Health: Directed Enhanced Services

House of Lords written question – answered at on 8 October 2008.

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Photo of Baroness Cumberlege Baroness Cumberlege Conservative

asked Her Majesty's Government:

What measures they propose to put in place to avoid variation in service provision across primary care trust areas once they are in charge of commissioning directed enhanced services.

Photo of Lord Darzi of Denham Lord Darzi of Denham Parliamentary Under-Secretary, Department of Health, Parliamentary Under-Secretary (Department of Health)

Primary care trusts (PCTs) have always been in charge of commissioning directed enhanced services. Directed enhanced services are underpinned by national directions from the Secretary of State to PCTs. These directions instruct PCTs to commission services to a national specification and standards.

This year the department launched a national commissioning assurance system to hold PCTs to account for their commissioning decisions. PCTs will be assessed by the improvement in local health outcomes, commissioning competencies and organisational governance. The system will allow a clearer national picture of variation in services to emerge. Incentives will be applied to drive all PCTs towards world class levels of commissioning and poorly performing PCTs will be supported to improve, and will ultimately be subject to interventions in line with the NHS performance regime.

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