Tag: Lord Hunt of Kings Heath

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-12-21.

To ask Her Majesty’s Government, in the light of the level of mark-ups on dermatology specials, what consideration they have given to reforming the process by which English NHS tariff prices are set.

Lord Prior of Brampton

The Drug Tariff sets out what National Health Service dispensing contractors will be paid for the products supplied as part of providing pharmaceutical services and the fees for providing those services in primary care.

The current arrangements in the Drug Tariff for paying for specials, including dermatological specials, were introduced in 2011. It is recognised that there can be variations in the price of some specials, which is why we are considering further possible improvements in the arrangements that govern the price the NHS pays. These include expanding the number of products covered by these arrangements and improving the data used to set the prices.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-01-18.

To ask Her Majesty’s Government why the requirement laid down by the NHS Commissioning Board for Commissioning Support Units to become autonomous by the end of 2016 is to be removed.

Lord Prior of Brampton

No decision has been made. The proposed change was at the request of Clinical Support Units’ (CSU) Managing Directors – to give greaterflexibility to apply to become autonomous when they are ready, rather than having to work to a fixed timetable. A decision will be taken once NHS England’sCommissioning Committee has met.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-01-25.

To ask Her Majesty’s Government how many (1) teachers, and (2) Personal, Health and Social Education teachers, currently practising in schools in England, have qualified teacher status.

Lord Nash

The latest statistics show that 96 per cent of the headcount of teachers in service in state funded schools in England (as at November 2014) have qualified teacher status.

Information on the number of teachers teaching Personal, Health and Social Education (PSHE) is only collected for secondary schools in England. Of the estimated 31,000 teachers recorded as teaching PSHE, 96 per cent were recorded as having qualified teacher status.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-02-09.

To ask Her Majesty’s Government how NHS England are ensuring that there is no conflict in how Bain and Company supports both vanguards in their application for funds, and NHS England in deciding how to allocate funds.

Lord Prior of Brampton

The Healthcare Financial Management Association (HFMA) commissioned Bain and Company to support vanguards as an extension to work previously commissioned from the company as part of a programme called Future Focused Finance, an initiative sponsored by the Department of Health and arm’s length bodies. This earlier work for the HFMA had focused on the design of a value-based decision effectiveness tool, piloted in Mid-Cheshire and Liverpool. The HFMA, in partnership with NHS England, commissioned the extension to this work so that the tool could be used to support value-based decision-making in the 2016-17 New Care Models programme.

Alternatives were not sought from competitors because the vanguard support built on the original Bain and Company work for the HFMA.

The value of the vanguard support contract is £650,000. Value for money was obtained by negotiation, having been benchmarked with other commissions made by the National Health Service to external health consultancies.

As part of the contract, Bain and Company will be handing over its approach to NHS England, so that NHS England can support other areas in implementing new care models.

Bain and Company has not been commissioned to assess evidence to support transformation and potential for replication of new care models in other areas. The company is commissioned to develop and implement a framework that appropriately experienced NHS staff can use to assess such evidence. Intellectual property rights in respect of the framework in the future are assigned to HFMA under the terms of the contract. The NHS is entitled to use the framework free of charge in perpetuity.

Bain and Company is involved in the development of the tool used to make the assessment, and in the implementation of the process to use that tool. The company is specifically commissioned to help vanguard sites to use the tool and to summarise the resulting value propositions to facilitate decision-making by NHS England.

No conflict of interest arises as decisions concerning funding allocations for individual vanguards are made by NHS England’s Executive Team and Investment Committee and not Bain and Company.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-02-22.

To ask Her Majesty’s Government under what legal power the Secretary of State for Health is able to impose junior doctors’ contracts on NHS Foundation Trusts.

Lord Prior of Brampton

The Secretary of State is not imposing the junior doctors’ contract on National Health Service foundation trusts which are free to determine the terms and conditions, including pay, for the staff they employ. Most choose to use national contracts. Senior NHS leaders have advised that the new contract, 90% of which was agreed with the British Medical Association, will be fair and reasonable for doctors in training and for the service and will be safer for patients. Health Education England has made clear that a single national approach is essential to safeguard the organisation and delivery of postgraduate medical training. NHS Improvement has stated that it will support trusts to ensure the new national contract is implemented consistently.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-03-07.

To ask Her Majesty’s Government what assessment they have made of the current availability of school places.

Lord Nash

Local authorities are rising to the challenge of creating new school places where they are needed – 445,000 new places were added between 2010 and 2014, with many more delivered since then. This was supported by £5 billion of funding allocated to local authorities to create new places between 2011 and 2015.

Supporting local authorities in their responsibility to ensure sufficient school places in their area remains one of this Government’s top priorities. That is why we have committed to investing £23 billion in school buildings between now and 2021 to create a further 600,000 new places, open 500 new schools and address essential maintenance needs.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-03-21.

To ask Her Majesty’s Government what assessment they have made of the accuracy of official figures of the number of patients waiting for treatment for more than a year.

Lord Prior of Brampton

Consultant-led referral to treatment waiting time statistics are designated as National Statistics. This means that the statistics are produced according to sound methods, and are managed impartially and objectively in the public interest.

From time to time, for example when there are serious problems with patient administration systems, National Health Service trusts do need to temporarily suspend submissions of data for inclusion in the publication of National Statistics for reasons of data quality and completeness. Nine acute trusts did not submit data on referral to treatment waiting times for January 2016. For this reason, the published data on the number of patients waiting more than a year to start consultant-led treatment for non-urgent conditions may be understated. NHS Improvement is working intensively with these trusts so that they can begin submitting data again as quickly as possible.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-04-13.

To ask Her Majesty’s Government whether they will list by name and contract value the contracts that are currently being reviewed in the light of the review by David Stout into the causes of the termination of the Uniting Care Partnership contract.

Lord Prior of Brampton

This is a matter for NHS England. The Department understands that information on other contracts is in the process of being collated.

NHS England advises that it will need to review this before making decisions about sharing any of this information.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-04-18.

To ask Her Majesty’s Government what plans they have to develop a national strategy for eye care.

Lord Prior of Brampton

Given the size of England, and the diversity of the health needs of different communities, we believe commissioning needs to be owned and managed locally.

Therefore, there are no plans to develop a national strategy for eye care.

Clinical commissioning groups (CCGs) are responsible for commissioning hospital eye services and for holding their providers to account in terms of contract performance. CCGs are also able to commission eye care services from community optometrists where they judge them to be needed in their areas over and above the sight tests commissioned by NHS England. Such services could include post cataract surgery reviews, glaucoma monitoring and low vision services which may reduce pressure on hospital eye departments, reduce waiting times and make patient care pathways more accessible in the community.

There is scope for further work to be done by community optometrists and the Clinical Council for eye health commissioning is working with commissioners to develop commissioning guidelines in this area.

CCGs have the ability to develop alternatives to hospital care. We would expect patients who require further planned stages of treatment in line with their agreed care plan, to receive this treatment without undue delay and in line with when it is clinically appropriate.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2016-05-04.

To ask Her Majesty’s Government how the governance arrangements put in place to oversee the development of Sustainability and Transformation Plans will ensure appropriate accountability to Parliament for decisions made.

Lord Prior of Brampton

The development of Sustainability and Transformation Plans does not alter the existing statutory responsibilities of clinical commissioning groups, local authorities and NHS arms length bodies. Sustainability and Transformation Plans are designed to enable local health and care leaders to work together more collaboratively to help each other meet their statutory responsibilities more effectively and efficiently. They do not alter existing arrangements for accountability.