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I agree with what my hon. Friend says. We now require councils to publish their pay policies, and councils should vote on those deals so that they can vote against excessive ones. That change has happened under this Government, but I urge all councils, of whatever political persuasion, to look at what they can do to share chief executives and finance directors, and to combine their back-office costs. Everybody knows that public spending reductions would have to be made whoever is in Government. Let us make them by taking it out of the back office rather than the front line.
I agree with what my hon. Friend says. We now require councils to publish their pay policies, and councils should vote on those deals so that they can vote against excessive ones. That change has happened under this Government, but I urge all councils, of whatever political persuasion, to look at what they can do to share chief executives and finance directors, and to combine their back-office costs. Everybody knows that public spending reductions would have to be made whoever is in Government. Let us make them by taking it out of the back office rather than the front line.
The chief executive of Cumbria county council is to leave the authority with an agreed package. I believe that the package will be substantial, and that it will run into hundreds of thousands of pounds. Does the Prime Minister agree that that and similar arrangements are difficult for the public to accept, and that they are certainly not a good use of taxpayers’ money?
The chief executive of Cumbria county council is to leave the authority with an agreed package. I believe that the package will be substantial, and that it will run into hundreds of thousands of pounds. Does the Prime Minister agree that that and similar arrangements are difficult for the public to accept, and that they are certainly not a good use of taxpayers’ money?
The chief executive of Cumbria county council is to leave the authority with an agreed package. I believe that the package will be substantial, and that it will run into hundreds of thousands of pounds. Does the Prime Minister agree that that and similar arrangements are difficult for the public to accept, and that they are certainly not a good use of taxpayers’ money?
I agree with what my hon. Friend says. We now require councils to publish their pay policies, and councils should vote on those deals so that they can vote against excessive ones. That change has happened under this Government, but I urge all councils, of whatever political persuasion, to look at what they can do to share chief executives and finance directors, and to combine their back-office costs. Everybody knows that public spending reductions would have to be made whoever is in Government. Let us make them by taking it out of the back office rather than the front line.
To ask the Secretary of State for Health what data he holds on the average tenure in managerial posts in individual NHS trusts.
[153091]
To ask the Secretary of State for Health what data he holds on the average tenure in managerial posts in individual NHS trusts.
[153091]
The Department does not hold data on the tenure of national health service managers. The NHS Trust Development Authority will collate information from NHS trusts about staff turnover, as outlined in its Accountability Framework, published earlier this month. However, this does not distinguish between executive and non-executive positions.
To ask the Secretary of State for Business, Innovation and Skills pursuant to question 148120, what assessment has been made of the High Pay Centre's recent findings on the trends of top executives' pay and bonuses.
[150645]
To ask the Secretary of State for Business, Innovation and Skills pursuant to question 148120, what assessment has been made of the High Pay Centre's recent findings on the trends of top executives' pay and bonuses.
[150645]
I thank the High Pay Centre for their important and continuing contribution to the debate on high pay. Their various findings bring greater clarity on the trends in top executives’ pay and call for high earners to engage in the debate about what constitutes a fair reward. The Government reforms to the governance of directors’ remuneration reporting will encourage companies and investors to engage more effectively, will boost transparency so that what executives are paid is clearer, and will give shareholders more power through binding votes.
(2) what measures are in place to prevent NHS managers (a) that fail to meet performance targets, (b) have overseen healthcare services which put patients' lives at risk and (c) have overseen financial mismanagement of a NHS organisation from gaining further employment in the NHS; and if he will consider...
(2) what measures are in place to prevent NHS managers (a) that fail to meet performance targets, (b) have overseen healthcare services which put patients' lives at risk and (c) have overseen financial mismanagement of a NHS organisation from gaining further employment in the NHS; and if he will consider...
All those working for the national health service have personal responsibility for the quality of care they provide, with good leadership critical to ensuring that patients receive excellent care. The vast majority of NHS leaders and managers work tirelessly to get the best possible care for the people they serve.
However, the NHS does have systems in place to deal with the small number of managers who fail to meet the appropriate safety, quality, performance or financial standards.
Employers are required to incorporate the Code of Conduct for NHS Managers in the employment contracts of chief executives and other directors. NHS managers are personally responsible for meeting the requirements of their employment contracts. Local governance systems are in place to hold NHS managers to account for the terms of their job role. If there are failures to meet the standards set, it is for the employer to decide what actions to take, including the possibility of additional training and support, or termination of contract.
In support of this, Monitor, the NHS Trust Development Authority and Care Quality Commission work together to provide independent regulatory oversight of the safety, quality, performance and financial management of NHS providers in England.
Monitor has and will continue to have intervention powers in relation to NHS foundation trusts and can remove directors from the board in cases of significant financial or service underperformance.
The Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry provides graphic illustrations of lessons that can be learned from failure of individuals, the employing trust and system regulators to put patients first. It recommends a number of actions relating to NHS managers, including a mechanism for barring failing managers. These are being considered as part of the Government's response, which will be published shortly.
(3) what steps he is taking to introduce new measures to (a) remove failing NHS managers, (b) monitor the performance of NHS managers, (c) monitor the financial management of NHS managers and (d) issue sanctions against failing NHS managers.
[149569]
Priti Patel:
(3) what steps he is taking to introduce new measures to (a) remove failing NHS managers, (b) monitor the performance of NHS managers, (c) monitor the financial management of NHS managers and (d) issue sanctions against failing NHS managers.
[149569]
Priti Patel:
All those working for the national health service have personal responsibility for the quality of care they provide, with good leadership critical to ensuring that patients receive excellent care. The vast majority of NHS leaders and managers work tirelessly to get the best possible care for the people they serve.
However, the NHS does have systems in place to deal with the small number of managers who fail to meet the appropriate safety, quality, performance or financial standards.
Employers are required to incorporate the Code of Conduct for NHS Managers in the employment contracts of chief executives and other directors. NHS managers are personally responsible for meeting the requirements of their employment contracts. Local governance systems are in place to hold NHS managers to account for the terms of their job role. If there are failures to meet the standards set, it is for the employer to decide what actions to take, including the possibility of additional training and support, or termination of contract.
In support of this, Monitor, the NHS Trust Development Authority and Care Quality Commission work together to provide independent regulatory oversight of the safety, quality, performance and financial management of NHS providers in England.
Monitor has and will continue to have intervention powers in relation to NHS foundation trusts and can remove directors from the board in cases of significant financial or service underperformance.
The Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry provides graphic illustrations of lessons that can be learned from failure of individuals, the employing trust and system regulators to put patients first. It recommends a number of actions relating to NHS managers, including a mechanism for barring failing managers. These are being considered as part of the Government's response, which will be published shortly.
My Lords, I shall now repeat a Statement made earlier today in another place by my right honourable friend the Secretary of State for Health on the Government’s response to the Francis report. The Statement is as follows:
“With permission, Mr Speaker, I would like to make a Statement on the...
My Lords, I shall now repeat a Statement made earlier today in another place by my right honourable friend the Secretary of State for Health on the Government’s response to the Francis report. The Statement is as follows:
“With permission, Mr Speaker, I would like to make a Statement on the...
My Lords, I am sure that the House will wish to thank the noble Earl for repeating the Statement.
The NHS is now 65 years old and if it is to be ready for the challenges of the future it has to learn from what happened at Mid Staffordshire. The NHS...
My Lords, I am sure that the House will wish to thank the noble Earl for repeating the Statement.
The NHS is now 65 years old and if it is to be ready for the challenges of the future it has to learn from what happened at Mid Staffordshire. The NHS...
My Lords, I am grateful to the noble Lord, Lord Hunt, for his comments, and for the support that he was able to give to a number of the proposals that the Government have made. I will attempt to answer as many of his questions as possible. First, he asked...
My Lords, I am grateful to the noble Lord, Lord Hunt, for his comments, and for the support that he was able to give to a number of the proposals that the Government have made. I will attempt to answer as many of his questions as possible. First, he asked...
My Lords, I thank my noble friend the Minister for repeating the Statement. I am sure that many noble Lords will welcome, in due course, a full and spirited debate on this issue. Will my noble friend clarify which of the recommendations that are being adopted will require primary legislation,...
My Lords, I thank my noble friend the Minister for repeating the Statement. I am sure that many noble Lords will welcome, in due course, a full and spirited debate on this issue. Will my noble friend clarify which of the recommendations that are being adopted will require primary legislation,...
My Lords, it is a little early to say what legislation we will need, but I can tell my noble friend that we can deal with the duty of candour by secondary legislation. It may be that many of the follow-up actions to Francis can be done without any legislation...
My Lords, it is a little early to say what legislation we will need, but I can tell my noble friend that we can deal with the duty of candour by secondary legislation. It may be that many of the follow-up actions to Francis can be done without any legislation...
My Lords, I would like to mention nurse education. The suggestion of having some front-line experience before entering university is, philosophically and practically, very good if it can be worked, but it raises all sorts of questions. I spoke to a healthcare support worker a few weeks ago who said...
My Lords, I would like to mention nurse education. The suggestion of having some front-line experience before entering university is, philosophically and practically, very good if it can be worked, but it raises all sorts of questions. I spoke to a healthcare support worker a few weeks ago who said...
I reassure the noble Baroness that all the concerns that she rightly raised are very much in our sights, not least the need for proper supervision of nurse trainees and the practical aspects of having the right level of support on the ward. This is why we believe that this...
I reassure the noble Baroness that all the concerns that she rightly raised are very much in our sights, not least the need for proper supervision of nurse trainees and the practical aspects of having the right level of support on the ward. This is why we believe that this...
My Lords, the principle of putting the needs of patients first will be welcomed by every Member of this House. However, does the Minister agree that this means looking at care in an integrated way, since the patient experience is very rarely one of either hospital or social care but...
My Lords, the principle of putting the needs of patients first will be welcomed by every Member of this House. However, does the Minister agree that this means looking at care in an integrated way, since the patient experience is very rarely one of either hospital or social care but...
My Lords, the main drivers and levers for increased integration will come from other directions, such as: the systems we are putting in place at local authority level and health and well-being board level; more sophisticated tariffs; better commissioning arrangements between the NHS and social care; and the financial imperative...
My Lords, the main drivers and levers for increased integration will come from other directions, such as: the systems we are putting in place at local authority level and health and well-being board level; more sophisticated tariffs; better commissioning arrangements between the NHS and social care; and the financial imperative...
My Lords, is my noble friend aware that many people in Staffordshire will welcome this report but will wonder whether the present chief executive is the best person to oversee the implementation of the many recommendations to which my noble friend has referred?
My Lords, is my noble friend aware that many people in Staffordshire will welcome this report but will wonder whether the present chief executive is the best person to oversee the implementation of the many recommendations to which my noble friend has referred?
My Lords, it was a signal feature of the Francis report that he consciously avoided pointing the finger at individuals. The chief executive of the NHS did not have the finger of blame pointed at him. The House may be interested to know that I regard Sir David Nicholson as...
My Lords, it was a signal feature of the Francis report that he consciously avoided pointing the finger at individuals. The chief executive of the NHS did not have the finger of blame pointed at him. The House may be interested to know that I regard Sir David Nicholson as...
My Lords, a great deal of importance and emphasis is being placed on introducing zero harm with regard to patient safety. I am delighted that the Government have asked Don Berwick to advise them how to do this. Do the Government intend to have zero harm in the NHS as...
My Lords, a great deal of importance and emphasis is being placed on introducing zero harm with regard to patient safety. I am delighted that the Government have asked Don Berwick to advise them how to do this. Do the Government intend to have zero harm in the NHS as...
It is much more a question of culture than anything else. However, the noble Lord will be aware that Robert Francis recommended that we look at the concept of fundamental standards below which care should never fall. We are determined to do that. Defining a fundamental standard is something for...
It is much more a question of culture than anything else. However, the noble Lord will be aware that Robert Francis recommended that we look at the concept of fundamental standards below which care should never fall. We are determined to do that. Defining a fundamental standard is something for...
The recent pronouncements of Monitor seem to ignore the vast majority of the people of Stafford, who, as my noble friend Lord Hunt indicated, require a range of safe, sustainable and comprehensive health services rather than the delegation of a range of services, including elective surgery, to other hospitals such...
The recent pronouncements of Monitor seem to ignore the vast majority of the people of Stafford, who, as my noble friend Lord Hunt indicated, require a range of safe, sustainable and comprehensive health services rather than the delegation of a range of services, including elective surgery, to other hospitals such...