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Department of Health - GOV.UK

Department of Health Departmental Report 2008 The Health and Personal Social Services Programmes This is part of a series of Departmental Reports (Cm 7391 to 7408) which, along with the Main Estimates 2008-09, the document Public Expenditure: Statistical Analyses 2008 and the Supply Estimates 2008-09: Supplementary Budgetary Information, present the Government s outturn and planned expenditure for 2007-08 and 2008-09. Departmental Report 2008 Department of Health DEPARTMENTAL REPORT Presented to Parliament by the Secretary of State for Health by Command of Her Majesty May 2008 Cm 7393 Crown Copyright 2008 The text in this document (excluding the Royal Arms and other departmental or agency logos) may be reproduced free of charge in any format or medium providing 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.

18-week referral-to-treatment pledge, and improving access (including at evenings and weekends) to GP services; l reduce further healthcare-associated infections with additional investment to tackle increases in cases of Clostridium difficile and sustaining progress we have made in reducing MRSA, including the introduction of MRSA screening for

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Transcription of Department of Health - GOV.UK

1 Department of Health Departmental Report 2008 The Health and Personal Social Services Programmes This is part of a series of Departmental Reports (Cm 7391 to 7408) which, along with the Main Estimates 2008-09, the document Public Expenditure: Statistical Analyses 2008 and the Supply Estimates 2008-09: Supplementary Budgetary Information, present the Government s outturn and planned expenditure for 2007-08 and 2008-09. Departmental Report 2008 Department of Health DEPARTMENTAL REPORT Presented to Parliament by the Secretary of State for Health by Command of Her Majesty May 2008 Cm 7393 Crown Copyright 2008 The text in this document (excluding the Royal Arms and other departmental or agency logos) may be reproduced free of charge in any format or medium providing 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.

2 Where we have identified any third party copyright material you will need to obtain permission from the copyright holders concerned. For any other use of this material please write to Office of Public Sector Information, Information Policy Team, Kew, Richmond, Surrey TW9 4DU or e-mail: Contents FOREWORD BY THE SECRETARY OF STATE MINISTERIAL RESPONSIBILITIES 1 3 Department OF Health ORGANISATION CHART 5 Department OF Health PURPOSE, ROLES AND VALUES 6 1 INTRODUCTION 7 2 Health PROMOTION AND PROTECTION 13 3 IMPROVING Health SERVICES FOR NHS PATIENTS 37 4 SYSTEM REFORMS IN Health AND SOCIAL CARE 81 5 TRANSFORMING ADULT SOCIAL CARE 97 6 RESEARCH AND DEVELOPMENT 111 7 WORKFORCE 117 8 NHS CONNECTING FOR Health NATIONAL PROGRAMME FOR IT 131 9 REVENUE FINANCE 143 10 CAPITAL FINANCE 173 11 MANAGING THE Department OF Health AND DEVELOPING POLICY 183 ANNEXES A CORE DATA TABLES 207 OPERATING STANDARDS B PUBLIC SERVICE AGREEMENT AND 215 C EXECUTIVE AGENCIES OF THE Department OF Health AND OTHER BODIES 231 D PUBLIC ACCOUNTS COMMITTEE.

3 REPORTS PUBLISHED IN 2007 233 E SPENDING ON PUBLICITY AND ADVERTISING AND INCOME FROM SPONSORSHIP 2007-08 241 F GLOSSARY 243 G FULL CONTENT LIST 251 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 2007 are available on the Internet at: The Department also has a Public Enquiry Office which deals with general queries, 020 7210 4850. iii Foreword by the Secretary of State It gives me great pleasure to present the Department s eighteenth annual report. As we reach the key milestone of the NHS s 60th anniversary, this diamond jubilee year offers us an exceptional opportunity to celebrate a unique British institution. The NHS is a huge organisation, employing over million members of staff, delivering over 14 million episodes of admitted patient care, 64 million outpatient and A&E attendances, across 70 consultant specialty areas in more than 300 NHS establishments plus third sector and independent sector providers.

4 In general practice, there are 290 million consultations per year in around 5,200 GP practice premises. The size and complexity of the NHS makes it more of a challenge when meeting the needs of patients and therefore we can be truly proud of our progress. l Waiting times have fallen to an all-time low. l Clinical outcomes for killer diseases such as cancer and cardiovascular disease have improved dramatically. l We have delivered the largest investment in hospital capital schemes in the NHS s history. l We have transformed the planning of patient care, ensuring that local priorities and needs are at the heart of service commissioning. l We have introduced Health reforms such as patient choice, practice-based commissioning, payment by results, foundation trusts and independent sector treatment centres, which are generating a more responsive NHS. Across social care, better partnership working has demonstrated the enormous benefits to people using services and to the Health and social care economy.

5 L Early indications from the Partnerships for Older People Pilots (POPPs) (in partnership with primary care trusts, the voluntary, community and independent sector) show that they are having a significant effect on reducing hospital emergency bed-day use when compared with non-POPP sites. l The Department also established the Preventative Technology Grant to enable councils to support people to remain in their own home. l On 21 February 2007, the Government formally launched details of the New Deal for Carers (a commitment from Our Health , Our Care, Our Say). The Government announced a multi-million pound package of support for carers through a range of measures recognising carers as real partners and valuing their contribution but also their needs as individuals. Of course, all this cannot be achieved without a significant level of investment. In autumn 2007, the Chancellor announced the outcome of the Comprehensive Spending Review which set out the spending plans from 2008-09 to 2010-11.

6 This continues a decade of unprecedented investment. NHS expenditure will grow in real terms by 4 per cent per annum over the three years, taking expenditure to a record 110 billion by 2010-11. The Department s funding for adult social care will grow by per cent over the same period, taking investment to billion; in addition, the local authority revenue grant will grow by billion by 2010-11, providing additional resources for local 1 authorities to invest in adult social care. This funding will provide a solid platform for us to continually improve Health and social care services. We also must not forget the significant contribution and commitment of our Health and social care workforce a key resource necessary for the delivery of our immense achievements. Significant investment and contractual changes have enabled us to secure the right number of appropriately trained staff; there is an increasing trend in the number of clinical staff working in the NHS.

7 Looking forward, we must now ensure greater integration of the NHS, independent sector and social care workforce to enable the delivery of new models of care centred around the needs of the patients, families and carers. As we move towards the next decade, reform continues to be vital for us to achieve a world class NHS. Our interim NHS Next Stage Review report, Our NHS, Our Future, sets out our vision for the NHS reflecting what we ve heard from patients, staff and the public. We will move away from a one-size-fits-all service to one that is tailored around the needs of patients, focusing on quality and prevention while ensuring equitable access. We have high ambitions for delivering further service improvements, which will serve patients through their journey from birth to the end of life. We will: l modernise maternity services, providing choice for women on how to access maternity care, antenatal care, place of birth, postnatal care and the support of an expanded maternity workforce; l increase support to children and families to tackle child obesity by raising awareness, working with local partners and developing knowledge of what works to tackle obesity; l improve access through achievement of the 18-week referral-to- treatment pledge, and improving access (including at evenings and weekends) to GP services.

8 L reduce further healthcare-associated infections with additional investment to tackle increases in cases of Clostridium difficile and sustaining progress we have made in reducing MRSA, including the introduction of MRSA screening for all elective patients in 2008-09 and all emergency admissions as soon as possible within the next three years; l further reduce cancer waiting times and double investment in palliative care; l improve the Health outcomes of people with long-term conditions by offering personalised care plans for people most at risk through improved care in primary and community settings; l expand the current programme of work on improving access to psychological therapy services for people suffering from the prevalent long-term depression and anxiety disorders; l further expansion of care tailored to the individual, including individual budgets, enabling people to stay as independent and in control of their life as much as possible; l support service development in the social care sector through the production of a Green Paper, later in the year, setting out key issues and options for reform as part of the Social Care Strategy Unit s work on reform of the funding system.

9 In the summer, we will publish the final report of the NHS Next Stage Review, which will set out our strategy, over the next ten years, to develop a Health and social care service that meets the changing demographic and social challenges of healthcare in the 21st century. Sixty years on, we remain true to our values that NHS services are universally available, tax-funded and free at the point of need. However, we want to take this a step further and build a lasting legacy of a service that meets the growing needs and expectations of patients, whilst being the envy of the world. Rt Hon Alan Johnson Secretary of State for Health 2 Ministerial Responsibilities The Rt Hon Alan Johnson MP Secretary of State Overall strategic responsibility for the work of the Department with particular responsibility for: NHS and social care delivery and system reforms; finance and resources; and strategic communications.

10 Ben Bradshaw MP Minister of State for Health Services, MS(H) Responsibilities include: NHS policy and strategy; finance (including capital); system management and regulation; commissioning; commercial policy; Connecting for Health ; urgent, emergency and primary care; 18 weeks; and departmental management. The Rt Hon Dawn Primarolo MP Minister of State for Public Health , MS(PH) Responsibilities include: public Health ; Health protection and emergency preparedness; Food Standards Agency; Health improvement national programmes; Health inequalities; fertility; international and European Union business; research and development; medicines and pharmaceuticals; National Institute for Health and Clinical Excellence; asylum seekers; and vascular screening. Ann Keen MP Parliamentary Under Secretary of State for Health Services, PS(H) Responsibilities include: healthcare quality; patient safety; workforce; National Clinical Directors and programmes; dentistry; partnership, experience and involvement; optical; chronic diseases and long-term conditions; workforce; reconfigurations; and children s Health and maternity.


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