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Risk of patient safety 'bonfire' with Health Bill changes, Lib Dems say

Risk of patient safety 'bonfire' with Health Bill changes, Lib Dems say

bbc.co.uk 10.08.2026 13:56 31 views
The party says the government's plans to modernise the NHS risk another major hospital scandal.

The Liberal Democrats have urged Andy Burnham to stop the "bonfire of patient safety" under Labour proposals to modernise the NHS in England. Healthwatch England (HWE), an independent body which represents the views of patients at their local health and social care providers, is set to be scrapped under the government's Health Bill. The Health Services Safety Investigations Body (HSSIB), which carries out patient safety investigations, is also being abolished.

The government says its changes will strip back bureaucracy and improve patient safety. But the Lib Dems have warned the changes risk another Stafford Hospital scandal – where years of abuse and neglect led to hundreds of unnecessary patient deaths. A Healthcare Commission report found the scandal – one of the biggest in NHS history – involved at least 400 more deaths than expected between 2005 and 2008.

Under the bill, introduced in May by the Starmer government, Healthwatch's responsibilities will be transferred to integrated care boards (ICBs) and local authorities, meaning they would have to respond to feedback about their own services, rather than being challenged by an independent body. Last November Andy Burnham, when still mayor of Greater Manchester, co-signed a letter, external to Wes Streeting, then health secretary, opposing the changes to Healthwatch. He said the organisation played a vital role in ensuring patient voices were heard, adding "their independence is central to this".

Separately, HSSIB's functions will be transferred to the government-run Care Quality Commission (CQC), which the Lib Dems argue raises concerns there is no guarantee that staff who raise safety concerns are given anonymity. Former Conservative Health Secretary Sir Jeremy Hunt has also raised concerns, telling the BBC: "We have made countless representations to the government and cannot understand why they won't budge. "Scrapping HHSIB won't save money, nor do the CQC really want it," he added.

The Conservative MP Sir Bernard Jenkin, former chair of the Commons Public Administation Committee said: "HSSIB is, as yet, very small and has not had time or money to build up its capacity to have a big impact. Labour supported this when it was implemented, so they have no mandate to do this. Abolishing it now is a major setback for safety in the NHS." Other measures in the bill include the abolition of NHS England in a bid to centralise the running of health and social care services under the Department of Health and Social Care (DHSC).

The government says this will reduce bureaucracy and allow more resources to be delivered to frontline healthcare services. NHS England to be axed as role returns to government control The Health Bill is currently at the report stage, with its next scrutiny stage in the House of Commons due on 7 September. Liberal Democrat health spokesperson Helen Morgan said the bill was "a catastrophic step backwards" and the "greatest backward step in patient safety in a generation".

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