Chief Executive Bulletin
| 13 - 18
September 2003, Issue 186 | Contents:
NHS
and social care interest
1. Older People's NSF - general
hospital care standard
2. Mental Health Policy Information
Guide (MHPIG) - flexibility NHS interest
3. Government
response to the Health Select Committee report on sexual health
4. Influenza
immunisation - item of service payments for at risk groups
5. Medicines
Management Framework
6. Clinical Excellence Awards sub-committee
require more input from employers Statement on internal control 2003-2004
7. Statement on internal control 2003-2004
8. Invitation
for second wave of repeat dispensing pathfinder sites
9. Statement
of Fees and Allowances - new premises flexibilities
10. Extension
of the King's Fund programme
11. Remuneration, mileage
rates and new carer provisions for chairs and non-executives
12. Managing
dental lists - updated information for PCTs
13. System
reform, choice, payment by results, NHS Foundation Trusts - events
14.
NHS Estates notices
15. Medical device alert
Social care interest
No items this week Further items
of interest
16. National occupational standards in mental
health
17. Maternity, paternity, adoption and related leave
- revisions
18. Heart failure management - NICE
19. Heart failure management- toolkit
20. "Calling
time…", -Working Time Directive bulletin
21. A
new generation of healthcare facilities - Modernising the Fabric of the NHS
22. Meeting the information needs of ministers
23. National
Conferences and Learning Exchange events
NHS and social
care interest 1. Older People's NSF - general
hospital care standard (Gateway reference 1983)
PCTs, working with acute
trusts, are invited to bid for funding to run projects in support of implementation.
£2.8 million is available in 2004-2005 and 2005-2006 to help with implementation
of this standard. The letter, proforma and contacts are at www.doh.gov.uk/nsf/olderpeople/genhospcarestandard.htm
Further information at www.doh.gov.uk/nsf/olderpeople/news.htm
Contact: Gourie Bhattacharjee at gourie.bhattacharjee@doh.gsi.gov.uk Top
2.
Mental Health Policy Information Guide (MHPIG) - flexibility (Gateway reference
1968)
It is critical that we deliver on our mental health agenda. To
ensure this, a fidelity and flexibility paper has been developed. This is as a
result of questions being raised on whether it is mandatory to conform to the
MHPIG in every detail and what scope there is for flexibility given that the MHPIG
talks about tailoring services to local needs. The paper outlines the agreed criteria
on these issues following consultation with SHA mental health leads and CHI.
Further information at www.nimhe.org.uk/networks/shamh.asp Top
NHS
interest 3. Government response to the Health Select
Committee report on sexual health (Gateway reference 1991)
This response
was published on 10 September. It announced additional investment of £5
million in genito-urinary medicine services, £1m in contraceptive services
and £5 million (in addition to the £3m previously announced) to help
NHS laboratories use more efficient methods of chlamydia testing. We will be seeking
bids from PCT directors of public health for the chlamydia funding within the
next two weeks. SHAs will be given a co-ordinating role. The response is at www.doh.gov.uk/sexualhealthandhiv
Contact: Jonathan Fraser on jonathan.fraser@doh.gsi.gov.uk
or 020 7972 5002. Top
4.
Influenza immunisation - item of service payments for at risk groups (Gateway
reference 1988)
After further negotiations with the General Practitioners
Committee, agreement has been reached to introduce item of service payments for
under-65 at risk groups this year (2003-2004) rather than 2004-2005. A letter
from the chief medical officer confirms these details at www.doh.gov.uk/cmo Top
5.
Medicines Management Framework (Gateway reference 1785)
The Medicines
Management Framework was launched on 17 September. Trust chief executives are
responsible for the systems for management of medicines within their organisations
and related health economy. Medicines expenditure in England has risen to over
£8 billion with just over £1.7 billion spent on medicines in hospital
in 2001-2002. Strategic health authorities should establish review groups, led
by directors of performance management to analyse trust returns and ensure remedial
local arrangements are in place ahead of value for money audits which are expected
to be undertaken by CHAI in 2005.The framework is at
www.doh.gov.uk/hospitalmedsmanframework Top
6.
Clinical Excellence Awards sub-committee require more input from employers (Gateway
reference 1984)
SHA chief executives are asked to provide a selection
of nominees who we can invite to sit on the new sub-committees - up to four on
each sub-committee are permitted. Nominees can be trust or SHA chief executives,
medical directors or HR directors. Locations of the sub-committees and the SHAs
and trusts represented are at www.doh.gov.uk/cebulletin/clinexcelawards.htm
Nominations should be sent by 17 October 2003, to Siobhan Guascone, ACCEA Sub-Committees,
Area 531B, Skipton House, 80 London Road, London SE1 6LH. Tel: 020 7972 5035,
e-mail: siobhan.guascone@doh.gsi.gov.uk
Further information at www.doh.gov.uk/cebulletin/clinexcelawards.htm Top
7.
Statement on internal control 2003-2004 (Gateway reference 1903)
The Treasury
has announced changes to the format and content of the Statement on Internal Control
for 2003-2004. Changes include a requirement for documented evidence, disclosure
of significant internal control issues and a move away from a standard template.
Achievement of full statements will be performance managed by strategic health
authorities.
The revised guidance should be brought to the attention of audit
committee chairs, all board members and heads of internal audit.
Guidance
at www.doh.gov.uk/cebulletin/internalcontrol0304.htm
Contact: David Parker on 0113 254 5402 or david.a.parker@doh.gsi.gov.uk Top
8.
Invitation for second wave of repeat dispensing pathfinder sites (Gateway reference
1977)
Regulations for the first wave of 30 pathfinder repeat dispensing
sites came into force in May 2003. The sites have since begun to implement these
arrangements. PCTs are invited to apply to be part of the second wave of 40 pathfinder
sites. We will take this opportunity to increase the scope of the arrangements
to include nurse and pharmacist prescribers, as well as GPs. Further details of
the arrangements and the application form can be found at www.doh.gov.uk/nhsrepeatdispensing
Applications must be received by 12 November 2003. Top
9.
Statement of Fees and Allowances - new premises flexibilities (Gateway reference
1944)
The new GP Contract set out a range of flexibilities to be introduced
as amendments to the Statement of Fees and Allowances (SFA). The new and revised
payment arrangements will enable capital investment in the primary care estate
and better target revenue support. A letter giving notice of the SFA amendments
and associated annexes can be found under 'guidance' at www.nhsestates.gov.uk/primary_care/index.asp
Chief executives are asked to bring the package to the attention of their primary
care and finance staff, and GMS and PMS practices for whom they have responsibility. Top
10.
Extension of the King's Fund programme (Gateway reference 1987)
NHS Estates
will provide a grant of £30,000 to improve a patient area, plus a developmental
programme for the staff involved. The rollout will fund one trust per SHA, and
nominations (via SHAs) must be received at the King's Fund by 26 September. Interested
CEs should contact brian.coapes@doh.gsi.gov.uk,
helen.bourner@doh.gsi.gov.uk
or visit www.enhancingthehealingenvironment.org.uk
Top
11.
Remuneration, mileage rates and new carer provisions for chairs and non-executives
(Gateway reference 1989)
The Secretary of State has agreed an increase
of 2.5 per cent for chairs and non-executive directors of NHS boards, backdated
to 1 April 2002. Changes have also been agreed to mileage rates and carer expenses.
SHA chairs should be paid at band 1. New
banding levels (effective from 1 April 2003) for chairs of NHS trusts, a list
of new trusts and details for PCTs chairs Top
12.
Managing dental lists - updated information for PCTs (Gateway reference 1971)
The NHS (General Dental Services Supplementary List) and (General Dental
Services) Amendment Regulations 2003 came into effect on 3 March 2003. The provisions
relating to supplementary lists came fully into effect on 3 September. Advice
for PCTs on the management of dental lists has been updated. It also includes
advice on the management of supplementary lists. It is at www.doh.gov.uk/pclists/dentalguidance.pdf
and www.doh.gov.uk/pclists/advice.htm
Contact: sarah.lowney@doh.gsi.gov.uk Top
13.
System reform, choice, payment by results, NHS Foundation Trusts - events (Gateway
reference 1991)
You are invited to participate in one of four events being
run for all PCTs and SHAs colleagues, to explore the issues and implications around
the system reform agenda, patient choice, payment by results and NHS Foundation
Trusts. They will be held on: 20 October - London, 21 October - Bristol, 23 October
- Leeds, 28 October - Birmingham. Further information at www.doh.gov.uk/cebulletin/systemreformevents.htm Top
14.
NHS Estates notices (Gateway reference 1972)
The following hazard notice
has been issued by NHS Estates
· High voltage 11kV switch (Long and
Crawford Type J3 and J4). Risk - unable to switch "OFF". Hazard Notice
- NHSE HN (2003) 05. Issued 10 September 2003
· High voltage 11kV switch
type (Rayrolle OKSS, ROKSS and ROSS RMU). Risk - failure of 11kV supply. Hazard
Notice - NHSE HN (2003) 06. Issued 1- September 2003
For further information
contact NHS Estates, Centre of Healthcare Engineering or www.nhsestates.gov.uk
e-mail nhsestates@doh.gsi.gov.uk Top
15.
Medical device alert - MDA/2003/030 (Gateway reference 1985)
Roche Diagnostics
Ltd, CoaguChek PT test strips (12strip pack), Catalogue number: 1937634-190, lot
number: 583
This Medical Device Alert was issued on 9 September 2003 to NHS
trusts for immediate action. Further information at www.mhra.gov.uk Top
Social care interest
No items this week
Further items
of interest 16. National occupational standards
in mental health (Gateway reference 1973)
These standards are now available
at www.nimhe.org.uk/priorities/workforce.asp
Contact: John Allcock on john.allcock@doh.gsi.gov.uk Top
17.
Maternity, paternity, adoption and related leave - revisions (Advance Letter AL(GC)1/2003)
(Gateway reference 1938)
Revisions to the national agreements on maternity,
paternity, adoption and related leave and pay have been agreed which take account
of the improvements in the statutory provisions introduced earlier this year.
Full details
Advance Letter AL(GC)1/2003
The revised agreements for pay and
leave apply to births on or after 1 October 2003 Top
18.
Heart failure management - NICE (No gateway reference required)
NICE has
issued a guideline on the management of chronic heart failure in adults in primary
and secondary care at www.nice.org.uk Top
19.
Heart failure management- toolkit (Gateway reference 1772)
The Department
of Health has published a toolkit to help the NHS implement Coronary Heart Disease
NSF heart failure standard, the PPF heart failure target and the NICE heart failure
guideline. To view visit www.doh.gov.uk/heart/heartfailure
Top
20.
"Calling time…", -Working Time Directive bulletin (Gateway reference
1990)
This newsletter shares news, knowledge, findings and resources aimed
at meeting the challenges of implementing the working time directive (WTD) for
junior doctors. It is at www.modern.nhs.uk/workingtime/bulletin
Contact: Gary Sutter on 020 7210 5852 or HRDtemp5@doh.gsi.gov.uk Top
21.
A new generation of healthcare facilities - Modernising the Fabric of the NHS
(Gateway reference 1948)
This report about investment in NHS buildings
and equipment cites many examples of how capital investment is improving the patient
experience. It is at www.nhsestates.gov.uk/news_update/index.asp
and is available on request from Danielle Holme at NHS Estates, 0113 254 7022. Top
22.
Meeting the information needs of ministers (Gateway reference1975)
The
Department of Health will be approaching SHAs for help in collecting and checking
information for local factsheets in the next week or so. Further information at
www.doh.gov.uk/cebulletin/keyinfodhministers.htm Top
23.
National Conferences and Learning Exchange events (Gateway reference 1993)
As part of the new Improvement Partnership for Ambulance Services to be launched
next week, the DH and Modernisation Agency will be running events on 11 and 12
November. They will focus on the contribution of ambulance services to the delivery
of the NHS Plan and improving the patient experience. Further details at www.doh.gov.uk/cebulletin/learningexchanges.htm Top
The
documents in this bulletin are Crown copyright but may be reproduced by NHS and
local authority staff without formal permission or charge for personal or in-house
use - ©2003
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