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

Could the new National Health Service Bill fix the damage caused by Health and Social Care Act?

The Health and Social Care Act 2012 (HSCA) caused enormous damage to the NHS, with only five per cent of doctors in England agreeing that it improved the quality of services for patients.

The publication of the National Health Service (amended Duties and Powers) Bill seems like a positive step towards removing some of the worst elements of the HSCA and nowhere is this more important than in the over-emphasis on competition over integration, and its demonstrable failure to improve patient care. At the same time, we must ensure this legislation does not result in even more political interference in the NHS. 

The BMA supports the Bill’s intention to reverse the decision to remove final accountability for the NHS from the Health Secretary, making it clear that the Government must retain ultimate responsibility for the provision of a comprehensive health service. NHS England and Clinical Commissioning Groups must, however, have day-to-day operational independence. After years of the NHS being used as a political football we are concerned that the Bill expands the Health Secretary’s powers too far in a number of areas and so care must be taken to ensure that the legislation does not risk introducing even more political interference in the daily running of the NHS. 

The cost of introducing the Health and Social Care Act ran into billions with very little to show for it. It is vital that policy makers do not repeat the mistakes of the past and use this Bill as a precursor for further unnecessary, top-down structural change.

Do you think this new Bill has the power to fix some of the problems created by the Health and Social Care Act? Tell us what you think.