This briefing looks specifically at the issues of service reconfiguration and workforce planning (Lords amendments 29B, 30B and 108B).

We welcome the amendments tabled in lieu of 30B and 108B, which have been made following detailed discussions with the sector. These amendments address the key concerns we have highlighted in our previous briefings. These changes will protect local accountability in the NHS as the Secretary of State will only be notified about significant reconfiguration proposals. The amendments also introduce the transparency in the decision-making process we called for and will ensure that decisions must be taken in a timely manner.

We welcome the requirement on the Secretary of State to give the NHS commissioning body, Integrated Care Boards and local authorities an opportunity to make representations, and any other person the Secretary of State considers appropriate. We think that the Secretary of State should also consult any relevant providers who are responsible for delivering services, and that this should be reflected in any guidance or regulations relating to these provisions. We would welcome clarification from the Secretary of State on this point.