NHS White Paper Consultation

Health written statement – made at on 22 July 2010.

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Photo of Andrew Lansley Andrew Lansley The Secretary of State for Health

Today I am publishing two further supporting documents to the national health service white paper, "Equity and Excellence: Liberating the NHS", which was published on 12 July. The documents have been placed in the library, and copies are available to hon. Members in the Vote office. The documents are also available at: www.dh.gov.uk/liberatingtheNHS.

The documents, "Commissioning for Patients" and "Local Democratic Legitimacy in Health" provide further detail on the principles of the policies set out in the White Paper, and seek views from the public and external partners on some of the questions arising out of them.

One of the central features of the proposals in the White Paper is to devolve commissioning responsibilities and budgets as far as possible to those who are best placed to act as patients' advocates and support them in their healthcare choices. "Commissioning for Patients" sets out my intended arrangements for general practitioner (GP) commissioning and the role of the NHS Commissioning Board.

Through our world-renowned system of general practice, GPs and other primary care, professionals are already supporting patients in managing their health, promoting continuity and co-ordination of care, and making referrals to more specialist services. In empowering GP practices to come together in wider groupings, or "consortia", to commission care on their patients' behalf and manage NHS resources, we are building on these foundations. We are also empowering primary care clinicians to work more effectively alongside the full range of other health and care professionals and, where appropriate, to work collaboratively to combine their commissioning power and influence. The NHS Commissioning Board will provide overall leadership on commissioning for quality improvement. It will have a duty to ensure comprehensive coverage of consortia and hold them to account for the outcomes they achieve and for their financial performance.

"Local Democratic Legitimacy in Health" is a joint publication between my Department and the Department for Communities and Local Government. It sets out proposals to increase local democratic legitimacy in a way that is consistent with national accountability for a national health service. Local authorities will become responsible for local public health improvement functions. They will have a new role in shaping NHS commissioning activities and a new role promoting integration. Local authorities will lead in assessing the needs of their populations and co-ordinate local strategies to address these needs. This will promote integration and partnership across the NHS, social care, public health and wider services such as housing and disability services. Local HealthWatch organisations, acting as independent consumer champions, will also be funded by and accountable to local authorities. To reinforce local accountability, local authorities will be responsible for ensuring that local HealthWatch are operating effectively, and for putting in place better arrangements if they are not.

The document also outlines how local authorities may choose to work with their partners to implement the arrangements and how the new public and patient involvement and local authority health improvement functions will be taken forward.

Both documents seek views on a number of questions by 11 October.

White Paper

A document issued by the Government laying out its policy, or proposed policy, on a topic of current concern.Although a white paper may occasion consultation as to the details of new legislation, it does signify a clear intention on the part of a government to pass new law. This is a contrast with green papers, which are issued less frequently, are more open-ended and may merely propose a strategy to be implemented in the details of other legislation.

More from wikipedia here: http://en.wikipedia.org/wiki/White_paper

placed in the Library

This phrase is often used in written answers to indicate that a minister has deposited some relevant information in the House of Commons Library. Typical content includes research reports, letters, and tables of data not published elsewhere.

A list of such depositions can be found at http://deposits.parliament.uk/ along with some of the documents. The Library is not open to the public, but copies of documents can be requested if they are not on that website. For more information, see the House of Commons factsheet: http://www.parliament.uk/documents/upload/P15.pdf