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The provision of out-of-hours care in England

Author: Great Britain: National Audit Office

Publisher: Stationery Office

Published: 2006-05-05

Total Pages: 51

ISBN-13: 9780102937589

The term 'out-of-hours care' refers to primary medical care services available from 6.30pm until 08.00am on weekdays, and on all weekends, bank holidays and public holidays. In April 2004 a new general medical services (GMS) contract came into force which allowed GPs to opt out of out-of-hours provision, with the responsibility for provision being taken up by primary care trusts (PCT), GP co-operatives, NHS Direct and private companies. Findings from this NAO report on the quality of out-of-hours services include that there were some shortcomings in the initial commissioning process because PCTs lacked the experience, time and reliable management data, and there was confusion over whether out-of-hours services should be restricted to urgent care. Providers are now beginning to deliver a satisfactory level of service in general, although most have not yet met all the national quality requirements, particularly in relation to speed of response. The costs of providing out-of-hours services in 2005-06, the first full year of the new arrangements, was £392 million, 22 per cent higher than that allocated by the Department of Health.

The provision of out-of-hours care in England

Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts

Publisher: The Stationery Office

Published: 2007-03-14

Total Pages: 52

ISBN-13: 9780215032973

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Approximately 9 million patients receive urgent primary out-of -hours care in England. In April 2004 the Department of Health gave GPs the chance to opt out of providing this service and transfer responsibility to the Primary Care Trust. This report looks at three main issues related to the change: how well did the Department of Health prepare; how did the new service perform and what did it cost. It concludes that the preparation was shambolic both at local and national level and although the new service is starting to improve performance against key access targets is still not good enough. In addition the cost of the new out-of-hours service has been £70 million higher than was foreseen.

The Provision of Out-of-hours Care in England

Author: Great Britain. Parliament. House of Commons. Committee of Public Accounts

Publisher:

Published: 2007

Total Pages: 0

ISBN-13:

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The Provision of Out-of-hours Care in England

Author: Great Britain. Parliament. House of Commons. Committee of Public Accounts

Publisher:

Published: 2007

Total Pages: 46

ISBN-13:

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High Quality Care for All

Author: Secretary of State for Health

Publisher: The Stationery Office

Published: 2008

Total Pages: 92

ISBN-13: 9780101743228

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This review incorporates the views and visions of 2,000 clinicians and other health and social care professionals from every NHS region in England, and has been developed in discussion with patients, carers and the general public. The changes proposed are locally-led, patient-centred and clinically driven. Chapter 2 identifies the challenges facing the NHS in the 21st century: ever higher expectations; demand driven by demographics as people live longer; health in an age of information and connectivity; the changing nature of disease; advances in treatment; a changing health workplace. Chapter 3 outlines the proposals to deliver high quality care for patients and the public, with an emphasis on helping people to stay healthy, empowering patients, providing the most effective treatments, and keeping patients as safe as possible in healthcare environments. The importance of quality in all aspects of the NHS is reinforced in chapter 4, and must be understood from the perspective of the patient's safety, experience in care received and the effectiveness of that care. Best practice will be widely promoted, with a central role for the National Institute for Health and Clinical Excellence (NICE) in expanding national standards. This will bring clarity to the high standards expected and quality performance will be measured and published. The review outlines the need to put frontline staff in control of this drive for quality (chapter 5), with greater freedom to use their expertise and skill and decision-making to find innovative ways to improve care for patients. Clinical and managerial leadership skills at the local level need further development, and all levels of staff will receive support through education and training (chapter 6). The review recommends the introduction of an NHS Constitution (chapter 7). The final chapter sets out the means of implementation.

Equity and excellence:

Author: Great Britain: Department of Health

Publisher: The Stationery Office

Published: 2010-07-12

Total Pages: 64

ISBN-13: 9780101788120

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Equity and Excellence : Liberating the NHS: Presented to Parliament by the Secretary of State for Health by Command of Her Majesty

HC 583 - Out-of-Hours GP Services in England

Author: Great Britain. Parliament. House of Commons. Committee of Public Accounts

Publisher: The Stationery Office

Published: 2014

Total Pages: 24

ISBN-13: 0215078691

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People turn to out-of-hours GP services when they are worried about their own health or that of family or friends, and want urgent advice or treatment. However, the urgent and emergency care system is complex and people struggle to know which is the right service to use. Patients' experience of and satisfaction with the out-of-hours services varies significantly and unacceptably across the country, as does the cost. NHS England has not provided effective oversight of whether the services are providing value for money. It lacks the basic information needed to understand what lies behind the variations and identify where it should intervene. It has not dealt adequately with conflicts of interest which inevitably occur when many commissioners are also providers. NHS England also needs to address the perverse financial incentives which get in the way of different urgent care services working effectively together. It needs to examine whether the out-of-hours services are working properly with other services and whether the system encourages duplication when resources are so constrained. At the most basic level, the Department of Health and NHS England must develop information to be able to know whether there will be enough GPs to cope with the growing workload.

The state of health care and adult social care in England

Author: Care Quality Commission

Publisher: The Stationery Office

Published: 2010-02-10

Total Pages: 100

ISBN-13: 9780102964301

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This is the Care Quality Commission's first yearly report to Parliament on the state of health care and adult social care in England. It covers the services that the Commission regulates which include: adult social care services (care homes and home care agencies); NHS and independent health care services; and primary care trusts (PCTs) and councils, which provide and purchase health care and adult social care services for their community. Whilst great improvements have been made over recent years there remains unacceptable variation, and a small number of services or organisations do not meet minimum standards of safety and quality. The future presents a major challenge. The Government expects that, in 20 years' time, 1.7 million more adults in England will have a care and support need. At the same time, we are entering a period when public finances will be stretched and expectations of choice and control are increasing. To help meet these challenges, there needs to be real acceleration in joining up health and social care and centring it on people's needs

Cross-border provision of public services for Wales

Author: Great Britain: Parliament: House of Commons: Welsh Affairs Committee

Publisher: The Stationery Office

Published: 2010-03-11

Total Pages: 200

ISBN-13: 9780215544537

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Working practices between the UK and Welsh Assembly governments in relation to cross-border policies appear much improved since the Committee's earlier reports on this subject. But a number of outstanding issues remain in transport, health and further and higher education. On transport the Committee welcomes the planned electrification of the Great Western Main Line. However, the Department for Transport appears to have washed its hands of any strategic responsibility for cross-border roads. The A483 is the clearest example of a road vital for travel within Wales but which is not important to the English region in which it is located, and as a result loses out on funding. The Committee stresses the need for comparative data on which to build solid research comparing NHS performance in the devolved nations. More needs to be done to raise public awareness of the differences in services people can expect to receive on both sides of the border. Transparency of information is vital. Research proposals in the UK Government's Higher Ambitions strategy for higher education make no reference to nations other than England, despite the UK-wide research remit of the Department for Business, Innovation and Skills. The Committee calls for details about how research funding proposals apply to all four nations.

The National Health Service (Out of Hours Provision of Personal Medical Services and Miscellaneous Amendments) (England) Regulations 2003

Author: Great Britain

Publisher:

Published: 2003-01-15

Total Pages: 8

ISBN-13: 9780110445823

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Enabling power: National Health Service Act 1977, ss. 15 (1) (1ZA), 29, 126 (4) & Health and Social Care Act 2001, ss. 18, 64 (6) (8). Issued: 15.01.2003. Made: 09.01.2003. Laid: 10.01.2003. Coming into force: 01.02.2003. Effect: S.I. 1992/635 amended in relation to England & S.I. 2002/2548 amended. Territorial extent & classification: E. General. Revoked by S.I. 2004/865 (ISBN 0110489713)