Clive Efford – 2016 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Clive Efford on 2016-09-02.

To ask the Secretary of State for Health, what representations he has received from local health practitioners in Greenwich on the musculoskeletal service in Greenwich; and if he will make a statement.

Mr Philip Dunne

The procurement of local health services by means of competitive tendering is a matter for the local National Health Service.

We are advised that NHS Greenwich Clinical Commissioning Group (CCG) undertook a review of the provision of musculoskeletal (MSK) services in the area in 2014, involving local general practitioners (GPs), secondary care clinicians, other MSK clinicians and patient groups. The CCG took account of this exercise in confirming its commissioning intentions for an integrated MSK service pathway. The CCG subsequently held a GP clinical commissioner-led provider engagement event on 2 March 2016 to seek feedback on the clinical service specification and the proposed contractual model.

We understand that, as part of the procurement process, the MSK Programme Board was fully apprised of the Our Healthier South East London initiative, the predecessor to the Sustainability and Transformation Plan (STP) in respect of elective orthopaedic centres.

We are advised that the Invitation to Tender (ITT) developed as part of the procurement exercise explicitly stated the aspirations of these two initiatives, in addition to the proposed implementation timeline. When submitting their bids, all prospective providers were required to confirm their understanding and acceptance of the planned new model of in-patient care. Patient choice continues to apply with regard to both this local procurement and the South East London STP proposals on elective care centres.

We understand that the ITT issued to potential service providers, was divided into sections, with each section allocated a weighting. The financial weighting was designed to ensure that the selection of the preferred provider was driven by clinical quality scores whilst remaining within the CCG’s published financial envelope. The detailed clinical service specification will be used to hold the provider to account within the format of the NHS national standard contract.

Health Ministers have not received any representations from local health practitioners in Greenwich with regard to the provision of MSK services in the area.