Health and Social Care Bill Lib Dem Letter

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    Mr Simon Hughes MPHouse of Commons

    LondonSW1A 0AA

    27 January 2011

    Dear Simon,

    I am writing to urge you to take a hard look at the Health and Social Care Bill before the

    second reading debate on Monday.

    You will see next to nothing of Lib Dem health policy in this huge top-down internal

    reorganisation the Government is forcing on the NHS in England, despite increasing concern

    and criticism from patients groups, professional bodies and NHS experts. It is also, of

    course, precisely what the Government promised NOT to do in the Coalition Agreement.

    This is Conservative not Coalition health policy, and certainly not Lib Dem health policy.

    The main evidence of any influence of Lib Dem ideas on health in the Coalition Agreement

    was the commitment to ensure that there is a stronger voice for patients locally throughdirectly elected individuals on the boards of their local primary care trust (PCT). This was

    swept aside just two months later when Andrew Lansley published his NHS White Paper,which included the abolition of PCTs.

    Your policy priorities before the election were to ensure that local people have more control

    over their health services. The Governments plan for the NHS places sweeping powers with

    a new national QUANGO the National Commissioning Board and a national economic

    regulator charged with promoting and enforcing competition to open up all parts of the NHS

    to private health companies.

    Your principled concern was to strengthen local and public accountability of health services.

    The legislation seriously restricts openness, scrutiny and accountability both to the public and

    to Parliament. It will lead to an NHS in which commercial in confidence will be stamped

    on many of the most important decisions.

    Full market competition, as the Conservative ideology at the heart of this NHSreorganisation, directly conflicts with your Partys long and proud commitment to the ethos

    of essential public services. Doctors warn the Conservatives plans will be the end of theNHS as we currently know it.

    This internal reorganisation, which the NHS chief executive himself has described asenormous beyond anything that anybody from the public or private sector has witnessed,is a very serious risk to the NHS. It is piling extra unnecessary pressure on the NHS, and

    comes at a time when patients and staff in some areas are already starting to see waiting lists

    growing and services being cutback. Led by the BMA, organisations speaking for NHS staff

    say the scale, speed and cost of the changes are extremely risky and potentially disastrous.

    As Lib Dem MPs, this is not your policy but it is being done in your name and you will be

    held responsible by the public for the consequences to our NHS.

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    I hope you will join the debate on Monday, and join us for important votes that we will

    ensure take place at all stages of this Bills passage through Parliament.

    Yours ever,

    John

    John Healey MP

    Shadow Health Secretary

    A hard copy of this letter has been sent by post.