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Andrew Selous

South West Bedfordshire

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Integrated Care Boards and Private Sector Providers

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First and foremost, please be assured that I have the highest admiration for everyone who works in 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. I also have two children who work in the NHS, so we are deeply committed to it as a family.

The Health and Care Act provides for more integrated care between the NHS, local government, social care providers and other partners  These reforms will continue to improve the quality and sustainability of NHS services and outcomes for patients.

Service provision by the independent and voluntary sectors has been, and continues to be, an important and valuable feature of our healthcare system, which I fully support. ICBs are NHS bodies guided by the NHS Constitution and with the values of the NHS at heart. Safeguards are already in place to ensure that the interests of the public and the NHS are always put first. The ICB chair has the power to veto members of the board and there are robust requirements on ICBs to manage conflicts of interests.

That said, I do appreciate that there are concerns about private sector involvement in ICBs. It is important that people are assured that the work of ICBs is driven by health outcomes, not by profits. No one who could potentially undermine the NHS due to their involvement in the private healthcare sector should sit on an ICB.

The Government amended the Health and Care Act during its passage through Parliament, putting beyond doubt that Integrated Care Boards cannot be controlled in any way by the private sector. The Government’s amendment makes clear that no one may be appointed to an ICB who would undermine the independence of the NHS, either as a result of their interests in the private healthcare sector, or otherwise.

The extension of the conflict of interest policy to the sub-committees of Integrated Care Boards avoids them being inadvertently left out of the legislation.

Primary care commissioners have long had the choice to commission services from a range of primary care providers. I believe it is crucial that local health commissioners have flexibility to commission partnerships, individuals and private and third sector organisations to deliver GP services to meet the specific healthcare needs of their local populations.

Alternative Provider Medical Service Contracts (APMS) offer greater flexibility than national standard contracts, allowing commissioners to better meet local need and fill any gaps not covered by core general practice. Private and third sector providers play a vital role in the delivery of local services and must adhere to the same quality and safety standards as any other form of GP contractor. 

I was not in favour of proposed amendments to end APMS contracts, which I believe would have undermined the important ability of commissioners to meet local need, particularly at a time when efforts are being made to build capacity in primary care and ensure commissioners go further in developing and designing high quality primary care services.

Campaign Responses

  • Access to Playgrounds (Disabled Children)
  • Access to Waterways
  • Adult Dependant Relative Visa
  • Adult Social Care
  • Afghanistan and Pakistan
  • Afghanistan: Nowzad
  • Afghanistan Refugees
  • Afghanistan Refugees (Christians)
  • Afghanistan Withdrawal
  • Age UK's Winter Warmth Campaign
  • Air Passenger Duty
  • Air Quality
  • Alcohol Duty
  • All-Party Parliamentary Groups (APPGs)
  • Animal Research
  • Animal Testing - Dogs
  • Animal Welfare Legislation
  • Animal Welfare (Kept Animals) Bill
  • Animal Welfare (Kept Animals) Bill: Cats
  • Animal Welfare (Kept Animals) Bill: Dogs
  • Animal Welfare (Sentience) Bill
  • Arms Exports
  • Arms Exports: Israel
  • Arthritis
  • ASRU Change Programme
  • Asylum Seekers and Refugee Resettlement
  • Asylum Support and Employment
  • Avian Influenza
  • Aviation Emissions
  • Aviation Industry Concerns
  • Badgers and Bovine TB
  • BBC Funding
  • BBC World Service
  • Behaviour in Schools
  • Biodiversity
  • Bite Back Better Campaign
  • Bomb Disposal and Whales
  • Bowel Cancer Awareness Month
  • Boycotts, Divestment and Sanctions
  • Breast Cancer
  • Building Safety Bill
  • Bus Deregulation
  • Business and Human Rights
  • Caged Farm Animals
  • Campaign - #CatchUpWithCancer
  • Cancer Research
  • Cancer Treatment
  • Carers and Unpaid Carers
  • Cash Availability and Acceptance
  • 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)
  • Climate and Ecological Emergency Bill
  • Climate Change
  • Commercial Energy Prices
  • Consular Services in Afghanistan
  • Conversion Therapy
  • COP26
  • COP26 Commitments (100 Days)
  • Coronavirus: Clinically Extremely Vulnerable
  • Coronavirus: Coronavirus Act
  • Coronavirus: Debt Cancellation
  • Coronavirus: Face Coverings
  • Coronavirus: Face Coverings in School
  • Coronavirus: Hospitality Support
  • Coronavirus: International Travel
  • Coronavirus: Mandatory Vaccination
  • Coronavirus: NHS and Social Care Staff (Vaccines)
  • Coronavirus: Provision of Tests
  • Coronavirus: Regulations and Living with COVID
  • Coronavirus: Self Isolation
  • Coronavirus: Support for the Self-Employed
  • Coronavirus: Testing (Childminders)
  • Coronavirus: Travel Industry Support
  • Coronavirus: Vaccines (Developing Countries)
  • Coronavirus: Vaccine Passports
  • Coronavirus: VAT Threshold
  • Cost of Living
  • Courier Employment Rights
  • Cyprus
  • Dangerous Dogs Act
  • Deaths Related to the Benefits System
  • Defibrillators and the Automated External Defibrillators (Public Access) Bill
  • Dementia Research and Diagnosis
  • Democratic Freedoms in the UK
  • Deportation Flights
  • Derby County Football Club
  • Diabetes
  • Disability Benefit Assessments
  • Domestic Abuse (Serial Abusers & Stalkers)
  • Domestic Abuse (Time Limits)
  • Dr Liam Fox’s Down Syndrome Bill
  • Early Years Funding
  • 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 Communications Code
  • Elephants and Ivory Sales
  • Endometriosis and Polycystic Ovary Syndrome (PCOS)
  • Energy Charter Treaty
  • Energy Price Cap
  • Energy Security Strategy
  • Environment Bill
  • Epilepsy
  • Epilepsy: Personal Independence Payment (PIP)
  • Fairtrade Fortnight Campaign
  • Fertility Inequality
  • Fire and Rehire Tactics
  • Fireworks
  • Football Governance
  • Football Index
  • Fracking
  • Free Trade Agreement with Australia
  • Fuel Duty and Prices
  • Fuel Shortages
  • Fur and Foie Gras
  • Future of the TV Licence
  • Gambling with Credit Cards
  • Gambling Regulation
  • Gas Boilers
  • Gaza
  • Gene Editing and Animal Welfare
  • Genetic Technology
  • 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
  • Guidance on Boycotts (Stop BDS)
  • Hamas
  • Hate Crime (Misogyny)
  • Health and Care Bill
  • Health and Care Bill: Privatisation
  • Health and Care Bill: Workforce
  • Health and Disability Green Paper
  • Heat Pumps
  • Hedgehogs
  • Hedgerows
  • HGV Driver Shortage
  • HIV and AIDS
  • Holiday Lets
  • Housing and the Queen’s Speech
  • Housing Emergency (Shelter)
  • Housing First
  • HS2 and the Environment
  • HS2: Cost Transparency
  • HS2: General
  • Human Rights Act
  • Hunting Act 2004
  • Illegal Immigration (Nationality and Borders Bill)
  • Improving Access to the Countryside
  • Independent Review of Children's Social Care
  • Integrated Care Boards and Private Sector Providers
  • Intellectual Property
  • Interest on Student Loans
  • Introducing Extended Producer Responsibility: Glass
  • Islamophobia
  • Israel: Amnesty International
  • Ivory Sales
  • Jagtar Singh Johal
  • Jerusalem
  • Jim Fitton
  • Judicial Review
  • Julian Assange
  • Junk Food Advertising Ban
  • Keeping Primates as Pets
  • TV Licence Fee
  • Live Animal Exports
  • Liver Disease
  • Living Wage and Key Workers
  • Loan Charge
  • Local Electricity Bill
  • Maternity Services
  • Meadows and Grasslands
  • Medicinal Cannabis
  • Menopause
  • Mental Health
  • Mental Health Facilities
  • Mental Health Hubs (Children and Young People)
  • Midwifery Units
  • Migrant Channel Crossings
  • Modern Employment Practices
  • Modern Slavery
  • Motor Neurone Disease
  • Multiple Sclerosis
  • National Insurance Contributions
  • National Security
  • 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
  • Neonicotinoids
  • New Plan for Immigration
  • NHS Pay
  • NHS Preparations for Winter
  • NHS Privatisation
  • Nigeria: Mubarak Bala
  • Non-Religious Belief (Human Rights)
  • Occupied Palestinian Territories
  • Offshore Wind
  • Oil Drilling and Cambo Oil Field
  • 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)
  • Onshore Wind
  • Onshore Wind (Planning)
  • Palestinian Human Right Defenders
  • Palliative Care
  • Pancreatic Cancer
  • Parental Bereavement
  • Parkinson's Disease
  • Pavement Parking
  • Peat
  • Pet Microchipping
  • Plastic Pollution
  • Police and Sarah Everard Case
  • Police, Crime, Sentencing and Courts Bill
  • Police, Crime, Sentencing and Courts Bill (Climate Protesters)
  • Police, Crime, Sentencing and Courts Bill (Courts and Tribunals)
  • Police, Crime, Sentencing and Courts Bill (Data Extraction)
  • Police, Crime, Sentencing and Courts Bill (Parliament Square)
  • Police, Crime, Sentencing and Courts Bill (Protection of Retail Workers)
  • Police, Crime, Sentencing and Courts Bill (Protests)
  • Police, Crime, Sentencing and Courts Bill (Protests and Noise)
  • Police, Crime, Sentencing and Courts Bill (Protests Tactics)
  • Police, Crime, Sentencing and Courts Bill (Unauthorised Encampments)
  • Polluter Pays Bill
  • Prescription Charges
  • Primary School Assessments
  • Prisons (Violence) Bill
  • Privacy Laws in the UK
  • Private Rented Sector
  • Processing Asylum Claims in Rwanda
  • Proportional Property Tax
  • Prostate Cancer
  • Protection of Pollinators
  • Protests - Abortion Clinics
  • Public Inquiry on COVID-19
  • Public Sector Pensions
  • Public Service Pensions and Judicial Offices Bill
  • Puppy and Kitten Sales
  • Queen's Speech - Bill of Rights and Brexit Freedoms
  • Radiotherapy
  • Rail Vs Air Travel
  • Reforming Taxi and Private Hire Vehicle Licensing
  • Right to Work Checks
  • Royal Mail
  • Sarcoma UK Drop-In Session
  • Save Our Pubs (CAMRA)
  • Schools Bill
  • Schools Bill - Home Schooling
  • Sentencing (Dangerous Driving)
  • Sexual Harassment
  • Shared Parental Leave
  • Social Care Cap (Means Test)
  • Stamp Duty Land Tax
  • State Pension
  • State Pension Age
  • Statutory Sick Pay
  • Stop and Search
  • Student Doctors - Bursaries
  • Support for Deaf Pupils
  • Support for People with Disabilities
  • Support for Renters
  • Support for Road Hauliers
  • Support for the Pig Industry
  • Support for the Travel Industry
  • Sustainable Fishing
  • Tax Avoidance
  • Teachers’ Pay
  • Terminal Illness and Benefits
  • Ticket Offices at Railway Stations
  • Tourism and VAT
  • Training Collars for Dogs
  • Transport for Disabled People
  • Trophy Hunting
  • UK Foreign Aid
  • UK Trade and Business Commission’s First Annual Report
  • Universal Credit and Working Tax Credits - £20 per Week Uplift
  • Universal Credit Standard Allowance for Those Under 25
  • Universal Credit (Under 25)
  • Universities: Antisemitism (IHRA Definition)
  • Uplands
  • Vaccinations for COVID-19
  • Valerie's Law
  • Vaping
  • VAT on Electric Vehicle Charging in Public Places
  • Violence Against Women and Girls
  • Voter ID
  • Voting System
  • Water Fluoridation
  • Water, Sanitation and Hygiene in Developing Countries
  • Wealth Tax
  • Welfare of Farm Animals
  • Women’s Health Strategy - Miscarriages
  • Young People’s Wellbeing

Andrew Selous MP South West Bedfordshire

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