5.25pm: “I’m at a complete loss to understand why Monitor is reviewing and suggesting solutions to contractual issues which fall within the remit of NHSE’s contractual portfolio - can anyone help…?” Just one of the many comments on today’s Most Commented story on hsj.co.uk, concerning Monitor’s suggestion that primary care commissioning responsibilities and payment mechanisms be changed. Read it and the readers’ views here.
What does Hunt getting recalled to Prlmnt to answer Qs on an NHS E announcement mean for NHS E independence? Has Bercow not read HSCA 2012?
— Ben Clover (@BenClover) November 12, 2013
4.15pm: The Guardian says that Jeremy Hunt was accused of “running scared” after health department officials briefed newspapers and not parliament on a report due to be published on Wednesday on plans for a total overhaul of the NHS accident and emergency departments.
2.43pm: International development secretary Justine Greening has approved the deployment of members of the UK International Emergency Trauma Register following a request from the Philippines Department of Health. The UK team will be provided as part of the British Government’s £10m relief efforts for the disaster.
MPs highlight the improved outcomes for stroke care in London as a result of reconfiguring services and Hunt also points to trauma care.
— Shaun Lintern (@ShaunLintern) November 12, 2013
1.43pm: Health secretary Jeremy Hunt has told the House of Commons Bruce Keogh’s review into A&E services which is set to be published tomorrow will involve a “hub and spoke model” of A&E services. He also told MPs “the bulk of the work” will look at changes to out of hospital care. As part of an emergency debate on the review Mr Hunt said he would not “stand in the way of changes” that save lives.
1.40pm: Outsourced public sector contracts lack transparency and are won by a small number of firms, the National Audit office has warned. A damning memo issued on Tuesday highlighted a series of problems to ministers and private sector suppliers over the way private firms deliver services for public bodies.
1.36pm: The Department of Health’s procurement strategy has been described as a “missed opportunity” to bring about better partnerships between NHS bodies and private or voluntary sectors, in a report shared with HSJ.
1.34pm: At least 12,000 patients spent 12 hours or more on hospital trolleys in casualty units in the last year, it has been reported. Another 250 waited for at least 24 hours and one was forced to wait almost three days on a trolley, according to the Daily Mail.
1.32pm: Video: health Secretary Jeremy Huntanswers an urgent question from shadow health secretary on the Keogh Review of urgent and emergency care. This follows The Daily Mail reporting that at least 12,000 patients spent 12 hours or more on hospital trolleys in casualty units in the last year.
12.28pm: Young people leaving care are given a “raw deal”, claims research for an all party group of MPs. The BBC reports that many care leavers miss out because they do not know what support they are entitled to, according to the report.
On Friday, NHS England said the Mandate was “delayed”. not “will be out in 2 working days”. I wonder if they considered it nearly ready.
— David Williams (@dwilliamsHSJ) November 12, 2013
12.18pm: The NHS Confederation and Foundation Trust Network both have big announcements today, as they’ve revealed who’s filled their top jobs. See the hsj.co.uk story here.
12.15pm: The government has published its refreshed mandate for NHS England, apparently withdrawing or watering down a number of commitments following a struggle between the two organisations. The final refreshed mandate document is attached to the hsj story here.
urgent & emergency care review coming. V difficult issues both to interpret & implment. Some HSJ pre reading from Jan http://t.co/9pSNWMULzv
— Dave West (@Davewwest) November 12, 2013
11.13am: At least 12,000 patients spent 12 hours or more on hospital trolleys in casualty units in the last year, it has been reported. Another 250 waited for at least 24 hours and one was forced to wait almost three days on a trolley, according to the Daily Mail.
10.56am: Nurse leaders said that safety was being jeopardised because of widespread shortages after NHS trusts froze vacant posts in a bid to save money, writes the Telegraph. Earlier this year an investigation into 14 hospital trusts with unusually high death rates highlighted inadqequate staffing as a common factor.
10.30am: New mothers are to be offered up to £200 in shopping vouchers to encourage them to breastfeed their babies, reports bbc.co.uk. The pilot scheme is being targeted at deprived areas of South Yorkshire and Derbyshire and funded through a collaboration between government and the medical research sector.
The BBC also reports a senior doctor’s frustration at a second crop of measles cases in south Wales just months after a large outbreak ended.
8.42am: And new in our Commissioning channel, Mick McKeown, Karen Wright and colleagues explain how cooperative commissioning in Yorkshire has resulted in significant quality improvements in service user involvement and patient centred care. Find out how they did it here.
8.20am: Good morning and welcome to HSJ Live. New on hsj.co.uk today, David Stewart makes the case for competition law, saying it’s not necessarily the baddie that everyone supposes. It could in fact play a positive supporting role to the work of NHS leaders − both commissioners and providers, he argues.
Also in Comment, Na’eem Ahmed says that although clinical leadership is considered crucial for a successful health service, there is a lack of clinicians who are properly equipped to do the top jobs. His piece comes in the continued fallout from David Prior’s article last week attacking clinician “silence”.