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746124
registered interest false more like this
date less than 2017-06-28more like thismore than 2017-06-28
answering body
Department of Health more like this
answering dept id 17 remove filter
answering dept short name Health more like this
answering dept sort name Health remove filter
hansard heading Health Services: Dudley more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what his policy is on not allowing bids for Dudley's new multi-speciality community provider from particular countries or organisations; and if he will make a statement. more like this
tabling member constituency Dudley North more like this
tabling member printed
Ian Austin remove filter
uin 1586 more like this
answer
answer
is ministerial correction false more like this
date of answer remove filter
answer text <p>Dudley Clinical Commissioning Group (CCG) is solely responsible for carrying out the procurement, including the agreement of the award criteria, selection process and evaluation, and award of the contract.</p><p> </p><p>The commissioner can design the award criteria to reflect the service being contracted. The criteria for Dudley Multispecialty Community Provider (MCP) can be viewed in the comprehensive outcomes framework which is available on Dudley CCG’s website.</p><p> </p><p>CCGs must be compliant with the Public Contracts Regulations (PCR 2015). This includes running a procurement process that is equal and transparent, which means that commissioners cannot discriminate against, or in favour of, bidders on the grounds of geographic location. PCR 2015 also requires that contracts for clinical services with a lifetime cost over the £589,148 threshold must be advertised in the Official Journal of the European Union.</p><p> </p><p>It will be for bidding providers to determine the ownership model of that provider. Neither the advert nor the criteria should specify the organisational form of the body that will be awarded the contract, and the precise arrangements will not be known until bids have been received and reviewed. Local areas will need to work through the trade-offs between:</p><p> </p><p>- the degree of formal integration they want to achieve and the strength of governance and decision making required for implementation of the model; and</p><p>- their appetite for change and the pace at which they are able to proceed.</p><p> </p><p>Any holder of the MCP contract, regardless of organisational form, will be required in to be work closely with local stakeholders, including local general practitioners to deliver the care model.</p><p>In November 2016 NHS England and NHS Improvement published details of a new Integrated Support and Assurance Process (ISAP). The dual purpose of the ISAP is to guide the work of local commissioners and providers in creating successful and safe schemes, and to provide a means of assurance that this has happened. The ISAP process will test the ability of the provider to deliver the contract. The contract can only be awarded once all stages of the ISAP have been completed.</p><p> </p><p>Once awarded, the contract can only be disposed of to a third party with the approval of the CCG and they may require any replacing provider to provide a guarantee from its parent or another party as a condition of the approval.</p><p> </p>
answering member constituency Winchester more like this
answering member printed Steve Brine more like this
grouped question UIN
1568 more like this
1570 more like this
1587 more like this
1594 more like this
1608 more like this
1609 more like this
1707 more like this
question first answered
less than 2017-07-05T09:44:33.153Zmore like thismore than 2017-07-05T09:44:33.153Z
answering member
4067
label Biography information for Steve Brine more like this
tabling member
1511
label Biography information for Lord Austin of Dudley more like this
746263
registered interest false more like this
date less than 2017-06-28more like thismore than 2017-06-28
answering body
Department of Health more like this
answering dept id 17 remove filter
answering dept short name Health more like this
answering dept sort name Health remove filter
hansard heading Health Services: Dudley more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, for what reasons Dudley Clinical Commissioning Group has advertised the contract for the multi-speciality community provider abroad. more like this
tabling member constituency Dudley North more like this
tabling member printed
Ian Austin remove filter
uin 1587 more like this
answer
answer
is ministerial correction false more like this
date of answer remove filter
answer text <p>Dudley Clinical Commissioning Group (CCG) is solely responsible for carrying out the procurement, including the agreement of the award criteria, selection process and evaluation, and award of the contract.</p><p> </p><p>The commissioner can design the award criteria to reflect the service being contracted. The criteria for Dudley Multispecialty Community Provider (MCP) can be viewed in the comprehensive outcomes framework which is available on Dudley CCG’s website.</p><p> </p><p>CCGs must be compliant with the Public Contracts Regulations (PCR 2015). This includes running a procurement process that is equal and transparent, which means that commissioners cannot discriminate against, or in favour of, bidders on the grounds of geographic location. PCR 2015 also requires that contracts for clinical services with a lifetime cost over the £589,148 threshold must be advertised in the Official Journal of the European Union.</p><p> </p><p>It will be for bidding providers to determine the ownership model of that provider. Neither the advert nor the criteria should specify the organisational form of the body that will be awarded the contract, and the precise arrangements will not be known until bids have been received and reviewed. Local areas will need to work through the trade-offs between:</p><p> </p><p>- the degree of formal integration they want to achieve and the strength of governance and decision making required for implementation of the model; and</p><p>- their appetite for change and the pace at which they are able to proceed.</p><p> </p><p>Any holder of the MCP contract, regardless of organisational form, will be required in to be work closely with local stakeholders, including local general practitioners to deliver the care model.</p><p>In November 2016 NHS England and NHS Improvement published details of a new Integrated Support and Assurance Process (ISAP). The dual purpose of the ISAP is to guide the work of local commissioners and providers in creating successful and safe schemes, and to provide a means of assurance that this has happened. The ISAP process will test the ability of the provider to deliver the contract. The contract can only be awarded once all stages of the ISAP have been completed.</p><p> </p><p>Once awarded, the contract can only be disposed of to a third party with the approval of the CCG and they may require any replacing provider to provide a guarantee from its parent or another party as a condition of the approval.</p><p> </p>
answering member constituency Winchester more like this
answering member printed Steve Brine more like this
grouped question UIN
1568 more like this
1570 more like this
1586 more like this
1594 more like this
1608 more like this
1609 more like this
1707 more like this
question first answered
less than 2017-07-05T09:44:33.2Zmore like thismore than 2017-07-05T09:44:33.2Z
answering member
4067
label Biography information for Steve Brine more like this
tabling member
1511
label Biography information for Lord Austin of Dudley more like this
746264
registered interest false more like this
date less than 2017-06-28more like thismore than 2017-06-28
answering body
Department of Health more like this
answering dept id 17 remove filter
answering dept short name Health more like this
answering dept sort name Health remove filter
hansard heading Health Services: Dudley more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what estimate he has made of the potential costs to Dudley Clinical Commissioning Group of changes resulting from the establishment of the new multi-speciality community provider. more like this
tabling member constituency Dudley North more like this
tabling member printed
Ian Austin remove filter
uin 1588 more like this
answer
answer
is ministerial correction false more like this
date of answer remove filter
answer text <p>The Dudley team managing this contract consists of staff representing the disciplines of commissioning, procurement, contracting, finance and analytics. The team has sought appropriate external expert advice in relation to public health, law, governance, procurement and finance.</p><p> </p><p>In addition, the team is part of the intensive support programme provided by NHS England which was set up to support the commissioning of new care models and to design the new standard National Health Service contract for this purpose. This is a long-term contract designed to bring services together into one population-based arrangement that will focus on delivering long-term outcome improvements for the population that are sustainable. Dudley is using this new national contract.</p><p> </p><p>The capacity and capability of the team was tested during Checkpoint 1 of the NHS England/NHS Improvement Integrated Support and Assurance Process (ISAP) and green rated. The ISAP was established specifically to deal with complex and novel procurements of this nature. Their actions will be further tested at Checkpoints 2 and 3 of the ISAP in order to ensure that the process they have gone through is sound and that a sustainable contract is established.</p><p> </p><p>Dudley Clinical Commissioning Group (CCG) has made no specific estimate of the costs of changes resulting from the establishment of the new Multispecialty Community Provider. However Dudley CCG currently holds in excess of 170 contracts. This number will be reduced substantially with a consequential reduction in the associated transaction costs.</p><p> </p><p>As part of the commissioning process, we would expect commissioners (and providers where appropriate) to have forecast the Whole Population Budget (WPB) value for the duration of the contract. These forecast values should take account of expected future cost and activity pressures, for example anticipated changes in population size, demographics as well as inflation in health and care provision costs (as reflected in national planning assumptions). NHS England will be publishing documentation to support commissioners in forecasting WPB values for the duration of the contract. Dudley CCG has conducted its own financial modelling.</p><p> </p><p>Commissioners then need to assure themselves that these plans are balanced, affordable within commissioner allocation constraints, and result in a WPB that reinforces the sustainability of the wider local health and care system.</p><p> </p><p>The method used to develop budget projections should be transparently recorded, recognising that this information may need to be shared for future procurement activities and contract documentation.</p>
answering member constituency Winchester more like this
answering member printed Steve Brine more like this
grouped question UIN
1572 more like this
1574 more like this
1578 more like this
1581 more like this
question first answered
less than 2017-07-05T09:38:44.683Zmore like thismore than 2017-07-05T09:38:44.683Z
answering member
4067
label Biography information for Steve Brine more like this
tabling member
1511
label Biography information for Lord Austin of Dudley more like this
746265
registered interest false more like this
date less than 2017-06-28more like thismore than 2017-06-28
answering body
Department of Health more like this
answering dept id 17 remove filter
answering dept short name Health more like this
answering dept sort name Health remove filter
hansard heading Health Services: Dudley more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what information his Department holds on the number of meetings Dudley Clinical Commissioning Group held with trades unions on the proposed multi-speciality community provider; and what the response was from trades unions in those meetings. more like this
tabling member constituency Dudley North more like this
tabling member printed
Ian Austin remove filter
uin 1589 more like this
answer
answer
is ministerial correction false more like this
date of answer remove filter
answer text <p>The Department expects clinical commissioning groups (CCG) to assure themselves that they have satisfied their legal duties, including the need to consult local populations. In line with this, Dudley CCG undertook a full public consultation last summer to inform the development of the Multispecialty Community Provider (MCP) contract. NHS England has told us that the consultation exercise reached several thousand people (including staff) and received over 600 contributions.</p><p> </p><p>A report was commissioned from ICF Consulting Services on the consultation process and considered by Dudley CCG Board in September 2016. A copy of the report is available on the CCG’s website:</p><p><a href="http://www.dudleyccg.nhs.uk/mcpconsult" target="_blank">www.dudleyccg.nhs.uk/mcpconsult</a></p><p> </p><p>The local consultation followed a significant period of involvement with local people. In partnership with Healthwatch Dudley, Dudley CCG visited over 50 community groups. Dudley CCG have a patient representative on the Procurement Board, a group of representatives who have helped to shape the procurement questions and the CCG will continue to engage with them as they move through competitive dialogue.</p><p> </p><p>Dudley CCG has held regular staff briefings, with staff of all of the main organisations involved (including some staff representatives), over a period of several months. There is a further series of staff engagement events planned, with leaders across health and care giving presentations on what the MCP will mean.</p><p> </p><p>Further engagement has taken place with a range of local providers, including those outside Dudley which serve Dudley patients, and local voluntary sector bodies. All local providers, including the local hospital and mental health trust, are members of Partnership Board which has have developed the model of care for the MCP.</p><p> </p><p>The MCP Project Board reports on a monthly basis to Dudley CCG’s public Board meeting. Reports have been made to the Health and Wellbeing Board and the Overview and Scrutiny Committee. The issue features as a regular item at the CCG’s Healthcare Forum.</p><p> </p><p>Dudley CCG expects the MCP to operate in line with public service and National Health Service values. It will be expected to meet in public; be open and transparent; have effective means of securing patient and public involvement; and engage with the Council, the Health and Wellbeing Board and the Overview and Scrutiny Committee, as well as local communities and the voluntary sector.</p><p> </p><p>Before substantive service change can occur, we have been clear that there should be public consultation. NHS England has processes in place to ensure this. The Government has been clear that all significant service changes have to pass include an ability to demonstrate strong public and patient engagements.</p><p> </p><p>To date the Secretary of State for Health has received no representations from the Dudley Group of Hospitals on Dudley CCG’s contract for an MCP.</p><p> </p><p>The Government has set clear guidelines and tests to ensure that any significant reconfigurations have demonstrated strong public and patient engagements. Furthermore, those changes must be backed by a clear clinical evidence base and a credible plan to improve performance without affecting patient care. NHS England has processes in place to ensure this.</p>
answering member constituency Winchester more like this
answering member printed Steve Brine more like this
grouped question UIN
1566 more like this
1567 more like this
1583 more like this
1590 more like this
1610 more like this
1624 more like this
question first answered
less than 2017-07-05T10:01:27.787Zmore like thismore than 2017-07-05T10:01:27.787Z
answering member
4067
label Biography information for Steve Brine more like this
tabling member
1511
label Biography information for Lord Austin of Dudley more like this
746266
registered interest false more like this
date less than 2017-06-28more like thismore than 2017-06-28
answering body
Department of Health more like this
answering dept id 17 remove filter
answering dept short name Health more like this
answering dept sort name Health remove filter
hansard heading Health Services: Dudley more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, whether TUPE provisions will be maintained for all staff transferred to the multi-speciality community provider proposed by Dudley Clinical Commissioning Group. more like this
tabling member constituency Dudley North more like this
tabling member printed
Ian Austin remove filter
uin 1576 more like this
answer
answer
is ministerial correction false more like this
date of answer remove filter
answer text <p>As part of the consultation process, Dudley Clinical Commissioning Group (CCG) have held a series of events with professionals working for local health providers in order to ensure their perspectives on the Multispecialty Community Provider (MCP) were also captured. These included sessions with staff from Dudley and Walsall Mental Health Partnership NHS Trust, governors from the Dudley Group NHS Foundation Trust, and a group of local general practitioners. In addition, deep-dive events were also conducted with local clinicians. In total, approximately 80 staff attended these events.</p><p> </p><p>Where staff roles fall under the services in scope of the MCP contract, and that contract is awarded to a new provider, staff may transfer under TUPE regulations. Existing employers have a duty to engage and consult with the staff on any possible transfer. Under TUPE, any employees that are transferred to a new employer will be able to retain their job role, their terms and conditions of employment, and their continuity of service.</p>
answering member constituency Winchester more like this
answering member printed Steve Brine more like this
grouped question UIN 1575 more like this
question first answered
less than 2017-07-05T10:05:53.343Zmore like thismore than 2017-07-05T10:05:53.343Z
answering member
4067
label Biography information for Steve Brine more like this
tabling member
1511
label Biography information for Lord Austin of Dudley more like this
746267
registered interest false more like this
date less than 2017-06-28more like thismore than 2017-06-28
answering body
Department of Health more like this
answering dept id 17 remove filter
answering dept short name Health more like this
answering dept sort name Health remove filter
hansard heading Health Services: Dudley more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, how many people responded to consultations organised by Dudley Clinical Commissioning Group on its proposed multi-specialty community provider; and what assessment has been made of the content of those responses. more like this
tabling member constituency Dudley North more like this
tabling member printed
Ian Austin remove filter
uin 1566 more like this
answer
answer
is ministerial correction false more like this
date of answer remove filter
answer text <p>The Department expects clinical commissioning groups (CCG) to assure themselves that they have satisfied their legal duties, including the need to consult local populations. In line with this, Dudley CCG undertook a full public consultation last summer to inform the development of the Multispecialty Community Provider (MCP) contract. NHS England has told us that the consultation exercise reached several thousand people (including staff) and received over 600 contributions.</p><p> </p><p>A report was commissioned from ICF Consulting Services on the consultation process and considered by Dudley CCG Board in September 2016. A copy of the report is available on the CCG’s website:</p><p><a href="http://www.dudleyccg.nhs.uk/mcpconsult" target="_blank">www.dudleyccg.nhs.uk/mcpconsult</a></p><p> </p><p>The local consultation followed a significant period of involvement with local people. In partnership with Healthwatch Dudley, Dudley CCG visited over 50 community groups. Dudley CCG have a patient representative on the Procurement Board, a group of representatives who have helped to shape the procurement questions and the CCG will continue to engage with them as they move through competitive dialogue.</p><p> </p><p>Dudley CCG has held regular staff briefings, with staff of all of the main organisations involved (including some staff representatives), over a period of several months. There is a further series of staff engagement events planned, with leaders across health and care giving presentations on what the MCP will mean.</p><p> </p><p>Further engagement has taken place with a range of local providers, including those outside Dudley which serve Dudley patients, and local voluntary sector bodies. All local providers, including the local hospital and mental health trust, are members of Partnership Board which has have developed the model of care for the MCP.</p><p> </p><p>The MCP Project Board reports on a monthly basis to Dudley CCG’s public Board meeting. Reports have been made to the Health and Wellbeing Board and the Overview and Scrutiny Committee. The issue features as a regular item at the CCG’s Healthcare Forum.</p><p> </p><p>Dudley CCG expects the MCP to operate in line with public service and National Health Service values. It will be expected to meet in public; be open and transparent; have effective means of securing patient and public involvement; and engage with the Council, the Health and Wellbeing Board and the Overview and Scrutiny Committee, as well as local communities and the voluntary sector.</p><p> </p><p>Before substantive service change can occur, we have been clear that there should be public consultation. NHS England has processes in place to ensure this. The Government has been clear that all significant service changes have to pass include an ability to demonstrate strong public and patient engagements.</p><p> </p><p>To date the Secretary of State for Health has received no representations from the Dudley Group of Hospitals on Dudley CCG’s contract for an MCP.</p><p> </p><p>The Government has set clear guidelines and tests to ensure that any significant reconfigurations have demonstrated strong public and patient engagements. Furthermore, those changes must be backed by a clear clinical evidence base and a credible plan to improve performance without affecting patient care. NHS England has processes in place to ensure this.</p>
answering member constituency Winchester more like this
answering member printed Steve Brine more like this
grouped question UIN
1567 more like this
1583 more like this
1589 more like this
1590 more like this
1610 more like this
1624 more like this
question first answered
less than 2017-07-05T10:01:27.66Zmore like thismore than 2017-07-05T10:01:27.66Z
answering member
4067
label Biography information for Steve Brine more like this
tabling member
1511
label Biography information for Lord Austin of Dudley more like this
746268
registered interest false more like this
date less than 2017-06-28more like thismore than 2017-06-28
answering body
Department of Health more like this
answering dept id 17 remove filter
answering dept short name Health more like this
answering dept sort name Health remove filter
hansard heading Health Services: Dudley more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, how staff were consulted by Dudley Clinical Commissioning Group on the proposed multi-speciality community provider. more like this
tabling member constituency Dudley North more like this
tabling member printed
Ian Austin remove filter
uin 1590 more like this
answer
answer
is ministerial correction false more like this
date of answer remove filter
answer text <p>The Department expects clinical commissioning groups (CCG) to assure themselves that they have satisfied their legal duties, including the need to consult local populations. In line with this, Dudley CCG undertook a full public consultation last summer to inform the development of the Multispecialty Community Provider (MCP) contract. NHS England has told us that the consultation exercise reached several thousand people (including staff) and received over 600 contributions.</p><p> </p><p>A report was commissioned from ICF Consulting Services on the consultation process and considered by Dudley CCG Board in September 2016. A copy of the report is available on the CCG’s website:</p><p><a href="http://www.dudleyccg.nhs.uk/mcpconsult" target="_blank">www.dudleyccg.nhs.uk/mcpconsult</a></p><p> </p><p>The local consultation followed a significant period of involvement with local people. In partnership with Healthwatch Dudley, Dudley CCG visited over 50 community groups. Dudley CCG have a patient representative on the Procurement Board, a group of representatives who have helped to shape the procurement questions and the CCG will continue to engage with them as they move through competitive dialogue.</p><p> </p><p>Dudley CCG has held regular staff briefings, with staff of all of the main organisations involved (including some staff representatives), over a period of several months. There is a further series of staff engagement events planned, with leaders across health and care giving presentations on what the MCP will mean.</p><p> </p><p>Further engagement has taken place with a range of local providers, including those outside Dudley which serve Dudley patients, and local voluntary sector bodies. All local providers, including the local hospital and mental health trust, are members of Partnership Board which has have developed the model of care for the MCP.</p><p> </p><p>The MCP Project Board reports on a monthly basis to Dudley CCG’s public Board meeting. Reports have been made to the Health and Wellbeing Board and the Overview and Scrutiny Committee. The issue features as a regular item at the CCG’s Healthcare Forum.</p><p> </p><p>Dudley CCG expects the MCP to operate in line with public service and National Health Service values. It will be expected to meet in public; be open and transparent; have effective means of securing patient and public involvement; and engage with the Council, the Health and Wellbeing Board and the Overview and Scrutiny Committee, as well as local communities and the voluntary sector.</p><p> </p><p>Before substantive service change can occur, we have been clear that there should be public consultation. NHS England has processes in place to ensure this. The Government has been clear that all significant service changes have to pass include an ability to demonstrate strong public and patient engagements.</p><p> </p><p>To date the Secretary of State for Health has received no representations from the Dudley Group of Hospitals on Dudley CCG’s contract for an MCP.</p><p> </p><p>The Government has set clear guidelines and tests to ensure that any significant reconfigurations have demonstrated strong public and patient engagements. Furthermore, those changes must be backed by a clear clinical evidence base and a credible plan to improve performance without affecting patient care. NHS England has processes in place to ensure this.</p>
answering member constituency Winchester more like this
answering member printed Steve Brine more like this
grouped question UIN
1566 more like this
1567 more like this
1583 more like this
1589 more like this
1610 more like this
1624 more like this
question first answered
less than 2017-07-05T10:01:27.847Zmore like thismore than 2017-07-05T10:01:27.847Z
answering member
4067
label Biography information for Steve Brine more like this
tabling member
1511
label Biography information for Lord Austin of Dudley more like this
746270
registered interest false more like this
date less than 2017-06-28more like thismore than 2017-06-28
answering body
Department of Health more like this
answering dept id 17 remove filter
answering dept short name Health more like this
answering dept sort name Health remove filter
hansard heading Health Services: Dudley more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what previous experience the management of Dudley Clinical Commissioning Group has of tendering contracts worth up to £5.5 billion. more like this
tabling member constituency Dudley North more like this
tabling member printed
Ian Austin remove filter
uin 1578 more like this
answer
answer
is ministerial correction false more like this
date of answer remove filter
answer text <p>The Dudley team managing this contract consists of staff representing the disciplines of commissioning, procurement, contracting, finance and analytics. The team has sought appropriate external expert advice in relation to public health, law, governance, procurement and finance.</p><p> </p><p>In addition, the team is part of the intensive support programme provided by NHS England which was set up to support the commissioning of new care models and to design the new standard National Health Service contract for this purpose. This is a long-term contract designed to bring services together into one population-based arrangement that will focus on delivering long-term outcome improvements for the population that are sustainable. Dudley is using this new national contract.</p><p> </p><p>The capacity and capability of the team was tested during Checkpoint 1 of the NHS England/NHS Improvement Integrated Support and Assurance Process (ISAP) and green rated. The ISAP was established specifically to deal with complex and novel procurements of this nature. Their actions will be further tested at Checkpoints 2 and 3 of the ISAP in order to ensure that the process they have gone through is sound and that a sustainable contract is established.</p><p> </p><p>Dudley Clinical Commissioning Group (CCG) has made no specific estimate of the costs of changes resulting from the establishment of the new Multispecialty Community Provider. However Dudley CCG currently holds in excess of 170 contracts. This number will be reduced substantially with a consequential reduction in the associated transaction costs.</p><p> </p><p>As part of the commissioning process, we would expect commissioners (and providers where appropriate) to have forecast the Whole Population Budget (WPB) value for the duration of the contract. These forecast values should take account of expected future cost and activity pressures, for example anticipated changes in population size, demographics as well as inflation in health and care provision costs (as reflected in national planning assumptions). NHS England will be publishing documentation to support commissioners in forecasting WPB values for the duration of the contract. Dudley CCG has conducted its own financial modelling.</p><p> </p><p>Commissioners then need to assure themselves that these plans are balanced, affordable within commissioner allocation constraints, and result in a WPB that reinforces the sustainability of the wider local health and care system.</p><p> </p><p>The method used to develop budget projections should be transparently recorded, recognising that this information may need to be shared for future procurement activities and contract documentation.</p>
answering member constituency Winchester more like this
answering member printed Steve Brine more like this
grouped question UIN
1572 more like this
1574 more like this
1581 more like this
1588 more like this
question first answered
less than 2017-07-05T09:38:44.43Zmore like thismore than 2017-07-05T09:38:44.43Z
answering member
4067
label Biography information for Steve Brine more like this
tabling member
1511
label Biography information for Lord Austin of Dudley more like this
746273
registered interest false more like this
date less than 2017-06-28more like thismore than 2017-06-28
answering body
Department of Health more like this
answering dept id 17 remove filter
answering dept short name Health more like this
answering dept sort name Health remove filter
hansard heading Health Services: Dudley more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what management tools the Dudley Clinical Commissioning Group (DCCG) has used to forecast demand over the life of the contract for the multi-speciality community provider proposed by DCCG; and what that forecast is. more like this
tabling member constituency Dudley North more like this
tabling member printed
Ian Austin remove filter
uin 1581 more like this
answer
answer
is ministerial correction false more like this
date of answer remove filter
answer text <p>The Dudley team managing this contract consists of staff representing the disciplines of commissioning, procurement, contracting, finance and analytics. The team has sought appropriate external expert advice in relation to public health, law, governance, procurement and finance.</p><p> </p><p>In addition, the team is part of the intensive support programme provided by NHS England which was set up to support the commissioning of new care models and to design the new standard National Health Service contract for this purpose. This is a long-term contract designed to bring services together into one population-based arrangement that will focus on delivering long-term outcome improvements for the population that are sustainable. Dudley is using this new national contract.</p><p> </p><p>The capacity and capability of the team was tested during Checkpoint 1 of the NHS England/NHS Improvement Integrated Support and Assurance Process (ISAP) and green rated. The ISAP was established specifically to deal with complex and novel procurements of this nature. Their actions will be further tested at Checkpoints 2 and 3 of the ISAP in order to ensure that the process they have gone through is sound and that a sustainable contract is established.</p><p> </p><p>Dudley Clinical Commissioning Group (CCG) has made no specific estimate of the costs of changes resulting from the establishment of the new Multispecialty Community Provider. However Dudley CCG currently holds in excess of 170 contracts. This number will be reduced substantially with a consequential reduction in the associated transaction costs.</p><p> </p><p>As part of the commissioning process, we would expect commissioners (and providers where appropriate) to have forecast the Whole Population Budget (WPB) value for the duration of the contract. These forecast values should take account of expected future cost and activity pressures, for example anticipated changes in population size, demographics as well as inflation in health and care provision costs (as reflected in national planning assumptions). NHS England will be publishing documentation to support commissioners in forecasting WPB values for the duration of the contract. Dudley CCG has conducted its own financial modelling.</p><p> </p><p>Commissioners then need to assure themselves that these plans are balanced, affordable within commissioner allocation constraints, and result in a WPB that reinforces the sustainability of the wider local health and care system.</p><p> </p><p>The method used to develop budget projections should be transparently recorded, recognising that this information may need to be shared for future procurement activities and contract documentation.</p>
answering member constituency Winchester more like this
answering member printed Steve Brine more like this
grouped question UIN
1572 more like this
1574 more like this
1578 more like this
1588 more like this
question first answered
less than 2017-07-05T09:38:44.62Zmore like thismore than 2017-07-05T09:38:44.62Z
answering member
4067
label Biography information for Steve Brine more like this
tabling member
1511
label Biography information for Lord Austin of Dudley more like this
746275
registered interest false more like this
date less than 2017-06-28more like thismore than 2017-06-28
answering body
Department of Health more like this
answering dept id 17 remove filter
answering dept short name Health more like this
answering dept sort name Health remove filter
hansard heading Health Services: Dudley more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what representations he has received from the Dudley Group of Hospitals on Dudley Clinical Commissioning Group's contract for a multi-speciality community provider. more like this
tabling member constituency Dudley North more like this
tabling member printed
Ian Austin remove filter
uin 1583 more like this
answer
answer
is ministerial correction false more like this
date of answer remove filter
answer text <p>The Department expects clinical commissioning groups (CCG) to assure themselves that they have satisfied their legal duties, including the need to consult local populations. In line with this, Dudley CCG undertook a full public consultation last summer to inform the development of the Multispecialty Community Provider (MCP) contract. NHS England has told us that the consultation exercise reached several thousand people (including staff) and received over 600 contributions.</p><p> </p><p>A report was commissioned from ICF Consulting Services on the consultation process and considered by Dudley CCG Board in September 2016. A copy of the report is available on the CCG’s website:</p><p><a href="http://www.dudleyccg.nhs.uk/mcpconsult" target="_blank">www.dudleyccg.nhs.uk/mcpconsult</a></p><p> </p><p>The local consultation followed a significant period of involvement with local people. In partnership with Healthwatch Dudley, Dudley CCG visited over 50 community groups. Dudley CCG have a patient representative on the Procurement Board, a group of representatives who have helped to shape the procurement questions and the CCG will continue to engage with them as they move through competitive dialogue.</p><p> </p><p>Dudley CCG has held regular staff briefings, with staff of all of the main organisations involved (including some staff representatives), over a period of several months. There is a further series of staff engagement events planned, with leaders across health and care giving presentations on what the MCP will mean.</p><p> </p><p>Further engagement has taken place with a range of local providers, including those outside Dudley which serve Dudley patients, and local voluntary sector bodies. All local providers, including the local hospital and mental health trust, are members of Partnership Board which has have developed the model of care for the MCP.</p><p> </p><p>The MCP Project Board reports on a monthly basis to Dudley CCG’s public Board meeting. Reports have been made to the Health and Wellbeing Board and the Overview and Scrutiny Committee. The issue features as a regular item at the CCG’s Healthcare Forum.</p><p> </p><p>Dudley CCG expects the MCP to operate in line with public service and National Health Service values. It will be expected to meet in public; be open and transparent; have effective means of securing patient and public involvement; and engage with the Council, the Health and Wellbeing Board and the Overview and Scrutiny Committee, as well as local communities and the voluntary sector.</p><p> </p><p>Before substantive service change can occur, we have been clear that there should be public consultation. NHS England has processes in place to ensure this. The Government has been clear that all significant service changes have to pass include an ability to demonstrate strong public and patient engagements.</p><p> </p><p>To date the Secretary of State for Health has received no representations from the Dudley Group of Hospitals on Dudley CCG’s contract for an MCP.</p><p> </p><p>The Government has set clear guidelines and tests to ensure that any significant reconfigurations have demonstrated strong public and patient engagements. Furthermore, those changes must be backed by a clear clinical evidence base and a credible plan to improve performance without affecting patient care. NHS England has processes in place to ensure this.</p>
answering member constituency Winchester more like this
answering member printed Steve Brine more like this
grouped question UIN
1566 more like this
1567 more like this
1589 more like this
1590 more like this
1610 more like this
1624 more like this
question first answered
less than 2017-07-05T10:01:27.723Zmore like thismore than 2017-07-05T10:01:27.723Z
answering member
4067
label Biography information for Steve Brine more like this
tabling member
1511
label Biography information for Lord Austin of Dudley more like this