Department of Health


Chief Executive Bulletin 20 - 26 April 2001
Issue 63


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Hard copy versions of these publications can be ordered from the NHS Responseline 08701 555 455.

Contents:

NHS interest

1. Modernisation

2. Moving to Mainstream - Fourth Wave of The National Booked Admissions Programme

3. £3 Million A Year For Primary Care Cancer Leads

4. Publication Of 'Handling Complaints: Monitoring The NHS Complaints Procedures, England, 1999-00

5. British Standard 7799 (Information Security Management)

6. Reminder about the Governance in the NHS National Conference 2001

7. Safety Notice - MDA SN2001(12) Neonatal High Frequency Oscillation (HFO) Ventilation: Failure to Alarm

Social Care interest

8. Advance Letter MD 7/01

NHS and Social Care interest

9. LAC(2001)14: Revisions to Intercountry Adoption Procedures

10. Reducing General Practitioner Paperwork: Help With Telephones and Minor Home Adaptations Under The Chronically Sick And Disabled Persons Act 1970


NHS interest

1. Modernisation

25/4/2001 - E-mail from Nigel Crisp to NHS chief executives about the launch of the NHS Modernisation Agency and managerial changes in the NHS.

Link to e-mail text

Link to speech by the Secretary of State for Health

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2. Moving to Mainstream - Fourth Wave of The National Booked Admissions Programme

HSC 20001/009 gave early warning of a fourth wave of the National Booked Admissions Programme. It recommended an early start on the preparation of applications for 4th wave funding and advised that guidance packs, including advice on selection criteria and application forms, would be available shortly. Completed bids must be returned to Regional Offices by 1 June. Guidance can be accessed on the following website: www.doh.gov.uk/bookedadmissions. Anyone having difficulty accessing this should contact Steve Foreman on 0113 254 5295 for a hard copy.

Ref. 23785. Will be mailed to NHS Chairs w/c 30/4/01.

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3. £3 Million A Year For Primary Care Cancer Leads

For action: Chief Executives of all HAs and PCG/Ts

In September 2000, the NHS Cancer Plan announced that the Department of Health and Macmillan Cancer Relief would invest a total of £3million each year for three years for the appointment of a primary care cancer lead for each PCG/T across the country. From April, each HA will receive £5000 per PCG/T to enable the lead clinician to have dedicated time to contribute to the development of cancer networks and raising the standard of cancer care within the PCG/T.

Contact details of all appointees must be received by 29 June 2001.

For further information on the appointment and role of the primary care cancer leads, please see www.doh.gov.uk/cancer

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4. Publication Of 'Handling Complaints: Monitoring The NHS Complaints Procedures, England, 1999-00

Following the announcement on 18th January of national headline figures on the handling of written complaints received in 1999-00, the Department of Health has now published the full annual statistical report entitled 'Handling complaints: monitoring the NHS complaints procedure, England 1999-00'. The report is the fourth in a series introduced to monitor the handling of written complaints under the NHS Complaints procedures implemented in April 1996. The report was released on 26th April and covers written complaints received during the 1999-00 financial year.

The full report is available on the Department of Health website and NHS Web at the following addresses:

Department of Health website: www.doh.gov.uk/nhscomplaints

NHSweb: nww.doh.nhsweb.nhs.uk/nhscomplaints/

Copies of the report have been sent to Complaints/Information Managers at NHS Trusts, Primary Care Trusts and Health Authorities. Please note that only limited copies of the report are available from stocks.

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5. British Standard 7799 (Information Security Management)

As you know, the NHS is in the process of migrating from the IM&T Security Manual to compliance with BS7799; specifically ISO/IEC17799:2000. The NHS has been set two deadlines. By the end of June 2001, a BS7799 GAP Analysis (the methodology being contained within the toolkit) must be completed by each Health Authority and NHS Trust and, by December 2001, these organisations must be implementing BS7799.

To assist with this programme, Toolkits based upon CRAMM (CCTA Risk Analysis Management Methodology), which addresses BS7799, will be rolled-out to all Health Authorities and Trusts in England, during May 2001.

It will be necessary for one individual within each Health Authority and Trust to be appointed as "BS7799 Lead", to conduct the GAP Analysis and direct implementation of BS7799. It would be beneficial if the person nominated had a background in either Information Security Management, IT Security or Risk Management; albeit this is not strictly essential as training in the use of the Toolkit will be provided. What is of paramount importance, however, is that the nominated individual is given the requisite authority and management support to conduct this work within your organisation.

As timeframes are short, you are requested to supply details (Name, full address, telephone/fax number and e-mail address) of your "BS7799 Lead" to Tom Lillywhite, Security Risk Manager, NHS Information Authority, 26 Margaret Street, London W1W 8NA (Tel: 020 87301 6950; e-mail: tom.lillywhite@srr.nhsia.nhs.uk) by 30 April 2001.

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6. Reminder about the Governance in the NHS National Conference 2001

Health Service Circular HSC 2001/005 issued 22 February 2001 set out the controls assurance requirements for NHS organisations for 2000/2001and introduced the Controls Assurance Support Unit based at Keele University.

To provide organisations with an opportunity to build on their 2000/2001 controls assurance work, understand the proposals for the 2001/2002 requirements and consider the implications of the next phase of the converging governance agenda, the next Governance in the NHS National Conference has been scheduled to take place on Thursday 17 May 2001 at Wembley Conference Centre.

The keynote address will be given by the Minister of State for Health, John Denham MP and this event affords the opportunity to hear many high quality presentations with speakers including Nigel Crisp the Permanent Secretary/Chief Executive of Dept of Health; Professor Janet Finch CBE the Vice Chancellor of Keele University; Prof Aidan Halligan the Director of the Clinical Governance Support Team; Dr Jocelyn Cornwell the Director of Policy and Development at the Commission for Health Improvement; Richard Douglas the new Director of Finance of the Department of Health - The Chair for the day will be Neil Mckay, Chief Operating Officer of the Department of Health and Chair of the NHS Corporate Governance Group.

Whilst being aimed at NHS Chief Executives and Designated Leads for Controls Assurance, this event is equally relevant to all professionals with responsibility for, or an interest in, controls assurance and clinical governance issues.

For general information, including programme and registration details, see the Department of Health's Controls Assurance Website - http://www.info.doh.gov.uk/doh/rm5.nsf/AdminDocs/Events?OpenDocument

On line conference booking via Controls Assurance Support Unit - http://www.casu.org.uk/conference

For further information on this event please contact Lorraine Thomas - Lorraine.thomas@doh.gsi.gov.uk / telephone 0113 254 5255.

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7. Safety Notice - MDA SN2001(12) Neonatal High Frequency Oscillation (HFO) Ventilation: Failure to Alarm

This Safety Notice was issued on 24 April 2001 to NHS Trust and Health Authority. An electronic version of the Safety Notice can be found at:

http://www.medical-devices.gov.uk/sn2001(12).htm

For further information on the role and nomination of liaison officers e-mail us on:

Bs@medical-devices.gov.uk http://www.medical-devices.gov.uk

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NHS / Social Care interest

8. Advance Letter MD 7/01 Fees and Allowances Payable to Doctors for Sessional Work in the Community Health Services, Medical Services to Local Authorities (Under Collaborative Arrangements), Medical Examinations of Prospective National Health Service Employees, and Notification of Infectious Diseases and Food Poisoning

Issued on 25 April 2001 sets out rates of fees and allowances payable to doctors for sessional work in the community health services, medical services to local authorities (under collaborative arrangements), medical examinations of prospective NHS employees, and notification of infectious diseases and food poisoning. The new rates take effect from 1 July 2001.

Circular

For further information e-mail enquiry-box@doh.gsi.gov.uk

Ref. 23779. Will be mailed to Directors of Finance in the NHS and Social Services w/c 30/4/01.

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Social Care Interest

9. LAC(2001)14: Revisions to Intercountry Adoption Procedures

New requirements for the provision of intercountry adoption services will come into effect from 30 April 2001. LAC(2001)14 "Revisions to Intercountry Adoption Procedures" summarises the new requirements. They are as follows:

Statutory Instrument 2001 No. 1279 (C.47) "The Adoption (Intercountry Aspects) Act 1999 (Commencement No.5) Order 2001" brings into force Sections 9 and 14 of the Adoption (Intercountry Aspects) Act 1999. This means that from 30 April 2001, councils will have a duty to establish and maintain an adoption service that covers both domestic and intercountry adoption. Section 14 will make it an offence in England and Wales for anyone habitually resident in the British Islands other than a parent, relative or guardian to bring a child into the UK unless they meet the requirements prescribed in Regulations.

Statutory Instrument 2001 No. 1251 "The Adoption of Children from Overseas Regulations 2001", were made and laid on 29 March 2001 and, subject to Parliamentary approval, will also come into effect from 30 April 2001. The Regulations aim to deter people from bringing children into the UK for the purpose of adoption unless they have first been assessed and approved by a local council or a voluntary adoption agency (VAA) and had their suitability endorsed by the Secretary of State.

The "Guide to Intercountry Adoption - Practice and Procedures" has been updated in the light of the new statutory requirements to be brought into force from 30 April 2001. The guidance gives some background information on the current policy and legal position, outlines the roles and responsibilities of the key stakeholders and provides guidance on the adoption procedures.

LAC (2001)14, The Guide the Intercountry Adoption and the Regulations can all be accessed through the DH adoption website at: www.doh.gov.uk/adoption

Statutory Instruments can be accessed via: www.legislation.hmso.gov.uk

Ref. 23763 LAC, 23762 Guidance. Will be mailed to Principal Adoption Officers and Adoption Agencies 3/5/01.

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10. Reducing General Practitioner Paperwork: Help With Telephones and Minor Home Adaptations Under The Chronically Sick And Disabled Persons Act 1970

As reported in Bulletin Issue 58, the purpose of this project was to deliver specific, tangible outcomes that would reduce the amount of unnecessary paperwork that GPs have to contend with. The report says,

  • GPs should be approached regarding the entitlement of a disabled person to a free telephone (or related equipment) or help with minor alterations to their home only when their input is essential and no one else can provide it

What Social Services Departments can do when considering whether a person qualifies for help:

  • Do not automatically seek information from a GP
  • Consider the use of self-certification
  • Ask yourself if the GP is the only, or indeed most appropriate person to provide the information you are seeking. Use other professionals (such as occupational therapy professionals) or persons that are likely to be in regular contact with the person or better placed to give precisely what you want
  • If you feel that information from a GP is essential, then ensure that you request factual clinical information only.

More detail is available in the report:

http://www.cabinet-office.gov.uk/regulation/PublicSector/ReducingGPPapSmall.pdf

Cabinet Office would welcome feedback from authorities who already keep contact with GPs to a minimum in this way. If you wish to share your good practice, please contact: nina.robinson@cabinet-office.x.gsi.gov.uk

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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

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19 April 2001