The Liberals Democrats are fighting government proposals to reduce independent scrutiny of the National Health Service. Some of them were opposed by Andy Burnham as recently as last November, when he was still mayor of Manchester.
A press release from the party explains our concerns about its new Health Bill:
The Government’s Bill will remove the duty for the NHS to cooperate with the Care Quality Commission and provide key safety data, will remove automatic 'safe space' protections for whistleblowers, and result in the closure of local healthwatch organisations, which provide independent advocacy for patients and uncover failings.
The Liberal Democrats have tabled amendments to the Health Bill that would cancel these changes and are urging the new Burnham administration to adopt them. They have vowed to robustly fight the Government in the House of Lords, where Labour doesn’t have a majority.
This comes as the NHS in England recorded 403 'never events' (serious, largely preventable patient safety incidents that should not occur if appropriate safeguards are in place) between April 2025 and March 2026.
Many patient protections currently at risk, including Healthwatch and key whistleblower safeguards, were established following the major NHS hospital scandals in Mid Staffordshire, Morecambe Bay, and Basildon and Thurrock that took place during Andy Burnham’s tenure as Health Secretary and before that a Minister of Health.
Oversight by the healthcare regulator, the CQC, is under threat as the changes would remove the NHS’ "duty to cooperate". The CQC has warned this will restrict its access to safety-critical information, such as patient safety incident reports.
NHS whistleblowers could lose key legal protections under the planned Bill. Currently, staff who raise safety concerns with the Health Services Safety Investigations Body (HSSIB) are guaranteed anonymity. But HSSIB is losing its independence, meaning cases will move to the Care Quality Commission, which offers no such guarantee.
Labour has previous on such moves. Tony Blair's government scrapped the community health councils that had been the main vehicle for public and patient involvement in the NHS since they were introduced under legislation passed by Ted Heath's Conservative government in 1973.
But a hierarchical organisation like the NHS needs whistleblowers and external scrutiny, because passing bad news up to your superiors is rarely the way to prosper there. The result is a world where senior NHS figures, and the health ministers they brief, are left with too rosy a picture of their organisation.
As the journalist Simon Carr once said:
It's not that politicians lie, it's that they don't know if they are telling the truth. They perceive the world through statistics that have been processed by collaborators who are more or less "subconsciously influenced" to manufacture the required facts. Everything from the inflation index to waiting lists is derived from data ontologically perverted by the political process.
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