I welcome the intention, through the Health and Care Bill, to develop more integrated care between the NHS, local government, social care providers and other partners to deliver better integration of health and care services on the ground. The reforms proposed in the Bill will continue to improve the quality and sustainability of NHS services and outcomes for patients.
Service provision by the independent and voluntary sectors has been, and continues to be, an important and valuable feature of our healthcare system, which I fully support. Safeguards are already in place to ensure that the interests of the public and the NHS are always put first. The ICB chair would have the power to veto members of the board and there are robust requirements on ICBs to manage conflicts of interests.
That said, I do appreciate that there are concerns about private sector involvement in ICBs. It is important that people are assured that the work of ICBs will be driven by health outcomes, not by profits.
I know that the Bill does not allow private sector providers to influence, or to make, decisions on spending, but it is welcome that the Government has committed to putting that beyond doubt. They have tabled an amendment for the next stage of the Bill’s passage through Parliament. This would prevent the appointment of a member of an ICB if they could reasonably be regarded as undermining the independence of the NHS because of their involvement in the private healthcare sector or otherwise.