1-20 of 27 results for house:"House of Lords"
Librarians' tools
- Search time
- 0.431 seconds
- Solr query time
- 0.004 seconds
- Search query
- house:"House of Lords"
- We searched for
- legislature_ses:25277
Type
House
Session
Year
Department
Member
More
Primary member
Answering member
Legislative stage
Legislation
Subject
More
Publisher
To ask Her Majesty’s Government what mechanisms are in place to prevent providers who bid for contracts for NHS-funded services bidding at a loss in order to undercut other providers.
To ask Her Majesty’s Government what mechanisms are in place to prevent providers who bid for contracts for NHS-funded services bidding at a loss in order to undercut other providers.
The terms of each contract are decided by clinical commissioning groups, and by doing this they outline what they expect from each provider.
The Government is clear that where National Health Service commissioners decide to use competition this must always be as a means to improve the quality of NHS services and achieve best value, as opposed to being driven by price alone.
To ask Her Majesty’s Government what steps they have taken and are planning to take to prevent service providers in the National Health Service from targeting (1) lower-cost patients, and (2) more profitable services.
To ask Her Majesty’s Government what steps they have taken and are planning to take to prevent service providers in the National Health Service from targeting (1) lower-cost patients, and (2) more profitable services.
A provider of non-primary care services is contractually obliged, under the provisions of the NHS Standard Contract it has entered into with National Health Service commissioners, to provide the range of services commissioned under that contract. Once contracted to provide a service, the provider may not pick and choose to whom that service is provided.
To ask Her Majesty’s Government what is the average profit margin projected by private sector providers in contracts for NHS-funded services; and what is the average margin of profits actually made.
To ask Her Majesty’s Government what is the average profit margin projected by private sector providers in contracts for NHS-funded services; and what is the average margin of profits actually made.
The Department does not hold this information centrally.
To ask Her Majesty’s Government, in the light of the consultation on the NHS National Tariff Payment System 2015–16, what steps they have taken and are planning to take to ensure that health providers treating complex patients are not under-reimbursed by the payment by results system; and whether a more...
To ask Her Majesty’s Government, in the light of the consultation on the NHS National Tariff Payment System 2015–16, what steps they have taken and are planning to take to ensure that health providers treating complex patients are not under-reimbursed by the payment by results system; and whether a more...
Following the outcome of the consultation on the 2015/16 National Tariff Payment System, Monitor has to decide whether to refer the matter to the Competition and Markets Authority or develop further proposals on which to re-consult. In deciding on the way forward, Monitor will carefully consider responses received through the consultation. However, this process, and resolution under either option, will take time, which means that a new tariff will not be in place by 1 April 2015.
On 18 February 2015, NHS England and Monitor wrote to providers of National Health Service-funded care to offer the choice of an enhanced alternative, the Enhanced Tariff Option (ETO), for 2015/16, which involves a set of local variations under the 2014/15 national tariff rules. If adopted by the whole sector, it would be worth around £500 million more to providers than the 2015/16 tariff proposals consulted on last year. A copy of the letter is attached. The ETO includes a change to the proposed acute specialised services gain and loss share rule, whereby providers of specialised services will retain 70% of the value of any over-performance against baseline, rather than 50%. The list of providers who chose this alternative is attached. Those who have not accepted the ETO will remain on 2014/15 tariff arrangements in the interim.
For future years’ tariffs NHS England and Monitor are considering the use of a more recent version of the Healthcare Resource Group currency as the basis for setting national prices, known as HRG4+. This currency is designed to better reflect the differences in the costs of treating routine (typically non-specialised) and complex (typically specialised) patients. NHS England and Monitor will begin engagement on future plans with the sector shortly.
To ask Her Majesty’s Government what mechanisms are in place to prevent private sector providers making excess profits in contracts for NHS-funded services.
To ask Her Majesty’s Government what mechanisms are in place to prevent private sector providers making excess profits in contracts for NHS-funded services.
The Government has always been committed to minimising scope for some providers to earn excess profits by treating less complex and cheaper cases: so-called “cherry picking”.
Prices payable to providers, under the National Tariff, would take account of the patients they treat and the range of services they offer to ensure a fair level of pay for providers. As a result, providers undertaking only the more simple interventions would be paid a suitably lower price.
To ask Her Majesty’s Government, in the light of the planned consultation highlighted in Monitor's publication "The new NHS provider licence", what plans they have to implement the risk pool levy in order to ensure the continuity of commissioner-requested services in the event of provider failure; and whether such a...
To ask Her Majesty’s Government, in the light of the planned consultation highlighted in Monitor's publication "The new NHS provider licence", what plans they have to implement the risk pool levy in order to ensure the continuity of commissioner-requested services in the event of provider failure; and whether such a...
There are currently no plans to implement the risk pool or risk pool levy in 2015 or later. The Department may review the implementation of a risk pool position at a later date once there is a better understanding of the Commissioner Requested Services market.
Lords motions to take note. Agreed to on question.
Lords motions to take note. Agreed to on question.
Lords question for short debate on what action they are taking to support children and young people who have had a stroke.
Lords question for short debate on what action they are taking to support children and young people who have had a stroke.
To ask Her Majesty’s Government what action they are taking to ensure that the National Health Service has sufficient district nurses.
To ask Her Majesty’s Government what action they are taking to ensure that the National Health Service has sufficient district nurses.
My Lords, the Department of Health is working with Health Education England, NHS England and the Queen’s Nursing Institute to raise the profile of district and community nursing and to attract more nurses to choose this as a career path. That work includes a workforce project led by the Community Nursing Strategy Programme to ensure an adequate supply of highly skilled district nurses to support patients in community settings, provide quality care and improve patient outcomes.
To ask Her Majesty’s Government how they will ensure Clinical Commissioning Groups’ strategies and implementation plans support carers and take account of their needs and aspirations.
To ask Her Majesty’s Government how they will ensure Clinical Commissioning Groups’ strategies and implementation plans support carers and take account of their needs and aspirations.
My Lords, NHS England assures clinical commissioning groups’ plans to support and challenge them to meet the needs of their populations. This includes considering supporting carers, who are a hugely valuable asset for local communities. NHS England has published a commitment to carers action plan. It will review the delivery of these commitments through feedback from carers and carers’ organisations and through progress towards the relevant outcomes indicators and mandate objectives.
To ask Her Majesty’s Government what response they intend to make to the findings of the Age UK report Care in Crisis on the impact of cuts to care for older people.
To ask Her Majesty’s Government what response they intend to make to the findings of the Age UK report Care in Crisis on the impact of cuts to care for older people.
My Lords, social care is a priority for this Government, which is why we have allocated an extra £1.1 billion to councils this year to protect services. We are building on this by creating a £3.8 billion fund next year to join up NHS and social care services. Both health and social care need to work differently to respond to the needs of our ageing population, focusing on keeping people well and living independently for as long as possible.
To ask Her Majesty’s Government, in the light of the Dr Foster Hospital Guide 2013, how NHS England is monitoring access to essential services and how it intends to address variations in access to and provision of services at clinical commissioning group level.
To ask Her Majesty’s Government, in the light of the Dr Foster Hospital Guide 2013, how NHS England is monitoring access to essential services and how it intends to address variations in access to and provision of services at clinical commissioning group level.
My Lords, to help reduce variations in access to health services, Professor Sir Bruce Keogh, the medical director of NHS England, is working with the medical royal colleges and others to ensure that the NHS is clear about the evidence base for common types of surgical interventions. For example, it will produce guidance for commissioners to help ensure that consistent eligibility criteria are used to access surgical services and so minimise the scope for variation at a local level.
To ask Her Majesty’s Government what plans they have in respect of the closures of NHS walk-in centres over the past three years, in the light of the preliminary report made by Monitor.
To ask Her Majesty’s Government what plans they have in respect of the closures of NHS walk-in centres over the past three years, in the light of the preliminary report made by Monitor.
My Lords, since 2007, the local NHS has been responsible for NHS walk-in centres. It is for local commissioners to decide on the availability of these services. It is also for local commissioners to determine how walk-in centres fit into plans locally, rather than being governed by a top-down imposition of services. They make such decisions by involving patients and by using their clinical expertise to determine the pattern of local services and where walk-in centres fit in with this.
To ask Her Majesty’s Government how many types of treatment Clinical Commissioning Groups have decided not to offer to patients since April 2013.
To ask Her Majesty’s Government how many types of treatment Clinical Commissioning Groups have decided not to offer to patients since April 2013.
My Lords, clinical commissioning groups are now responsible for commissioning services and treatments for their local populations, with NHS England providing oversight and support. NHS England has advised that it does not routinely collect data on the number and type of treatments that CCGs have decided not to offer to patients. We have been clear: restricting access to services on the basis of cost alone is wrong and compromises patient care. Commissioning decisions should be made using clinical evidence and best practice guidance.
To ask Her Majesty’s Government what actions they propose to take in the light of the findings of the Care Quality Commission’s home care inspection review Not Just a Number.
To ask Her Majesty’s Government what actions they propose to take in the light of the findings of the Care Quality Commission’s home care inspection review Not Just a Number.
My Lords, the Government were encouraged that almost three-quarters of the domiciliary care agencies inspected by the CQC for the review were found to be meeting essential standards.
As the regulator of health and adult social care, the CQC has a range of powers to ensure that services are safe and of good quality. The CQC has the Government’s full support to take firm action where it finds services are unacceptable or failing.
To ask Her Majesty’s Government what progress they are making on establishing social care apprenticeships; and how voluntary registration of social care workers will assist apprentices and staff to provide the quality of care required in domiciliary and community settings.
To ask Her Majesty’s Government what progress they are making on establishing social care apprenticeships; and how voluntary registration of social care workers will assist apprentices and staff to provide the quality of care required in domiciliary and community settings.
My Lords, apprenticeships and voluntary registration for social care workers are part of the vision set out in the care and support White Paper and will contribute to improving quality of care. The latest figures report that more than 60,000 apprenticeships have started in 2011-12. A system of assured voluntary registers will help to support the delivery of quality care by enabling individuals to demonstrate that they meet set standards of education, training and competence.
To ask Her Majesty’s Government what action they will take in the light of the finding of the Care Quality Commission’s recent unannounced inspections of care homes and treatment centres for people with learning disabilities, that around half of those inspected were not meeting essential standards of care.
To ask Her Majesty’s Government what action they will take in the light of the finding of the Care Quality Commission’s recent unannounced inspections of care homes and treatment centres for people with learning disabilities, that around half of those inspected were not meeting essential standards of care.
My Lords, the CQC’s findings show unacceptable levels of care. On Monday a Department of Health report set out 14 national actions to improve care and support for people with learning disabilities or autism and behaviours that challenge. All parts of the health and care system have a role to play in driving up standards, stopping abuse and transforming local services.
To ask Her Majesty’s Government what is the timetable for the draft Bill to modernise adult care and support in England announced in the Queen’s Speech and to what extent the proposals in the Bill follow the recommendations of the Dilnot commission.
To ask Her Majesty’s Government what is the timetable for the draft Bill to modernise adult care and support in England announced in the Queen’s Speech and to what extent the proposals in the Bill follow the recommendations of the Dilnot commission.
My Lords, the Government have committed to publishing a draft Bill for pre-legislative scrutiny this Session, and will outline plans for transforming care and support in the forthcoming White Paper. The Dilnot commission’s recommendations are hugely valuable. However, implementing them would have significant costs, which must be considered in light of the growing demand for social care, and of other priorities. We will set out the way forward in the progress report alongside the White Paper.
Lords question for short debate on what plans they have to address variations in health and social care support for people after stroke identified in the Care Quality Commission's special review, Supporting Life After Stroke.
Lords question for short debate on what plans they have to address variations in health and social care support for people after stroke identified in the Care Quality Commission's special review, Supporting Life After Stroke.
Lords debate on motion to call attention to the extent of the implementation of the recommendations of the NHS Future Forum in the Health and Social Care Bill. Motion withdrawn.
Lords debate on motion to call attention to the extent of the implementation of the recommendations of the NHS Future Forum in the Health and Social Care Bill. Motion withdrawn.