Results 1-20 of 69 for foundation hospital speaker:Chris Grayling

Public Bill Committee: Higher Education Bill: Clause 41 - Transfer of certain functions to National Assembly for Wales (9 Mar 2004)

Mr Chris Grayling: ...the hon. Gentleman and I have debated Welsh devolution on three occasions: in debates on the Health (Wales) Bill and on the Health and Social Care (Community Health and Standards) Bill, which introduced foundation hospitals, and now in connection with the Higher Education Bill. His views were well summed up by his comments in Committee on 12 February 2004 when, perhaps expressing a little...

Written Answers — Health: Foundation Hospitals (6 Oct 2003)

Mr Chris Grayling: To ask the Secretary of State for Health what method each candidate trust for Foundation Hospital status has adopted to carry out public consultation about their plans; when those consultations will be completed; and what the total cost is to each trust of the consultation exercises.

Written Answers — Health: Foundation Hospitals (6 Oct 2003)

Mr Chris Grayling: To ask the Secretary of State for Health how the auditor for a foundation hospital will be appointed.

Written Answers — Health: Foundation Trusts (8 Sep 2003)

Mr Chris Grayling: To ask the Secretary of State for Health what plans he has for piloting the scheme for foundation hospitals.

Written Answers — Health: Foundation Trusts (8 Sep 2003)

Mr Chris Grayling: To ask the Secretary of State for Health when he expects to send out the source book for foundation hospital applicants.

Public Bill Committee: Health and Social Care (Community Health and Standards) Bill: Clause 66 - Reviews and investigations relating to Wales (12 Jun 2003)

Mr Chris Grayling: ...carrying out of reviews and investigations. Clause 66(3)(b) gives the Assembly the power to conduct investigations into the provision of health care for a Welsh NHS body otherwise than by an NHS foundation trust. The key words are ''for a Welsh NHS body.'' Health care for a Welsh NHS body may well be provided across the border in England; that is one piece of our jigsaw puzzle of anxiety....

Public Bill Committee: Health and Social Care (Community Health and Standards) Bill: Clause 51 - Annual reviews (10 Jun 2003)

Mr Chris Grayling: ...: ''Giving local organisations greater freedom helps promote innovation and encourages enterprise . . . We plan to do this firstly by removing the Secretary of State's powers of direction over NHS Foundation Trusts. Instead of being line managed by the Department of Health, they will be held to account through agreements and cash for performance contracts they negotiate with PCTs and...

Public Bill Committee: Health and Social Care (Community Health and Standards) Bill: Clause 51 - Annual reviews (10 Jun 2003)

Mr Chris Grayling: ...; and whether their image in the community is the right one. As my hon. Friend the Member for Westbury said, it is creating a structure that does not truly reflect the quality of care provided in hospitals. That failing is what we want to see removed. I want to be clear that the amendment is about the ratings. The Under-Secretary said that the amendment was confused. I do not understand...

Public Bill Committee: Health and Social Care (Community Health and Standards) Bill: Clause 51 - Annual reviews (10 Jun 2003)

Mr Chris Grayling: ...many ways of making the figures tell a story that is slightly different from reality. I am concerned, however, about the end product of that situation in the star rating system, because whether a hospital gets three stars, two stars, one star or none will, in many ways, affect a whole range of its activities. Will it be able to recruit good new staff, and will it be able to hold on to its...

Public Bill Committee: Health and Social Care (Community Health and Standards) Bill: Clause 51 - Annual reviews (10 Jun 2003)

Mr Chris Grayling: Clause 51 makes the most difference today to how our hospitals are managed as CHAI must award performance rating to each NHS body. We dealt briefly last week with the application of performance ratings to NHS foundation trusts. However, the pursuit of star ratings has become a driving part of the life of most trusts' chief executives. Their success or failure to meet the criteria can change...

Public Bill Committee: Health and Social Care (Community Health and Standards) Bill (5 Jun 2003)

Mr Chris Grayling: This is an important point. The Under-Secretary makes it clear that CHAI will judge foundation hospitals to the same standards as all NHS hospitals. If the standards are to be the same right across the NHS, however, what is the point of having foundation hospitals in the first place? By definition, they are surely meant to be different, and the standards against which they are judged will...

Public Bill Committee: Health and Social Care (Community Health and Standards) Bill (5 Jun 2003)

Mr Chris Grayling: ...the Secretary of State.'' That means that the Secretary of State has the right to intervene and overrule the independent inspectorate in assessing the criteria against which it believes that NHS hospitals should be judged. We believe that that is a mistake and that provision should be removed. The Secretary of State has far too many powers, and we would like to remove some. As we have...

Public Bill Committee: Health and Social Care (Community Health and Standards) Bill (5 Jun 2003)

Mr Chris Grayling: Wherever one decides to go, clinical safety must be paramount. However, one can imagine a situation in which CHAI came to a hospital and examined its maternity unit, which was perhaps struggling without the level of staffing that it might have enjoyed had it been a more substantial unit, and decided that that unit no longer met the standards expected by the health service, although the...

Public Bill Committee: Health and Social Care (Community Health and Standards) Bill (5 Jun 2003)

Mr Chris Grayling: My hon. Friend is absolutely right. I do not have that report immediately to hand, but we shall discuss performance ratings that may apply to non-foundation trusts in later clauses. In the appendices of that report, my hon. Friend can find a number of case studies of hospitals and their star ratings, two of which stand our clearly. One is criticised for non-delivery of NHS planned targets and...

Public Bill Committee: Health and Social Care (Community Health and Standards) Bill (5 Jun 2003)

Mr Chris Grayling: One of the perversities for which the Government are responsible is saying, ''Foundation status can make a real difference to clinical care, so we'll only give it to those hospitals that are doing fine at the moment. If you're not doing fine, you can't have that.'' However, given both that foundation status is a vehicle to improve clinical care and that local management freedoms can make a...

Public Bill Committee: Health and Social Care (Community Health and Standards) Bill (5 Jun 2003)

Mr Chris Grayling: ...answers to a couple of simple questions are unclear. First, what is the reason for the change? I quoted two documents to the Under-Secretary; the background notes, which state that CHAI will review foundation trusts against the terms of the authorisation, and the new notes, which state that CHAI will not do so. The Government's policy decision slightly to modify their direction throws up...

Public Bill Committee: Health and Social Care (Community Health and Standards) Bill (5 Jun 2003)

Mr Chris Grayling: The Under-Secretary will be aware that the original explanatory notes said that CHAI had separate functions because it is to review them against the terms of its authorisation in relation to foundation trusts. If CHAI is assessing the range and quality of services provided by a hospital, and if its conclusions could have a material impact on the authorisation, can he explain the process that...

Public Bill Committee: Health and Social Care (Community Health and Standards) Bill (5 Jun 2003)

Mr Chris Grayling: ...because it is to review them against the terms of their authorisation''. That is exactly what the Minister has just said. However, the changes to the Bill mean that CHAI will no longer assess foundation hospitals against the terms of their authorisation, so how can that happen?

Public Bill Committee: Health and Social Care (Community Health and Standards) Bill: Clause 43 - Information and advice (5 Jun 2003)

Mr Chris Grayling: ...because, as far as we can see, they represent a significant change to the Bill. The amendments appear to change the whole nature of the division of responsibility that CHAI will have over foundation and non-foundation trusts. The deletion of clause 46 would remove one of the most significant clauses in the Bill. I should like the Under-Secretary to give a much clearer explanation of what...

Public Bill Committee: Health and Social Care (Community Health and Standards) Bill: Clause 43 - Information and advice (5 Jun 2003)

Mr Chris Grayling: ..., and the performance of those institutions will be judged against those targets. That is important because the benchmark that the Government wish to use to judge the quality and effectiveness of hospitals—the star-rating system—is not primarily about the quality of clinical work; it is about governance, management and provision. CHAI uses 28 indicators to assess the...