Discover and read the best of Twitter Threads about #Scrutiny

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Finally, the #GoldacreReview is published! (During Parliamentary Easter holidays, mid-ping-pong on the #HealthAndCareBill...)

It's 221 pages - each PDF page is a double page spread - so this could be a lo-o-o-ong [Thread].

Here goes...
First point to note, in the Terms of Reference (p5), is that this is about "access to #NHSdata by #researchers, #commissioners, and #innovators" - i.e. #Planning and #CommercialReUse - so it is directly relevant to the operation of millions of people's #NationalDataOptOuts... Terms of reference for the review  1. How do we facilitate a
"185 wide-ranging recommendations for us to explore", says @sajidjavid (p6). Gulp! Time for some coffee...

"systems that ensure #underrepresented groups are well represented" may (partly) refer to this "landmark review", which got off to a slow start:

gov.uk/government/new… The far-reaching independent review into potential ethnic bi
Read 159 tweets
🧵Gov's plans, subject to consultation, to end #vaccination as condition of deployment in #health & #socialcare will involve revoking 2 #StatutoryInstruments (SIs) that highlighted shortcomings in #scrutiny & gov provision of evidence for its decisions. /1 hansard.parliament.uk/commons/2022-0…
The 1st SI - Health and Social Care Act 2008 (Regulated Activities) (Amendment) (Coronavirus) Regs 2021 – made Covid vaccination in effect mandatory for all those undertaking work activities in regulated care homes & has been in force since 11 Nov 2021. /2 hansardsociety.org.uk/blog/the-care-…
This SI was subject to damning Secondary Legislation Scrutiny Committee (SLSC) report for poor supporting docs & missing Impact Assessment. MPs like @Mark_J_Harper called asking MPs to OK it w/o such info an "abuse of the House" & in only 90-min SI debate "frankly offensive". /3
Read 10 tweets
JUST PUBLISHED: The 'Covid pass' Regulations expected to be debated by #HouseofCommons tomorrow (Tues 14/12) #Covid #Omicron #StatutoryInstruments #delegatedlegislation #Regulations #Parliament #scrutiny 1/ legislation.gov.uk/uksi/2021/1416…
& here are the new 'self-isolation' Regulations exempting close contacts of Omicron cases from the requirement to self-isolate, providing they are fully vaccinated, under 18, in a clinical trial or medically exempt 2/ legislation.gov.uk/uksi/2021/1415…
So, the 3 sets of Regs we expected, to implement 'Plan B', are now published - 1 day before #HouseofCommons is expected to debate them all. This leaves little time for proper scrutiny. Read our briefing about the Regs & how the debate might be organised. hansardsociety.org.uk/publications/b…
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re: #care cap in #HealthAndCareBill, procedural point is that gov is trying to make significant unforced policy change by introducing an am. to its own Bill *at report stage* i.e. *after* committee stage, when detailed #scrutiny is - in #HouseofCommons - supposed to happen. 1/6
#HealthAndCareBill committee stage finished 2/11, but gov only introduced its amendment 18/11. Gov may point, rightly, to fact that report stage is now 2 days (original plan was only 1). But this is no substitute for committee stage, when a committee can take expert evidence. 2/6
In these circs, when new policy is added at this stage, MPs ought to have the option of getting a Bill re-committed to the Public Bill Committee so the new content can be scrutinised in detail - Andrew Dilnot can give his evidence to MPs instead of/as well as @BBCr4today. 3/6
Read 6 tweets
There seemed to be some confusion about (the use of) words in @CommonsHealth Committee yesterday morning, so here's a [Thread] to try to clarify.

First "#commercial". It is of course the case that many parts of the #NHS use commercial providers, e.g. of software, whether that...
...is @Microsoft365 for word processing, spreadsheets & e-mail; or IT systems to handle patients' records in hospitals (e.g. @CernerUK) & General Practice (e.g. @TPP_SystmOne, @EMISHealth, @CegedimHS); or software to drive complicated equipment like #MRIscanners, etc.

This is...
..entirely normal use of #commercial software & software services, for which the #NHS body is the #DataController. Apart from when that software goes wrong, I don't believe many would have concerns about this.

Then there are #commercial providers of #NHS services, about which...
Read 13 tweets
#IICSA #CofE - from a heavy heart & troubled mind, some unfinished thoughts on #risk, #leadership, #abuse & #church.
1. "I am sending you out as lambs among wolves...be as wise as serpents & as innocent as doves." Too many in #church manage the doves part - high above, unable to imagine such horrible things could be or that X could possibly be guilty. Ignorance is not holiness.
2. Holiness is more knowing, more robust, more active than that - it is the balance of the #dove & the #serpent.
Serpents crawl on the ground, taste the air, sense vibrations, they know when all is not well. If our leaders are truly humble this is the space they will occupy.
Read 14 tweets
Read 36 tweets
#CroydonCrash #CoverUp @MayorofLondon @ValShawcross @Heidi_LDN: Kindly note 23May18 @TfL Board Minutes don't properly reflect what @MLiebreich actually said ICYMI "3 Times on 3 Separate Occasions IA 17780 had been sent to @raibgovuk @railandroad @BTP"
Regrettably, narrative City Hall & TfL PUSHING since I exposed #CoverUp January 2018 saferoxfordstreet.blogspot.com/2018/01/london… isn't supported by any FACTS. saferoxfordstreet.blogspot.com/2018/08/re-tfl… @CarolinePidgeon @KeithPrinceAM #CroydonCrash 7 People DIED, 62 Injured. #ShineALight NOW HT>@christianwolmar @V0LDN
In May18, I formally asked @LondonAssembly #AssemblyTransport to call City Hall & TfL Officials in for Formal Questioning saferoxfordstreet.blogspot.com/2018/05/the-cr… Why wasn't IA 17780 sent to #CroydonCrash Investigators, Regulators & Police when it'd been sitting in Top Managers' hands for months?
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and report it to John Trayner MD @TheGoAheadGroup London cc'ing TfL's Bus Bosses, @willnorman @CarolineRussell (of @LondonAssembly) @StopKillingCycl & me. The only way to ensure TfL & CityHall don't just #CoverUp for TfL Contractors' #SafetyFail is to shine a light on it.
In my experience, it's clear that TfL => Trade Association set up to protect its Bus & Tram Contractors instead of regulating their Safety Performance. Read @CarolinePidgeon's & @KeithPrinceAM's MQTs sometime & you'll see how far City Hall & TfL go to protect them from #Scrutiny
Read 17 tweets

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