NHS Next Stage Review

HC 53-I, First Report of Session 2008-09 - Volume I: Report, Together with Formal Minutes

Author:: House of Commons - Health Committee
Publisher:: TSO (The Stationery Office)

NHS Next Stage Review (HC 53-I)

This report from the Health Committee, 'NHS Next Stage Review (HC 53-I)', examines Lord Darzi's final report of the NHS Next Stage Review (NSR), 'High Quality Care for All (Cm. 7432)' (ISBN 9780101743228).

The Committee sets out a number of conclusions and recommendations, including:

The Committee warns that primary care trusts (PCTs) are not yet capable of carrying out the reforms and highlights insufficient analytical and planning skills and variable management quality within PCTs.
Poor PCT commissioning and the failure of successive reforms to enhance it mean that implementation of the reforms may be slower and more uneven than expected.
The Committee calls on the Government to publish and rigorously monitor milestones for each stage of implementation and says greater clarification is required on the role of practice based commissioning, which at present remains opaque.
More emphasis needs to be placed on the importance of recruiting and developing better managers and the issue of weak management skills in this area should be tackled.
Not enough detail about cost is given in the Next Stage Review (NSR) and the Committee is concerned that neither Strategic Health Authorities (SHAs) nor the Department have been clear on where and how much money will be saved. Figures on implementation costs for individual SHAs and PCTs should be published as soon as possible.
While the focus in the NSR on improving quality of care is welcome, variations in quality have been known about for a long time and have continued despite increased funding.
The Committee is not convinced by the Department's argument that all PCTs should have a GP-led health centre and recommends that their creation should be decided locally on a case-by-case basis.

The accompanying 'NHS Next Stage Review - Volume II: Oral Evidence (HC 53-II)' (ISBN 9780215525741) is available to purchase separately, please see below.

Extent	70 pages	ISBN	9780215525666
Size	A4	Price	£13.50
Binding	Paperback	Published	13 Jan 2009
Availability	Colour copy: 3 - 5 days	Delivery	Delivery options and charges