https://www.england.nhs.uk/long-read/specialised-commissioning-update-on-specialised-services-for-delegation/<\/a><\/p>The process concluded that a transitional year of joint commissioning would offer the most secure and stable transition towards delegation. There is a comprehensive programme structure in place to support the ICBs in the four regions that are working towards delegation in April 2025, to support them in being ready to take on the responsibilities. NHS England is continuing to work alongside ICBs to ensure that delegation agreements are in place, including ensuring appropriate collaborative arrangements are developed to support ICB commissioning of specialised services. These arrangements will be monitored by NHS England through its assurance processes for specialised services.<\/p>
A webinar series for commissioning staff, including colleagues in ICBs, was delivered in 2023 across different aspects of specialised services, and there are additional webinars planned in 2024. There has been, and will continue to be, local engagement between regional commissioning teams and ICB teams, as the future operating model is co-developed. A suite of support materials has been shared with teams and continues to be updated. As examples, these include: Commissioning Change Management Business Rules; Finance and Accounting Standard Operating Procedure; and the Contracting Standard Operating Procedure.<\/p>
NHS England develops services specification and clinical policies through its Clinical Reference Groups. There are 250 published service specifications which include clinical pathway, quality, and other relevant standards, which are specific to the clinical service. Regional commissioning teams, overseen by the statutory joint committees, are responsible for implementing the specifications in their commissioning of services, along with assessing compliance against national standards. NHS England has developed Specialised Services Quality Dashboards alongside service specifications, which provide additional data to monitor the quality of services.<\/p>
<\/strong><\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4527", "label" : {"_value" : "Biography information for Helen Whately"}
}
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, "answeringMemberPrinted" : {"_value" : "Helen Whately"}
, "dateOfAnswer" : {"_value" : "2024-05-13", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : [{"_value" : "24952"}
, {"_value" : "24953"}
, {"_value" : "24954"}
, {"_value" : "24956"}
], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2024-05-13T19:02:20.493Z", "_datatype" : "dateTime"}
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, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2024-05-07", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Health Services: Standards"}
, "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 estimate she has made of the proportion of specialised services that met national standards in the (a) 2022-23 and (b) 2023-24 financial years.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4444", "label" : {"_value" : "Biography information for Karin Smyth"}
}
, "tablingMemberConstituency" : {"_value" : "Bristol South"}
, "tablingMemberPrinted" : [{"_value" : "Karin Smyth"}
], "uin" : "24955"}
, {"_about" : "http://data.parliament.uk/resources/1715457", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1715457/answer", "answerText" : {"_value" : "The Department is committed to supporting people from all backgrounds in accessing the NHS Constitution consultation, in part by ensuring the consultation is well publicised and reaches multiple audiences, including those whose first language is not English.<\/p>
While there are no plans to publish the consultation in additional languages, the Department is working at pace to publish an easy-read version. The simplified language will make the information more accessible for a broader audience, which may support those whose first language is not English, to access and respond to the consultation.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4948", "label" : {"_value" : "Biography information for Lord Markham"}
}
, "answeringMemberPrinted" : {"_value" : "Lord Markham"}
, "dateOfAnswer" : {"_value" : "2024-05-08", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : {"_value" : "HL4271"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2024-05-08T14:50:04.64Z", "_datatype" : "dateTime"}
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, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2024-05-01", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Health Services: Standards"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
}
], "questionText" : "To ask His Majesty's Government whether the public consultation on updating the NHS constitution, published on 30 April, is available in languages other than English, and if so, in which languages.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/3829", "label" : {"_value" : "Biography information for Baroness Coussins"}
}
, "tablingMemberPrinted" : [{"_value" : "Baroness Coussins"}
], "uin" : "HL4270"}
, {"_about" : "http://data.parliament.uk/resources/1715458", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1715458/answer", "answerText" : {"_value" : "
The Department is committed to supporting people from all backgrounds in accessing the NHS Constitution consultation, in part by ensuring the consultation is well publicised and reaches multiple audiences, including those whose first language is not English.<\/p>
While there are no plans to publish the consultation in additional languages, the Department is working at pace to publish an easy-read version. The simplified language will make the information more accessible for a broader audience, which may support those whose first language is not English, to access and respond to the consultation.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4948", "label" : {"_value" : "Biography information for Lord Markham"}
}
, "answeringMemberPrinted" : {"_value" : "Lord Markham"}
, "dateOfAnswer" : {"_value" : "2024-05-08", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : {"_value" : "HL4270"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2024-05-08T14:50:04.457Z", "_datatype" : "dateTime"}
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, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2024-05-01", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Health Services: Standards"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
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], "questionText" : "To ask His Majesty's Government what steps they are taking to ensure that the public consultation on updating the NHS constitution is brought to the attention of individuals whose first language is not English.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/3829", "label" : {"_value" : "Biography information for Baroness Coussins"}
}
, "tablingMemberPrinted" : [{"_value" : "Baroness Coussins"}
], "uin" : "HL4271"}
, {"_about" : "http://data.parliament.uk/resources/1713568", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1713568/answer", "answerText" : {"_value" : "
Our Delivery plan for recovering access to primary care has two central ambitions to improve access to general practice (GP): tackling the 8:00am rush and reducing the number of people struggling to contact their practice; and for patients to know on the day they contact their practice, how their request will be managed.<\/p>
We are doing this by modernising telephone systems, backed by £240 million in retargeted funding, and by building the capacity to deliver more appointments. As a result, we have now delivered on our manifesto commitment for 50 million more GP appointments per year, with 370.7 million booked across the last 12 months.<\/p>
There is an increasing number of clinical services that are being delivered in community pharmacy, including the New Medicines Service, Contraception Service, Blood Pressure Check Service, Stop Smoking Service, and most recently the new Pharmacy First service. These services help take the pressure off GPs, and make it quicker and easier for patients to access care.<\/p>
Furthermore, our plan to recover and reform NHS dentistry will fund approximately 2.5 million additional appointments. The plan sets out our actions to address the challenges facing National Health Service dentistry, and to improve dental access for patients across the country. A new patient premium is supporting dentists to take on new patients, and a new marketing campaign will help everyone who needs an NHS dentist in finding one. We have further supported dentists by raising the minimum Units of Dental Activity rate to £28 this year, making NHS work more attractive and sustainable.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4117", "label" : {"_value" : "Biography information for Andrea Leadsom"}
}
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, "answeringMemberPrinted" : {"_value" : "Andrea Leadsom"}
, "dateOfAnswer" : {"_value" : "2024-04-29", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2024-04-29T15:40:25.613Z", "_datatype" : "dateTime"}
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, "date" : {"_value" : "2024-04-24", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Health Services: Standards"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
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], "questionText" : "To ask the Secretary of State for Health and Social Care, what steps she is taking to help improve patient access to primary care services.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4638", "label" : {"_value" : "Biography information for Mr Tanmanjeet Singh Dhesi"}
}
, "tablingMemberConstituency" : {"_value" : "Slough"}
, "tablingMemberPrinted" : [{"_value" : "Mr Tanmanjeet Singh Dhesi"}
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The 2024 Spring Budget committed £3.4 billion of capital funding to support NHS England in driving technologically and digitally enabled productivity improvement. To prepare for this work, NHS England commissioned McKinsey and Company as part of an internal exercise. The Department will provide a public update on progress and plans for delivering the Spring Budget\u2019s announcements.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4044", "label" : {"_value" : "Biography information for Andrew Stephenson"}
}
, "answeringMemberConstituency" : {"_value" : "Pendle"}
, "answeringMemberPrinted" : {"_value" : "Andrew Stephenson"}
, "dateOfAnswer" : {"_value" : "2024-04-29", "_datatype" : "dateTime"}
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, "previousAnswerVersion" : {"_about" : "http://data.parliament.uk/resources/1700146/answer/previousversion/28307", "answeringMember" : {"_about" : "http://data.parliament.uk/members/4044", "label" : {"_value" : "Biography information for Andrew Stephenson"}
}
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, "answeringMemberPrinted" : {"_value" : "Andrew Stephenson"}
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, "questionFirstAnswered" : [{"_value" : "2024-04-29T16:08:49.027Z", "_datatype" : "dateTime"}
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, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2024-04-12", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Health Services: Standards"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
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], "questionText" : "To ask the Secretary of State for Health and Social Care, whether she plans to publish the results of the review by McKinsey and Co into NHS productivity.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4504", "label" : {"_value" : "Biography information for Wes Streeting"}
}
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, "tablingMemberPrinted" : [{"_value" : "Wes Streeting"}
], "uin" : "21154"}
, {"_about" : "http://data.parliament.uk/resources/1625121", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1625121/answer", "answerText" : {"_value" : "
NHS England does not hold the information requested. Serious Incidents are reported to the Strategic Executive Information System (StEIS). Compliance with the 60-day closure of serious incident investigations is not routinely monitored by NHS England. As such, a bespoke analysis and report would be needed to provide the requested information.<\/p>
<\/p>
The expectation set by the Serious Incident Framework is that Serious Incident investigation reports are to be completed within 60 working days where possible. This is overseen by commissioners, who complete necessary processes to close these incidents on StEIS, and reviewed by the Care Quality Commission as part of their regulatory role. NHS England does not hold or report on this data for England.<\/p>
<\/p>
In relation to Yorkshire and York, information relating to serious incidents will be held by providers and the relevant integrated care board.<\/p>"}
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}
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, "answeringMemberPrinted" : {"_value" : "Maria Caulfield"}
, "dateOfAnswer" : {"_value" : "2023-05-09", "_datatype" : "dateTime"}
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, "questionFirstAnswered" : [{"_value" : "2023-05-09T12:48:00.66Z", "_datatype" : "dateTime"}
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, "date" : {"_value" : "2023-05-02", "_datatype" : "dateTime"}
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, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
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], "questionText" : "To ask the Secretary of State for Health and Social Care, how many serious incident root causes analysis investigations were not closed within 60 days (a) nationally (b) in Yorkshire and (c) in York in (i) 2021, (ii) 2022 and (iii) 2023.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4471", "label" : {"_value" : "Biography information for Rachael Maskell"}
}
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, "tablingMemberPrinted" : [{"_value" : "Rachael Maskell"}
], "uin" : "183479"}
, {"_about" : "http://data.parliament.uk/resources/1612326", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1612326/answer", "answerText" : {"_value" : "
NHS England, together with integrated care boards when a specialised service is commissioned jointly in 2023/24, is responsible for assessing compliance with service specifications.<\/p>
Actions resulting from non-compliance will vary depending on the reasons for and nature of non-compliance, as well as the location and availability of alternative service provision. Examples of typical actions currently taken forward by NHS England include enhanced reporting and monitoring requirements; the agreement of an improvement plan; agreeing mitigations which can be put in place whilst working towards compliance or in a small number of cases, the de-commissioning of the service at a specific provider.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4527", "label" : {"_value" : "Biography information for Helen Whately"}
}
, "answeringMemberConstituency" : {"_value" : "Faversham and Mid Kent"}
, "answeringMemberPrinted" : {"_value" : "Helen Whately"}
, "dateOfAnswer" : {"_value" : "2023-04-26", "_datatype" : "dateTime"}
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, "questionFirstAnswered" : [{"_value" : "2023-04-26T17:00:29.847Z", "_datatype" : "dateTime"}
]}
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, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2023-04-19", "_datatype" : "dateTime"}
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, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
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], "questionText" : "To ask the Secretary of State for Health and Social Care, what the consequences are of non-adherence to NHS England\u2019s Service Specifications for different treatments and conditions.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4822", "label" : {"_value" : "Biography information for Feryal Clark"}
}
, "tablingMemberConstituency" : {"_value" : "Enfield North"}
, "tablingMemberPrinted" : [{"_value" : "Feryal Clark"}
], "uin" : "181616"}
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