Quick guide: Labour's 10-year NHS plan

Restore the Secretary of State’s historic duty to provide services ‘to ensure proper democratic accountability’
Replace the competition framework with an ‘NHS Preferred Provider’ framework, including removing the role of Monitor and the Competition and Markets Authority as economic regulators enforcing competition within the NHS, and scrapping the ‘Section 75’ regulations that have made tendering statutory
Draw a clear distinction between not-for-profit and for-profit providers by giving the voluntary sector organisations the benefit of longer and more stable arrangements
Place tougher controls on Trusts’ ability to earn private patient income in order to ensure NHS patients always get put first and ensure proper safeguards on conflicts of interest
Ensure the TTIP Treaty cannot impose procurement or competition obligations on the NHS
Extend Freedom of Information provisions to any provider of NHS services
Set up a wide-ranging review of NICE which will look at reforming the NICE technology appraisal process and setting tougher rules on implementing NICE guidance

Set aside £2.5bn for a Time to Care Fund, raised from a mansion tax on properties worth over £2 million and cracking down on tax avoidance and a new levy on tobacco firms
Spend this on: 20,000 more nurses, some of which will provide care in the home for some patients most in need, 8,000 more GPs to ‘tackle the GP access problems faced by hundreds of thousands of families every week’, 3,000 more midwives, building a 5,000-strong ‘homecare’ workforce to care for dying people at home
Introduce a ‘new compact’ with NHS staff focused on giving care ‘with dignity and respect’

Develop a year-of-care tariff for frail elderly and others with complex health needs to cover all of a person’s care costs over a year, where the same organisation is paid for prevention and cure so that ‘the accountable provider, who will have to pay more if clients deteriorate and need hospital care, will have a much stronger incentive to invest in preventing problems, and driving out the culture of care visits limited to 15 minutes’
Banning zero-hours contracts in the care sector
Create an apprenticeship route to improve the career progression of care workers
Introduce ‘safety checks’ for vulnerable older people to identify risks to their health and prevent problems before they occur
Have Monitor, as the driver of integration, inspect local health economies to rate their overall and medium term viability
Consult on how the ambulance service can be better integrated with NHS 111 and GP out-of-hours services
Sharing of patient records between health and care providers and giving patients access to them online

Labour wants to give patients the right to:

A guaranteed GP appointment within 48 hours or a same-day consultaiton for those who need it
Book ahead with the GP of their choice
A maximum one-week wait for cancer tests
One-week waits for all urgent diagnostics by 2025
Better provisions for home births and dying at home
A new right to talking therapies
A ‘single point of contact’ for eople with complex physical and mental health conditions
A personal care plan ‘not restricted by service boundaries’
Peer support from other people learning to manage the same condition
Have a say on organisational reconfigurations
A range of new rights for family carers

Make ‘parity of esteem’ a reality on the ground by:
Making mental health part of training for all NHS staff
Create a new right to talking therapies in the NHS Constitution
Increasing the proportion of mental health budget spent on children
Train school teachers to be able to identify, support and refer children with mental health problems
Offer counselling to women who have miscarried
Set out a strategy and timetable for a 28-day wating time standard for access to talking therapies for both adults and children

Set limits on the amounts of sugar, fat and salt in food marketed to children
Introduce minimum unit alcohol pricing
Give local authorities power to limit the number of fast food outlets
Teach school children emergency first aid including CPR and using defibrillators
Place defibrillators in shopping centres, airports, rail stations and sport stadiums and develop an app for where to find the nearest one in an emergency
Reinstate the goal of all school children doing a minimum of two outs of physical education a week and make school sporting facilities available to local community sport outside school hours and term time
Make sex and relationships education compulsory in all English schools
Set out a new sexual health strategy for England

Source: The Labour Party