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  • John Glen – 2014 Parliamentary Question to the Department of Health

    John Glen – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by John Glen on 2014-06-27.

    To ask the Secretary of State for Health, if he will make it his policy that there should be equality of access to treatment for patients in England with specialised conditions.

    Jane Ellison

    Since April 2013, NHS England has been responsible for the commissioning of services that have been identified as specialised. NHS England’s role is to ensure that the National Health Service delivers better outcomes for patients requiring these specialised services in a consistent manner across the country.

    NHS England is committed to commissioning and planning a healthcare system that seeks to reduce health inequalities. In line with the UK Strategy for Rare Diseases, NHS England promotes equity of access to allow everyone with a rare disease to follow a clear, well defined care pathway, in order to achieve high quality services for every individual through integrated personal care plans. The aim is to ensure no one gets left behind just because they have a rare disease.

    NHS England has advised that the review of specialised services commissioning was initiated at the start of May and will run for an initial period of three months. Dr Paul Watson, Regional Director for the Midlands and East Region, is leading the specialised commissioning taskforce. National discussions took place at the end of April and the taskforce was established in April 2014 in order to make some immediate improvements to the way in which NHS England commissions specialised services, and to put commissioning arrangements on a stronger footing for the longer-term. This taskforce comprises of seven distinct work streams, which will focus on financial control in 2014-15, and planning for the 2015-16 commissioning round. The seven work streams each have a distinct portfolio of work, some of which is short-term, and some of which includes looking to the future and the development of a sustainable and effective model of specialised commissioning.

    Around 50 additional individuals, from different disciplines, have been drawn from across NHS England, coming together to support intensive, focussed attention in a number of these work streams.

    There are aspects of the work which will require engagement with clinical commissioning groups (CCGs). In consultation with the Commissioning Assembly, a specific working group has been established to enable the joint discussions with CCGs to take place. The first meeting of this group was on 4 July.

    NHS England advise that there are currently no plans to consult on the outcome of the work of the taskforce.

  • John Glen – 2014 Parliamentary Question to the Department of Health

    John Glen – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by John Glen on 2014-06-27.

    To ask the Secretary of State for Health, when he expects NHS England’s review of specialised services commissioning to conclude; who is leading the review; what (a) NHS England employees and (b) other interested parties are participating in the review; and if he will make a statement.

    Jane Ellison

    Since April 2013, NHS England has been responsible for the commissioning of services that have been identified as specialised. NHS England’s role is to ensure that the National Health Service delivers better outcomes for patients requiring these specialised services in a consistent manner across the country.

    NHS England is committed to commissioning and planning a healthcare system that seeks to reduce health inequalities. In line with the UK Strategy for Rare Diseases, NHS England promotes equity of access to allow everyone with a rare disease to follow a clear, well defined care pathway, in order to achieve high quality services for every individual through integrated personal care plans. The aim is to ensure no one gets left behind just because they have a rare disease.

    NHS England has advised that the review of specialised services commissioning was initiated at the start of May and will run for an initial period of three months. Dr Paul Watson, Regional Director for the Midlands and East Region, is leading the specialised commissioning taskforce. National discussions took place at the end of April and the taskforce was established in April 2014 in order to make some immediate improvements to the way in which NHS England commissions specialised services, and to put commissioning arrangements on a stronger footing for the longer-term. This taskforce comprises of seven distinct work streams, which will focus on financial control in 2014-15, and planning for the 2015-16 commissioning round. The seven work streams each have a distinct portfolio of work, some of which is short-term, and some of which includes looking to the future and the development of a sustainable and effective model of specialised commissioning.

    Around 50 additional individuals, from different disciplines, have been drawn from across NHS England, coming together to support intensive, focussed attention in a number of these work streams.

    There are aspects of the work which will require engagement with clinical commissioning groups (CCGs). In consultation with the Commissioning Assembly, a specific working group has been established to enable the joint discussions with CCGs to take place. The first meeting of this group was on 4 July.

    NHS England advise that there are currently no plans to consult on the outcome of the work of the taskforce.

  • John Glen – 2014 Parliamentary Question to the Department of Health

    John Glen – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by John Glen on 2014-06-27.

    To ask the Secretary of State for Health, what services currently commissioned by NHS England will be commissioned by clinical commissioning groups following the implementation of the recommendations in Prescribed Specialised Services Commissioning Intentions 2014-15 and 2015-16.

    Jane Ellison

    NHS England has advised that there have been no changes to the scope of specialised services directly commissioned by NHS England in 2014/15, in order to provide a period of stability following the major changes in 2013/14. There has therefore, been no transfer of resources to clinical commissioning groups (CCGs) in 2014/15, for any changes in commissioning responsibility.

    The Manual for Prescribed Specialised Services 2013/14 describes the prescribed specialised services and sets out which elements of services are commissioned directly by NHS England, and which elements are commissioned by CCGs.

    The Prescribed Specialised Services Commissioning Intentions 2014-15 and 2015-16 document sets out the firm plans for 2014/15 and the direction for 2015/16. There will be a new set of commissioning intentions for 2015/16 to take account of the new environment and to firm up the plans for next year.

    The development of the commissioning intentions for 2015/16 is included in the work of the specialised commissioning taskforce and will be progressed over the next few months ready for publication in the autumn. The taskforce work streams also include actions relating to the future portfolio of services to be commissioned by NHS England and CCGs, and possible future commissioning models. This work will be further progressed over the summer and will inform the 2015/16 commissioning intentions.

    NHS England advise that it is yet to be determined whether or not there will be changes to the scope of specialised services directly commissioned by NHS England in 2015/16 or whether any additional resources will be transferred between NHS England and CCGs.

  • Clive Betts – 2014 Parliamentary Question to the Department of Health

    Clive Betts – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Clive Betts on 2014-06-27.

    To ask the Secretary of State for Health, with reference to the Care Act 2014 and the care and support statutory guidance, whether self-funders and those with personalised care budgets are under an obligation to show that they are paying social care firms enough to pay their staff at least the minimum wage, including remuneration for travel time between appointments.

    Norman Lamb

    Self-funders and people with personal budgets whose care is arranged by their local authority have no obligations under the provisions of the Care Act 2014, draft statutory Care Act guidance or draft regulations on the Care Act, to show that they pay social care providers enough to pay their staff at least the minimum wage, including remuneration for travel time between appointments. Social care providers must fulfil their legal obligations as employers which include ensuring that staff salaries conform to the national minimum wage.

    If a person chooses to request their personal budget as a direct payment to purchase their own care and support, the draft Care Act guidance details what the local authority should do as part of its general monitoring of the direct payment to ensure that the person fulfils their legal obligations as an employer. This includes ensuring that the person is registered as an employer with Her Majesty’s Revenue and Customs and is making the appropriate contributions for PAYE and income tax, and that payments conform to the national minimum wage. Where it is apparent that these obligations are not being met, the local authority should review the care plan and making of the direct payment to ascertain if alternate arrangements need to be made that result in the person no longer being an employer (para 12.46-12.49, p172-73).

    The draft guidance and regulations on the Care Act are currently open for public consultation. The Department is also undertaking a series of engagement events with social care stakeholders to gather feedback on the content of the guidance and regulations.

  • John Glen – 2014 Parliamentary Question to the Department of Health

    John Glen – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by John Glen on 2014-06-27.

    To ask the Secretary of State for Health, what resources will be transferred from NHS England to clinical commissioning groups following the implementation of the recommendations in Prescribed Specialised Services Commissioning Intentions 2014-15 and 2015-16.

    Jane Ellison

    NHS England has advised that there have been no changes to the scope of specialised services directly commissioned by NHS England in 2014/15, in order to provide a period of stability following the major changes in 2013/14. There has therefore, been no transfer of resources to clinical commissioning groups (CCGs) in 2014/15, for any changes in commissioning responsibility.

    The Manual for Prescribed Specialised Services 2013/14 describes the prescribed specialised services and sets out which elements of services are commissioned directly by NHS England, and which elements are commissioned by CCGs.

    The Prescribed Specialised Services Commissioning Intentions 2014-15 and 2015-16 document sets out the firm plans for 2014/15 and the direction for 2015/16. There will be a new set of commissioning intentions for 2015/16 to take account of the new environment and to firm up the plans for next year.

    The development of the commissioning intentions for 2015/16 is included in the work of the specialised commissioning taskforce and will be progressed over the next few months ready for publication in the autumn. The taskforce work streams also include actions relating to the future portfolio of services to be commissioned by NHS England and CCGs, and possible future commissioning models. This work will be further progressed over the summer and will inform the 2015/16 commissioning intentions.

    NHS England advise that it is yet to be determined whether or not there will be changes to the scope of specialised services directly commissioned by NHS England in 2015/16 or whether any additional resources will be transferred between NHS England and CCGs.

  • Clive Betts – 2014 Parliamentary Question to the Department of Health

    Clive Betts – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Clive Betts on 2014-06-27.

    To ask the Secretary of State for Health, with reference to the Care Act 2014 and the care and support statutory guidance, what guidance his Department gives to local authorities on the action they should take if they receive evidence that self-funders and those with personalised care budgets are not paying social care firms enough to pay their staff at least the minimum wage, including remuneration for travel time between appointments.

    Norman Lamb

    Self-funders and people with personal budgets whose care is arranged by their local authority have no obligations under the provisions of the Care Act 2014, draft statutory Care Act guidance or draft regulations on the Care Act, to show that they pay social care providers enough to pay their staff at least the minimum wage, including remuneration for travel time between appointments. Social care providers must fulfil their legal obligations as employers which include ensuring that staff salaries conform to the national minimum wage.

    If a person chooses to request their personal budget as a direct payment to purchase their own care and support, the draft Care Act guidance details what the local authority should do as part of its general monitoring of the direct payment to ensure that the person fulfils their legal obligations as an employer. This includes ensuring that the person is registered as an employer with Her Majesty’s Revenue and Customs and is making the appropriate contributions for PAYE and income tax, and that payments conform to the national minimum wage. Where it is apparent that these obligations are not being met, the local authority should review the care plan and making of the direct payment to ascertain if alternate arrangements need to be made that result in the person no longer being an employer (para 12.46-12.49, p172-73).

    The draft guidance and regulations on the Care Act are currently open for public consultation. The Department is also undertaking a series of engagement events with social care stakeholders to gather feedback on the content of the guidance and regulations.

  • Nic Dakin – 2014 Parliamentary Question to the Department of Health

    Nic Dakin – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Nic Dakin on 2014-06-27.

    To ask the Secretary of State for Health, if he will promote the roll-out of the values and behaviours of the six Cs beyond nursing, midwifery and care staff.

    Dr Daniel Poulter

    We recognise that the 6Cs – Care, Compassion, Competence, Communication, Courage and Commitment – the values and behaviours of the Compassion in Practice, Nursing, Midwifery and Care Staff, Our Vision and Strategy, published in December 21012, to deliver high quality companionate care and to achieve excellent health and wellbeing outcomes, are contributing to improved patient and staff experience and safety.

    Many trusts have signed up and rewritten their organisational strategy around the 6Cs and other health professionals have adopted the 6Cs into their practice across the National Health Service and social care.

    During the past 12, the number of Care Makers – who act as ambassadors for the 6Cs – has continued to flourish and there are currently more than 1,200 throughout England. Care Makers have expanded beyond nursing, midwifery and care family, to include other professions such as allied health professionals, doctors, chaplains and commissioners.

    To ensure that this significant cultural change is developed across all NHS and social care professions, NHS England is hosting an event (on 4 July), for senior leaders from the NHS and social care, clinical and non-clinical, in conjunction with the Clinical Leaders Network. Attendees include patient advocates, representatives from partners including the Hospital Caterers Association and clinical colleagues who have actively engaged with the 6Cs and are eager to promote their spread and uptake among other disciplines.

    The event aims to act as a springboard for individuals and organisations that are interested in listening to and sharing learning and good practice to engage their workforces to embed the values of the 6Cs across all professions and levels in healthcare practice.

  • Nic Dakin – 2014 Parliamentary Question to the Department of Health

    Nic Dakin – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Nic Dakin on 2014-06-27.

    To ask the Secretary of State for Health, what plans NHS England has to conduct the National Cancer Patient Experience survey in 2015.

    Jane Ellison

    NHS England now has responsibility for the Cancer Patient Experience Survey (CPES) and advises that it plans to continue the surveyin 2015.

    Although the sample for the CPES is drawn from those who have had treatment for cancer within a hospital, the questionnaire also asks many questions about the patient’s experience outside of hospital too. For example, the initial process around diagnosis, interactions with a cancer nurse specialist (which may be outside of a hospital setting), home care and support, community nurses and care from their general practitioner. From this, it is possible to learn what the experience of cancer patients has been both inside and outside of a hospital setting.

  • David Amess – 2014 Parliamentary Question to the Department of Health

    David Amess – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by David Amess on 2014-06-27.

    To ask the Secretary of State for Health, when he plans to respond to the letter sent to his Department by Jeena International on 27 May 2014 on the misrepresentation of its organisation in a Parliamentary debate on abortion; and if he will make a statement.

    Jane Ellison

    A reply to the letter of 27 May has now been sent to Jeena International.

  • Nic Dakin – 2014 Parliamentary Question to the Department of Health

    Nic Dakin – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Nic Dakin on 2014-06-27.

    To ask the Secretary of State for Health, what plans (a) his Department and (b) NHS England have to capture the experiences of cancer patients outside hospital settings.

    Jane Ellison

    NHS England now has responsibility for the Cancer Patient Experience Survey (CPES) and advises that it plans to continue the surveyin 2015.

    Although the sample for the CPES is drawn from those who have had treatment for cancer within a hospital, the questionnaire also asks many questions about the patient’s experience outside of hospital too. For example, the initial process around diagnosis, interactions with a cancer nurse specialist (which may be outside of a hospital setting), home care and support, community nurses and care from their general practitioner. From this, it is possible to learn what the experience of cancer patients has been both inside and outside of a hospital setting.