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Andrew Selous

South West Bedfordshire

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Independent Sector Providers and the NHS

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Please be assured that, like you, I have the highest admiration for the NHS. The NHS saved my life when I was 24. It was there for me in my hour of need, and I always want to make sure that it will be there for everyone else who needs it, irrespective of the ability to pay. Furthermore, one of my children works for the NHS and another one is about to start. Therefore, as a family, we are deeply committed to the NHS.

Moreover, the Government is clear that the NHS will always provide healthcare free at the point of delivery, regardless of ability to pay. This principle applies whether NHS-funded care is being delivered by an NHS, voluntary or independent healthcare provider.

Under the NHS Constitution, patients have “the right to access certain services commissioned by NHS bodies within maximum waiting times, or for the NHS to take all reasonable steps to offer you a range of suitable alternative providers if this is not possible.”

As we seek to reduce the treatment backlog built up during the Covid-19 pandemic, independent providers have a valuable role to play in reducing NHS waiting times, by allowing patients to be treated in a private healthcare setting whilst being funded by the NHS, freeing up capacity in NHS hospitals. 

The Government is ensuring the NHS has the investment it needs to deliver better care for patients, providing an extra £45.6 billion in funding for health and social care to 2024-25. As set out in the 2021 Spending Review, NHS England’s day-to-day budget is set to grow by 3.8 per cent on average up to 2024/25, supporting the NHS to tackle the treatment backlog, and deliver its Long Term Plan.  A further £2.8 billion in funding has been provided to support adult social care and discharge.

In addition, the Government is making the largest health capital investment in a decade, including the hospital rebuilding programme, and funding for new community diagnostic centres, surgical hubs and mental health urgent and emergency care facilities.

Procurement and commissioning processes are vital to ensuring that the NHS can provide the best possible care, including the adoption of innovation and efficiency. The Health and Care Act 2022 made changes to the requirement for local health bodies to competitively tender for some health care services “where it adds no or limited value”.

As independent contractors, GPs are free to provide a variety of other services outside of their contractual requirements. I am glad that there are strict safeguards within their contracts which prevent GPs charging patients for NHS care, or from using NHS resources to subsidise any private service in which they may be involved. The Primary Care Recovery Plan will be published shortly responding to challenges in this sector.

I strongly dispute the claims being made in the We Own It campaign about the use of private and independent healthcare providers to deliver NHS care. Even the authors of the University of Oxford study themselves note in their conclusion that: “our findings should not be interpreted as necessarily showing a causal relationship between outsourcing and mortality rates.”

I am proud to support a Government that is committed to improving standards of patient safety, wherever NHS or independent sector care is provided. This has included establishing the Healthcare Safety Investigation Branch to investigate patient safety concerns, including care at private or independent healthcare provider settings.

Campaign Responses

  • Access to Eye Care
  • Access to Mental Health Support and Services
  • Access to Nature
  • Access to Playgrounds (Disabled Children)
  • Access to Waterways
  • Adult Dependant Relative Visa
  • Adult Social Care
  • Affordability of Transport
  • Afghanistan and Pakistan
  • Afghanistan: Nowzad
  • Afghanistan Refugees
  • Afghanistan Refugees (Christians)
  • Afghanistan Withdrawal
  • Air Passenger Duty
  • Air Quality
  • AL Amyloidosis
  • Alcohol Duty
  • All-Party Parliamentary Groups (APPGs)
  • American XL Bully Dogs
  • Animal Cruelty
  • Animal in Science Regulation Unit
  • Animal Research
  • Animal Testing – Cosmetics
  • Animal Testing - Labelling
  • Animal Welfare
  • Animal Welfare (RSPCA)
  • Animal Welfare (Kept Animals) Bill
  • Animal Welfare (Sentience) Bill
  • Animal Welfare Standards and Tourism
  • Anti-Migrant Protests
  • Arms Exports
  • Arms Exports: Israel
  • Arthritis
  • Artificial Intelligence (Education)
  • Arts Council England
  • ASRU Change Programme
  • Assisted Suicide
  • Asylum Seekers and Refugee Resettlement
  • Asylum Support and Employment
  • Audio Visual Information on Buses
  • Autistic People's Experiences of Education
  • Avian Influenza
  • Aviation Emissions
  • Aviation Industry Concerns
  • Bank 'Windfall Tax'
  • BBC Funding
  • BBC World Service
  • Behaviour in Schools
  • Biodiversity
  • Biomass
  • Bite Back Better Campaign
  • Blood Cancer (Leukaemia)
  • Bomb Disposal and Whales
  • Bovine Tuberculosis
  • Bowel Cancer Awareness Month
  • Boycotts by Public Institutions
  • Brachycephalic Animals
  • Brain Tumours
  • Breast Cancer
  • British Sign Language Classes for Families with Deaf Children
  • Building Safety Bill
  • Bus Deregulation
  • Business and Human Rights
  • Caged Farm Animals
  • Campaign - #CatchUpWithCancer
  • Canals
  • Cancer Research
  • Cancer Treatment
  • Carer’s Leave
  • Cash Availability and Acceptance
  • Chalk Streams
  • Child Deaths Worldwide
  • Child Maintenance Service (CMS)’s Collect and Pay Service
  • Child Poverty
  • Childhood Cancer Outcomes
  • Children Affected by Humanitarian Crises
  • Children with Sight Loss (Education)
  • China (Official Development Assistance)
  • Commercial Energy Prices
  • Commissioner for Older People
  • Community Energy
  • Comprehensive and Progressive Trans-Pacific Partnership
  • Compulsory Solar Power for New Builds
  • Consular Services in Afghanistan
  • Conversion Therapy Bill
  • Co-operatives, Mutuals and Friendly Societies Bill
  • COP27 (Climate-Related Loss and Damage)
  • Cost of Living (University Students)
  • Council Investment Decisions
  • Counselling Notes
  • Courier Employment Rights
  • 'Credit their Service' Campaign
  • Cropping of Dogs’ Ears
  • Cycling and Walking
  • Cyprus
  • Dangerous Dogs Act
  • Deaths Related to the Benefits System
  • Debt and the Cost of Living
  • Debt Relief for Lower Income Countries
  • Deep Sea Mining
  • Defibrillators and the Automated External Defibrillators (Public Access) Bill
  • Dementia Research and Diagnosis
  • Democratic Freedoms in the UK
  • Deportation Flights
  • Deposit Return Systems
  • Derby County Football Club
  • Diabetes
  • Disability Benefit Assessments
  • Disabled People and the Cost of Living
  • Dog Fighting
  • Domestic Abuse (Serial Abusers & Stalkers)
  • Domestic Abuse (Time Limits)
  • Drink and Needle Spiking
  • Early Years Funding
  • Ecology Bill
  • Economic Activity of Public Bodies (Overseas Matters) Bill - EDM 1415
  • Education for Deaf Children
  • Education and Development Globally
  • Elections Act
  • Elections Act - Blind and Partially Sighted Voters
  • Elections Act - Electoral Commission
  • Elections Act - First Past the Post
  • Elections Act - Joint Campaigning
  • Electric Scooter Trial Concerns
  • Electronic Collars
  • Electronic Communications Code
  • Elephants and Ivory Sales
  • Eligibility for Free School Meals Under Universal Credit
  • Emissions Trading Scheme
  • Ending Homelessness (Shelter Campaign)
  • Endometriosis and Polycystic Ovary Syndrome (PCOS)
  • Energy Bill
  • Energy Bills for Families with Disabled Children
  • Energy Charter Treaty
  • Energy Efficiency
  • Energy Price Cap
  • Energy Security Strategy
  • Environmental Land Management Schemes
  • Epilepsy
  • Epilepsy: Personal Independence Payment (PIP)
  • Equality Act 2010 (Biological Sex Matters Campaign)
  • Ethical Research
  • EveryDoctor’s #ReviveTheNHS Campaign
  • Exempt Accommodation
  • Experiments on Animals and the Use of Fur for Bearskin Caps
  • Fair Fuel APPG
  • Farmed Fish
  • Federated Data Platform (Palantir)
  • Fertility Inequality
  • Financial Services and Markets Bill
  • Fire and Rehire Tactics
  • Fireworks
  • Fireworks (Animals)
  • Football Governance
  • Football Index
  • Fraudulent Reviews of Businesses
  • Free Bus Travel Scheme
  • Free School Meals to All Children in Educational Settings
  • Free Speech
  • Free Trade Agreement with Australia
  • Frequent Flyer Levy
  • Fuel Poverty
  • Funding for Fire and Rescue Services
  • Funding for Transport for London
  • Fur Trade
  • Future of the TV Licence
  • Gas Boilers
  • Gaza
  • Gender Recognition Act 2004
  • Gene Editing and Animal Welfare
  • Genetic Technology
  • Global Food Security
  • Global Fund to Fight AIDS, TB and Malaria
  • Glue Traps
  • Good Law Project & Runnymede: Mike Coupe & Dido Harding
  • Government Contracts
  • Green Alternatives to Gas Boilers
  • Green Finance
  • Green Investment - 2021 Spending Review
  • Green New Deal
  • Group B Streptococcus
  • Guide Dogs
  • Hamas
  • Hate Crime (Misogyny)
  • Health and Care Bill
  • Health and Care Bill: Privatisation
  • Health and Care Bill: Workforce
  • Health and Care for Older People
  • Health and Disability Green Paper
  • Health Impacts of the Climate Crisis
  • Heat Pumps
  • Hedgehogs
  • Hedgerows
  • HGV Driver Shortage
  • High Street Rental Auctions
  • Historic Landscapes
  • Homelessness
  • Holiday Lets
  • Hospices and the Cost of Energy
  • Housing and the Queen’s Speech
  • Housing Emergency (Shelter)
  • Housing First
  • HS2 and the Environment
  • HS2: Cost Transparency
  • HS2: General
  • Human Rights Act
  • Human Rights in Bahrain
  • Humanitarian Situation in East Africa
  • Hunger and Conflict
  • Hunting Act 2004
  • Identity Verification
  • Illegal Migration Bill
  • Improving Access to the Countryside
  • Income Tax and the State Pension
  • Independent Medicines and Medical Devices Safety Review
  • Independent Review of Children's Social Care
  • Independent Sector Providers and the NHS
  • India Trade Deal
  • Integrated Care Boards and Private Sector Providers
  • Intellectual Property
  • Interest on Student Loans
  • International Climate Finance
  • International Treaty for Pandemic Preparedness
  • Introducing Extended Producer Responsibility: Glass
  • Iran: Human Rights
  • Islamophobia
  • Israel: Amnesty International
  • Ivory Sales
  • Jagtar Singh Johal
  • Jerusalem
  • Jim Fitton
  • Judicial Review
  • Julian Assange
  • Junk Food Advertising Ban
  • Keeping Primates as Pets
  • Kinship Carers
  • Labelling Reforms for Animal Welfare
  • Levelling Up and Regeneration Bill (Childcare as Infrastructure)
  • Light Pollution
  • Live Animal Exports
  • Liver Disease
  • Living Wage and Key Workers
  • Loan Charge
  • Loans to Developing Countries
  • Local Government Spending Power
  • Local Housing Allowance
  • Long COVID
  • March of the Mummies Protest
  • Maternity Services
  • Meadows and Grasslands
  • Medicinal Cannabis
  • Menopause
  • Mental Health
  • Mental Health (Children and Young People)
  • Mental Health Emergency Helpline
  • Mental Health Support for NHS Staff
  • Midwifery Units
  • Migrant Channel Crossings
  • Mileage Rates
  • Military Courts in Israel
  • Military Exports to Saudi Arabia
  • Modern Employment Practices
  • Modern Slavery
  • Motor Neurone Disease
  • Multiple Sclerosis
  • National Air Pollution Control Programme
  • National Care Service
  • National Insurance Contributions
  • National Security
  • National Security Bill (Torture and Unlawful Killing)
  • Nationality and Borders Act (Accommodation for Asylum Seekers)
  • Nationality and Borders Act (Clause 9)
  • Nationality and Borders Act (Clause 11)
  • Nationality and Borders Act (Overseas Asylum Processing)
  • Nationality and Borders Act (Unaccompanied Children)
  • Nazanin Zaghari-Ratcliffe
  • Neglected Tropical Diseases
  • Neonicotinoids
  • Neurological Conditions
  • New Plan for Immigration
  • NHS Digital and the Handling of Patient Data
  • Nigeria: Mubarak Bala
  • Non-Religious Belief (Human Rights)
  • Ocean Protection
  • Offshore Wind
  • Oil Drilling and Cambo Oil Field
  • Oil Licenses
  • Online Gambling
  • Online Marketplaces (Regulation)
  • Online Safety Bill (Internet Regulation)
  • Online Safety Bill (Misinformation)
  • Online Safety Bill (Online Child Sexual Abuse)
  • Online Safety Bill (Pornography)
  • Online Safety Bill (Private Communications)
  • Online Safety Bill (Protecting Children from Online Porn)
  • Online Safety Bill (Suicide and Self-Harm)
  • Online Safety Bill (Women and Girls)
  • Online Scams and Fraud
  • Onshore Wind
  • Onshore Wind (Planning)
  • Pakistan (Human Rights)
  • Palestinian Human Right Defenders
  • Palestinian Political Prisoners
  • Palliative Care
  • Pancreatic Cancer
  • Parental Bereavement
  • Parental Leave
  • Park Homes
  • Parkinson's Disease
  • Pavement Parking
  • Peat
  • Pension Credit
  • Persecution of Christians in Nigeria and the Universal Periodic Review
  • Pet Microchipping
  • Pet Smuggling: Cats
  • Pet Theft
  • Pharmacy
  • Pig Welfare
  • Plant Based Treaty
  • Plastic Pollution
  • Police and Sarah Everard Case
  • Polluter Pays Bill
  • Prescription Charges
  • Primary School Assessments
  • Prisons (Violence) Bill
  • Privacy Laws in the UK
  • Private Jets
  • Private Rented Sector
  • Procurement Bill
  • Proportional Property Tax
  • Prostate Cancer
  • Protection of Pollinators
  • Protections for Nature
  • Protests - Abortion Clinics
  • Public Inquiry on COVID-19
  • Public Order Bill
  • Public Order Bill and Bill of Rights
  • Public Sector Pensions
  • Public Service Pensions and Judicial Offices Bill
  • Puppy and Kitten Sales
  • Queen's Speech - Bill of Rights and Brexit Freedoms
  • Racing Greyhounds
  • Radiotherapy
  • Rail Vs Air Travel
  • Recovery of the Hospitality Sector
  • Reforming Taxi and Private Hire Vehicle Licensing
  • Reforming the Private Rented Sector
  • Regulation of Vaping
  • Retained EU Law (Revocation and Reform) Bill
  • Right to Protest (Public Order Act, Minimum Service Levels and Boycotts)
  • Right to Work Checks
  • Royal Mail
  • Sarcoma UK Drop-In Session
  • School Food
  • School Uniform
  • Scope Campaign
  • Section 21 of the Housing Act 1988
  • Security Situation in the West Bank
  • Sentencing (Dangerous Driving)
  • Sexual Harassment
  • Shared Parental Leave
  • Smoking
  • Snares
  • Social Care Cap (Means Test)
  • Social Care for Younger Adults
  • Spinal Cord Injury
  • Stamp Duty Land Tax
  • Standing Charges
  • Statutory Sick Pay
  • Stop and Search
  • Storm Overflows
  • Strikes
  • Student Doctors - Bursaries
  • Sudan
  • Support for Carers and Unpaid Carers
  • Support for Children and Young People Living with Cancer
  • Support for People Who Received Infected Blood
  • Support for People with Disabilities
  • Support for People Affected by Stroke
  • Support for Road Hauliers
  • Surrogacy
  • Sustainable Fashion
  • Sustainable Fishing in British Waters
  • Tax Avoidance
  • Teachers' Pay
  • Temporary Emergency Accommodation
  • Terminal Illness and Benefits
  • Terrorist Extremism
  • Ticket Offices at Railway Stations
  • Tourism and VAT
  • Transport Emissions and Air Quality
  • Transport for Disabled People
  • Trees and Woodlands
  • Triple Lock
  • Trophy Hunting
  • Trussell Trust Campaign: Food Bank Usage
  • UK Foreign Aid
  • UK Trade and Business Commission’s First Annual Report
  • UK’s 2050 Net Zero Emissions Target
  • UK's Relations with China
  • Ultra Low Emission Zone
  • UN’s Intergovernmental Panel on Climate Change’s Sixth Assessment Report on Climate Change
  • Unaccompanied Child Migrants in the UK
  • Universal Credit
  • Universities: Antisemitism (IHRA Definition)
  • Uplands
  • Vaccination of Children Around the World
  • Valerie's Law
  • Vaping
  • Vaping (Environment)
  • VAT and Energy Bills
  • VAT on Electric Vehicle Charging in Public Places
  • Violence Against Women and Girls
  • Voluntary Scheme for Branded Medicines Pricing and Access
  • Voter ID
  • Voter ID (Student ID)
  • Voting System
  • Wages for Apprenticeships
  • Warm This Winter Campaign
  • Water Fluoridation
  • Water, Sanitation and Hygiene in Developing Countries
  • Wealth Taxes
  • Windsor Framework
  • Winter Fuel Payment
  • Women’s Health Strategy - Miscarriages
  • Worker Protection Bill
  • Young People’s Wellbeing
  • Youth Homelessness

Andrew Selous MP South West Bedfordshire

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