Tag: Lord Hunt of Kings Heath

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-07-19.

To ask Her Majesty’s Government, in the light of the National Audit Office (NAO) investigation into the collapse of the Uniting Care Partnership Contract in Cambridge and Peterborough, whether they intend to hold to account (1) the Strategic Projects Team, (2) Monitor, and (3) NHS England, for the failings identified in the NAO’s report.

Lord Prior of Brampton

The Department welcomes the National Audit Office (NAO) report. Decisions about the Strategic Projects Team (SPT) are, however, for NHS England. Following an internal review and the NAO report, NHS England identified concerns about the work of the SPT. As a result, the SPT will close and all its ongoing commitments will be reviewed with a view to bringing them to a conclusion.

NHS Improvement advises that it also welcomes the NAO report and is working closely with NHS England and the Department to consider assurance processes for such complex transactions. NHS Improvement further advises that its focus since May has been liaison with the NAO on its report and joint consideration with NHS England of the assurance issues raised.

NHS England confirms that the NAO investigation supports the findings of its previously published independent review. Before the NAO investigation, NHS England had already commissioned a follow-up review focusing on the role of external advisors, the effectiveness of the Gateway review process, and the role of the clinical commissioning group leadership and governing body. This work continues and NHS England expects to publish findings later this summer.

More widely, NHS England has been undertaking assessments of current and planned novel contracts and is developing an assurance framework for contracts of this sort. This is being informed by the findings of the Uniting Care reviews.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-09-14.

To ask Her Majesty’s Government what assessment they have made of the handover time of patients from ambulances to hospital staff at the Royal Blackburn Hospital.

Baroness Chisholm of Owlpen

No such assessments have been made. The provision of accident and emergency (A&E) services at the Royal Blackburn Hospital is a matter for the local National Health Service. The NHS in East Lancashire has established an A&E delivery board to oversee system performance and the effective delivery of urgent and emergency care locally.

Ministers consult weekly with NHS Improvement and the Care Quality Commission about A&E performance.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-10-29.

To ask Her Majesty’s Government how many contracts between the National Health Service and the private sector have been subject to (1) contract query notes, (2) termination of contracts, and (3) financial sanctions, since the Health and Social Care Act 2012 came into force.

Lord Prior of Brampton

As part of the transformation of commercial and procurement functions, NHS England and the clinical commissioning groups will be developing a centralised view of the contract data as recommended in the Centre for Health and Public Interest independent body report. Information in accordance with that report will be available in the future.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-11-10.

To ask Her Majesty’s Government whether NHS Improvement will consider further applications from NHS trusts to become foundation trusts.

Lord Prior of Brampton

We will continue to discuss the role of foundation trusts (FTs) in the National Health Service with the leaders of NHS Improvement as the organisation moves to a more aligned approach to the regulation and oversight of FTs and NHS trusts.

The clinical and economic sustainability of all trusts is of paramount importance, and NHS Improvement will continue to support NHS providers to determine the most appropriate means of securing their long-term future.

The NHS Trust Development Authority is continuing to refer organisations to Monitor for FT authorisation decisions. No decisions have yet been made about how this activity will be undertaken by NHS Improvement from 1 April 2016.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-11-24.

To ask Her Majesty’s Government what assessment they have made of whether the current emphasis by NHS Choices on starchy foods such as potatoes, cereals, pasta, rice and bread products for people with diabetes, or who are pre-diabetic, is based on sufficiently rigorous evidence.

Lord Prior of Brampton

The Government takes a whole population approach to healthy eating, and therefore does not provide specific dietary advice to individuals with medical needs. It is recommended for anyone with a medical condition in search of dietary advice to consult their local general practitioner or a dietician.

In July 2015, the Scientific Advisory Committee on Nutrition (SACN) published its report on Carbohydrates and Health, a review of the latest evidence on dietary carbohydrates and health. This included a review of the evidence on incidence of type 2 diabetes as well as a number of pre-diabetic markers and carbohydrate consumption. SACN continue to recommend that total carbohydrate, which includes starchy foods, should provide approximately 50% total dietary energy. They also advised reducing sugar consumption, increasing fibre consumption and minimising consumption of sugars-sweetened drinks. A copy of the report is attached.

Following publication, advice on what constitutes a healthy balanced diet for the general population, including those with diabetes, was updated on the NHS Choices website reflecting SACN’s recommendations.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-12-08.

To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 19 November (HL3436), whether doctors registered as temporary and occasional under the revised Recognition of Professional Qualifications Directive will be subject to revalidation like other doctors licensed to practise medicine in the UK.

Lord Prior of Brampton

The General Medical Council (Licence to Practise and Revalidation) Regulations Order of Council 2012 provide for a registered medical practitioner visiting the United Kingdom from a relevant European state to be exempt from revalidation if providing medical services in the UK on a temporary and occasional basis, as defined in schedule 2A of the Medical Act 1983.

Doctors registered to work in the UK on a temporary or occasional basis are expected to meet UK national standards of fitness to practise. To join the General Medical Council (GMC) register on a temporary or occasional basis, a European Economic Area doctor must provide proof that they are legally established in their home member state and evidence of their professional qualification as part of a declaration. To remain practising in the UK, this declaration must be renewed annually. The GMC has the power to challenge the individual if they do not consider that they are providing services on a temporary and occasional basis.

Individual National Health Service organisations are responsible for ensuring that all their staff are fully qualified and have the necessary knowledge and skills to perform their role.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-12-22.

To ask Her Majesty’s Government what assessment they have made of the clinical and ethical justifications for setting the benchmark in the NHS Supply Chain generic project plans for a national formulary for wound care that 80 per cent of patients will be treated using clinically appropriate dressings.

Lord Prior of Brampton

The wide variety of choice in the current system is leading to duplication of wound care products. This can create more complexity for nurses and clinicians, making their clinical decisions more difficult and potentially leading to over specification and variation in standards of care. Of the 4,796 wound care products available through the NHS Supply Chain, 34% of lines have had no sales in the last 12 months.

Providing an agreed set of National Health Service requirements for wound care products will start to reduce this duplication, complexity and therefore potential risk, helping to improve patient outcomes through less variation in care.

This issue was also highlighted by 74% of respondents to a Royal College of Nursing survey run by Nursing Times (Dec 2014) seeing opportunities to reduce duplication on wound care products, (more than any other type of product).

The project is part of a wider piece of work the Department is working with the NHS Supply Chain on to deliver £300 million of savings by October 2018. Central to this is reducing the number of specifications and variations by category so the NHS can leverage its scale and deliver clinically appropriate solutions that represent ‘value for money’. Such approaches are common in other countries and help drive savings, improve clinical standards and protect front line nursing.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-01-11.

To ask Her Majesty’s Government whether they will publish in full the report and recommendations of the investigation commissioned by NHS England into the circumstances leading up to the termination of the contract between Cambridgeshire and Peterborough Clinical Commissioning Group and UnitingCare Partnership to deliver urgent care for the over-65s and adult community services.

Lord Prior of Brampton

NHS England advises that it has commissioned David Stout OBE to carry out an independent review of the contract between Cambridgeshire and Peterborough Clinical Commissioning Group and UnitingCare Partnership. The terms of reference are to establish, from a commissioner perspective, the key facts and root causes behind the termination of the contract in December 2015 and to draw out recommendations and lessons to be learned. This will include a review of documentation and discussion with staff members.

Relevant individuals will be contacted during the course of the review to inform the findings. NHS England is also setting up a web page which will include an email address where comments and responses can be submitted. This will enable the public to contribute.

The review is expected to start in January and to be completed in February 2016. NHS England plans to publish the review when complete.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-01-26.

To ask Her Majesty’s Government how many teachers have left the profession within five years of qualifying in each year since 2009.

Lord Nash

Of the full and part-time teachers who gained qualified teacher status in 2009 (and were in service by March 2010), 72% were still in service in a state funded school in England five years after qualification. The rate of retention five years after qualification has remained broadly stable since 1996.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-02-02.

To ask Her Majesty’s Government what assessment they have made of the costs to the NHS of providing treatment to students who cannot afford to pay for prescriptions and subsequently experience a deterioration in their health.

Lord Prior of Brampton

We have not made such an assessment.

Where a student has difficulty in paying for their prescriptions, they may be able to get help through the National Health Service low income scheme, which may provide exemption from the prescription charge, and help with other health costs, on the basis of a means-tested assessment. They may also be entitled through other exemptions (for example based on medical condition, maternity or though receipt of a qualifying benefit, for example, child tax credit), or, if they have to pay and need many prescription items, can purchase a Prescription Prepayment Certificate to minimise the cost.