We use cookies to ensure that we give you the best experience on our website.

If you continue without changing your settings, we’ll assume you’re happy to receive all cookies from the BMA website. Find out more about cookies

Your Privacy

When you visit any web site, it may store or retrieve information on your browser, mostly in the form of cookies. This information might be about you, your preferences or your device and is mostly used to make the site work as you expect it to. The information does not usually directly identify you, but it can give you a more personalised web experience.

Because we respect your right to privacy, you can choose not to allow some types of cookies. Click on the different category headings to find out more and change our default settings. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer.

Strictly Necessary Cookies


These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms.

You can set your browser to block or alert you about these cookies, but some parts of the site will not then work. These cookies do not store any personally identifiable information.


These cookies are required

Performance Cookies

These cookies allow us to know which pages are the most and least popular and see how visitors move around the site. All information we collect is anonymous unless you actively provide personal information to us.

If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance.

Preferences Cookies

These cookies allow a website to remember choices you make (such as your user name, language or the region you're in) and tailor the website to provide enhanced features and content for you.

For example, they can be used to remember certain log-in details, changes you've made to text size, font and other parts of pages that you can customise. They may also be used to provide services you've asked for such as watching a video or commenting on a blog. These cookies may be used to ensure that all our services and communications are relevant to you. The information these cookies collect cannot track your browsing activity on other websites.

Without these cookies, a website cannot remember choices you've previously made or personalise your browsing experience meaning you would have to reset these for every visit. In addition, some functionality may not be available if this category is switched off.

3rd Party Cookies

Our websites sometimes integrate with other companies’ sites. For example, we integrate with social networking sites such as Twitter and Facebook, to make it easier for you to share what you have read. These sites place their own cookies on your browser as a result of us including their icons and ‘like’ or ‘share’ buttons on our sites.

Apply & close

Care Bill changes scrutinised

The BMA was poised this week to scrutinise new government amendments that could curb NHS trust failure regime powers.

 Ministers have indicated they are prepared to row back on sweeping new rules for TSAs (trust special
administrators) after intensive lobbying by the BMA and other organisations.

TSAs are appointed to determine the future of failing NHS trusts and foundation trusts under the health service
failure regime.

Under proposals in the Care Bill, TSAs would be able to recommend changes to trusts other than the failing one
they are overseeing, bypassing the usual consultation process for reconfigurations.

The government inserted the clauses after its attempts to force through changes at Lewisham Hospital, as part of reconfiguring the neighbouring bankrupt South London Healthcare NHS Trust, were defeated twice by the courts
last year.

Consultation assurances

Doctors leaders and other campaigners feared these clauses would allow the health secretary to use the failure regime to bypass the reconfiguration process and redesign services without adequate input from clinicians, commissioners or the public.

The BMA called on the government to amend the clause to safeguard the full consultation process, or remove it entirely.

The government was due to publish fresh amendments to the clause this week, which would require consultation with commissioners, staff and provider trusts.

BMA council chair Mark Porter (pictured above) said: ‘We will be examining the amendments to ensure that they live up to the assurances we have been given.

‘The primary mission of the NHS is patient care. It is vital that NHS reconfiguration is led by clinical evidence and priority; best care is the best way to use resources effectively.’

The Care Bill also introduces social care reform and implements a number of recommendations of the Mid Staffordshire NHS Foundation Trust public inquiry, including a new hospital ratings system and chief inspectors for hospitals, general practice and social care.

Read the BMA Care Bill briefing for the second reading

The story so far

Care Bill threatens rights and funding, warns BMA

Care Bill to put NHS research on statutory footing