The Government published its response to the Public Accounts Committee January 2018 report and recommendations on NHS Continuing Healthcare Funding in March 2018.<\/p>
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Continuing Healthcare expenditure (after efficiencies) is forecast to increase over the period to 2020/21, and the identified efficiency opportunity is not predicated on changes to the National Framework in respect of eligibility or on limiting the care packages available.<\/p>
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How any efficiency is delivered in practice will be determined by clinical commissioning groups (CCGs) locally, consistent with their statutory duties and national guidance in respect of access to Continuing Healthcare. National modelling based on variations in Continuing Healthcare expenditure and practice suggests the following notional efficiency opportunities in 2020/21, amounting to circa £855 million, which it is anticipated will inform local commissioning decisions:<\/p>
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- NHS England working with the Department to provide clarity around the National Framework and improving the way CCGs deliver the National Framework. This includes interventions such as improved data and benchmarking information and reducing the number of Continuing Healthcare assessments in an acute hospital setting \u2013 (circa £361 million);<\/p>
- Improving the commissioning of care packages \u2013 (circa £122 million);<\/p>
- Improving Continuing Healthcare processes including the supporting of staff with training and development \u2013 (circa £79 million); and<\/p>
- CCGs locally delivered improvement initiatives \u2013 (circa £293 million).<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4008", "label" : {"_value" : "Biography information for Dame Caroline Dinenage"} } , "answeringMemberConstituency" : {"_value" : "Gosport"} , "answeringMemberPrinted" : {"_value" : "Caroline Dinenage"} , "dateOfAnswer" : {"_value" : "2018-04-30", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-04-30T15:38:07.35Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-04-25", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Spinal Injuries"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 23 April 2018 to Question 136434 on spinal injuries, what steps his Department is taking to submit the fully costed breakdown of the £855 million in efficiency savings from the NHS Continuing Health Care budget as recommended in paragraph 5 of the 13th Report of the Public Accounts Committee, NHS Continuing Healthcare Funding, HC 455, published on 17 January 2018.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1591", "label" : {"_value" : "Biography information for Tim Farron"} } , "tablingMemberConstituency" : {"_value" : "Westmorland and Lonsdale"} , "tablingMemberPrinted" : [{"_value" : "Tim Farron"} ], "uin" : "138017"} , {"_about" : "http://data.parliament.uk/resources/891519", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/891519/answer", "answerText" : {"_value" : "
Clinical commissioning groups (CCGs) are the organisation responsible for commissioning care, based on an individual\u2019s assessed needs and providing assurance at a local level that the quality of care meets those needs. Furthermore the Care Quality Commission also has a responsibility for setting the standards for registration and taking appropriate actions if standards are not maintained.<\/p>
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NHS England has a responsibility to assure compliance with the National Framework for NHS Continuing Healthcare, and have assurance mechanisms in place. NHS Continuing Health Care has been part of mainstream assurance processes since 2016/17 by being included in the CCG Improvement and Assessment Framework. NHS England local teams use an assurance tool, Continuing Healthcare Assurance Tool, to assess CCGs\u2019 compliance with the NHS England Operating Model for NHS Continuing Healthcare.<\/p>
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NHS England is working closely with the CCGs to ensure standardisation of the Continuing Healthcare processes which includes the development of tools to support effective commissioning.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4008", "label" : {"_value" : "Biography information for Dame Caroline Dinenage"} } , "answeringMemberConstituency" : {"_value" : "Gosport"} , "answeringMemberPrinted" : {"_value" : "Caroline Dinenage"} , "dateOfAnswer" : {"_value" : "2018-04-30", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-04-30T15:35:33.263Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-04-25", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Continuing Care"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect of external agencies running care packages for those receiving NHS Continuing Health Care on a) the standard of care provided and (b) the consideration of the patient's needs.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1591", "label" : {"_value" : "Biography information for Tim Farron"} } , "tablingMemberConstituency" : {"_value" : "Westmorland and Lonsdale"} , "tablingMemberPrinted" : [{"_value" : "Tim Farron"} ], "uin" : "138018"} , {"_about" : "http://data.parliament.uk/resources/891525", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/891525/answer", "answerText" : {"_value" : "
Departmental information systems do not record sickness absence relating to stress as a distinct category. Within the broader category that includes all mental health issues, the following table shows how many and the proportion of staff who have had days off sick and the total working days lost within that category in each of the last three years.<\/p>
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Category<\/p><\/td> | 2015<\/p><\/td> | 2016<\/p><\/td> | 2017<\/p><\/td><\/tr> | |||||||||
Number of staff members who had days off sick due to mental illness<\/p><\/td> | 88<\/p><\/td> | 82<\/p><\/td> | 44<\/p><\/td><\/tr> | |||||||||
Proportion of staff who had days off due to mental illness<\/p><\/td> | 4%<\/p><\/td> | 4%<\/p><\/td> | 2%<\/p><\/td><\/tr> | |||||||||
Total days lost due to mental illness<\/p><\/td> | 2,194<\/p><\/td> | 1,852<\/p><\/td> | 1,832<\/p><\/td><\/tr><\/tbody><\/table> <\/p> Note:<\/p> Data as at 31 December for each year.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4008", "label" : {"_value" : "Biography information for Dame Caroline Dinenage"} } , "answeringMemberConstituency" : {"_value" : "Gosport"} , "answeringMemberPrinted" : {"_value" : "Caroline Dinenage"} , "dateOfAnswer" : {"_value" : "2018-04-30", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-04-30T15:40:06.2Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-04-25", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Department of Health and Social Care: Sick Leave"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, how many and what proportion of his Department's staff have had days off sick because of mental illness or stress in each of the last three years; and how many days off that amounted to in each of those years.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4036", "label" : {"_value" : "Biography information for Luciana Berger"} } , "tablingMemberConstituency" : {"_value" : "Liverpool, Wavertree"} , "tablingMemberPrinted" : [{"_value" : "Luciana Berger"} ], "uin" : "138036"} , {"_about" : "http://data.parliament.uk/resources/891534", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/891534/answer", "answerText" : {"_value" : " The 100,000 Genomes Project is focussed on recruiting patients, including children, with rare diseases (and their family members) and those with common cancers. These are areas where whole genome sequencing may offer the best opportunity to diagnose disease. From the Project\u2019s pilot phase we have found actionable findings in 20-25% of rare disease patients.<\/p> <\/p> The scope of the project does not include screening at birth. The Chief Medical Officer, in her annual report Generation Genome, recommended that that the National Screening Committee conducts a systematic evaluation of the opportunities offered by genomics for present and potential screening practices.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4008", "label" : {"_value" : "Biography information for Dame Caroline Dinenage"} } , "answeringMemberConstituency" : {"_value" : "Gosport"} , "answeringMemberPrinted" : {"_value" : "Caroline Dinenage"} , "dateOfAnswer" : {"_value" : "2018-04-30", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-04-30T15:41:08.457Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-04-25", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Hereditary Diseases"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "to ask the Secretary of State for Health and Social Care, what lessons have been learned from the 100,000 Genome Project which will help when deciding what genetic diseases should be screened for at birth.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4621", "label" : {"_value" : "Biography information for Darren Jones"} } , "tablingMemberConstituency" : {"_value" : "Bristol North West"} , "tablingMemberPrinted" : [{"_value" : "Darren Jones"} ], "uin" : "138095"} , {"_about" : "http://data.parliament.uk/resources/885293", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/885293/answer", "answerText" : {"_value" : " As NHS Digital collects data on a triennial basis, data can only be provided for two of the last five years.<\/p> <\/p> The number of people who were registered as blind or severely sight impaired in 2013/14 and 2016/17, as well as the number of people who were newly registered in those years is shown in the table below.<\/p> <\/p>
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