The original proposals in the Health and Social Care Bill
- Choice to be extended beyond elective care to most NHS-funded services by 2013/14.
- Duties on the NHS Commissioning Board and commissioning consortia to promote patient choice and involve patients and their carers in decisions about their care.
- Patients to be able to choose their GP, regardless of where they live.
What has changed in the proposed reforms?
- A 'choice mandate' to be included in the NHS Commissioning Board's mandate from the Secretary of State.
- Duties to involve patients and their carers in decisions about their care strengthened to better reflect the 'no decision about me without me' principle.
- Personal health budgets to be extended through a mandate to the NHS Commissioning Board, with a right to a personal budget to be introduced over time.
What is still unanswered?
- How will the government make a reality of shared decision-making in clinical practice?
- How will the NHS Commissioning Board be held accountable for delivering on the 'choice mandate'?
- How will decisions be made about extending personal budgets to more conditions?