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Primary care trusts

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Primary care trusts (445)

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In moving this amendment I shall speak also to Amendment 36, and in doing so bring us to a subject that is particularly close to the Minister’s heart, namely quality accounts. I should say immediately to him that I see considerable potential in the idea of quality accounts. Nothing that...

Member
Earl Howe (Conservative)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c156-8GC
House
House of Lords

We may disagree about when people should gather to review these documents, but I hope that we will have a fair degree of unanimity about who should be involved in the review. The amendment seeks to clarify that the process of review will be meaningful to all involved. It sets...

Member
Baroness Barker (Liberal Democrat)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c153GC
House
House of Lords

Perhaps I may add just one further bit of clarification on this crucial issue—and it is crucial, actually—which relates also to the point raised here about dignity. The fact is that there is now an extremely detailed patient survey: direct responses by patients about their treatment on a whole range...

Member
Baroness Meacher (Crossbench)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c163GC
House
House of Lords

I am grateful for that intervention from my noble friend. I have no doubt that the noble Baroness, Lady Young, will have a lot to say about this as it is in the domain of the regulator. As to which ward has MRSA, every organisation has a legally accountable board....

Member
Lord Darzi of Denham (Labour)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c168GC
House
House of Lords

That may have been Aneurin Bevan’s vision when he said that the echo of a bedpan falling in Wales would be heard in Whitehall. I see the NHS having that accountability at a local level in years to come. I sympathise with what has been said. I can even go...

Member
Lord Darzi of Denham (Labour)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c168-9GC
House
House of Lords

Amendment 35 35: Clause 6, page 4, line 26, leave out paragraph (d)

Member
Baroness Murphy (Crossbench)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c170GC
House
House of Lords

Could the Secretary of State block a quality account before it is made available to the public under Clause 7(5) on the basis that he does not want particular information to be published in that report? I understand that there will be a series of regulations requiring what information can...

Member
Lord Campbell-Savours (Labour)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c188GC
House
House of Lords

I have always had a fairly radical view about this. I do not think anyone could work in health or social care without having the attributes of treating people with dignity and respect. If an issue arises, I do not think the quality account is the way for redress, but...

Member
Lord Darzi of Denham (Labour)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c191GC
House
House of Lords

I thank the Minister for that reply and for the commitment to this that he emphasised. My noble friend Lady Murphy indicated to me that she has raised these issues before. They are terribly important and have played an enormous part in my life over the past few years, emphasising...

Member
Baroness Greengross (Crossbench)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c191-2GC
House
House of Lords

To seek more clarification, say that a maternity unit in a given area is found to have problems in the quality account, it may well be that the commissioning process is at fault and therefore that maternity department is not able to deliver to the required quality. The poor quality...

Member
Lord Patel (Crossbench)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c195GC
House
House of Lords

Clause 6: Duty of providers to publish information Amendment 33 33: Clause 6, page 4, line 13, after ““containing”” insert ““(but not limited to)””

Member
Earl Howe (Conservative)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c156GC
House
House of Lords

I thank all noble Lords who contributed to this short debate. I say to the noble Baroness, Lady Young of Old Scone, that although the inclusion of the CQC may look incidental, it was entirely deliberate on our part. For the reasons she outlined, it makes sense for the regulator...

Member
Baroness Barker (Liberal Democrat)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c155-6GC
House
House of Lords

Amendments 26 and 28, tabled by the noble Baronesses, Lady Barker and Lady Tonge, propose that the Handbook to the NHS Constitution be reviewed at least every five years, rather than every three years as Clause 4 provides. Amendments 30 and 32 propose that the Secretary of State report on...

Member
Lord Darzi of Denham (Labour)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c151-2GC
House
House of Lords

It is unfortunate that this is the next amendment. Members of the Committee might think that I have a fixation with five-year plans, but I do not. There is a reason for this amendment. The length of time in which the handbook and the constitution should be reviewed has turned...

Member
Baroness Barker (Liberal Democrat)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c149-50GC
House
House of Lords

Can the Minister clarify the Government’s perception of what have been the Healthcare Commission and Standards for Better Health returns from all these provider trusts? He focused closely on the CQC and the registration criteria. Does he envisage some sort of quality returns at this higher level to the CQC...

Member
Baroness Meacher (Crossbench)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c185GC
House
House of Lords

I do. The regulator has played an extremely important role in quality improvements and will continue to do so. Anyone who wishes to be involved in quality improvements should be encouraged to be so, whether they are regulators or clinicians working on the front line. This is an inclusive space....

Member
Lord Darzi of Denham (Labour)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c185GC
House
House of Lords

The role of the Secretary of State is to get that information and to make it available on the NHS Choices website. That information would be made public by the board of the provider. The legislation would ensure that every board publishes its quality accounts locally for accountability and transparency...

Member
Lord Darzi of Denham (Labour)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c184GC
House
House of Lords

If a PCT identifies a mistake in the information in a quality account or if the CQC identifies an issue in its indicators, the quality account has to be changed. If a provider does not wish to embarrass itself by publishing inaccurate information, we encourage it to check that information...

Member
Lord Darzi of Denham (Labour)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c184-5GC
House
House of Lords

I am sorry that I did not bring this up earlier. Patient experience is not purely information captured from patients; it is captured from their families, their carers and other people involved in their care. Patients and their relatives will have other ways in which they can capture that information....

Member
Lord Darzi of Denham (Labour)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c191GC
House
House of Lords

I hope the Committee will forgive me for descending into the realm of drafting detail, but Clause 7(3) contains the word ““notify”” as a plural verb applying to the subject of the sentence. Both the CQC and an SHA are singular entities in statute law. If they are separated, as...

Member
Earl Howe (Conservative)
Type
Proceeding contributions
Date
26 February 2009
Reference
708 c192GC
House
House of Lords