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Chief Executive Bulletin
- 16 - 22 November 2001
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Hard copy versions of these publications can be ordered from the NHS Responseline 08701 555 455. Contents: NHS and Social Care interest 1. DfES 0732/2001, DoH HSC 2001/019, LAC (2001) 27 Access to Education for Children and Young People with Medical Needs2. Involving Patients and the Public in Healthcare: Response to the Listening Exercise 3. Coronary Heart Disease (CHD) Information Strategy 4. Planning Across the Local Strategic Partnership: Community Strategies, Neighbourhood Renewal and Health Improvement 5. Determination for Special Grant to Social Services-Building Care Capacity NHS interest 6. Bed Census on 30 November: Further Information7. HSC 2001/023 Good Practice in Consent: Achieving the NHS Plan Commitment to Patient-Centred Consent Practice 8. Advance Letter (NM) 2/2001 Pay For Staff on the Senior Nurse and Senior Midwife Pay Spine 2001/2002 9. New Powers for HAs and PCTs to Discipline FHS Practitioners – The existing FHSAA 10. Agenda for Change - Modernising the NHS Pay System 11. New Guidance on Income Generation in the NHS 12. Hospital Episode Statistics (HES) Calendar Year – Revised Timetable 13. Community Pharmacy Contractor Remuneration 14. Health Authority Drugs Education and Prevention Funding 2001/2 15. Flexible Careers Scheme for Doctors NHS/ Social Care interest 1. DfES 0732/2001, DoH HSC 2001/019, LAC (2001) 27 Access to Education for Children and Young People with Medical Needs This guidance sets out minimum national standards for the education of children who are unable to attend school because of medical needs. Link to document (warning – this is a large file, approx. 9Mb) Paper copies of this publication can be obtained from (please quote ref:- 0732/2001):DfES Publications, PO Box 5050, Sherwood Park, Annesley, Nottingham Tel: 0845 6022260. Fax: 0845 6033360. Textphone: 0845 6055560. e-mail: dfes@prolog.uk.com PP3/D21/1001/253 ISBN 1 84185 622 3 2. Involving Patients and the Public in Healthcare: Response to the Listening Exercise The NHS Plan set out a high-level vision to change the way we involve people in shaping NHS services. We are well on the way to establishing Patient Advice and Liaison Services and this service will be available in all NHS trusts and PCTs from April 2002. The new system for patient and public involvement is a key component for developing the national performance ratings, which will be backed-up by the new trust-based patients’ survey. The Department of Health has published its plans (16 November), Involving Patients and the Public in Healthcare: Response to the Listening Exercise on how patients and the public will play a much greater role in the shaping of their health services. This can be found on the Department’s website at: www.doh.gov.uk/involvingpatients The proposals were developed following a listening exercise involving the public, patient representatives, voluntary organisations, local authorities and NHS staff about how they think patients and the public can best become involved in the NHS. Some elements of the new system for patient and public involvement are already contained in the Health and Social Care Act 2001:
Further provisions are included in the 'National Health Service Reform and Health Care Professions Bill'. The timetable for implementation is, in part, dependent on legislation. However, all NHS Trusts and PCTs should be working to establish PALS by April 2002. We envisage establishing the Commission for Patient and Public Involvement in Health, its local networks and Patients’ Forums at the beginning of 2003 and CHCs and ACHCEW to ceasing to operate in April 2003. We also envisage commencing the provisions in the Health and Social Care Act 2001, with regard to Overview and Scrutiny Committees, their new powers at the beginning of 2003. 3. Coronary Heart Disease (CHD) Information Strategy The Department of Health has published the Coronary Heart Disease (CHD) Information Strategy to support the CHD NSF and the NHS Plan. Building on the NHS Information Strategy, Information for Health, it identifies the requirements for CHD information systems and services to support modern cardiac care and outlines the national and local actions required to deliver the strategy. The aim of the strategy is to ensure that everyone involved in cardiac care has timely access to the information they need in the formats they find most useful. Its objectives are to build and support:
Roger Boyle, National Director for Heart Disease, outlined the importance of the CHD information strategy: "CHD is one of this country's biggest killers. Tackling it requires the quality of care that can only be delivered through the availability of quality information. It is important to aid in the delivery of the agenda laid out in the CHD IS, as it ensures that this quality information is available by providing a framework to achieve the vision laid out in the NSF" Further details of the strategy can be found at: www.doh.gov.uk/ipu/strategy/nsf/3.htm 4. Planning Across the Local Strategic Partnership: Community Strategies, Neighbourhood Renewal and Health Improvement The Department of Health (DH), the Department of Transport, Local Government and the Regions (DTLR) and the Health Development Agency, are sponsoring a series of events in December and January to share learning experiences between Local Strategic Partnership (LSP) partner agencies working to improve health and well being, and tackle inequalities through:
These events will
be free, and they will take place on: The events are aimed at small teams of people from each LSP or planning partnership area, which could include:
If you are interested in attending one of these free events please send an email to: Robert.Oldham@doh.gsi.gov.uk or fax to: 0113 254 6343. For further information please contact Robert Oldham or Catherine Davies on: 0113 254 5753. 5. Determination for Special Grant to Social Services-Building Care Capacity This Determination specifies the authorities to which the grants are to be paid, the welfare services the grants are to be used to support and the amount which the Secretary of State proposes to pay to each of the authorities concerned. It also specifies the conditions that the Secretary of State intends to impose on the payment of the grants. The Determination can be found at www.doh.gov.uk/jointunit/delayeddischargeNHS Interest 6.
Bed Census on 30 November: Further Information A personalised census form and guidance will be emailed, by Monday 26 November, to all NHS Trusts that have nominated a contact. Those trusts that have not nominated a contact will be sent the forms as soon as we have obtained contact details. To ensure complete and accurate data we need one completed form for the whole trust which should be confirmed by the senior manager responsible for capacity / winter planning. The form should be returned to the email address on the form by noon on Friday 30 November. A copy of the guidance and an example form will be placed on the NHSweb at http://nww.doh.nhsweb.nhs.uk/hospitalactivity/wintercensus/ for reference for other staff involved in winter planning at trusts, health authorities and LCPGs. We will also use this website to share information on definitional and other queries. If you have any queries about the census please check the Frequently Asked Questions on the website first as we expect our phones to be busy over this period. If your query is not covered please ring our Helplines on (0113) 2545234 for definitional issues or (0113) 2545522 for other issues. 7. HSC 2001/023 Good Practice in Consent: Achieving the NHS Plan Commitment to Patient-centred Consent Practice This HSC contains the implementation requirements of the NHS Plan commitment to patient-centred consent practice. It is accompanied by the Good practice in consent implementation guide, which contains the model consent forms that the NHS will be expected to introduce by April 2002, and the model consent policy which should be introduced by October 2002. Reference guide on consent when working with older people, children, and those with a learning disability was also published today. All materials are available at www.doh.gov.uk/consent Ref. 25751. Will be mailed to NHS Chairs, Medical, Nursing, Education & Training Directors. 8. Advance Letter (NM) 2/2001 Pay For Staff on the Senior Nurse and Senior Midwife Pay Spine 2001/2002 Agreement has been reached by the Nurses and Midwives Negotiating Council in respect of pay arrangements for the very small number of staff who continue to be employed on the Senior Nurse and Senior Midwife national pay spine. Ref. 25969. Hard copies available w/c 26/11/01 9. New Powers for HAs and PCTs to Discipline FHS Practitioners - The existing FHSA To implement the new regulatory regime in Primary Care, and independent appeal body (the Family Health Services Appeal Authority (FHSAA)) has been created to deal with appeals and applications provided for in the Health & Social Care Act's provisions. (See Issues 83 and 88 of Chief Executive's Bulletin) However the existing Family Health Services Appeal Authority, which is a special health authority, will to continue to exist to perform adjudication functions devolved to it by the Secretary of State. The special health authority will also provide administrative services and support to the new FHSAA. To avoid the two bodies having precisely the same name, the special health authority will in future be known as the "Family Health Services Appeal Authority (Special Health Authority)" (FHSAA(SHA)). Any matter on which practitioners and HAs or PCTs already deal with the special health authority will continue to be dealt with by the special health authority, using this new title. The change to the special health authority's name is made by the Family Health Services Appeal Authority (Change of Name) Order 2001 (2001/3562). The Order is a priced publication available from the Stationery Office www.the-stationery-office.co.uk Separate Directions provide that:
These Directions are known as The Family Health Services Appeal Authority (Special Health Authority) Functions Directions 2001. They can be found on the Department of Health website at www.doh.gov.uk/gpdiscipline/functionsdirections 10. Agenda for Change - Modernising the NHS Pay System The third Joint Statement of Progress on Agenda for Change has now been agreed by the four Health Departments, the NHS Confederation, and all the unions and staff organisations recognised for negotiating purposes by the NHS following publication of the White Paper Agenda for Change - Modernising the NHS Pay System The Statement has been posted on our official website www.doh.gov.uk/agendaforchange/progressnov2001.htm. If you have any questions/queries relating to this Statement please email them to: rebecca.wallace@doh.gsi.gov.uk or max.liversuch@doh.gsi.gov.uk 11. New Guidance on Income Generation in the NHS Revised guidance on Income Generation in the NHS will be available from 23 November 2001 in the Department of Health Finance Manual. This replaces the 1989 guidance "Income Generation a Guide to Local Initiative". The guidance has been revised in the light of an audit which recommended improved monitoring procedures and guidance. In addition, there was a need to take account of revised Treasury policy on "Selling Government Services into Wider Markets". A survey of income generation undertaken in the spring of 2000 confirmed a need for updated guidance to help NHS staff manage their schemes. All staff involved in income generation should have this brought to their attention. The income generation guidance will be updated regularly in line with policy developments. For further information please contact: Tracy Morton NHS Income Generation Manager, Department of Health 0113 254 5380 12. Hospital Episode Statistics (HES) Calendar Year - Revised Timetable You should now be aware that the major new development for HES is the creation of a Calendar Year view of the HES data. In order to make this process viable, we previously asked all to submit data for the first three quarters of financial year 2001-2002 (April - December) to the NWCS by the 25th January 2002. We also advised that we would be obtaining a fresh copy of all data submitted for the period April to December at this time. As a result of further discussion with customers responsible for production of the Performance Indicators, and following representation from a number of Trusts, you will be pleased to know that we have managed to extend this deadline until the 22nd February. We would urge you again to make the quarter 3 submission as complete as possible and we would ask you between now and then, if necessary, to refresh quarters 1 and 2 of the 2001- 02 data. As you will appreciate, this extension of the deadline means that there will be even less time in which to produce the calendar year view, so it will not be possible to extend the date further, or perform any manual cleaning of the data. If you have any queries
about the HES Calendar Year, please contact 13. Community Pharmacy Contractor Remuneration Parliamentary Under Secretary of State Hazel Blears has written to all community pharmacy contractors in England informing them of her decision to set the Global Sum for 2001/02 at £806.6m (England and Wales), an increase of 3.7%. The Global Sum is the overall amount to be paid to pharmacy contractors as a whole for services in the year in question. It is distributed by means of various fees and allowances. As a result of the settlement, the basic dispensing fee for pharmacy contractors will be reduced to 87.4p, with effect from prescriptions dispensed in November. Due to publishing deadlines this new fee level will not appear in the Drug Tariff until the January edition. There will also be changes to the threshold, target payment and monthly maxima for the Essential Small Pharmacies Scheme. These will take effect from December and will also appear in the January Drug Tariff. For further information please contact Pamy Kaler on 020 7210 5351, or e-mail paramjeet.kaler@doh.gsi.gov.uk 14. Health Authority Drugs Education and Prevention Funding 2001/2 Funding has been announced for 2001/02 to help Health Authorities begin to implement the requirement of the NHS Plan to work with other local agencies to reduce the proportion of people under the age of 25 reporting the use of class A drugs by 25% by 2005. The letter announcing the funding can be found on POINT at www.doh.gov.uk/publications/pointh.html and also on the website for the Drug Misuse Prevention Team at www.doh.gov.uk/drugs/hadepf.htm. The funding is intending to help implement the following Departmental objective in the Spending Review 2000:
Please e-mail the Drug Misuse Prevention Team at drugs@doh.gsi.gov.uk or telephone 0207 972 4314 if you have any queries. Ref. 25968. Will be mailed to Health Authority Directors of Finance and Public Health 15. Flexible Careers Scheme for Doctors The Recruitment and Retention Unit is pleased to announce the launch of the Flexible Careers Scheme for Doctors (FCS). The Flexible Careers Scheme is a new initiative that has been part developed by the BMA to improve the working lives of doctors. It will help doctors at every level work flexibly, while maintaining their careers, when they need to take time out from the NHS. The scheme allows them to satisfy practice criteria for appraisal and revalidation, and keep in contact with the profession. The FCS is open to all doctors and will be centrally administered by NHS Professionals. Further information is available on the Improving Working Lives website on www.doh.gov.uk/iwl Flexible Careers Scheme Document Or contact Gwen Mulvany ext 46571 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 - ©2001 Back to Chief Executive's Bulletin Home PagePublished by the
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