Departmental report : 2007

2007·17.5 MB·English

by  Great Britain. Department of Health

(DH) Department
of Health
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Department of Health .
Departmental Report 2007
Departmental Report
The Health and Personal Social Services Programmes
This document is part ofa series of Departmental Reports (Cm 7091 to Cm 7117)
which, along with the Main Estimates 2007-08, the document Public Expenditure
Statistical Analyses 2007 and the Supplementary Budgetary Information 2007-08,
present the Government's expenditure plans for 2007-08, and comparative outturn
data for prior years.
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Departmental Report
2007
Department of Health
DEPARTMENTAL REPORT
Presented to Parliament by the Secretary of State for Health
by Command of Her Majesty
May 2007
London: The Stationery Office
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© Crown Copyright 2007
The text in this document (excluding the Royal Arms and departmental logos) may be
reproduced free of charge in any format or medium providing that it is reproduced
accurately and not used in a misleading context. The material must be acknowledged
as Crown copyright and the title of the document specified. Any enquiries relating to
the copyright in this document should be addressed to The Licensing Division, HMSO,
St Clements House, 2—16 Colegate, Norwich NR3 1BQ. Fax: [phone] or e-mail:
licensing @cabinet-office.x.gsi.gov.uk
Contents
Foreword by the Secretary of State
Ministerial Responsibilities
Department of Health Organisation Chart
INTRODUCTION
Introduction
Department of Health
National Health Service (NHS)
Personal Social Services (PSS)
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Content summary
HEALTH PROMOTION AND PROTECTION
Introduction
Choosing Health
Health Challenge England — into action
Providing strong leadership across government at national and local levels and joining up policy
Developing a stronger focus on understanding people
Forging new partnerships with industry, the voluntary sector and communities and providing
better information and opportunities for positive health choices
Personalising support in improving health
Providing protection where needed, such as legislating to ensure smoke-free public places
and workplaces
Focusing on key priorities for delivery
Ensuring system reform is aligned to improve health and tackle inequalities
Health protection
Offender health
IMPROVING HEALTH SERVICES FOR NHS PATIENTS
Introduction
Improving the patient experience
Primary care
NHS Direct
Emergency care
Secondary care
Dental services
Eye care services
ili
Pharmacy 46
Modernising pathology services 50
Healthcare-associated infections 50
Support for people with long-term conditions SY:
Cancer 54
Vascular disease ay!
Mental health services 60
Children 63
Maternity services 66
The third sector and the Department of Health's relationship 67
SYSTEM REFORMS IN HEALTH AND SOCIAL CARE 69
Health and social care reform 70
The health reform programme 71
Service improvement 82
NHS operating framework 85
Implementation and impact of reform 86
IMPROVING SOCIAL CARE SERVICES 89
Introduction 90
Strategy 90
Prevention and early intervention i
Individualisation 23
Dignity in Care Campaign 96
Carers 96
Continuing care 97
Life chances of disabled people oF,
Activity and performance 98
Adult social care resources and spending 99
RESEARCH AND DEVELOPMENT 101
Introduction 102
Best Research for Best Health — implementation process 102
Best Research for Best Health — implementation progress report 102
Review of UK health research funding 107
WORKFORCE 109
Introduction 110
Meeting NHS workforce needs 110
Modernising education and training 112
Modernising the regulation of healthcare workers 114
Pay and pensions modernisation in the NHS 115
Primary medical care contractors 116
Improving workforce systems 116
Social care workforce rl
8 NATIONAL PROGRAMME FOR IT
Delivering the National Programme for IT
Local responsibility
International developments
REVENUE FINANCE
Overall increase in NHS funding
NHS financial performance
NHS financial regime changes
Resource allocation policy
Analysis of expenditure
NHS efficiency
Personal Social Services
10 CAPITAL FINANCE
Characteristics of capital investment
Available capital resources
NHS structural reforms and capital funding system reforms
The introduction of prudential borrowing arrangements
Capital investment plans
Restrictions on capital to revenue transfers
Delivery of public capital funded buildings and works — NHS ProCure21
Public private partnerships and innovative investments
PFI and the 100 Hospital Schemes Target
NHS LIFT
Asset disposal
Investment in Personal Social Services
iM MANAGING THE DEPARTMENT OF HEALTH AND DEVELOPING POLICY
Introduction
Managing the Department of Health
Administration costs and staffing tables
The DH risk register
Non-departmental public bodies (NDPBs), special health authorities (SpHAs) and
executive agencies
Public appointments
Recruitment
SCS salaries
Expenditure on professional services
Accommodation and information & communication technology (ICT)
Knowledge management
Performance in responding to correspondence from the public
A healthier workplace
Sustainable policy and operations
Global and EU developments
Emergency preparedness
Scientific developments and bioethics
Modernising Government Action Plans
Equality and human rights
ANNEXES
A CORE DATA TABLES 191
B PUBLIC SERVICE AGREEMENT AND OPERATING STANDARDS 197
Departmental Public Service Agreement targets (SR 2004) analysis 198
Departmental Public Service Agreement targets (SR 2002) analysis 203
Departmental Public Service Agreement targets (SR 2000) analysis 204
Departmental Public Service Agreement targets (CSR 1998) analysis 204
Departmental operating standards 205
C EXECUTIVE AGENCIES OF THE DEPARTMENT OF HEALTH AND OTHER BODIES 209
Medicines and Healthcare products Regulatory Agency (MHRA) 209
NHS Purchasing and Supply Agency (NHS PASA) 209
Other bodies (including executive non-departmental public bodies and special health authorities) 210
D PUBLIC ACCOUNTS COMMITTEE: REPORTS PUBLISHED IN 2006 213
Tackling Cancer: Improving the Patient Journey 213
The NHS Cancer Plan 213
The Refinancing of the Norfolk and Norwich PFI Hospital 214
NHS Local Improvement Finance Trusts (NHS LIFT) 214
A Safer Place for Patients: Learning to Improve Patient Safety 215
Reducing Brain Damage: Faster Access to Better Stroke Care 216
E SPENDING ON PUBLICITY AND ADVERTISING AND INCOME FROM SPONSORSHIP 2006-07 217
Sponsorship guidelines 217,
F LIST OF FIGURES 219
G GLOSSARY 223
The purpose of this report is to present to Parliament and the public a clear and informative account
of the expenditure and activities of the Department of Health.
This report and those of 1998 to 2006 are available on the Internet at: www.dh.gov.uk.
The Department also has a Public Enquiry Office which deals with general queries, 020 7210 4850.
vi
Foreword by
the Secretary of State
This annual report, the Department's seventeenth, introducing new services such as NHS Direct and
provides an overview of the impressive NHS walk-in centres to give people easier access
improvements in health and social care services to care;
delivered during the last year. These achievements
* opening over 80 new hospitals and investing in
are thanks to the dedication and commitment of all
primary care infrastructure through NHS Local
those working across public services.
Improvement Finance ‘Trust;
employing some 300,000 more staff, better paid
The record level of investment we have made in the
NHS since 2002 has made these improvements than ever before;
possible. By 2008, we will have nearly trebled * modernising the way the NHS uses information,
spending on the NHS to over £90 billion. In social through the National Programme for IT; and
care too, there has been substantial increases in
supporting more older people to live at home.
funding so that by 2008, the Government will be
providing £12.5 billion to local councils for adult Through our programme of reform, we are also:
social services.
* giving people more opportunity to choose, with
But it is investment alongside our reform their professional and supported by comparable
programme that will deliver our long-term vision information, the care appropriate for their needs;
for health and social care. Rightly, people want
personalising social care by giving people more
more convenient access to more personalised care
control through direct payments and individual
and they want to know that they are receiving the
budgets;
best possible treatment for their condition. Our
strengthening commissioners to work with
reforms will help us deliver this vision, ensuring that
partners to get the best value within available
we get maximum benefit from the additional
resources,
funding and provide world-class services.
* introducing new freedoms for a more diverse
We have already made substantial progress of which range of providers to innovate and improve
we can all be justifiably proud: services; and
rolling out a financial framework that incentivises
* giving patients faster access to NHS services than
improvements in care and promotes financial
ever before, with waiting times at an historic low;
responsibility.
* saving over 50,000 more lives, with mortality rates
Quality is at the heart of our reforms. Underpinned
from cancer falling;
by robust, effective regulation that assures national
core standards, front-line clinical staff will have the virtually every enclosed public place and
support and freedom to improve the quality of workplace will be smoke free, a major step
clinical care and develop services that are responsive forward for improving public health;
to people’s needs. take forward our manifesto commitment to
provide high-quality, safe and accessible maternity
It has not always been easy. The transparency of our
care, giving women choice in where and how they
new financial framework highlighted the deficits in
have their baby and what pain relief they use;
a minority of NHS organisations. Last year, I said
* continue to make progress with the 13 pilots of
we would have the NHS back in balance by the end
of this year and I know some organisations have had individual budgets in adult social care, which hold
to take difficult decisions to return to good financial the promise of an improved life, with more
health. The most recent figures from Quarter 3, independence, by increasing their choice and
published in February 2007, show that the NHS is control over services; and
on track to break even, in line with the financial ° we will introduce legislation to modernise the
targets agreed at the beginning of the year. This regulation of healthcare professionals, in response
impressive achievement by NHS staff leaves the to the Shipman inquiries. This includes measures
NHS well placed to enter 2007-08 when we will be to ensure that healthcare professionals are
investing over an additional £8 billion. objectively revalidated throughout their career and
remain up to date with clinical best practice.
In this next year, delivering the lasting and
ambitious vision we set out in Our Health, Our Looking ahead to this autumn, the Chancellor will
Care, Our Say becomes a reality. This means announce the outcome of the Comprehensive
reforming and improving our community services Spending Review, which will set spending levels for
to create health and social care services that: 2008-09 to 2010-11. Following such record levels
of investment, it is right that the NHS should
* genuinely focus on prevention and promotion of
return to a more sustained level of growth. This
health and well-being;
means that we must focus on ensuring maximum
° deliver care in more local settings; value for money from this additional investment, to
release resources to meet new priorities and
* promote the health of all, not just ofa privileged
few; and challenges in the decade ahead.
° deliver services that are flexible, integrated and
The fundamental values of the NHS, providing care
responsive to people’s needs and wishes.
free to all at the point of need, must not change as
these values are as relevant to us now as they were
We will build on our achievements to deliver
when it was founded sixty years ago. Through
continuous improvements in care. In particular, we
investment and reform, we are creating a health and
will:
social care system that is true to these values but is
* focus on delivering our ambitious waiting times relevant to our modern society, can stand
target so that by the end of 2008, patients will be comparison with international standards and can
able to expect a maximum wait of 18 weeks from meet the challenges of the future.
GP referral to first hospital treatment. Most
people will be treated more quickly, a significant (eee
improvement in people’s experience of care;
¢ implement the comprehensive smoke-free
Rt Hon Patricia Hewitt
legislation we introduced so that by July 2007,
Secretary of State for Health