Health Bill — hearing of 16 June 2026: transcript & video · Polyfact

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Health Bill

16 June 2026

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Contents updated on 16 Jun 2026

The Committee scrutinises ICB powers and accountability, the status of the patient voice and Healthwatch under the Bill, and how local government and health and wellbeing boards will influence integrated care and place‑based decisions within the new NHS structures.

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ICB governance, patient voice and local role

16:51

ICB mandate, powers and accountability

16:51

Opening of session and ICB financial context

16:51

Opening of session and witness introductions

16:51

ICBs’ financial pressures and strategic role

17:25

ICB powers, central oversight and data use

20:19

Secretary of State intervention powers over ICBs

20:19

Foundation trust governors and public voice

22:38

ICB autonomy, incentives and system management

24:33

Abolition of NHS England and single patient record in practice

29:08

ICB governance, accountability and provider autonomy

31:12

Transfer of Healthwatch functions to ICBs

31:12

Local accountability of ICBs and neighbourhood health plans

34:10

ICBs — expectations for genuine public engagement

38:10

Q — Greg Stafford: impact of curbing FT autonomy

41:42

Patient voice, Healthwatch and regulatory reforms

45:32

Panel opening — patient voice and new regulatory powers

45:32

Patient voice panel introductions and specialist commissioning

45:32

Q — Dr Johnson: CQC capacity for new functions

49:17

Healthwatch future, reorganisation risks and independence

50:54

Q — Dr Johnson: abolition of Healthwatch

50:54

Healthwatch abolition — Patients Association concerns

55:01

Q — Ben Morgan: reorganisation risks and Healthwatch performance

01:01:45

Q — Joe Robertson: preserving Healthwatch independence from ICBs

01:08:48

Single patient record — experience, safety and trust

57:00

Minister Smyth: poor patient experience and single record

57:00

Q — Kyrke-Smith: single patient record and trust

01:06:04

Healthwatch abolition, regulators and ICB independence

01:11:52

Q — Joseph: streamlining regulators vs independent voice

01:11:52

Q — Stafford and Brackenbridge: motives for Healthwatch abolition and change from within ICBs

01:16:09

Minister and Professor: patient confidence and ICB capacity

01:20:14

Q — Twist: 10-year plan and supporting ICBs

01:22:23

Local government role in ICBs and health boards

01:25:17

ICBs, local government role and place agenda

01:25:17

Panel 3 introductions and ICB–local authority links

01:25:17

Minister Smyth — abolition of NHS England and place agenda

01:29:12

ADASS and ICS — role of health and wellbeing boards in neighbourhood health

01:32:41

Health and wellbeing boards, CHC funding and ICB mergers

01:35:45

MP example — CHC–social care funding tensions

01:35:45

Health and wellbeing boards — influence, skills and geography

01:40:43

ICB mergers, loss of local voice and HWB ‘teeth’

01:42:46

Panels on single patient record and carers

01:46:49

Integrated care reforms to Panel 4 opening

01:46:49

Integrated care reforms, single record and neighbourhood health

01:46:49

Single patient record and data sharing with social care

01:46:49

NHS reorganisation, distraction and outcome‑focused reform

01:49:52

Neighbourhood health plans and discharge of elderly patients

01:51:52

Q — David: single record safeguards in social care

01:55:52

Q — Farris: neighbourhood health and inequalities

01:57:22

Q — Brentley: who should run neighbourhood health centres

02:00:55

Panel 4 opening and witness introductions

02:03:24

Panel 4 — single patient record: patients, carers and maternity

02:05:35

Panel 4 — single patient record and carer voice

02:09:17

Single patient record — benefits, risks and access

02:09:17

Q — Johnson: digital exclusion, carers’ access and consent

02:09:17

Q — Johnson: single record, maternity safeguarding and targets

02:14:17

Minister Smyth: why single record is needed now

02:16:20

Carers UK and Age UK: admin burden, safety and long-term conditions

02:19:15

Commons division and resumption of patient–carer scrutiny

02:23:03

Division on the floor of the House — sitting suspended

02:23:03

Q — Helen Morgan: historically unheard patients and carers

03:02:53

Carers’ statutory voice, Healthwatch changes and data gaps

03:07:30

Clinician–NDG panel on Single Patient Record

03:11:30

Transition to clinician–NDG evidence panel

03:11:30

Chair closes patient–carer panel and aborted start of clinician–NDG panel

03:11:30

Clinician–NDG panel introductions and remit

03:24:53

SPR architecture, confidentiality and clause 47

03:27:38

Q — Johnson: SPR architecture and interoperability

03:27:38

Data security, cyber risk and clause 47 confidentiality

03:29:48

Q — Member: Bill design, clause 47 and repeating histories

03:35:24

Single Patient Record: pilots, safeguards and public trust

03:43:12

Q — Member: early lessons from SPR pilots and public trust

03:43:12

Q — Helen Morgan: data consistency and SPR interoperability

03:50:13

SPR implementation — digital exclusion and system resilience

03:53:58

Q — Joseph and Princeley: confidentiality, audit and patient control

03:55:33

Q — Johnson: sensitive data, safeguarding and SPR access

04:01:24

ICB reforms, social care gaps and ministerial response

04:04:10

External witnesses — ICB management and missing social care reform

04:04:10

Managers in Partnership — NHS reorganisation, regulation and ICB capacity

04:04:10

Chair closes clinician–NDG panel and opens managers’ evidence

04:04:10

Q — Johnson: reorganisation impacts on NHS management capacity

04:06:42

Q — Johnson: regulation of NHS managers

04:08:07

Managers’ anxiety — reorganisation without clear end-state

04:08:53

Minister Smyth and Restell — central clarity vs loss of management capacity

04:12:56

Q — Helen Morgan: extra ICB duties, mayors and system working

04:17:16

Sir Andrew Dilnot — social care omissions and systemic impact

04:23:10

Sir Andrew Dilnot: social care missing from Bill

04:23:10

Local authorities, ICB links and unrealised social care reform

04:27:03

Instrumental damage to NHS from underfunded social care

04:29:21

Isle of Wight discharges, SPR limits and case for social insurance

04:34:01

Working‑age adult social care and NHS cost spillovers

04:38:04

DHSC Minister — NHS England abolition, ICBs and single patient record

04:40:55

DHSC panel opens — NHS England abolition, ICB design and single patient record

04:40:55

Chair opens DHSC panel; Minister Smyth on NHS England abolition disruption

04:40:55

Q — Johnson: overall vision, ICB geography and SPR design

04:45:51

Minister Smyth — governance, independence, public trust and timing for SPR reforms

04:49:42

Minister Smyth — independent bodies vs board accountability and trust

04:49:42

Q — Twist: rationale for legislating now on NHS England and SPR

04:55:52

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Health Bill

16 June 2026

Health Bill Tue, 16 Jun 2026 Actual start 13:45 House of Commons

16:50 - 17:12

Speaker 1

We are now sitting in public and the proceedings are being broadcast. We're first going to hear oral evidence from the NHS Alliance and the Royal Berkshire NHS Foundation Trust.

We have until 2:30 for this panel. Gentlemen, I'd be grateful if you'd be kind enough to from left to right introduce yourselves for the sake of the record.

17:13 - 17:16

Speaker 3

Kieran Devane, Chief Executive of the NHS Alliance.

17:16 - 17:20

Speaker 5

James Blythe, I'm Chief Executive of the Royal Berkshire NHS Foundation Trust.

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