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Chief Executive Bulletin

31 May - 6 June 2002 Issue 120

The documents in this bulletin are Crown copyright but may be reproduced by NHS and Council staff without formal permission or charge for personal or in-house use - ©2002

Contents:
NHS interest

1. Paternity & adoptive leave
2. Copying letters to patients initiative - announcement about the 'invitation for proposals'
3. National specialised services definitions set - phase II - draft pathology definition
4. Cross-border healthcare: New arrangements between the EU and Switzerland
5. Notifying use of health act partnership arrangements
6. Diagnostic and treatment centres one day event on the 10 July in London

Social Care interest

7. Intermediate care: moving forward
8. Plans rationalisation - social services


NHS interest

1. Paternity & adoptive leave

Following the introduction on the 2 November 2001 of locum reimbursement in respect of paternity and adoption leave for GPs, new model claim forms LOC 3 and LOC 5 have now been issued for use by health authorities/primary care trusts. Form LOC 6 has also been amended to take into account the new changes. These forms can now be accessed on the DoH website at www.doh.gov.uk/pricare/gmsdetermination.htm.

Any queries regarding these forms should be directed to Debbi Nicholson on 0113 2545218 or e-mail Debi.Nicholson@doh.gsi.gov.uk.

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2. Copying letters to patients initiative - announcement about the 'invitation for proposals'

This update was trailed in Bulletin 119.

The Department of Health has set aside some funds in this financial year (2002/03) to launch a programme of pilot projects. The report of the working group on copying letters to patients identified a number of areas which could be informed by pilot work, e.g. particular issues around mental health, children and carers, etc.

The purpose of this update is to announce to NHS colleagues that 'an invitation for proposals' has been posted on the Department of Health's website at www.doh.gov.uk/patientletters/proposals.htm

A special plea is made to PCT chief executives to draw this information urgently to the attention of GP practices in their areas.

Further information about this initiative and the 'invitation for proposals' can be obtained from Sue Sharples, policy lead at the Department of Health at the following address:

Department of Health, Room 1N13 Quarry House, Quarry Hill, Leeds LS2 7UE, e-mail sue.sharples@doh.gsi.gov.uk

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3. National specialised services definitions set - phase II - draft pathology definition

The National Specialised Services Definitions Set (NSSDS) is a set of definitions created to facilitate commissioning of specialised services. The NSSDS identifies those services that cover planning populations similar to or greater than that of a strategic health authority population (i.e. 1-2 million) which consequently require some form of collective commissioning.

In Phase I, 23 specialised services were defined in detail and these were published on the Department's website in December 2001: www.doh.gov.uk/specialisedservicesdefinitions

In Phase II, a further 14 definitions are planned to be finalised and published in the early autumn. Last month comments were invited on the draft versions of 13 of these definitions. The 14th definition on specialised pathology services has now been drafted and a letter giving more detail on the consultation process plus the definition itself are available by clicking on www.doh.gov.uk/specialisedservicesdefinitions/25specpath.pdf
Comments on the specialised pathology services draft definition should be received no later than Monday 17 June.

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4. Cross-border healthcare: New arrangements between the EU and Switzerland

A new healthcare agreement between the EU and Switzerland came into force on 1 June 2002. The healthcare provisions in Regulation (EEC) 1408/71 have now been extended to

  • Swiss nationals moving between Switzerland and the EU
  • EU nationals moving between the EU and Switzerland
  • stateless persons or refugees moving between the EU and Switzerland
  • the dependants and survivors of these groups.

These people are entitled to immediately necessary treatment on the NHS when visiting the UK if they fall ill or have an accident. They also are entitled to be referred to the UK for specific treatment on the NHS (with a form E112), or to access any NHS treatment (with a form E128) if they have been posted here temporarily to work or have come here temporarily to study.

Similarly, visitors to Switzerland from the UK may now access reduced cost immediately necessary treatment there (with a form E111) or be referred for specific treatment (with form E112). Different E forms may apply in other circumstances.

For further information see the website: www.doh.gov.uk/international/switzland.htm
or e-mail international@doh.gsi.gov.uk

NHS trusts: Please cascade to patient services or overseas visitors managers.
PCTs : Please cascade to commissioning managers.

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5. Notifying use of health act partnership arrangements

Following the structural changes resulting from Shifting the Balance of Power, the use of Health Act partnership arrangements should no longer be reported to Department of Health regional offices. Instead, please send your notification forms directly to the Joint Unit at the Department of Health until further notice. We anticipate that this role will eventually pass to strategic health authorities.

For now, forms should be sent to Ruth.Marshall@doh.gsi.gov.uk

If you have not yet notified us of an existing Health Act partnership, please let us know - it is important for us to have a complete picture of national projects to inform future planning.

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6. Diagnostic and treatment centres one day event on the 10 July in London

Diagnostic and treatment centres (DTC's) aim to make a significant contribution to the rapid and large scale increase in diagnosis and treatment as described in the Waiting Booking and Choice Strategy. They aim to do this by spearheading innovation in the delivery of services and introducing diversity of provision. Eight first wave sites are currently in development and due to open in 2002. There has been considerable interest nationally to explore the opportunities for trusts to develop DTC's. Therefore the Modernisation Agency is holding a ONE DAY EVENT on the 10 July in London.

This event is particularly aimed at acute trusts, PCT's and StHA's who have either developed DTC proposals and submitted them as part of StHA capacity plans or are interested in DTC development. The objectives for the day are:

  • to receive an overview of the national policy context in which DTC's will operate
  • for trusts to be able to consider whether this model of care is appropriate for their health economy and how this should be progressed
  • to gain an insight into the work being undertaken at the first wave sites
  • to gain an insight into the Modernisation Agency's DTC Programme
  • to articulate the critical success factors for a DTC.

If you or anyone from your organisation would like to attend this event please e-mail bookings.cc@npat.nhs.uk and a registration form will be sent to you.

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Social Care Interest

7. Intermediate care: moving forward

A summary of the key points of a review of progress in intermediate care, Intermediate Care: Moving Forward, has been published on the Department's website. The paper underlines the guiding principles, highlights success factors, based on good practice, available research evidence and current thinking, and explores some of the issues that excite debate and where action is needed. It concludes that intermediate care is central to the modernisation agenda and has made significant progress but must develop further if it is to be fully accepted and realise its potential to transform service delivery and the experiences of the people served. The review aims to support that process but local action is needed to:

  • review existing and proposed services in the light of the principles, success factors and evidence presented in this review
  • ensure that intermediate care services are co-ordinated and fully integrated with the full range of other services
  • address key issues in development, including those highlighted here
  • establish effective ways of learning from good practice and supporting professional development.

Whilst there is a role for central support and advice and for effective learning from good practice and evidence, ultimately, there is no blueprint and no substitute for local dialogue and agreement between organisations and professions leading to delivery of effective local services.

The review, together with an executive summary can be accessed at www.doh.gov.uk/intermediatecare/icmovingforward.htm

Contact: Gareth Jones Gareth.H.Jones@doh.gsi.gov.uk

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8. Plans rationalisation - social services

The first stage to implement the findings of the Portico consulting report, which proposed a way forward on plan rationalisation, has been completed. Of the nine plans associated with these grants, from next year only three will continue to be required: the Teenage Pregnancy Local Implementation Support Grant, Children's Services Grant and Young People's Substance Misuse Planning Grant. However, the Children's Services Grant will be mainstreamed the following year (2004/05) and therefore its planning requirement will also cease. In addition we have also removed the requirement for authorities to submit Joint Investment Plans (JIPs).

We are adopting the principles identified in the Portico report that planning, particularly with partners, should continue, but not the demand for planning documents to be submitted centrally. Position statements have been revised to include only information, previously collected in plans, that the Department must know in order to satisfy itself that priorities for which funding has been agreed are delivered. The amount of information collected in the biannual position statements will depend on a council's star rating. This will range from three star councils providing only high level outcome information, two to zero star councils providing more detailed information on what they have delivered and intend to deliver in the future, with zero star councils providing more information quarterly.

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NHS plans rationalisation

The Secretary of State has announced similar work to rationalise the central requirement for plans from NHS organisations, with the aim of cutting the number of these plans by two thirds. Further details will follow shortly about the timetable for implementation. In the meantime, dropping the requirement to submit JIPs will allow NHS organisations and local authorities to plan operationally to support local delivery of core priorities rather feeding a central requirement.

Further information about the social services plans reduction is available at www.doh.gov.uk/scg/pssperform/plans or contact Rob Moore on rob.moore@doh.gsi.gov.uk, tel 020 7972 4792. For more information about reducing NHS plans, contact Miles Ayling on miles.ayling@doh.gsi.gov.uk tel 0113 254 5410

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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 - ©2002
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copyright: © | Last updated: 6 June, 2002