17/01/2022
Bevan Brittan provides high quality, comprehensive advice to the NHS, independent healthcare sector and local authorities. This update contains brief details of recent Government publications, legislation, cases and other developments relevant to those involved in health and social care work, both in the NHS, independent sector and local authorities which have been published in the last month.
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Bevan Brittan Free Training Events
Clinical Risk Webinars
Bevan Brittan Clinical Risk/Health, Care and Regulatory Law Team Training - These are internal hour long lunch time training sessions. You can sign up to watch the training sessions remotely via our webinar facility. Please contact Claire Bentley.
Clinical Negligence and the Emergency Department. Dr Gregor Campbell-Hewson will give a review of some major issues relating to Emergency Medicine practice and clinical negligence law. 25 January 2022. 12.30pm.
Perinatal hypoxia-ischaemia from a medico-legal perspective. Dr Grenville Fox will consider presentation at birth, clinical course in the neonatal unit, investigations and follow-up in the context of clinical negligence cases. 8 February 12.30pm.
Mandatory Vaccinations in the Healthcare Sector – A briefing and Q & A session in readiness for 1 April, 2022. 31 January 2022
Please note that registration for each webinar will close when the webinar starts, so please do ensure you have booked your place in advance to guarantee attendance
If someone forwarded you this email, you can sign up for your own free monthly copy here delivered directly to your inbox.
Acute and emergency care
Publications/guidance
Framework to support inter-hospital transfer of critical care patients This document sets out principles to which units and systems should adhere, to maintain equitable and safe access to critical care for both emergency and urgent planned care patients.
Clearing the backlog caused by the pandemic This report finds that elective recovery plans are threatened by pressure on emergency care with a record number of 999 calls and waiting times in emergency departments at record levels. It concludes that tackling the wider backlog caused by the pandemic is a major and ‘unquantifiable’ challenge. It calls for a broad national health and care recovery plan to include mental health, primary care, community care and social care as well as emergency care.
RCEM winter flow project: analysis of the data so far Winter flow is an annual project run by the Royal College of Emergency Medicine since 2015. The project collects a range of data to explore the factors that affect emergency departments and patient ‘flow’. This report reveals that in November 2021 6,726 elective care operations were cancelled and in October 2021 6,335 elective care operations were cancelled.
News
Record number of NHS ambulance call outs for life-threatening conditions in December, despite jump in Omicron absences.
Ambulance A&E handovers now a third higher than last winter’s peak.
Bevan Brittan Events
Clinical Negligence and the Emergency Department. Dr Gregor Campbell-Hewson will give a review of some major issues relating to Emergency Medicine practice and clinical negligence law. 25 January 2022. 12.30pm.
If you wish to discuss any queries you may have around acute and emergency issues please contact Claire Bentley.
Children and young people
Publications/Guidance
Children and young people’s mental health This report calls for urgent action to prevent mental health services slipping backwards as a result of additional demand created by the pandemic and the scale of unmet need prior to it. MPs found that despite progress in numbers of young people receiving treatment, it was unacceptable that more than half with a diagnosable condition pre-pandemic do not receive the mental health support they need.
Time for action: investing in comprehensive mental health support for children and young people This report, published together with the Children and Young People’s Mental Health Coalition, highlights the historic underinvestment in children and young people’s mental health, and the postcode lottery of support that has resulted. Public spending on children’s mental health lags behind investment in adult mental health services and there is wide variation in the amount spent per child in different areas. The report calls for a comprehensive mental health investment strategy for 0-25 year olds.
Clarifying what we mean by health inequalities for young people This paper seeks to offer a definition for health inequalities that is specific to young people and a conceptual framework to help identify key causes and levers that influence health outcomes. In highlighting the levers through which the ‘social determinants’ of health are translated into divergent health outcomes, this paper hopes to highlight opportunities for guidance and resources to improve young people’s health. This work contributes to AYPH's wider Health Inequalities Policy Programme, which is part of The Health Foundation’s Young people’s future health inquiry.
2020 Children and young people's survey The Care Quality Commission has published the results of the 2020 Children and Young People’s NHS Patient Experience Survey reveal what over 27,300 children and young people under the age of 16 and their parents and carers said about the hospital care they received during November 2020, December 2020 and January 2021 – a time when the second COVID-19 wave was at its peak and NHS services were facing extreme pressures.
How we can help
We can assist in relation to the statutory responsibilities for children under the Coronavirus Act 2020 including decisions around:-
- commissioning and the provision of healthcare and social care;
- isolation and duties toward children in the care and those classed as vulnerable under the Coronavirus ( COVID19 );
- guidance on vulnerable children and young people;
- the delivery of EHCP plans;
- safeguarding; and,
- all aspects of educational provision including for key workers.
If you wish to discuss any queries you may have around children please contact Deborah Jeremiah or Ruth Shedlow
Clinical Risk / Patient Safety
Publications/Guidance
Government response to the independent inquiry report into the issues raised by former surgeon Ian Paterson The report of the independent inquiry that was set up following the conviction of surgeon Ian Paterson was published in February 2020. It reviewed the circumstances surrounding Ian Paterson’s malpractice and considered other past and current practices in the NHS and the independent sector. This publication sets out the government’s response to the 15 recommendations made in the inquiry report.
The appointment and operation of the Patient Safety Commissioner. Outcome published.
Cases
Paul v Royal Wolverhampton NHS Trust, Polmear v Royal Cornwall Hospitals NHS Trust and Purchase v Ahmed [2022] EWCA Civ 12. In considering whether claimants, who had sustained psychiatric injury after witnessing the death or other horrific event suffered by a close relative because of an earlier clinical negligence, could claim damages for that psychiatric injury, the Court of Appeal held that it was bound by its decision in Taylor v A Novo (UK) Ltd [2013] EWCA Civ 194, [2014] Q.B. 150, [2013] 3 WLUK 448, [2013] C.L.Y. 2204, which provided that such claims could not succeed where the psychiatric injury was caused by a separate horrific event removed in time from the original negligence, accident or a first horrific event. The issue merited consideration by the Supreme Court. See Bevan Brittan Update below.
Bevan Brittan Updates
Covid Inquiry - will you be a core participant?
Bevan Brittan Events
Clinical Negligence and the Emergency Department. Dr Gregor Campbell-Hewson will give a review of some major issues relating to Emergency Medicine practice and clinical negligence law. 25 January 2022. 12.30pm.
Perinatal hypoxia-ischaemia from a medico-legal perspective. Dr Grenville Fox will consider presentation at birth, clinical course in the neonatal unit, investigations and follow-up in the context of clinical negligence cases. 8 February 12.30pm.
How we can help
We are working with clients on formulating policies and making it easier to balance treatment with finite resources. We are helping with social care policies and day to day activities such as contact and isolation, human rights issues and life/death decisions. We are working on notifications of harm and death, RIDDOR, CQC compliance, judicial review, infection control law and grappling with the new regulations and guidance. For more information click here. If you wish to discuss any clinical risk or patient safety issues please contact Joanne Easterbrook, Tim Hodgetts or Joanna Lloyd.
Digital Health
Publications/guidance
Fit for the future: what can the NHS learn about digital health care from other European countries? The rapid increase in the use of technology during the Covid-19 pandemic has shown that digital health technology will be a fundamental part of health system recovery and for preparing for the future. This report examines the approach that five European countries have taken to implementing digital technology and draws out learnings for the NHS.
Putting data, digital and tech at the heart of transforming the NHS This review sets out nine recommendations, which the Secretary of State has confirmed he will accept in full. It argues for a shift in culture, operating model, skills, capabilities and processes to put data, digital and technology at the heart of how we transform health services. It recognises progress made by NHS Digital and NHSX during the past two years of the pandemic.
Cyber and data security services and resources In order to help health care service staff better understand the extent of current security threats, NHS Digital has relaunched a new cyber security awareness toolkit. This toolkit is free and aims to help NHS trusts and health care organisations to easily adopt new and safer ways of working.
New Information Standard aims to reduce medication errors and improve patient safety A new Information Standard has been published by NHS Digital to support improved medication and allergy/intolerance information sharing across healthcare services in England.
Challenges in implementing digital change Digital change, on which the government estimates it spends around £20 billion each year, offers a real opportunity for the government to transform its ways of working and how it provides services to citizens. However, the PAC is concerned by the number of complex, large-scale digital programmes it continues to see fail and the impact this has on important government services and taxpayers’ money. For example, failures in NHS England’s efforts to transform primary care services potentially put patients at risk of serious harm.
Fit for the future: what can the NHS learn about digital health care from other European countries? This report explores what approaches other countries have taken to advance and promote digital health care since the pandemic and asks what implications these methods have on NHS digital health policy.
G7 Health Track: digital health final reports These reports from the G7 working groups on artificial intelligence (AI) governance and interoperability set out how the G7 are implementing their commitments on digital health.
News
Practitioner Performance Advice launches a range of digital resources.
Major reforms to NHS workforce planning and tech agenda Recruitment, training and retention of NHS staff and digital transformation will be put at the heart of the NHS in England, under new reforms announced by the Secretary of State for Health and Social Care. The plans will aim to see more patients benefit from the best possible care, with the right staff in place to meet patients' needs. The changes will better support the recovery of NHS services, address waiting list backlogs, and support hardworking staff, all while driving forwards an ambitious agenda of digital transformation and progress.
If you wish to discuss any queries you may have around Digital Health please contact Daniel Morris.
Employment/HR
Publications/guidance
The state of medical education and practice in the UK 2021 This is an annual report on the realities and challenges faced by medical professionals in the United Kingdom’s healthcare systems. This year’s report looks at how the coronavirus (Covid-19) pandemic and the recovery have affected doctors’ work and training. It also highlights learnings that the UK health services can use to support doctors and patients.
Resources: digital weight management programme for NHS staff.
Offering virtual learning for mental health student nurses and occupational health students Devon Partnership NHS Trust is a mental health and learning disability trust serving a population of nearly 1 million people, spread over a large geographical area. There are approximately 3,700 staff who support almost 900 people a day. In May 2021, the trust piloted a one and a half day remote virtual learning event for students to enhance their placement experience.
Bevan Brittan Updates
FAQs: Mandatory vaccination for health and social care workers as at 17 January, 2022.
Bevan Brittan Events
How we can help
We can offer support and advice on managing many workforce issues including flexing your workforce to respond to the pandemic, managing bank staff, redeployment, vulnerable groups, sick pay, leave options, supporting staff well-being, presenteeism, remote and home working, through FAQs, helpline or policy guidance and practical day to day advice.
If you wish to discuss any employment issues generally please contact Jodie Sinclair, Alastair Currie or James Gutteridge.
Finance
Publications/Guidance
Public spending during the Covid-19 pandemic This briefing looks at the very high level of UK public spending on tackling the Covid-19 pandemic, including how the money was spent and where it came from.
NHS charges. This briefing paper sets out the provisions for various NHS charges, which groups are exempt, and explains where charges vary in the devolved nations.
If you wish to discuss any queries you may have around finance please contact Claire Bentley.
Health Inequalities
Publications/Guidance
Supporting named leads for health inequalities on NHS boards This report, commissioned from The King’s Fund, sets out recommendations to help ensure senior NHS officials responsible for improving health inequalities are able to make a difference. It outlines practical recommendations and next steps to ensure named leads on boards are equipped to make a difference on health inequality outcomes and held to account with system partners on progress.
Clarifying what we mean by health inequalities for young people This paper seeks to offer a definition for health inequalities that is specific to young people and a conceptual framework to help identify key causes and levers that influence health outcomes. In highlighting the levers through which the ‘social determinants’ of health are translated into divergent health outcomes, this paper hopes to highlight opportunities for guidance and resources to improve young people’s health. This work contributes to AYPH's wider Health Inequalities Policy Programme, which is part of The Health Foundation’s Young people’s future health inquiry.
Inequality and the Covid crisis in the United Kingdom This report reviews the effects on the Covid-19 pandemic on inequalities in education, the labour market, household living standards, mental health and wealth in the UK. Its findings include that mental health worsened for groups who had poorer mental health before the pandemic (women and younger adults).
Child of the North: building a fairer future after Covid-19 This report paints a stark picture of inequality for children growing up in the north of England post-pandemic compared with those in the rest of the country. It looks at a wide range of factors, from child poverty to children in care, to build up a picture of ‘The Child of the North’. It sets out 18 clear recommendations that can be put in place to tackle the widening gap between the north and the rest of England.
If you wish to discuss any queries you may have around health inequalities please contact Claire Bentley.
Mental Health
Publications/guidance
Restraint, segregation and seclusion review: progress report. This short report comments on the progress following publication of Out of sight – who cares? in October 2020, which looked at the use of restraint, seclusion and segregation in care services for people with a mental health condition, a learning disability or autism. This report highlights the main areas where further work is still needed.
Community mental health survey 2021 People were eligible to take part in the survey if they had at least one contact with services between September and November 2020, with another contact either before, during or after this period. In addition, some questions ask participants to reflect on their care over the past 12 months. Therefore, results of this survey reflect experiences of care throughout the Covid-19 pandemic. This report shows that people are consistently reporting poor experiences of NHS community mental health services, with few positive results. Many people reported that their mental health had deteriorated as a result of changes made to their care and treatment due to the pandemic.
Mental health statistics: prevalence, services and funding in England How common are mental health problems? How long do people wait to access NHS therapy for depression and anxiety? Do statistics show that mental health services work for everyone? How much is spent on mental health services?
Children and young people’s mental health In this report the Health and Social Care Committee calls for urgent action to prevent mental health services slipping backwards as a result of additional demand created by the pandemic and the scale of unmet need prior to it.
Mental Health Units (Use of Force) Act 2018. Guidance for NHS hospitals and independent hospitals (providing NHS-funded care) in England about how to comply with the requirements of the act.
The Health and Social Care Committee’s Expert Panel : evaluation of the government’s progress against its policy commitments in the area of mental health services in England This report evaluates government progress to deliver commitments on a wider range of mental health services in England. Its overall rating against progress on nine commitments in four policy areas is ‘requires improvement’. The areas evaluated are: workforce; children and young people’s mental health; adult common mental illness; and adult severe mental illness.
Consultations
Self harm: assessment, management and preventing recurrence. A National Institute for Health and Care Excellence (NICE) consultation on its draft assessment, management and preventing recurrence of self-harm guideline seeks views on proposed recommendations for people working in settings from primary care to psychiatry. The guide is aimed at health and social care practitioners, commissioners and providers, third sector organisations, the criminal justice system, and those using self-harm services, their families and carers. Comments by 17.00 on 1 March 2022.
Cases
Cambridge University Hospitals NHS Foundation Trust v AH [2021] EWCOP 64. Application by Trust seeking a declaration that it is no longer in AH's best interests to receive ventilatory support and treatment. A previous judgment in this case had been set aside by the Court of Appeal for procedural reasons.
MM v City Council.[2021] EWCOP 62 Judgment explaining final order in long-running proceedings concerning residence and restrictions of a young man with a personality disorder, drug and alcohol issues.
Royal Borough of Greenwich v IOSK & Ors [2021] EWCOP 65 Application concerning the best interests of a 17 year-old with autism, severe learning disability and asthma and whether he should be vaccinated against covid-19.
News/Articles
LPS implementation delayed The planned implementation of liberty protection safeguards has been delayed from April 2022 and no new proposed implementation date has been set. The news was announced in a letter sent on 16 December 2021 from the team at the DHSC.
How we can help
We are experts in advising commissioners, providers and care co-ordinators on the relevant legal frameworks. We deal with complex issues such as deprivation of liberty, state involvement, use of CCTV monitoring, seclusion, physical restraint and covert medication. We can help providers with queries about admission and detention, consent to treatment, forensic service users, transfers, leave, discharge planning and hearings. We can advise commissioners on all matters concerning commissioning responsibility, liability and disputes. For more information click here
If you wish to discuss any mental health issues facing your organisation please contact Simon Lindsay, Hannah Taylor,or Stuart Marchant.
Primary Care
Publications/guidance
GP Contract This page sets out guidance and links to further resources to support implementation of changes to General Medical Services (GMS) contractual arrangements that will apply in England in 2021/22.
Telephone survey two: PCNs and Covid-19 The purpose of the telephone survey was to try to understand the role primary care networks (PCNs) had played in response to the Covid-19 pandemic, focusing on whether the pandemic had influenced and shaped the development and operation of PCNs and whether PCNs had worked collectively or as individual practices in their Covid-19 response. This short report comprises data collected between August and December 2020. Data is from 18 qualitative telephone interviews with clinical commissioning group staff from across England.
Challenges in implementing digital change Digital change, on which the government estimates it spends around £20 billion each year, offers a real opportunity for the government to transform its ways of working and how it provides services to citizens. However, the PAC is concerned by the number of complex, large-scale digital programmes it continues to see fail and the impact this has on important government services and taxpayers’ money. For example, failures in NHS England’s efforts to transform primary care services potentially put patients at risk of serious harm.
Bevan Brittan Videos
Bevan Brittan has collaborated with NHS Resolution to produce a series of videos outlining key areas in general practice that frequently give rise to claims. Members of our clinical negligence team draw on their wealth of experience in dealing with claims to highlight the common areas of risk, provide guidance on how to mitigate or avoid these issues, and what steps to take if a complaint or a claim is received. The first five videos in this series are available to watch now. See below:-
Consent - Daniel Morris
Medical record keeping - Ben Lambert
Administrative errors - Susan Trigg
What to do if you receive a complaint or claim - Joanne Easterbrook
Common pitfalls - Helen Carrington
Other useful resources from NHS Resolution for primary care are set out below:-
1. General Practice Indemnity schemes
2. Understanding the Clinical Negligence Scheme for General Practice
3. Handling claims under the Clinical Negligence Scheme for General Practice
4. Covid-19 guidance for general practice
How we can help
We can offer support and advice on managing contractual and operational issues affecting the delivery of primary care services, including emerging legislative changes, updated guidance and policy arrangements, workforce issues and any transactional – related matters relating to vertical integrations, STPs, PCNs, etc. For more information click here.
If you wish to discuss any issues in primary care then please contact Joanne Easterbrook, Susan Trigg, Vincent Buscemi or Ben Lambert.
Public Health
Publications/Guidance
Climate change is a public health emergency Recognising the significance of the climate crisis and the role the NHS has to play in contributing to the United Kingdom's efforts to reduce carbon emissions, this publication draws on survey results and a series of conversations with trust leaders and national policy-makers to explore the barriers and enablers to change for trust boards, and to share good practice.
Digital marketing of alcohol: challenges and policy options for better health in the WHO European Region The report argues that the wide use of smartphones and tablets means that young people and others are increasingly exposed to alcohol marketing in all of their social spaces. It calls for wide-reaching policy to protect public health by banning the marketing of alcohol from digital spaces.
Bridging the gap: protecting the nation from public health threats This report examines the United Kingdom’s policies and approach to health protection, including the availability of the specialist resources, knowledge and skills needed to tackle the many diverse and challenging public health threats.
Making sense of population health: a clinician's perspective What role can clinicians play in improving population health? Here Johnson Neo considers how applying a framework can help make sense of the factors that can impact on their patients' health.
If you wish to discuss any queries you may have around public health please contact Claire Bentley.
Regulation
Publications/Guidance
Regulation and use of confidential patient information for genomic and medical research during and post Covid-19 At the start of the Covid-19 pandemic the government in England introduced measures to enable the use of confidential patient information for Covid-19 purposes without consent or another form of approval that would normally be required. These measures, the ‘COPI notices’, set aside the common law duty of confidentiality for a range of purposes, including research into the disease and its impact on health and care. This report considers how these regulatory changes to the governance of confidential patient information have impacted genomic and medical research, and whether these changes should be integrated into the regulatory framework in the longer term.
New guidance and resources have been published to help organisations who provide CQC regulated NHS services to meet their regulatory requirements on vaccination as a condition of deployment (VCOD).
Consultations
Healthcare regulation: deciding when statutory regulation is appropriate This consultation is seeking views on the criteria used to make decisions on which health and social care professions should be regulated. It considers how the powers to introduce and remove professions from regulation might be used in the future. The consultation closes on 31 March 2022.
If you wish to discuss any queries you may have around regulation please contact Stuart Marchant.
Social Care
Publications/Guidance
Health and care visa scheme expands to include social care. The UK Government has announced a number of key changes to the existing Health and Care Visa Scheme, due to come into force in early 2022. They will mean that for 12 months, care assistants, care workers, carers, home care assistants, home carers and support workers in nursing homes will be eligible to apply for the Health and Care Visa and be added to the Shortage Occupation List. A series of engagement activities are planned for January and February to help employers and providers in taking advantage of the offer.
People at the heart of care: adult social care reform White Paper This White Paper sets out a 10-year vision for adult social care and provides information on funded proposals that will be implemented over the next three years. In September 2021, the Prime Minister announced £5.4 billion for adult social care reform over the next three years. At the Autumn Spending Review 2021, it was confirmed that £1.7 billion of this funding would be for major improvements across the adult social care system. This White Paper sets out how some of this money will be spent to begin to transform the adult social care system in England, such as new investments in: housing and home adaptations; technology and digitisation; workforce training and wellbeing support; support for unpaid carers, and improved information and advice; and innovation and improvement.
Integrating health and social care: a comparison of policy and progress across the four countries of the UK The integration of health and social care has been a long-standing policy priority in each country of the UK. However, there is limited evidence these policies are delivering the results expected of them. This report looks at the impact of integration across the four countries and compares the policies and approaches each one has trialed to deliver their goals.
Rising from the Covid-19 crisis: policy responses in the long-term care sector Covid 19 hit the long-term care sector hard. This briefing looks at mortality rates in care homes, as well as the policy responses undertaken during the pandemic. It assesses the emergency preparedness of the sector and highlights the lessons learnt, including policies to reduce isolation, testing strategies, care workforce and co ordination with the health care sector.
News
Offer of free PPE to adult social care providers extended. Free personal protective equipment (PPE) will be offered to frontline health and social care staff in England for another year.
Staffing at UK care homes 30% less than needed, survey finds Care homes are missing a third of the staff they need and more than one in four have closed their doors to new admissions in a deepening labour crisis that is “putting safety and dignity at risk”.
Bevan Brittan Updates
Care workers added to the shortage occupation list
How we can help
For ways in which we can help with Social Care issues click here.
If you wish to discuss any queries you may have around social care please contact Siwan Griffiths.
General
Publications/Guidance
Briefing on the Health and Care Bill: House of Lords Committee stage This briefing focuses on Parts 1 and 6 of the Bill, which deal with the NHS and its relationship to other parts of the system, including the powers of the Secretary of State, plus changes to the cap on social care costs.
Framework agreement between DHSC and HFEA Describes the working relationship between the Department of Health and Social Care (DHSC) and the Human Fertilisation and Embryology Authority (HFEA)
Briefing on the Health and Care Bill: House of Lords Committee stage This briefing focuses on Parts 1 and 6 of the Bill, which deal with the NHS and its relationship to other parts of the system, including the powers of the Secretary of State, plus changes to the cap on social care costs.
2022/23 priorities and operational planning guidance NHS England have published their priority guidance for the upcoming year. Among a range of topics included, they outline their priorities for digital technology and how it can be used to help the NHS increase the number of people it diagnoses, treats and cares for “in a timely way”.
Clearing the backlog caused by the pandemic As part of the report looking into the backlog created by the Covid-19 pandemic, the Government have been urged by the The Health and Social Care Committee “to make further progress on the digitalisation of NHS and care services. This comes after it was revealed that roughly a fifth of NHS trusts are still mostly paper based.
Going it alone: health and Brexit in the UK This report looks at six key areas that are being impacted after leaving the Single Market and Customs Union and outlines what NHS, government and business figures expect for the future.
Frequently asked questions: Demonstrating Covid-19 and vaccination status. In this briefing, the HC library set out responses to FAQs about demonstrating Covid status (otherwise called Covid status certification or vaccine passports) and use of the NHS Covid Pass in England.
Misconduct in public office: why did so many thousands die unnecessarily? A panel of four, chaired by Michael Mansfield QC, heard evidence from more than 40 witnesses including bereaved families, frontline NHS and key workers, national and international experts, trade union and council leaders, and representatives from disabled people’s and pensioners’ organisations. This report summarises the concerns raised, including NHS preparedness, government response, the impact on various population groups, the impact on frontline staff, inequalities and discrimination, and more.
Integration and Innovation in Action Addressing the biggest challenges facing health and care through integrated approaches and partnership working.
Video consulting with your NHS: guides for patients, staff and trusts These illustrated resources will support NHS providers to implement and embed video consultations.
Consultations
Draft NHS Standard Contract 2022/23: a consultation - proposed changes to the NHS Standard Contract for 2022/23 The NHS Standard Contract is published by NHS England for use by NHS commissioners to contract for all health care services other than primary care services. This consultation document describes the main, material changes being proposed to the NHS Standard Contract. The closing date for comments is 28 January 2022.
Bevan Brittan Updates
The Covid -19 inquiry is coming - what does this mean for local authorities?
If you would like to sign up for any of our Bevan Brittan publications click here.
If you wish to discuss any queries around this general topic please contact Claire Bentley.
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