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77291
star this property registered interest false more like this
star this property date remove filter
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading NHS remove filter
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government what assessment they have made of the costs and benefits of the internal market in the National Health Service over the last 20 years. more like this
star this property tabling member printed
Baroness Manzoor more like this
star this property uin HL1025 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2014-07-21more like thismore than 2014-07-21
unstar this property answer text <p>Retaining the purchaser provider separation has been the policy of successive governments. In line with its predecessors, this Government considers it the most effective means of developing efficient high quality care while providing value for money for the public purse. More specifically, it created a means of managing the health service in which providers of care were accountable to the public through contracts which specified the quality of care, and its cost in a much more transparent way than had previously been the case. In doing so, it also drove improvement in both the quantity and quality of what the health service was providing.</p><p> </p><p>However, there are two distinct reasons why it has often been difficult to quantify the relative costs and benefits of the internal market. First, it is difficult to estimate the cost of what would have happened without it – in other words what would have been the case had such accountability not been in place. Second, there have been differing models for implementing the internal market over at least two decades (total purchasing pilots, general practitioner fundholding and practice-based commissioning).</p><p> </p><p>The impact assessment for the Health and Social Care Act 2012<sup>1</sup> looked at the broad cost and benefits of continuing a separate commissioning function as an advocate for patients and the taxpayer, separate from the more autonomous provider side.</p><p> </p><p><em>Notes:</em></p><p><sup>1</sup>www.gov.uk/government/uploads/system/uploads/attachment_data/file/215819/dh_129916.pdf</p>
unstar this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-07-21T11:22:38.4899837Zmore like thismore than 2014-07-21T11:22:38.4899837Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
4289
unstar this property label Biography information for Baroness Manzoor more like this
77292
star this property registered interest false more like this
star this property date remove filter
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading NHS remove filter
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government how many legal entities exist within the National Health Service which do not directly deal with patients. more like this
star this property tabling member printed
Baroness Manzoor more like this
star this property uin HL1026 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2014-07-22more like thismore than 2014-07-22
unstar this property answer text <p>The Department does not hold the precise information requested. However, the Department has published guidance, entitled <em>The Health and Care System Explained</em>, on organisations that are involved in the delivery of health services since the implementation of the Health and Social Care Act (2012). Based on that guidance, it is estimated that there are 16 national bodies and 224 local bodies that do not directly provide health services to patients within the system.</p><p> </p><p>By contrast, there are approximately 33,000 bodies in England that do provide NHS services directly to patients, including NHS trusts, NHS foundation trusts, general practices, dental practices, opticians and community pharmacies.</p> more like this
unstar this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-07-22T15:38:33.3016874Zmore like thismore than 2014-07-22T15:38:33.3016874Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
4289
unstar this property label Biography information for Baroness Manzoor more like this