Chief
Executive Bulletin 17 - 23 November 2000
Issue 42
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Chief
Executive Bulletin 17 - 23 November 2000 |
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Hard copy versions of these publications can be ordered from the NHS Responseline 08701 555 455.
Contents: NHS interest 1. The Safety
and Security in Ashworth, Broadmoor and Rampton Hospitals Directions 2000 NHS and Social Care interest Social Care interest 9. Proposed changes to collection of data on PSS expenditure and implications for cost indicators
NHS interest 1. The Safety and Security In Ashworth, Broadmoor And Rampton Hospitals Directions 2000 The Chief Executives of Ashworth, Broadmoor and Rampton Hospital Authorities should note that the Secretary of State has revised the Safety and Security Directions originally given to the High Security Hospital Authorities under cover of HSC 1999/150 published on 28 June 1999. Action The new Directions come into force on 30 November 2000, at which date the previous Directions will be revoked. The Chairmen and Chief Executives of Ashworth, Broadmoor and Rampton Hospital Authorities should ensure that the new Directions are implemented with effect from that date. There is one exception in that Direction 29 about the monitoring of patients' telephone calls does not come into force at Broadmoor and Rampton Hospitals until 1 March 2001 to allow time for those two hospitals to introduce a suitable telephone system for the purpose. Changes introduced New issues covered by the revised Directions include:-
Further information The full set of Directions, with supporting guidance, are available on www.doh.gov.uk/hospitaldirections Ref. Directions 22853, Annex A 22854, Annex B 22855, Annex C 22856. Will be mailed to HA Chief Executives and Regional Directors w/c 27/11/00.
We are pleased to announce a new initiative to assist the service respond to expected winter demand. We have been working with the MET office to develop a system which draws together all the information including weather which is relevant to predicting demand on primary care and acute services up to ten days in advance. WEST and the Met office will be issuing twice weekly workload forecasts, which will bring together the following information:
There are two levels of information:
We expect all those involved in responding to winter demand both in trusts and primary care to use the information as part of the management data-set when planning their organisations continued response to winter pressures. We would also like to receive feedback from the service via our web site on how this information is being utilised in provider organisations. The information will be available on the NHS net http://nww.doh.nhsweb.nhs.uk/winter
3. NICE guidance on the use of Zanamivir (Relenza): implementation guidance for NHS This guidance has been prepared by the Department of Health and the National Assembly for Wales in conjunction with NICE. It is being issued along with NICE's guidance on the use of zanamivir (Relenza) for the treatment of influenza to provide the NHS in England and Wales (particularly PCG/Ts & LHGs and their related GP practices) with supplementary advice on implementation. NICE recommends zanamivir for the treatment of at-risk adults who present within 36 hours of the onset of influenza like illness (ILI) when influenza is circulating within the community and who are able to commence treatment within 48 hours of the onset of these symptoms. [Guidance continues]
Link to guidance http://www.doh.gov.uk/zanamivirguidance/index.htm Ref. TG15 Guidance on Zanamivir 22603, Summary 22604, English Patient Leaflet 22605, Bilingual Leaflet (English/Welsh) 22607. Mailed to Chief Executives of Has NHS Trusts, Primary Care Groups. Hard copies available.
4. Consultation on the education of sick children On 6 November 2000, Jacqui Smith (Minister for School Standards) launched a public consultation to review the education of those children who are educated outside school because of illness or injury (estimated to be some 100,000 pa) many of whom will be in the care of the NHS. The consultation document sets out the key principles that should underpin the provision of education for these children. Responses to the consultation are invited by 5 February 2001. Following the outcome of the consultation, the DfEE will issue a revised circular, containing clear statutory guidance, advice and examples of good practice. If health authorities or trusts wish to comment, then copies of the consultation document are available from DfEE Publications Centre telephone : 0845 60 222 60, quoting the DfEE reference: 0308/2000. The document is also available on the internet at www.dfee.gov.uk/esc. The policy contact at Department of Health is Noel Durkin, telephone 020 (7) 972 4152, e-mail noel.durkin@doh.gov.uk
5. PFI schemes - revised NHS standard form contract The NHS Executive has released revisions to its standard form contract for use in PFI schemes, first published in December 1999. The revised contract retains the same structure as the original version - it is not a brand new contract. The approach has been to build on the experience gained in PFI projects to date and to include improvements to the standard form which have been identified by NHS Trusts, bidders and funders. The revised contract is the next stage in the process of standardisation of PFI contracts. By reflecting a position which is acceptable to both the public and private sectors the contract will reduce the burden of costs for the NHS in PFI schemes. Key changes The main changes in the standard form contract are as follows:
In addition a number of further amendments have been introduced which, while minor in themselves, are helpful in clarifying areas of the contract which have been the subject of debate between legal advisors. Action The revised standard form contract should be used with immediate effect by NHS Trusts which have not yet commenced the pre-qualification stage of the PFI procurement process. NHS Trusts already with a short list or long list of bidders to which Invitation to Negotiate (ITN) documentation has been sent must notify bidders of the change, send them the revised contract and suggest that they are strongly urged to adopt it. Difficulties with bidders should be referred to the NHS Executive. Availability The revised standard form contract is available from 23 November 2000 on the web at www.doh.gov.uk/pfi.htm under the icon 'Standard Contract (Version 2)'. No hard copies are available.
6. Colin Reeves to take up new post - note from Nigel Crisp, Chief Executive I am writing to let you know that Colin Reeves is to leave his current post as NHS Director of Finance and Performance after seven years to head up the regulation of the accountancy profession in the UK as Director of the Review Board of the Accountancy Foundation. Colin has made a tremendous contribution to the NHS and the Department of Health over a long period. We shall all be very sorry to see him leave but delighted that he is moving to such an important new job within his profession. In a distinguished NHS career Colin was Regional Director of Finance for North West Thames for eight years and Director of Finance for Paddington and North Kensington and was appointed as NHS Director of Finance in April 1994. His key achievements have been to successfully manage the NHS budget so that performance in areas like waiting lists and financial stability has greatly improved year on year. He has also ensured that the accounts of each and every Health Authority and NHS Trust have remained unqualified for five successive years - a feat never previously achieved in a single year, let alone five successive years. In addition, he helped to successfully implement the Private Finance Initiative which has led to the largest hospital building programme in the history of the NHS. The post of NHS Director of Finance will be advertised next month and Colin will be taking up his new post at the end of February 2001.
NHS / Social Care interest 7. Meeting
the Challenge: A Strategy for the Allied Health Professions; and Meeting the Challenge: A Strategy for the Allied Health Professions highlights the roles and contribution of the allied health professions and their potential to lead innovation and change in achieving the targets set out in the NHS Plan. It sets out their contribution to patient care and the Government's plans for expanding the workforce, modernising education, training and regulation, and career development. Available at http://www.doh.gov.uk/meetingthechallenge/index.htm Building Careers illustrates the variety of rewarding careers available to members of the allied health professions. It has been developed as an aid to retention. I hope it will prove useful to managers and staff who may find inspiration, guidance or good ideas, and to policy-makers and executives in health and social services who are engaged in the development of new multi-professional teams. Available at www.doh.gov.uk/nhsexec/buildingcareers.htm
Ref. Meeting the Challenge 22750, building Careers 22752. Mailed out to NHS Trust Chief Executives, Chairs, Directors of HR, Health Authority Chief Executives, Training & development Managers, Primary Care Trusts/Groups Chief Executives, Regional Office Directors, Nurse Directors and Directors of Social Services. Hard copies available.
8. Urgent request for autumn 2000 data on intensive home care and home care contact hours - data now required by 30 November 2000 The Department is assembling the following information at the beginning of December in respect of the Autumn 2000 sample week used for the HH1 statistical return on home care: (a) Numbers of households receiving intensive home care (more than 10 contact hours and 6 or more visits during the week) (Table 3B on HH1) (b) The total number of contact hours for home care (Table 1, line 4, cols A+B). You have already been asked to complete statistical return HH1, which includes this information, and return it to Statistics Division 3B by 8 December. It would now be most helpful if we could receive this by 30 November. www.doh.gov.uk/cebulletin/dataletter.htm
9. Proposed changes to collection of data on PSS expenditure and implications for cost indicators Comments would be welcome, by 8 December if possible (so that they are available for discussion by the PSS Statistics Technical Working Group on 14 December), on the proposals outlined below, and which will be set out in more detail from next week at www.doh.gov.uk/public/expend.htm. Comments should be sent to keith.childs@doh.gsi.gov.uk.
The Chief Executives' Bulletin is sent to NHS and Local Authority Chief Executives and Directors of Social Services. It is e-mailed weekly on a Thursday. The Bulletin tells you of all circulars and other material published, where to find them and whether hard copies have been mailed. This e-mail alerts you to the latest Bulletin but does not have "live" links to individual documents. Please use the link below to access a web version with direct links to individual documents http://www.doh.gov.uk/http://www.dh.gov.uk/en/Publicationsandstatistics/Bulletins/theweek/Chiefexecutivebulletin/index.htm You can either print copies of documents from the website or order items appearing in the Bulletin from the Responseline 08701 555 455, unless individual items give alternative arrangements. If you would like
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If you have any difficulties
or would like to comment on the Bulletin please let Philip Jepson know
by e-mail to pjepson@doh.gsi.gov.uk
, by faxing 0113 254 5800 or by writing to: Communications Directorate,
Department of Health, Rm 3N34A Quarry House, Quarry Hill, Leeds LS2 7UE. 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 - ©2000 |
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