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93399
registered interest false more like this
date less than 2014-10-14more like thismore than 2014-10-14
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Health Services remove filter
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty’s Government what is the nature of the relationship between Ministers, the Prescribed Specialised Services Advisory Group and NHS England in prescribing specialised services under the Health and Social Care Act 2012. more like this
tabling member printed
Lord Hunt of Kings Heath more like this
uin HL2065 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-10-24more like thismore than 2014-10-24
answer text <p>The Secretary of State for Health, in his Annual Assessment of National Health Service England’s Annual Report for the last financial year (2013-14), has stated that “[NHS England] must […] ensure that spending controls are effective, particularly around specialised commissioning.” A copy of the Secretary of State’s Annual Assessment has been placed in the library.</p><p> </p><p> </p><p> </p><p>Section 3B(1)(d) of the National Health Service Act 2006, as amended by the Health and Social Care Act 2012, gives the Secretary of State the power to require the NHS Commissioning Board (known as NHS England) to commission prescribed services or facilities in relation to England by making regulations. Using this power, the Secretary of State may require NHS England to commission specialised services for people with rare or very rare conditions. Before deciding whether to make regulations, the Secretary of State must (a) obtain appropriate advice for that purpose and (b) consult NHS England. The Prescribed Specialised Services Advisory Group (PSSAG) is a Department of Health appointed expert committee which was established in 2013 to provide the Secretary of State with this advice. NHS England commissions all the services listed in Schedule 4 of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012.</p><p> </p><p> </p><p> </p><p>The scope of specialised services directly commissioned by NHS England is kept under review.</p><p> </p>
answering member printed Earl Howe more like this
grouped question UIN
HL2066 more like this
HL2067 more like this
question first answered
less than 2014-10-24T11:31:33.6695234Zmore like thismore than 2014-10-24T11:31:33.6695234Z
answering member
2000
label Biography information for Earl Howe more like this
attachment
1
file name Annual_Assessment_of_NHSE.pdf more like this
title Annual Assesment of NHSE more like this
tabling member
2024
label Biography information for Lord Hunt of Kings Heath more like this
93400
registered interest false more like this
date less than 2014-10-14more like thismore than 2014-10-14
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Health Services remove filter
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty’s Government whether they plan to change the scope of specialised services directly commissioned by NHS England. more like this
tabling member printed
Lord Hunt of Kings Heath more like this
uin HL2066 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-10-24more like thismore than 2014-10-24
answer text <p>The Secretary of State for Health, in his Annual Assessment of National Health Service England’s Annual Report for the last financial year (2013-14), has stated that “[NHS England] must […] ensure that spending controls are effective, particularly around specialised commissioning.” A copy of the Secretary of State’s Annual Assessment has been placed in the library.</p><p> </p><p> </p><p> </p><p>Section 3B(1)(d) of the National Health Service Act 2006, as amended by the Health and Social Care Act 2012, gives the Secretary of State the power to require the NHS Commissioning Board (known as NHS England) to commission prescribed services or facilities in relation to England by making regulations. Using this power, the Secretary of State may require NHS England to commission specialised services for people with rare or very rare conditions. Before deciding whether to make regulations, the Secretary of State must (a) obtain appropriate advice for that purpose and (b) consult NHS England. The Prescribed Specialised Services Advisory Group (PSSAG) is a Department of Health appointed expert committee which was established in 2013 to provide the Secretary of State with this advice. NHS England commissions all the services listed in Schedule 4 of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012.</p><p> </p><p> </p><p> </p><p>The scope of specialised services directly commissioned by NHS England is kept under review.</p><p> </p>
answering member printed Earl Howe more like this
grouped question UIN
HL2065 more like this
HL2067 more like this
question first answered
less than 2014-10-24T11:31:34.6500285Zmore like thismore than 2014-10-24T11:31:34.6500285Z
answering member
2000
label Biography information for Earl Howe more like this
attachment
1
file name Annual_Assessment_of_NHSE.pdf more like this
title Annual Assesment of NHSE more like this
tabling member
2024
label Biography information for Lord Hunt of Kings Heath more like this
93401
registered interest false more like this
date less than 2014-10-14more like thismore than 2014-10-14
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Health Services remove filter
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty’s Government what assessment they have made of the commissioning of specialised services by NHS England. more like this
tabling member printed
Lord Hunt of Kings Heath more like this
uin HL2067 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-10-24more like thismore than 2014-10-24
answer text <p>The Secretary of State for Health, in his Annual Assessment of National Health Service England’s Annual Report for the last financial year (2013-14), has stated that “[NHS England] must […] ensure that spending controls are effective, particularly around specialised commissioning.” A copy of the Secretary of State’s Annual Assessment has been placed in the library.</p><p> </p><p> </p><p> </p><p>Section 3B(1)(d) of the National Health Service Act 2006, as amended by the Health and Social Care Act 2012, gives the Secretary of State the power to require the NHS Commissioning Board (known as NHS England) to commission prescribed services or facilities in relation to England by making regulations. Using this power, the Secretary of State may require NHS England to commission specialised services for people with rare or very rare conditions. Before deciding whether to make regulations, the Secretary of State must (a) obtain appropriate advice for that purpose and (b) consult NHS England. The Prescribed Specialised Services Advisory Group (PSSAG) is a Department of Health appointed expert committee which was established in 2013 to provide the Secretary of State with this advice. NHS England commissions all the services listed in Schedule 4 of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012.</p><p> </p><p> </p><p> </p><p>The scope of specialised services directly commissioned by NHS England is kept under review.</p><p> </p>
answering member printed Earl Howe more like this
grouped question UIN
HL2065 more like this
HL2066 more like this
question first answered
less than 2014-10-24T11:31:31.9429288Zmore like thismore than 2014-10-24T11:31:31.9429288Z
answering member
2000
label Biography information for Earl Howe more like this
attachment
1
file name Annual_Assessment_of_NHSE.pdf more like this
title Annual Assesment of NHSE more like this
tabling member
2024
label Biography information for Lord Hunt of Kings Heath more like this
92814
registered interest false more like this
date less than 2014-10-13more like thismore than 2014-10-13
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Health Services remove filter
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty’s Government what plans they have to implement a national outreach service for diseases such as tuberculosis, HIV and diabetes for areas with high health inequalities. more like this
tabling member printed
Baroness Suttie more like this
uin HL2050 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-10-24more like thismore than 2014-10-24
answer text <p>The Department through NHS England has a legal duty to have regard to reducing health inequalities and this will be reflected in any assessment for the potential development of national services.</p><p> </p><p> </p><p> </p><p>Diagnosing, treating and preventing transmission of TB among under-served groups will prevent transmission of infection to the wider population and reduce health and social inequalities. Public Health England and NHS England will launch the Collaborative TB Strategy for England 2015-2020 this year. The strategy sets out the improvements that need to be achieved across 10 key evidence based areas of action to reduce TB in England, and the mechanisms by which these should be delivered. One of the key evidence based areas of action is to reduce incidence of TB in under-served populations by providing specific and targeted outreach interventions (informed by proven models such as “Find &amp; Treat” in London). These include specific services for active case finding for TB of the lungs among homeless people and those attending substance misuse services, use of mobile X-ray units (MXUs) with incentives for people to have chest X-rays, enhanced case management and return to service interventions to prevent loss to follow up.</p><p> </p><p><strong> </strong></p><p> </p><p>There are a number of actions being taken to improve access to HIV testing and reduce late diagnosis, especially in areas with high inequalities. These include the Terrence Higgins Trust to manage a national HIV Prevention Contract which the Department funds; information PHE publishes on rates of late HIV diagnoses by LA, socio-demography, and risk group; and joint PHE and DH approaches to increase HIV testing through funding a national home-sampling service that resulted in a large number of the most at-risk getting tested for HIV.</p><p> </p><p> </p><p> </p><p>Clinical commissioning groups are responsible for commissioning diabetes services, so they would decide, depending on local needs and circumstances, whether an outreach service was appropriate. The NHS Health Check plays an important role in reducing the risk of diabetes and identifying people earlier who have the disease and plays a key role in tackling health inequalities.</p><p> </p>
answering member printed Earl Howe more like this
question first answered
less than 2014-10-24T11:35:23.8573102Zmore like thismore than 2014-10-24T11:35:23.8573102Z
answering member
2000
label Biography information for Earl Howe more like this
tabling member
4298
label Biography information for Baroness Suttie more like this
79503
registered interest false more like this
date less than 2014-07-22more like thismore than 2014-07-22
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Health Services remove filter
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty’s Government what steps they are taking to promote the use of out-of-hospital urgent care providers to the National Health Service and patients. more like this
tabling member printed
Baroness Masham of Ilton more like this
uin HL1402 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-07-29more like thismore than 2014-07-29
answer text <p>Information on the various urgent and emergency care services that operate in England is available on the NHS Choices website to help patients and the public make good choices about what type of facility may best suit their needs. This is supported by a “Find Urgent Care services” portal which allows users to enter a postcode and obtain directions to their nearest facility.</p><p> </p><p>More broadly, NHS England is currently conducting a review into urgent and emergency care services in England. The Urgent and Emergency Care Review aims to reduce pressure on accident and emergency (A&amp;E) by delivering a system that enables more patients to be treated outside of hospital.</p><p> </p><p>The end of first stage Report on the Review, published in November 2013, recognised the need to deliver highly responsive urgent care services outside of hospital so people no longer choose to queue in A&amp;E. The Review further recognised that there are a range of urgent care services currently open including ‘walk-in centres’, ‘minor injury units’, ‘urgent care centres’ and other similarly named facilities that all offer slightly different services, at slightly different times, in different places.</p><p> </p><p>In response to this, the Review proposed to support the co-location of community-based urgent care services in coordinated urgent care centres. These will be locally specified to meet local need, but should consistently use the “urgent care centre” name, to replace the multitude of terms that are available at present. Urgent care centres may provide access to walk-in minor illness and minor injury services, and will be part of the wider community primary care service including out-of–hours general practitioner services.</p><p> </p><p>Since November last year, the Review team at NHS England has been working collaboratively with a wide range of stakeholders from across the system to work out</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>the practicalities for delivering this change, to ensure that all urgent care centres are able to provide access to a broad range of physical and mental illness and injury</p><p>care, for both adults and children. Final decisions on how urgent care centres might be organised will rest with local health economies, but a more consistent offer from such facilities will be advantageous in promoting them as an alternative to hospital based urgent care.</p><p> </p><p>NHS England will update on progress with the Review later this year.</p>
answering member printed Earl Howe more like this
question first answered
less than 2014-07-29T13:31:31.9638762Zmore like thismore than 2014-07-29T13:31:31.9638762Z
answering member
2000
label Biography information for Earl Howe more like this
tabling member
1850
label Biography information for Baroness Masham of Ilton more like this
79504
registered interest false more like this
date less than 2014-07-22more like thismore than 2014-07-22
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Health Services remove filter
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty’s Government what assessment they have made of the impacts on costs and patient outcomes of the use of out-of-hospital urgent care providers. more like this
tabling member printed
Baroness Masham of Ilton more like this
uin HL1403 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-07-29more like thismore than 2014-07-29
answer text <p>NHS England is currently conducting a review into urgent and emergency care in England. The Review, led by Professor Sir Bruce Keogh, aims to help build an improved, safer and more sustainable system for the future.</p><p> </p><p>The end of first stage Report on the Review, published in November 2013, set out NHS England’s vision for the future delivery of urgent and emergency care, but recognised that this vision will take three to five years to implement the transformational change proposed.</p><p> </p><p>Since November last year, the Review team at NHS England has been working collaboratively with a wide range of stakeholders from across the system to work out the practicalities for delivering the transformational change required. Work on the cost implications and benefits in terms of patient outcomes, for all aspects of the Review (not just in relation to out-of-hospital urgent care), is ongoing.</p><p> </p><p>NHS England will update on progress with the Review later this year.</p>
answering member printed Earl Howe more like this
question first answered
less than 2014-07-29T13:33:42.0669492Zmore like thismore than 2014-07-29T13:33:42.0669492Z
answering member
2000
label Biography information for Earl Howe more like this
tabling member
1850
label Biography information for Baroness Masham of Ilton more like this
78010
registered interest false more like this
date less than 2014-07-15more like thismore than 2014-07-15
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Health Services remove filter
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 role NHS England plays in the development of advice given by the Prescribed Specialised Services Advisory Group to Ministers on which specialised services should be included in regulations setting out those services which NHS England must commission. more like this
tabling member constituency West Lancashire more like this
tabling member printed
Rosie Cooper more like this
uin 206003 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-07-21more like thismore than 2014-07-21
answer text NHS England puts forward proposals to the Prescribed Specialised Services Advisory Group (PSSAG), and provides information to support the Group's considerations chiefly via its Clinical Reference Groups. NHS England also provides expert members of PSSAG in areas such as finance, informatics, medicine and nursing. Further information about NHS England's input to the process by which advice is prepared for ministers is set out in the publication &quot;Prescribed Specialised Services Advisory Group - Recommendations to Ministers&quot; published on 2 May 2014, which includes a complete list of PSSAG members. www.gov.uk/government/publications/specialised-service-recommendations-to-ministers In addition, as required by section 3B of the National Health Service Act 2006 (as amended), NHS England is consulted before regulations are made by the Secretary of State. more like this
answering member constituency North Norfolk more like this
answering member printed Norman Lamb more like this
question first answered
less than 2014-07-21T16:33:41.7281765Zmore like thismore than 2014-07-21T16:33:41.7281765Z
answering member
1439
label Biography information for Norman Lamb more like this
tabling member
1538
label Biography information for Rosie Cooper more like this
78019
registered interest false more like this
date less than 2014-07-15more like thismore than 2014-07-15
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Health Services remove filter
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 progress NHS England has made on development of the (a) mission and vision and (b) service-level planning elements of its five year strategy for specialised services; when publication of that strategy is expected; and if he will make a statement. more like this
tabling member constituency Southend West more like this
tabling member printed
Mr David Amess more like this
uin 205758 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-07-22more like thismore than 2014-07-22
answer text <p>NHS England established the specialised commissioning taskforce to make some immediate improvements to the way in which NHS England commissions specialised services, and to put commissioning arrangements on a stronger footing for the longer-term. The task force is not conducting a complete review of specialised commissioning, although there are some aspects of this work which will require some specific services or arrangements to be reviewed. The life of the task force was originally three months running from May to July 2014: this has now been extended to the end of October 2014.</p><p> </p><p>The publication and application of the specialised services strategy have been paused while the task force undertakes its work. At this stage, NHS England is yet to confirm when the strategy will be published. However, many aspects of the work of the taskforce will contribute to taking the strategy work forward later in the year.</p><p> </p><p>Information on the work on development of the mission and vision and service-level planning elements of the specialised services strategy, prior to the pause, is available on the following webpages:</p><p> </p><p>www.england.nhs.uk/ourwork/commissioning/spec-services/five-year-strat/mission-vision/</p><p> </p><p>www.england.nhs.uk/ourwork/commissioning/spec-services/five-year-strat/service-level-plan/</p><p> </p><p>NHS England has advised that the A3 change proposals were a pilot process to establish how NHS England might be able to achieve multiple stakeholder involvement on future service change. Proposals that demonstrate good opportunities to increase value and contain cost have moved into the Quality, Innovation, Productivity and Prevention (QIPP) programme for specialised services. Other proposals which support strategic service planning continue to be considered. Authors with proposals that do not meet the objectives of QIPP or strategic services planning will be informed within the next few weeks.</p><p> </p>
answering member constituency Battersea more like this
answering member printed Jane Ellison more like this
grouped question UIN
205757 more like this
205759 more like this
205760 more like this
question first answered
less than 2014-07-22T16:48:12.6579964Zmore like thismore than 2014-07-22T16:48:12.6579964Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
44
label Biography information for Sir David Amess more like this
78020
registered interest false more like this
date less than 2014-07-15more like thismore than 2014-07-15
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Health Services remove filter
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, when NHS England plans to publish its five year strategy for specialised services; and if he will make a statement. more like this
tabling member constituency Southend West more like this
tabling member printed
Mr David Amess more like this
uin 205759 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-07-22more like thismore than 2014-07-22
answer text <p>NHS England established the specialised commissioning taskforce to make some immediate improvements to the way in which NHS England commissions specialised services, and to put commissioning arrangements on a stronger footing for the longer-term. The task force is not conducting a complete review of specialised commissioning, although there are some aspects of this work which will require some specific services or arrangements to be reviewed. The life of the task force was originally three months running from May to July 2014: this has now been extended to the end of October 2014.</p><p> </p><p>The publication and application of the specialised services strategy have been paused while the task force undertakes its work. At this stage, NHS England is yet to confirm when the strategy will be published. However, many aspects of the work of the taskforce will contribute to taking the strategy work forward later in the year.</p><p> </p><p>Information on the work on development of the mission and vision and service-level planning elements of the specialised services strategy, prior to the pause, is available on the following webpages:</p><p> </p><p>www.england.nhs.uk/ourwork/commissioning/spec-services/five-year-strat/mission-vision/</p><p> </p><p>www.england.nhs.uk/ourwork/commissioning/spec-services/five-year-strat/service-level-plan/</p><p> </p><p>NHS England has advised that the A3 change proposals were a pilot process to establish how NHS England might be able to achieve multiple stakeholder involvement on future service change. Proposals that demonstrate good opportunities to increase value and contain cost have moved into the Quality, Innovation, Productivity and Prevention (QIPP) programme for specialised services. Other proposals which support strategic service planning continue to be considered. Authors with proposals that do not meet the objectives of QIPP or strategic services planning will be informed within the next few weeks.</p><p> </p>
answering member constituency Battersea more like this
answering member printed Jane Ellison more like this
grouped question UIN
205757 more like this
205758 more like this
205760 more like this
question first answered
less than 2014-07-22T16:48:12.7344325Zmore like thismore than 2014-07-22T16:48:12.7344325Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
44
label Biography information for Sir David Amess more like this
78021
registered interest false more like this
date less than 2014-07-15more like thismore than 2014-07-15
answering body
Department of Health more like this
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Health Services remove filter
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 NHS England evaluates service specific A3 change proposals for its five-year strategy development for specialised services; when authors of those proposals will learn the outcomes of their proposals; and if he will make a statement. more like this
tabling member constituency Southend West more like this
tabling member printed
Mr David Amess more like this
uin 205760 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-07-22more like thismore than 2014-07-22
answer text <p>NHS England established the specialised commissioning taskforce to make some immediate improvements to the way in which NHS England commissions specialised services, and to put commissioning arrangements on a stronger footing for the longer-term. The task force is not conducting a complete review of specialised commissioning, although there are some aspects of this work which will require some specific services or arrangements to be reviewed. The life of the task force was originally three months running from May to July 2014: this has now been extended to the end of October 2014.</p><p> </p><p>The publication and application of the specialised services strategy have been paused while the task force undertakes its work. At this stage, NHS England is yet to confirm when the strategy will be published. However, many aspects of the work of the taskforce will contribute to taking the strategy work forward later in the year.</p><p> </p><p>Information on the work on development of the mission and vision and service-level planning elements of the specialised services strategy, prior to the pause, is available on the following webpages:</p><p> </p><p>www.england.nhs.uk/ourwork/commissioning/spec-services/five-year-strat/mission-vision/</p><p> </p><p>www.england.nhs.uk/ourwork/commissioning/spec-services/five-year-strat/service-level-plan/</p><p> </p><p>NHS England has advised that the A3 change proposals were a pilot process to establish how NHS England might be able to achieve multiple stakeholder involvement on future service change. Proposals that demonstrate good opportunities to increase value and contain cost have moved into the Quality, Innovation, Productivity and Prevention (QIPP) programme for specialised services. Other proposals which support strategic service planning continue to be considered. Authors with proposals that do not meet the objectives of QIPP or strategic services planning will be informed within the next few weeks.</p><p> </p>
answering member constituency Battersea more like this
answering member printed Jane Ellison more like this
grouped question UIN
205757 more like this
205758 more like this
205759 more like this
question first answered
less than 2014-07-22T16:48:12.484142Zmore like thismore than 2014-07-22T16:48:12.484142Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
44
label Biography information for Sir David Amess more like this