything.
Whilst we’re on the subject of Wetherspoons, they actually take up half of the list with various venues up and down the country, including four of the top five.
Other names that made the cut were Waxy O’Connor’s London, which once had a space in Manchester’s Printworks; England’s so-called oldest pub, the Ye Olde Trip To Jerusalem in Nottingham, as well as few other storied London public houses.
For context, this list was compiled strictly by using data directly from the search engine. The top spots are based on places that have the most reviews and a rating over 4.0 stars on Google Maps and those locations were then calculated by the number of reviews and average review rating taken into account.
The main bar areaThe view from above looking down onto the dancefloorIt is the biggest and one of the most frequented Wetherspoons in all of Greater Manchester. (Credit: The Manc Group)
We’ll admit, of all the brilliant Manchester pubs and bars we know and love, we were quite expecting to see a simple Spoons beating them all out on the list.
Meanwhile, as part of the wider 20th-anniversary round-ups, Google also shared the likes of ‘best’/most-searched restaurants in the country, as well as some of the most popular Italian spots.
The only nod Greater Manchester received was among dining spots, with Turtle Bay’s Northern Quarter venue coming in at number 10.
So, what do you reckon then: are you a fan of Spoons and, more specifically, The Moon Under Water, or do you only support independent pubs and bars?