Daily List 142
Thursday 24 July 2014
Employment and support allowance and work capability assessments: first report of session 2014-15: report, together with formal minutes relating to the report.
House of Commons papers (2014-15) - 302.
- Corporate Author:
- Work and Pensions Committee
- Dame Anne Begg (chairman)
The Committee calls on the Government to undertake a fundamental redesign of the ESA end-to-end process to ensure that the main purpose of the benefit - helping claimants with health conditions and disabilities to move into employment where this is possible for them - is achieved. This will take some time, but the redesign should be completed before the new multi-provider contract is tendered, which is expected to be in 2018. In the meantime, the Committee recommends a number of changes which should be made now, to help ensure that claimants receive an improved service, and that the outcomes for claimants are more appropriate. One of the key issues which the Report identifies is that ESA is not achieving its purpose of helping people who could work in the short to medium term to move back into employment. One of the reasons for this is that the outcomes of the ESA claims process are too simplistic. Claimants can be found "fit for work" and are then ineligible to claim ESA. Claimants found to have such limited functionality that that they cannot undertake any work-related activity are placed in the Support Group, where they are subject to no work-related conditionality. This leaves a large and disparate middle group of claimants who are not yet fit for work, and may even have a deteriorating condition, but who are required nonetheless to undertake activity which is meant to help them find work in the longer term. These claimants are placed in the Work-related Activity Group (WRAG). The WRAG covers too wide a spectrum of claimants with very different prognoses and employment support needs. The Committee recommends that the ESA redesign should aim to ensure that the process properly identifies claimants' health barriers to employment and the particular support they need, so that the conditionality that they are subject to and the employment support they receive can be tailored more closely to their circumstances.
The selection and use of essential medicines: report of the WHO Expert Committee, 2013 (including the 18th WHO Model List of Essential Medicines and the 4th WHO Model List for Children).
WHO technical report series 985.
- Corporate Author:
- World Health Organization
This report presents the recommendations of the WHO Expert Committee responsible for updating the WHO Model Lists of Essential Medicines. It contains a summary of the Committee's considerations and justifications for additions and changes to the Model Lists, including its recommendations. Annexes to the main report include the revised version of the WHO Model List of Essential Medicines (18th edition) and the WHO Model List of Essential Medicines for Children (4th edition). In addition there is a list of all the items on the Model Lists sorted according to their Anatomical Therapeutic Chemical (ATC) classification codes.
Czech Republic 2014: raising standards.
OECD reviews of health care quality
- Corporate Author:
- Organisation for Economic Co-operation and Development
This book presents a comprehensive review of health care quality in the Czech Republic. It finds that over the past 20 years, the Czech Republic witnessed the unprecedented gains in quality of health care and life expectancy and successfully transferred its Semaschko system into the modern accessible health care system with private-public mix of providers. Nevertheless the health care system in the Czech Republic still has some way to go to achieve the outcomes of the best performing OECD members. While some of the gap might be caused by the one of the lowest levels of health care expenditures among OECD countries (7.2% GDP in 2011) there are possibilities to improve the outcomes without incurring much of the additional costs. The Czech authorities should reach a consensus on the development of quality of care and data infrastructure and aim for sustainable long-term initiatives undisturbed by the political cycles in both of these areas. While the adverse events reporting and voluntary accreditation are the good steps towards the accountability of the providers, the government should do more in this area, undertake the effort to broaden the accreditation process and include outpatient care and link public health authorities to the quality agenda of inpatient care. In the area of data infrastructure more data should be gathered, the process of data gathering should be streamlined and administrative burden for the providers lowered primarily via the merging the data-collecting agencies. Finally, without the active participation of health insurance funds and proper reimbursement mechanisms in place the quality agenda will not be perceived as the priority.
Basic methods for assessment of renal fluoride excretion in community prevention programmes for oral health.
- Corporate Author:
- World Health Organization. Regional Office for Europe
This manual informs about practical procedures in assessment of renal fluoride excretion based on experience from existing national fluoridation programmes. The assessment tools will primarily be useful in assisting countries in achieving an effective fluoride exposure. It is a hope that the manual will stimulate oral health personnel and public health administrators to use a systematic approach for managing and analysing data obtained from different levels of fluoride exposure. Finally, the manual encourages inter-country collaboration on surveillance systems for community programmes using fluoride for prevention of dental caries.
Crossrail: eighth report of session 2014-15: report, together with formal minutes relating to the report.
House of Commons papers (2014-15) - 574.
- Corporate Author:
- Committee of Public Accounts
- Margaret Hodge (chairman)
The Department for Transport and Transport for London are jointly sponsoring the Crossrail programme to deliver a new rail service for London and the South East. When complete, the railway will run from Reading and Heathrow Airport in the west, to Abbey Wood and Shenfield in the east. The programme involves construction and improvement works costing up to £14.8 billion, including: building a new underground railway across central London; improving existing tracks to the east and west of London, and building and upgrading stations. It also includes buying a new fleet of trains at a cost of £1 billion, and appointing a new operator for the service. Crossrail Limited is delivering most of the programme, with Network Rail undertaking the work on existing sections of railway. Two years of planning took place before the construction began, allowing the scope to be well defined, resulting in only a handful of subsequent changes being required. Roles and relationships were clearly established in the programme's founding agreements, and Crossrail Limited had to pass the sponsors' early programme reviews to prove it had the right skills and capabilities in place. Recommendations for the Department include (i) That the lessons learned from Crossrail should be applied to other projects, most notably High Speed 2; (ii) The Department should develop a clearer understanding of the wider economic benefits of transport; (iii) It should set out how it weighs up different factors, including the benefit-cost ratio; (iv) Share its data and expertise in assessing transport projects with local authorities.