Coverage of this afternoon’s vote to select the new chair of the Commons health committee, plus the rest of today’s news and comment
4.29pm Dr Sarah Wollaston has been elected chair of the Commons health select committee.
3.28pm The Evening Standard Londoner’s Diary claims that “Tory loyalists” have been “urged to throw their weight behind ‘anyone but Wollaston’” in the health committee vote.
2.53pm Liberal Democrat MPs Julian Huppert and Tim Farron also tweeted that they had voted for Ms Wollaston.
2.50pm There’s no word yet on the outcome health select committee vote, but a number of MPs have already taken to Twitter to say who they backed.
Tory MP Douglas Carswell (@DouglasCarswell) tweeted: “Just voted for @drwollastonmp to chair health select committee. She’s the whips perfect nightmare. Wld be brilliant in the role”
2.42pm A new initiative from NHS England will help innovators in the NHS and beyond to embed their ideas in frontline practice and find new opportunities across the globe, says innovation director Miles Ayling.
2.40pm The British public is being asked to cast the deciding vote to choose which issue the Longitude Prize 2014, which has a fund of £10m to help solve one the great scientific issues of our time, will go to.
1.35pm Later this afternoon the House of Commons is going to vote on who is to replace Stephen Dorrell as chair of the Commons health select committee. We will of course update you as soon as we hear anything on HSJ Live, but here’s BBC’s Norman Smith tweeted this morning ahead of the vote:
@BBCNormanS: “Tory MP Sarah Wollaston appears hot favourite to get Health Select chair job - thanks to Labour votes”
1.29pm David Hare, chief executive of the NHS Confederation’s Partners Network also had this to say:
“The NHS is rightly considered world-class on research and innovation when it comes to medical advances and technology, and much of this ground-breaking success is a result of collaboration with experts and organisations outside the NHS. In the modern NHS, it is right that we look to partners in the voluntary, commercial or independent sectors to ensure our patient-centred work is world-class too, whether that’s learning from small voluntary sector organisations which make great use of innovative technology, or market-responsive approaches that major supermarkets are experts in. Going for Change makes a powerful case for looking across sectors for ideas which can help meet the efficiency and quality challenges which face the NHS and to make the service truly open and innovative.”
1.25pm NHS Confederation chief executive Rob Webster has commented on Reform’s report advocating the increased involvement of the private sector in the NHS. Here’s what he had to say:
“When such highly respected thinkers as Paul Corrigan and Mike Parish set out their case for significant change in the NHS, then it is only right that we listen, digest and debate the points that they make. The need for such a debate is a theme within the 2015 Challenge published by the Confederation, on behalf of a broad partnership of Royal Colleges and representative groups. This paper is a welcome addition to the debate.
“Corrigan and Parish suggest that political conservatism is paralysing the health service. We believe it is vital that politicians demonstrate the clear thinking and bold leadership that is essential to ensure the National Health Service is fit for the future. All across the country, there are examples of local organisations beginning to demonstrate the leadership required to make significant change. They need the backing of politicians to face up to the scale and seriousness of the change the health service needs.
“The health needs of our population are changing fast. We cannot spend the next year in the kind of ‘purdah paralysis’ we have witnessed in previous elections. We are living longer, and living with conditions that our parents and grandparents might not have survived. Cancer survival rates have doubled since the 1970s, stroke mortality rates have halved since the early 1990s, and many people now live long and full lives with multiple long-term conditions.
“In this context, it is vital that we embrace what every part of the health service in securing a solution - private, not for profit and NHS bodies. Not one of these has the monopoly on innovation. Not one has a monopoly on values. The full potential of NHS-funded care for every patient will be secured by these organisations, supported by effective commissioning. This in turn needs clear long-term commitments to funding that give all parts of the health service the certainty to plan safe, effective change.”
1.09pm David Cameron was asked at this afternoon’s PMQs about the reported £2bn deficit the NHS faces next year.
In his response the prime minister said that estimate reflected the savings the NHS will be expected to achieve, and that the NHS had achieved the savings required of it in each of the last four years.
12.58pm Alastair McLellan’s latest editorial is now online. In it the HSJ editor warns against NHS leaders from “playing to the gallery”.
“The history of the NHS has known many mistakes born out of a fevered pre-election period, which then have to be painfully and lengthily corrected,” he writes.
12.31pm A contract dispute between a clinical commissioning group and a trust in Shropshire has resulted in the CCG being placed in “financial recovery” and the provider pushed deeper into deficit, board papers showed.
The financial deterioration of both Telford and Wrekin CCG and Shrewsbury and Telford Hospital Trust followed the completion of a dispute arbitration by NHS England and the NHS Trust Development Authority.
12.12pm Hospitals need to follow in the footsteps of retailers when it comes to cost-cutting techniques and quality measures, it has been claimed.
Professor Paul Corrigan, a former health adviser to prime minister Tony Blair, warned that the “protectionism and political conservatism” of the NHS is actually a barrier that blocks good patient care.
He is calling for the health service to break from tradition and adopt the same thinking that has cut costs and improved quality in grocery retail, high street retail and car manufacturing in recent years.
The comments, made in a report for independent think tank Reform, are supported by Mike Parish, chief executive of the independent health company Care UK, who also contributed to the paper on the state of care nationwide.
12.10pm A group of leading patient safety experts are seeking central funding to support the spread of human factors science.
Use of this approach, which examines how factors such as human and individual characteristics influence behaviour that can affect patient safety, was central to the approach advocated by Professor Don Berwick in his review into patient safety in the NHS last year.
The bid to establish a central resource to support NHS organisations is being led by Helen Hughes and Martin Bromiley, chair of the Clinical Human Factors Group.
10.56am Unsurprisingly, the Reform report has provoked plenty of reaction. Here’s what National Health Action Party co-leader Clive Peedell had to say:
“These proposals are dressed up as new, but they are simply the same old tired, discredited zombie formulae we have seen so many times from right-wing think tanks like Reform. They are precisely what the Health and Social Care Act was designed to deliver, enabling private companies to feast on our NHS. The result will be a system that is fragmented, less accountable and more expensive. Rather than an integrated system, our NHS will become a lottery system. It’s hardly surprising when you realise that they have been written by the architect of New Labour’s NHS privatisation agenda and the chief executive of Care UK, which bankrolled the architect of the Health and Social Care Act, Andrew Lansley.
“It’s remarkable that the arguments are based on models from retail and the car industry – but fail to use a single example from health care anywhere in the world. This is because there is no evidence at all that such models have any relevance or appropriateness to the issues faced by healthcare systems: and there is plenty of evidence to suggest a private sector provision is more inefficient, costly, and exclusive than publicly owned and funded services, and that private sector healthcare is incapable of surviving anywhere in the world without substantial public sector subsidies.”
10.48am In the Financial Times: the NHS should look to Tesco and BMW for lessons on how to deliver care more cheaply and efficiently, according to a former health adviser to Tony Blair, who has predicted that private providers could replace up to three quarters of NHS care in the coming decade.
In a report published by Reform, the pro-market think-tank, Paul Corrigan and co-author Mike Parish, chief executive of Care UK, predict that within a decade new models of healthcare, provided by both public and independent organisations, would replace nearly three quarters of NHS care.
10.34am Sir Robert Francis has made his intervention at the CQC board meeting. Asked to comment on why members of the public who have experienced poor care often call for a public inquiry, he said this was frequently because they were dissatisfied that individuals who they expected to be held to account “move on” into other roles. He said however that the idea that public inquiries would provide redress in this respect was sometimes “misguided”.
10.26am The Daily Telegraph reports on its front page that more than a million people with a common heart condition have been told not to take aspirin to guard against strokes, in a reversal of previous NHS advice.
Revised guidance from the National Institute for Health and Care Excellence says a new generation of drugs is far better than aspirin at reducing the danger for such patients and is less likely to cause side-effects including internal bleeding.
10.22am The family of a woman who say her when an order not to attempt resuscitation was put on her medical records without her prior consultation have won their case against Addenbrooke’s Hospital, The Guardian reports.
Janet Tracey, 63, died at the hospital in March 2011. She had broken her neck in a car accident soon after being diagnosed with terminal cancer.
Merry Varney of the law firm Leigh Day, who represented Tracey’s husband, said: “The judgment sends a clear message to all NHS trusts, regulatory bodies and healthcare professionals that patients have a legal right to be informed and consulted in relation to decisions to withhold resuscitation.”
Cambridge University Hospitals NHS foundation trust, which runs the hospital, said it was “considering the implications of this judgment and the next steps very carefully”.
10.21am Also in The Guardian, the Royal College of GPs has urged health professionals to avoid using jargon as many patients are having difficulty understanding their illness.
In a report published today, the RCGP claims: “Doctors, having spent many years immersed in the biology of human health and disease, may overestimate the health literacy of their patients”
The body has called for doctors to avoid use of words such as “chronic”, “palliative” and “hospice”. It also warns that describing a cancer diagnosis as “positive” may cause patients to misinterpret this as good news.
10.20am On the front page of The Guardian, the NHS has been judged to be the world’s best healthcare system, according to a study by the Commonwealth Fund.
“The United Kingdom ranks first overall, scoring highest on quality, access and efficiency,” researchers say.
This comes in spite of the UK spending the second lowest on healthcare out of the 11 countries examined as part of the study.
10.15am Browsing through this morning’s papers, the Daily Mail has a couple of stories from a Westminster press lunch with Jeremy Hunt yesterday. The paper splashes with a comment from the health secretary that the NHS “should not be doing cosmetic [surgery] work”.
Mr Hunt also said the NHS loses over £400m a year because hospitals treat foreign patients for free. He said the NHS would start paying hospitals to check up on patients’ immgiration status in a move to improve the recovery of this money (paper only).
9.42am Commissioning support units made a collective surplus of nearly 6 per cent, HSJ can reveal after obtaining financial performance data for the entire sector for the first time.
Figures released to HSJ under the Freedom of Information Act also showed that overall CSUs turned over £808m in their first year of operation, significantly higher than earlier assumptions of around £750m.
9.36am The BBC is reporting that “senior health sources” have told it that costs will exceed the money the NHS receives from April 2015.
According to the BBC the size of the deficit is £2bn - about 2 per cent of the NHS in England’s budget.
9.27am The Care Quality Commission is holding its monthly board meeting - the first with new board member Sir Robert Francis QC. We’ll give you updates from the meeting here on HSJ Live, but you can also watch the live stream here.
9.00am Good morning. Trusts across Liverpool are pulling out of a “landmark” £27m deal to buy their payroll and recruitment services from outsourcing giant Capita, fewer than three years into the seven-year contract.
At least five out of eight North Merseyside providers that transferred services to Capita in 2012 will have brought them back into the NHS, or moved to other providers, by 1 August, according to statements given to HSJ.
The premature exodus of trusts from the contract follows reports of widespread concerns about the quality of the service Capita HR Solutions provided.