Health Bill [HL]

My Lords, the British Medical Association has said that it has been a vocal supporter of the concept of an NHS constitution. It is the BMA’s belief that a clearly articulated set of values that reflect a shared consensus concerning the nature and purpose of the NHS will strengthen the public’s trust in it. The BMA considers that a constitution, properly constructed, offers the means to maintain the public’s confidence in the NHS and to safeguard its future. However, the BMA has concerns with regard to the constitution’s commitment to developing a responsive and accountable health service. Past experience and some evidence suggests that there exist significant failings in enabling patients, public and staff to engage in and influence meaningfully NHS decision-making processes. Recent examples of service redesign, involving poor levels of transparency and a lack of effective consultation reinforce this view. The BMA continues to be a strong advocate of patient and public involvement as an integral and collaborative process that is essential to grow productive partnerships between patients, the public, health professionals and policy makers. Consequently, the BMA does not believe that the NHS contribution goes far enough in determining a framework that will better enable and safeguard local accountability for widening and strengthening the relationship between the health services at a local level and the populations they serve. I support this amendment.