Health Bill update: Questions raised about how people's experiences will be heard

The Government's Health Bill includes proposals that could change how people's experiences of health and social care are heard in future. The Bill would abolish Healthwatch England and local Healthwatch organisations, including here in Lambeth. Responsibility for listening to people's experiences and helping shape improvements in care would instead move to NHS organisations responsible for planning and funding local healthcare, and to local councils.

The proposals have prompted debate in Parliament and concerns from several national organisations about how people will continue to share their experiences, raise concerns and influence improvements in care.

At this stage, nothing changes for people in Lambeth. Healthwatch Lambeth remains independent and will continue to listen to local people's experiences of health and social care, share what we hear, and use that evidence to help improve care.

This article provides an update following the latest parliamentary debate on the Health Bill and explains what the proposals could mean for local people.

What happened in Parliament?

The Health Bill received a second reading in the House of Commons on Monday 1 June 2026.

This means MPs have debated the main principles of the Bill. The Bill will now move to a committee of MPs for more detailed examination.

The committee is expected to begin its work on 16 June 2026 and complete its scrutiny by 16 July 2026. MPs will be able to consider amendments, which means parts of the Bill could still change before it becomes law.

The next stages in the House of Commons and House of Lords are expected to continue later this year.

What did MPs say about Healthwatch?

During the debate, MPs from across different political parties raised concerns about the proposed abolition of Healthwatch England and local Healthwatch organisations.

Some MPs called for the current arrangements to be kept. Others said that, if changes go ahead, there should still be an independent way for people to share their experiences and raise concerns, including those caring or supporting someone.

Concerns were also raised about how the proposed changes could affect people who already face barriers to getting the support, information, or care they need, including people who may find it harder to speak up or be heard.

Several amendments have been proposed, including amendments that would remove the sections of the Bill relating to the abolition of Healthwatch England and the transfer of local Healthwatch functions.

The debate reflected wider questions about how people's experiences of health and social care will help shape decisions and improvements in future.

Why does it matter who listens?

Healthwatch was created to provide a trusted and independent place for people using health and social care.

Many people tell us they are more comfortable sharing their experiences with an organisation that is separate from the NHS and local councils, particularly when discussing sensitive issues or situations where they feel they have not been listened to. That independence helps build trust and confidence that people's experiences will be heard and considered fairly.

Every year, thousands of people across Lambeth share their experiences with Healthwatch, helping identify problems, highlight good practice, and influence improvements.

Our independence allows us to:

• listen to people’s experiences without being part of the organisations providing, planning or paying for care.
• raise issues openly when local people tell us something is not working.
• publish findings and recommendations based on what people have told us.
• share evidence with NHS and council decision makers.
• help make sure people’s experiences are considered when decisions are made.

People also contact Healthwatch when they are unsure where to turn for help, information or advice about health and social care. We help people understand their options, find the right organisation to contact and make informed decisions. Some people come to us after struggling to get answers elsewhere, while others simply want an independent organisation to listen and explain what support may be available.

Recent work by Healthwatch Lambeth has helped improve digital inclusion, mental health care for Black men with a Serious Mental Illness, access to primary care for vulnerable groups, and maternity care for underrepresented communities. We also regularly share your feedback and insight with service providers and decision-makers, to ensure your experiences help improve services.

These examples show why this debate is about more than organisational structures or legislation. It is about whether people can speak up, be heard and help improve care for others.

Helping hear from people whose voices are often less heard

Healthwatch organisations also play an important role in helping hear from people whose voices are often less likely to be heard.

In Lambeth, this has included Black men with Serious Mental Illness (SMI), people experiencing homelessness and dual diagnosis, disabled people, people with multiple long-term-conditions, people experiencing frailty, people from LGBTQ+ community, and carers. 

Many organisations have highlighted the importance of ensuring these voices continue to be heard as Parliament considers the proposed changes.

Several organisations have also raised concerns that any future arrangements must continue to ensure the experiences of people facing the greatest barriers to care are heard and acted upon.

What are other organisations saying?

Several respected organisations and commentators have also stressed the importance of making sure people continue to have an independent way to share their experiences and influence improvements in care.

Many have also questioned whether moving these responsibilities into NHS and local authority organisations (councils) could affect public confidence in the independence of the feedback process, particularly when Healthwatch has already built trusted relationships with people and communities across Lambeth.

National Voices, which represents more than 200 health and care charities, has also published a briefing on the Health Bill. It warns that the proposed changes could weaken accountability by transferring Healthwatch functions into NHS and government structures.

The Local Government Association has also called for an independent way for local people to share their experiences and influence decisions about health and social care. In its briefing on the Health Bill, it said local Healthwatch provides an independent source of insight and challenge.

The Patients Association has also highlighted the importance of maintaining trusted, independent routes for people to share their experiences and help shape improvements in health and social care in its response to The King's Fund report on the Healthwatch model.

Simon Denegri's article in The British Medical Journal has also raised concerns about the impact of the proposed reforms on how people's experiences of health and social care will be heard in future.