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To ask Her Majesty’s Government what is the timetable for setting up local field offices of the NHS National Commissioning Board; and what will be their function (1) before the abolition of Primary Care Trusts, and (2) after their abolition.

Asked by

Lord Greaves (Liberal Democrat)

Type

Written questions

Status

Answered

Answered on

19 December 2011

On 8 July 2011, the document Developing the NHS Commissioning Board was launched by Sir David Nicholson, chief executive designate of the NHS Commissioning Board, which contains initial thinking on the design of the new NHS Commissioning Board. This document has already been placed in the Library. The document states that, as the Government’s response to the NHS Future Forum made clear, current primary care trust cluster arrangements will be reflected in the initial local arrangements for the board, subject to the passage of the Health and Social Care Bill. It is anticipated that the different local teams would need to come together under clear leadership at sub-national level. It is envisaged this would be done by dividing the country into four ““commissioning sectors””, within which the local teams would be organised. The initial geographical footprints for these sectors would reflect the four strategic health authority clusters which are being developed. It is proposed that functions and features of these commissioning sectors could include: leadership of a number of more local teams overseeing the Board's relationships with clinical commissioning groups, its direct commissioning functions, and its relationships with other partners such as local government; hosting a specialised commissioning team, overseeing arrangements across the sector; and leads for key functions which the board will need to carry out at a more local level, including finance and professional leadership. This document also explains that there have been around 8,000 staff performing functions that will be the responsibility of the board and this is likely to reduce to around 3,500. Of these, approximately two-thirds will be deployed locally within the ““field force”” managing relationships with clinical commissioning groups and performing some direct commissioning and other associated functions. These remain high-level estimates and will be developed further by the board’s leadership. Local commissioning by the NHS Commissioning Board will be subject to local democratic scrutiny. The current health scrutiny powers of local authorities are being retained and extended to cover all providers of National Health Service funded services. Local authorities will retain the power to refer proposals for substantial service change to the Secretary of State. Where their discussions touch on the exercise or proposed exercise of local commissioning functions of the board (for example when discussing primary care commissioning), the board will also be required to send a representative to the health and wellbeing board, when asked to do so. Joint Strategic Needs Assessments (JSNA) and joint health and well-being strategies (JHWS) will be developed by local authorities and clinical commissioning groups through the local health and well-being board. The board will have a duty to participate in the preparation of, and to have regard to JSNAs and JHWS, when discharging its commissioning functions. In practice, this means that, if their local commissioning plans depart very significantly from the JSNA and JHWS, they will need to either change them or state the reasons for the departure. Local authorities and clinical commissioning groups must involve the local HealthWatch organisation when they develop JSNAs and JHWS through health and well-being boards. The NHS Commissioning Board Authority has been set up to prepare for establishment and operation of the NHS Commissioning Board—this includes organisational design. Work is still ongoing; therefore, a timetable for setting up sub-national arrangement is yet to be finalised. From its establishment, 20 secondees from the department and eight secondees from the NHS have started working for the NHS Commissioning Board Authority.

Date

19 December 2011

Reference

14015; 733 c323-5WA

House

House of Lords

National Commissioning Board

To ask Her Majesty’s Government what functions not directly related to the functions of specialist commissioning and clinical commissioning groups they propose to transfer to the National Commissioning Board from bodies to be abolished under the Health and Social Care Bill; and what was the cost of providing those functions...

Asked by

Lord Warner (Labour)

Type

Written questions

Status

Answered

Date

16 November 2011

Reference

13083; 732 c161-2WA

House

House of Lords

Health Research Authority (Establishment and Constitution) Order 2011

Health Research Authority (Establishment and Constitution) Order 2011 (SI 2011/2323). Lords debate on a motion to consider. Agreed to on question. Grand Committee held in the Moses Room.

Lead member

Lord Turnberg

Answering member

Earl Howe

Department

Department of Health

Type

Debates on delegated legislation

Date

15 November 2011

Reference

732 c219-29GC

House

House of Lords

National Commissioning Board

To ask Her Majesty’s Government (a) which Department of Health arm's-length bodies would be abolished under the Health and Social Care Bill; (b) which, if any, functions of those bodies will be transferred to the National Commissioning Board; and (c) what was the cost of providing those functions in the...

Asked by

Lord Warner (Labour)

Type

Written questions

Status

Answered

Date

9 November 2011

Reference

13082; 732 c58WA

House

House of Lords

NHS Commissioning Board

To ask Her Majesty’s Government what will be the functions and budget of the NHS Commissioning Board and its outposts.

Asked by

Baroness Wheeler (Labour)

Type

Written questions

Status

Answered

Date

4 July 2011

Reference

10520; 729 c18WA

House

House of Lords

Health and Social Care Bill

To ask Her Majesty’s Government which functions of (a) strategic health authorities, (b) primary care trusts, and (c) other national bodies, will be affected by the Health and Social Care Bill; and which of those functions will be (1) transferred to other organisations, and (2) no longer be undertaken, once...

Asked by

Baroness Wheeler (Labour)

Type

Written questions

Status

Answered

Date

4 July 2011

Reference

10519; 729 c8-9WA

House

House of Lords

Mental Capacity Act 2005 (Independent Mental Capacity Advocates) (Expansion of Role) Regulations 2006

Draft SI on Mental Capacity Act 2005 (independent mental capacity advocates) (expansion of role) (SI 2006/2883). Lords debate on a motion to approve. Agreed to on question.

Lead member

Lord Warner

Answering member

Earl Howe

Department

Department of Health

Type

Debates on delegated legislation

Date

9 October 2006

Reference

685 c99-106

House

House of Lords

Children Bill (HL) 2003/04

Children Bill (HL). Consideration of Commons amendments. Motions that the House do disagree with certain Commons amendments disagreed to on division. An amendment to a Commons amendment disagreed to on division. Remaining Commons amendments agreed to. New clauses considered.

Lead member

Lord Filkin

Answering member

Earl Howe

Department

Department for Education and Skills

Type

Debates on bills

Date

10 November 2004

Reference

666 c933-1008

House

House of Lords

Children Bill (HL) 2003/04

Children Bill (HL). Lords third reading debate. Passed on question and sent to the Commons.

Lead member

Baroness Ashton of Upholland

Answering member

Earl Howe

Department

Department for Education and Skills

Type

Debates on bills

Date

15 July 2004

Reference

663 c1414-97

House

House of Lords

Health Protection Agency Bill (HL) 2003/04

Health Protection Agency Bill (HL). Lords second reading debate. Agreed to on question and committed to a Grand Committee.

Lead member

Lord Warner

Answering member

Earl Howe

Department

Department of Health

Type

Debates on bills

Date

5 January 2004

Reference

656 c13-23,33-54

House

House of Lords

Patients Forums (Membership and Procedure) Regulations 2003;Patients Forums (Functions) Regulations 2003

Patients Forums (Membership and Procedures) Regulations (SI 2003/2123). Lords debate on motion that an Humble Address be presented to Her Majesty praying that the order be annulled. Motion withdrawn. Also debated with Patients Forums (Functions) Regulations (SI 2003/2124).

Lead member

Lord Warner

Answering member

Earl Howe

Department

Department of Health

Type

Parliamentary proceedings

Date

22 October 2003

Reference

653 c1681-97

House

House of Lords

Dental Auxiliaries (Amendment) Regulations 2002;Dentists Act 1984 (Dental Auxiliaries) Order 2002

Draft SI on dental auxiliaries (amendment) (SI 2002/1671). Lords debate on motion to approve. Agreed to on question. (Debated with draft SI on Dentists Act 1984 (dental auxiliaries) (SI 2002/1399)).

Lead member

Lord Filkin

Answering member

Earl Howe

Department

Department of Health

Type

Debates on delegated legislation

Date

14 May 2002

Reference

635 c218-21

House

House of Lords

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