The trouble is that the Minister cannot have it both ways. Patients forums have that power to inspect at present and it works perfectly well, even with the Healthcare Commission having those powers as well. What is blatantly clear from the Bill is that the power to inspect seems to have been withdrawn as part of begrudging concession by the Department of Health. LINKs members can only ““view””. There is a difference, and I look forward to that matter being fleshed out in Committee. The Minister has not made the case clear and certainly cannot defend the fact that LINKs members have not got those inspection powers.
In short, the Bill fails to deliver what patients want: a strong, independent investigative mechanism to influence decision making and hold public services to account. It fails to create a national voice for patients, or even the capacity for regional networking of LINKs. The Department of Health has talked about a national voices project, but that initiative has been led by the voluntary sector and is currently quite separate from LINKs. Nor does the Bill give patients a direct role in the regulation of health and social care. LINKs apparently lack that function, despite the recommendation from Lord Currie that a function should be created. For our part, we have already consulted on proposals for health watch, an independent national voice for patients, but with a local presence, which would combine the traditional investigative and representative functions of PPIH with those of a modern, consumer-style watchdog. Until the Government join us in embracing that concept, patient and public involvement in the NHS and social care will continue to suffer from the Government’s poverty of ambition. In the words of the organisation, Health Link, a repository of great experience in patient involvement and an authority in these matters:"““Effectively, this Bill consists of PPI designed for the benefit of the NHS, not for the benefit of patients.””"
That is a damning indictment.
Local Government and Public Involvement in Health Bill
Proceeding contribution from
John Baron
(Conservative)
in the House of Commons on Monday, 22 January 2007.
It occurred during Debate on bills on Local Government and Public Involvement in Health Bill.
About this proceeding contribution
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2006-07Chamber / Committee
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