Briefing : Health and Social Care Bill :  report and third reading.

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Throughout the debate on the Health and Social Care Bill, The King's Fund has argued that the real choice is not between stability and change but between reforms that are well designed and deliver benefits to patients and those that are poorly planned and undermine NHS performance. The amendments made following the NHS Future Forum's report address many of our concerns and have significantly improved the Bill. We particularly welcome the new emphasis on integration, the more nuanced approach to competition and the changes made to the arrangements for commissioning. Nevertheless, we remain concerned that the scale of the structural changes set out in the Bill present risks that could damage NHS performance and harm patient care. This briefing highlights several areas of the Bill that require further clarity and where the government needs to set out its thinking more clearly.

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