House of Commons - Health Committee: Appointment of the Chair of Monitor - HC 744
House of Commons - Health Committee: Appointment of the Chair of Monitor - HC 744

Author: Great Britain: Parliament: House of Commons: Health Committee

Publisher: The Stationery Office

Published: 2013-10-24

Total Pages: 16

ISBN-13: 9780215063298

DOWNLOAD EBOOK

In April 2010 Dr David Bennett was appointed as interim Chief Executive of Monitor and then as Chair in March 2011. He was appointed permanent Chief Executive of Monitor with effect from 1 November 2012, while remaining as Chair pending a new appointment. On 10 October 2013, the Secretary of State proposed to appoint Dominic Dodd as Chair of Monitor. Dr Bennett has filled the roles of both Chair and Chief Executive - effectively Executive Chair - and has led Monitor through the whole process of change brought about by the Health and Social Care Act 2012. He has both shaped and interpreted the role that Monitor now plays in the system which makes the transition to another individual taking on the Chair an especially difficult one. On this basis the Committee did not endorse Mr Dodd's appointment

House of Commons - Health Committee: 2013 Accountability Hearing with the Nursing and Midwifery Council - HC 699
House of Commons - Health Committee: 2013 Accountability Hearing with the Nursing and Midwifery Council - HC 699

Author: Great Britain: Parliament: House of Commons: Health Committee

Publisher: The Stationery Office

Published: 2013-12-18

Total Pages: 48

ISBN-13: 9780215065841

DOWNLOAD EBOOK

In this report the Health Committee welcomes improvements in the performance of the Nursing and Midwifery Council (NMC) over the last year, but expresses continuing concern that the progress made so far remains fragile. The Committee emphasises that it is important to ensure that the new challenges facing the NMC do not become a distraction from the continuing requirement to improve its performance of its core functions. The report is the first example of a Health Committee review of a professional regulator which builds on the work of the Professional Standards Authority (PSA). The length of time the NMC takes to conclude its fitness to practise cases has been an enduring concern for the Committee. From 2015, the NMC proposes to toughen the target period for resolving fitness to practise cases to 15 months (eventually to 12 months). The NMC has announced plans to introduce a system of revalidation by the end of 2015 which is welcomed. The Francis Report into the failings at Mid Staffs examined the role of regulators, including the NMC, in detail. The report stresses the importance of ensuring firstly that registrants understand their professional obligation to raise concerns when they see evidence of poor patient care, and secondly that patients and public are made more aware of the role of the NMC as the regulator of professional and clinical standards. The NMC should take urgent steps to raise the profile of the NMC both among its registrants and among patients and public.

House of Commons - Health Committee: 2013 Accountability Hearing with Monitor - HC 841
House of Commons - Health Committee: 2013 Accountability Hearing with Monitor - HC 841

Author: Great Britain: Parliament: House of Commons: Health Committee

Publisher: The Stationery Office

Published: 2014-03-26

Total Pages: 64

ISBN-13: 9780215069795

DOWNLOAD EBOOK

This year's inquiry into the work of Monitor concludes that the model of care provided by the health and care system is not changing quickly enough with the result that pressures continue to build, threatening the financial stability of individual providers, and therefore the quality of care provided The pressures are likely to be particularly marked in the acute sector as plans are prepared and implemented to achieve the resource transfer required by the introduction of the Better Care Fund from April 2015. Continuing this theme, the Committee argues that as the NHS financial situation tightens, the challenge for Monitor in supporting trusts in financial difficulty is likely to increase. The MPs emphasise the importance of addressing pressures within individual providers in the context of the local health economy. The requirement for major change in the care model can only be delivered if individual providers, and Monitor as their regulator, look beyond preserving existing structures and address the need to develop different structures to meet changing needs. The Committee also expresses concern that Monitor has not done enough to reform the system of tariff payments for providers, arguing that the current tariff arrangements often create perverse incentives for providers and inhibit necessary service change. It recommends that Monitor and NHS England should initiate a formal joint process for a prioritised review of the NHS tariff arrangements with the objective of identifying and eliminating perverse incentives and introducing new tariff structures which incentivise necessary service change

2013 Accountability Hearing with the General Medical Council - HC 897
2013 Accountability Hearing with the General Medical Council - HC 897

Author: Great Britain: Parliament: House of Commons: Health Committee

Publisher: The Stationery Office

Published: 2014-04-02

Total Pages: 60

ISBN-13: 0215070577

DOWNLOAD EBOOK

GMC's fitness to practise successfully produces outcomes that protect patients from sub-standard doctors but failures to communicate the reasons for decisions and poor investigative practices have undermined a small number on investigations. The GMC should review its fitness to practice procedures to prevent such mistake. The Committee also found that while it is still too early to judge whether revalidation has been effective there is a worrying approach to the oversight of revalidation. Each designated body has a responsible officer for revalidating their medical staff, but the degree to which the responsible officer will be held to account is unclear. It is imperative that the GMC clarifies the personal responsibility and accountability of responsible officers. There is also concern over the number of responsible officers available to oversee the revalidation of doctors working in primary care. GPs are revalidated not by their own employers but by one of the 27 NHS England local area teams that oversees Clinical Commissioning Groups in England. Just 27 responsible officers will be tasked with overseeing revalidation for approximately 45,0000 GPs in England. The Government's intention had been to give the GMC the power to allow it to appeal decisions made by the Medical Practitioners Tribunal Service (MPTS) in 2014 by using a mechanism in secondary legislation called a section 60 order. The Government now plans to introduce the reform in primary legislation as part of a proposed Law Commission Bill thus meeting with even further delay

HC 350 - Complaints and Raising Concerns
HC 350 - Complaints and Raising Concerns

Author: Great Britain. Parliament. House of Commons. Health Committee

Publisher: The Stationery Office

Published: 2015

Total Pages: 52

ISBN-13: 0215081080

DOWNLOAD EBOOK

Most of those who complain about NHS services do not seek financial redress. They do so because they wish to have their concerns and experiences understood and for any failings to be acknowledged and put right so that others do not suffer the same avoidable harm. Where such errors occur, patients and their families deserve to be met with a system which is open to complaints, supports them through the process and which delivers a timely apology, explanation and a determination to learn from mistakes. The current system for complaints handling however, remains variable. Too many complaints are mishandled with people encountering poor communication or at worst, a defensive and complicated system which results in a complete breakdown in trust and a failure to improve patient safety. The Committee welcomes the progress made since their last report, but in this, the Committee's final report on complaints and concerns in this Parliament, an overview is set out of the developments and recommendations to date as well as those expected in 2015. The Committee also makes a number of recommendations where further action is required.

HC 401 - Managing the Care of People with Long-Term Conditions
HC 401 - Managing the Care of People with Long-Term Conditions

Author: Great Britain: Parliament: House of Commons: Health Committee

Publisher: The Stationery Office

Published: 2014-07-03

Total Pages: 228

ISBN-13: 0215073274

DOWNLOAD EBOOK

15 million NHS patients in England with long-term conditions such as diabetes, arthritis and asthma account for 70% of the annual expenditure of the NHS in England. One projection estimating that the bill for treatment of long-term conditions will require the NHS to find £4 billion more each year by 2016. Increasingly, patients do not have a single long-term condition but live with two or more conditions, complicating treatment and adding to its cost. The Committee strongly supports the development of individual care planning for people with long-term conditions, based on the principles successfully demonstrated in the NHS House of Care programme. Care planning approaches will involve GPs, community health services and specialists sitting down with the patient to draw up a personalised plan for the care required, which includes the support needed to help the patient manage his or her own condition. The challenge, though, of introducing personalised care planning for 15 million people is substantial. The Committee looked at the prevailing view that services to treat long-term conditions should be moved out of hospitals and into primary and community care. To provide effective care for these conditions, services have to be maintained across all settings, from support in the home through to acute specialist care, and many conditions will continue to require specialist services delivered in hospital. Effective management of long-term conditions also requires collaboration with other government providers, such as housing and transport services.

HC 845 - Impact Of Physical Activity And Diet On Health
HC 845 - Impact Of Physical Activity And Diet On Health

Author: Great Britain. Parliament. House of Commons. Health Committee

Publisher: The Stationery Office

Published: 2015

Total Pages: 69

ISBN-13: 0215084713

DOWNLOAD EBOOK

Diet, obesity, and physical activity all have important impacts on health. For too long however, physical activity has been seen merely in the light of its benefits in tackling obesity. A core message from this inquiry is the compelling evidence that physical activity in its own right has huge health benefits totally independent of a person's weight. The importance of this - regardless of weight, age, gender or other factors - needs to be clearly communicated. Interventions focused on encouraging individuals to change their behaviour with regard to diet and physical activity need to be underpinned by broader, population-level measures. Whilst both are important, population-level interventions have the advantage of impacting on far greater numbers than could ever benefit from individual interventions. The Committee recommends that the next Government prioritises prevention, health promotion and early intervention to tackle the health inequalities and avoidable harm resulting from poor diet and physical inactivity. The Committee regards it as inexplicable and unacceptable that the NHS is now spending more on bariatric surgery for obesity than on a national roll-out of intensive lifestyle intervention programmes that were first shown to cut obesity and prevent diabetes over a decade ago. All tiers of weight management services should be universally available and individual clinicians should use every opportunity to help their patients to recognise and address the problems caused by obesity and poor diet, and to promote the benefits of physical activity.

Fundamental Aspects of Long Term Conditions
Fundamental Aspects of Long Term Conditions

Author: Helen McVeigh

Publisher: Andrews UK Limited

Published: 2016-05-23

Total Pages: 288

ISBN-13: 1856424790

DOWNLOAD EBOOK

Underpinned by relevant epidemiology, demography and policy, this book explores the management of long-term conditions. It discusses communication and multidisciplinary working, including discussion of the student nurse's role. Each chapter includes learning points and uses a questioning/reflective approach, which draws on the reader's own experiences.

Privacy and injunctions
Privacy and injunctions

Author: Great Britain: Parliament: Joint Committee on Privacy and Injunctions

Publisher: The Stationery Office

Published: 2012-03-27

Total Pages: 108

ISBN-13: 9780108475719

DOWNLOAD EBOOK

This report says Parliament should not introduce any new privacy statute. It concludes that in weighing the competing rights to privacy and freedom of expression, each case must be judged on its own merits. The bar for limiting freedom of expression must be set high, but the courts are now striking a better balance in dealing with applications for privacy injunctions. Criticism that privacy law has been "judge-made", noting that it evolved from the Human Rights Act is rejected. The Committee says the most important step towards improving protection of privacy is to provide for enhanced regulation of the media. The Press Complaints Commission lacked the power, sanctions or independence to be truly effective. Substantial changes to press regulation are needed to ensure that it encompasses all major news publishers including, in time, major bloggers. The Committee makes several recommendations including that the reformed regulator should: have access to a wider range of sanctions, including the power to fine; be cost-free to complainants; be able to determine the size and location of a published apology, and the date of publication; play a greater role in arbitrating and mediating privacy disputes. One possible mechanism the Committee suggests is for advertisers to agree to advertise only in publications that are members of the press regulator and subscribe to its rules. It also concludes that parliamentarians should ensure that material subject to an injunction is only revealed in Parliament when there is good reason to do so

Human Tissue and Embryos (draft) Bill
Human Tissue and Embryos (draft) Bill

Author: Great Britain: Department of Health

Publisher: The Stationery Office

Published: 2007-05-17

Total Pages: 258

ISBN-13: 9780101708722

DOWNLOAD EBOOK

The Government set out detailed policy proposals for changes to the Human Fertilisation and Embryology Act 1990 in its White Paper (Cm.6989, ISBN 9780101698924) published in December 2006. These proposed changes to the law and regulation relating to human reproductive technologies, following on from a public consultation exercise undertaken during 2005, sought to balance the competing claims of reproductive liberty and responsibility, patient safety, child welfare, professional autonomy and public accountability. The overarching aim is to achieve the common good through a system which is broadly acceptable to society, given the complex ethical issues involved, and which is effective given the pace of scientific developments. This present document contains the draft text of the proposed Human Tissue and Embryos Bill, published in order to enable pre-legislative scrutiny of the proposals by a Parliamentary Committee. It includes the text of the draft Bill, explanatory notes, a draft regulatory impact assessment and a version of how the Human Fertilisation and Embryology Act would look if amended by the draft Bill and the EU Tissue Directive. The proposals include the creation of the new single regulatory authority on the use of human tissue, cells and blood, to be called the Regulatory Authority for Tissue and Embryos (RATE), to replace the Human Fertilisation and Embryology Authority and the Human Tissue Authority.