Healthwatch England

Healthwatch England is a committee of the Care Quality Commission established under the Health and Social Care Act 2012, which took effect in April 2013. Its role is to gather and champion the views of users of health and social care services, in order to identify improvements and influence providers' plans.[1] The Healthwatch network is made of up of local Healthwatch groups in each of England's local authority areas, and Healthwatch England, the national body.

This article is about the official organisations established under the Health and Social Care Act 2012. For the charity which promotes evidence-based medicine, see HealthWatch.

Organisation

Healthwatch England is a statutory body whose purpose is to understand the needs, experiences and concerns of people who use health and social care services and to speak out on their behalf. The local groups work together to share information, expertise and learning in order to improve health and social care services.

When established, the organisation was hosted by the Care Quality Commission but reported directly to the Department of Health. However, in January 2016, in a move seen as downgrading the organisation after the departure of its first Chief Executive, it was announced that a new national director would be appointed who would report to the Chief Executive of the CQC. David Behan said that although the national director would report to him, they would be able to criticise the work of the CQC if necessary.[2]

Sir Robert Francis was appointed chair in September 2018. Louise Ansari was appointed director in November 2021.[3]

Predecessor organisations

Healthwatch is the latest reorganisation of arrangements to involve patients and the public in the running of the NHS in England. Community Health Councils (CHC) were established in 1974 and abolished in 2003 to be replaced by Public and Patient Involvement Forums[4] run by the Commission for Patient and Public Involvement in Health. They were replaced in their turn in April 2008 by Local Involvement Networks. Community Health Councils continue in Wales. Scotland has a different system run by the Scottish Health Council.

Resources

The 148 local Healthwatch groups were allocated £43.5m by the Department of Health in 2013 but the groups only received £33.5m of this – leaving £10m unaccounted for. Anna Bradley, chair of Healthwatch England,[5] said: "This discovery is hugely disappointing. Less than 4p out of every £10,000 spent on health and social care was allocated to champion the cause of consumers in the first place and even this tiny amount is failing to reach those charged with speaking out on behalf of their local communities. The tragedies of Audrey Paley, Mid Staffs, Morecambe Bay and Winterbourne View all highlight what happens when the system fails to listen."[6] Almost a third of councils cut their local Healthwatch budgets in 2015–16 by an average of 14%, Blackpool and Hounslow by more than half.[7]

For 2018–19 it was planned that the 152 local Healthwatch services should receive £26,064,086 from local authorities to carry out their statutory activities, 35.3% less than was originally planned in 2013. This paid for 408 full-time equivalent staff. Local Healthwatch organisations also engage a considerable number of volunteers.[8] In November 2018 it was announced that NHS England and NHS Improvement were to make "significant investment" into the organisation in order to encourage participation in the development of the NHS's long term plan.[9]

In 2022 Sir Robert Francis resigned the chair, saying funding cuts meant the organisation could soon struggle “to fulfil its vital role".[10]

Local Healthwatch

The announced intention was that each local Healthwatch would be an independent organisation, able to employ its own staff and involve volunteers and accountable in its own right.[11] Plans to make the local Healthwatch in Leicester an independent organisation were thwarted by Voluntary Action Leicester who had been charged with establishing the organisation but would not hand over the contract to the newly established Healthwatch Leicester Ltd.[12]

National activity

The organisation produced a report entitled Safely Home: what happens when people leave hospital and care settings? in July 2015, which was based on thousands of stories about people leaving hospital without the right planning and support.[13]

Criticism

The 2015 People's Inquiry into London's NHS recommended that Healthwatch England be closed down, with local Healthwatch bodies separated from the Care Quality Commission and modelled on the old Community Health Councils. They should link up with local community organisations, pensioners' groups and other community organisations, and be given statutory powers to inspect hospital and community services, to object to changes which lack public acceptance, and to force a decision on contested changes from the Secretary of State.[14]

References
  1. "What we do". Healthwatch. Retrieved 12 August 2020.{{cite web}}: CS1 maint: url-status (link)
  2. "Healthwatch England will have 'freedom to criticise CQC'". Health Service Journal. 25 February 2016. Retrieved 3 March 2016.
  3. "New Healthwatch England chief revealed". Health Service Journal. 22 November 2021. Retrieved 28 December 2021.
  4. "Will Healthwatch give patients a better deal?", The Guardian. Accessed 8 December 2014.
  5. "Anna Bradley, chair of Healthwatch England: standing up for patients", The Guardian. Accessed 8 December 2014.
  6. "£10m of Healthwatch cash 'goes missing'". Health Service Journal. 13 February 2014. Retrieved 15 March 2014.
  7. "Revealed: Third of councils cut Healthwatch budgets". Health Service Journal. 18 June 2015. Retrieved 23 August 2015.
  8. "How much funding is your local Healthwatch receiving for 2018/19?". Healthwatch. 1 November 2018. Retrieved 2 November 2018.
  9. "NHS England and NHSI to give Healthwatch 'significant investment'". National Health Executive. 27 November 2018. Retrieved 30 December 2018.
  10. "Patient watchdog chair quits and tells Javid funding cuts are endangering 'its vital role'". Health Service Journal. 3 May 2022. Retrieved 4 May 2022.
  11. "What is Healthwatch?". Department of health. Archived from the original on 7 September 2011. Retrieved 22 December 2014.
  12. "Five quit health watch dog". Leicester Mercury. 19 December 2014. Retrieved 22 December 2014.
  13. "Hospitals show 'shocking' lack of care discharging vulnerable patients". Guardian. 21 July 2015. Retrieved 21 July 2015.
  14. "People's Inquiry into London's NHS Supported by Unite the union, London and Eastern region London's NHS at the Crossroads" (PDF). Archived from the original (PDF) on 2 April 2015. Retrieved 3 March 2015.
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