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NHS review to prompt push to get health plans on track NHS review to prompt push to get health plans on track
(about 4 hours later)
By Nick Triggle Health correspondent, BBC NewsBy Nick Triggle Health correspondent, BBC News
An independent review of the planned NHS shake-up in England is expected to recommend significant changes.An independent review of the planned NHS shake-up in England is expected to recommend significant changes.
The NHS Future Forum, which has carried out a two-month consultation, will make proposals on controversial issues such as competition and the speed of change.The NHS Future Forum, which has carried out a two-month consultation, will make proposals on controversial issues such as competition and the speed of change.
The publication is expected to be followed by a detailed response from the government on Tuesday.The publication is expected to be followed by a detailed response from the government on Tuesday.
Labour said claims the bill would be substantially changed were "heavy with Lib Dem spin".Labour said claims the bill would be substantially changed were "heavy with Lib Dem spin".
However, ministers hope that by acting quickly they will be able to get their NHS reform programme back on track in weeks.However, ministers hope that by acting quickly they will be able to get their NHS reform programme back on track in weeks.
In April the government took the unprecedented move of halting the parliamentary progress of the Health and Social Care Bill underpinning the changes amid mounting criticism from academics, health unions and MPs.In April the government took the unprecedented move of halting the parliamentary progress of the Health and Social Care Bill underpinning the changes amid mounting criticism from academics, health unions and MPs.
Ministers had originally wanted to hand GPs control of much of the NHS budget, while opening up the health service to greater competition.Ministers had originally wanted to hand GPs control of much of the NHS budget, while opening up the health service to greater competition.
Eagerly anticipatedEagerly anticipated
But Prime Minister David Cameron has already indicated he is willing to make concessions by allowing other health professionals a say in the spending of funds, while promising competition will be balanced against encouraging co-operation among NHS trusts, charities and private firms.But Prime Minister David Cameron has already indicated he is willing to make concessions by allowing other health professionals a say in the spending of funds, while promising competition will be balanced against encouraging co-operation among NHS trusts, charities and private firms.
The full details of how the government aims to proceed will now be set out over the next two days.The full details of how the government aims to proceed will now be set out over the next two days.
The NHS Future Forum, led by former Royal College of GPs chief Professor Steve Field, has carried out more than 200 listening events with doctors, nurses and patients.The NHS Future Forum, led by former Royal College of GPs chief Professor Steve Field, has carried out more than 200 listening events with doctors, nurses and patients.
Its report - to be unveiled on Monday afternoon - is expected to largely chime with what Mr Cameron said last week.Its report - to be unveiled on Monday afternoon - is expected to largely chime with what Mr Cameron said last week.
However, the details of how the changes will work are being eagerly anticipated to see if the government can garner more support.However, the details of how the changes will work are being eagerly anticipated to see if the government can garner more support.
Concerns about the plans, which some had claimed could lead to the privatisation of the health service, had opened up divisions within the coalition.Concerns about the plans, which some had claimed could lead to the privatisation of the health service, had opened up divisions within the coalition.
There have also been fears raised about the risks of overhauling a system already under huge financial pressure.There have also been fears raised about the risks of overhauling a system already under huge financial pressure.
ScorecardScorecard
Influential health groups such as the British Medical Association, the Royal College of Nursing, the Royal College of GPs and think tank the King's Fund have been vocal about their fears.Influential health groups such as the British Medical Association, the Royal College of Nursing, the Royal College of GPs and think tank the King's Fund have been vocal about their fears.
On Monday Deputy Prime Minister Nick Clegg is expected to claim the Lib Dems have got their way in coalition battles over the bill.On Monday Deputy Prime Minister Nick Clegg is expected to claim the Lib Dems have got their way in coalition battles over the bill.
At a meeting of his parliamentary party, the Lib Dem leader will present a scorecard of changes to the Health and Social Care Bill demanded by his party's spring conference in March.At a meeting of his parliamentary party, the Lib Dem leader will present a scorecard of changes to the Health and Social Care Bill demanded by his party's spring conference in March.
Eleven of the 13 demands - including improving democratic accountability and preventing private firms "cherry picking" profitable services - have been secured, he will say, while alternative solutions have been found to meet the remaining two concerns.Eleven of the 13 demands - including improving democratic accountability and preventing private firms "cherry picking" profitable services - have been secured, he will say, while alternative solutions have been found to meet the remaining two concerns.
The key demands included allowing hospital doctors and nurses to take control of commissioning services as well as GPs, and scrapping the 2013 deadline for consortia to start work.The key demands included allowing hospital doctors and nurses to take control of commissioning services as well as GPs, and scrapping the 2013 deadline for consortia to start work.
Mr Clegg's chief political adviser, Norman Lamb, who had threatened to quit if he was not happy with the changes to the bill, said on Sunday: "I am satisfied. I think the concerns raised have been met. It's been a very constructive process."Mr Clegg's chief political adviser, Norman Lamb, who had threatened to quit if he was not happy with the changes to the bill, said on Sunday: "I am satisfied. I think the concerns raised have been met. It's been a very constructive process."
But he denied the Lib Dems were in danger of making too much of the policy concessions they had achieved. "This is not a case of triumphalism. This is a case of improving the policy," he told BBC One's Politics Show.But he denied the Lib Dems were in danger of making too much of the policy concessions they had achieved. "This is not a case of triumphalism. This is a case of improving the policy," he told BBC One's Politics Show.
The BBC understands that ministers are hopeful the NHS Future Forum report and the government response will allow them to press ahead almost immediately with the programme.The BBC understands that ministers are hopeful the NHS Future Forum report and the government response will allow them to press ahead almost immediately with the programme.
Officials are working on the basis that amendments could be made to the bill within weeks, allowing the government to kick-start the parliamentary process before the summer.Officials are working on the basis that amendments could be made to the bill within weeks, allowing the government to kick-start the parliamentary process before the summer.
'Slower pace''Slower pace'
Mike Farrar, chief executive of the NHS Confederation, which represents health managers, said: "The government must now give the NHS some clarity and enable it to focus on the major problems it faces such as financial pressure and the variability of care. David Stout, deputy chief executive of the NHS Confederation which represents health managers, said changes were needed in the NHS because it could not afford to stay as it was because of "enormous" financial pressures.
"It is essential that those responsible for taking key decisions are able to do so with confidence and certainty." He said he wanted to see an "intelligent approach to competition" from the review.
Jennifer Dixon, of the Nuffield Trust health think tank, agreed. "We are not looking for rules that tell people what to do but that allow local NHS leaders to make decisions that make sense in their local patch."
"The fundamentals of their plan remain but there will be more cautiousness in implementation, a slower pace. That is absolutely healthy for the NHS when we have the other big task at hand - to make savings," she said. He added that commissioning did need to involve a whole range of clinicians but warned there was a danger of decisions being made by consensus and nothing happening.
Jennifer Dixon, of the Nuffield Trust health think tank, said: "The fundamentals of their plan remain but there will be more cautiousness in implementation, a slower pace. That is absolutely healthy for the NHS when we have the other big task at hand - to make savings," she said.
Nick de Bois, Tory MP for Enfield North, said it was important the Bill retained its "fundamental principles".
"From what the PM outlined last week I am hopeful we will have that," he told the Sunday Telegraph.
"Andrew Lansley has worked hard to deliver reforms that will secure the long-term future of the NHS and I don't think that the coalition government will jeopardise that goal."
Labour has indicated it will be voting against the bill, whatever the changes are.Labour has indicated it will be voting against the bill, whatever the changes are.
Shadow Health Secretary Jon Healey told the Politics Show that claims the bill would be substantially changed were "heavy with Lib Dem spin". Shadow health secretary Jon Healey told the Politics Show that claims the bill would be substantially changed were "heavy with Lib Dem spin".
"My fear is that we'll hear the prime minister claim these are substantial and significant changes, but the long-term ideological plan to turn the NHS into a market, to open up all parts of the NHS to private companies, will remain."My fear is that we'll hear the prime minister claim these are substantial and significant changes, but the long-term ideological plan to turn the NHS into a market, to open up all parts of the NHS to private companies, will remain.
"And I think the test will be not whether the Lib Dems back Cameron but whether his own Tory backbenchers back Cameron on the bill in the future.""And I think the test will be not whether the Lib Dems back Cameron but whether his own Tory backbenchers back Cameron on the bill in the future."
Do you work in the NHS? What is your reaction to the government's planned reforms? You can send us your views using the form below.Do you work in the NHS? What is your reaction to the government's planned reforms? You can send us your views using the form below.