Patient Safety
for patients to report it and for NHS organisations to learn from mistakes. “Our members fully recognise the importance
of making sure the voice of patients and their wider communities in how their services and planned and delivered is listened to, and that the feedback they give guides and shapes where improvements need to be made. “NHS leaders will welcome Dr. Penny Dash’s
review, which supports the direction of the Ten-Year Health Plan in streamlining the role of the centre and devolving accountability to local leaders, while giving the public the tools to make informed choices about their care. “The government has already announced
plans to reduce costs from within the NHS, so it is understandable that some consolidation may be needed around the way national standards are set too. Any opportunity to reduce duplication should be welcomed, particularly where any money saved can be invested back into frontline care. “However, NHS leaders would encourage
the government to not forget the failings in care that led to these bodies being set up in the first place and tread carefully so as to ensure their vital missions continue in future. Staff and patients will still need safe spaces where they can speak up. “Given the importance of patient feedback informing the design and delivery of care, and following the abolition of Healthwatch England and local Healthwatches, NHS leaders would encourage the government to ensure ICBs and local authorities taking on these functions are adequately supported and resourced to do so effectively.” The Patients Association issued the
following response to the report: “The Secretary of State for Health and Social Care’s recent comments in newspapers about streamlining health oversight bodies and the publication of Dr. Penny Dash’s review recommendations, highlights a shared goal to put patient experience at the heart of the NHS and reduce confusion in the system. However, we have serious concerns about how these reforms will affect many patients. “While we understand and agree with the
need to reduce the ‘overwhelming number of recommendations’ identified in the Dash review, streamlining shouldn’t come at the cost of independent oversight that patients desperately need. “We welcome the Secretary of State for Health and Social Care’s vision of giving power to patients but many face a different reality, whereby their trust in the system has eroded and they face barriers in being able to speak up. The culture of healthcare can
be intimidating - many patients contacting our helpline are vulnerable, confused by complex systems, or afraid to speak up directly. They consistently tell us how crucial it is to have someone at arm’s length they can turn to when things go wrong. The Secretary of State mentions using technology and AI to make checks more rigorous and efficient. While we support innovation, technology cannot replace the human need for independent advocacy when patients feel intimidated or confused by complex systems. “The Dash review’s recommendation to bring
together the work of Local Healthwatch, and the engagement functions of integrated care boards (ICBs) and providers and move the strategic functions of Healthwatch England into the Department of Health and Social Care will leave many patients without arm’s length advocacy. When patients need to give feedback
about their local NHS services, many won’t trust advocates who report to the same NHS structures. As these reforms move forward, the Department will need to work closely with patients to build trust in the new system and ensure it genuinely serves their needs. “We’ve heard through our patient engagement work about some complaints services where many patients lose confidence when that service sits within the very organisation it’s meant to scrutinise. Many patients who have safety or quality concerns, or who are seeking justice after harm, need support beyond internal processes that may prioritise protecting institutions over protecting patients. “Those who already struggle to be heard will
find it even harder to get justice when arm’s length oversight disappears. “We look forward to working with the
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SHAPING THE FUTURE OF DIAGNOSTICS - TOGETHER! September 2025 I
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