Ninth report - Clearing the backlog caused by the pandemic

Select Committee
Health and Social Care Committee HC 599 6 January 2022
Report Status Government responded
Conclusions & Recommendations 34 items (24 recs)
Government Response (AI assessment · 34 of 34 classified)
Government response
Government Response to the Health and Social Care Committee Report on Clearing the backlog caused by the pandemic · published 25 May 2022

Recommendations & Conclusions

34 results
1 Recommendation Acknowledged
Para 12
Our key new recommendation is that, by April 2022, the Department of Health and Social...
Recommendation
Our key new recommendation is that, by April 2022, the Department of Health and Social Care works with NHS England to produce a broader national health and care recovery plan that goes beyond the elective backlog to emergency care, mental … Read more
Government Response Summary
The government acknowledges the importance of integrated services, referencing existing plans and stating they will continue to develop and refine recovery plans, but does not commit to the specific broad national recovery plan by the specified deadline.
Department of Health and Social Care
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2 Conclusion Accepted
Para 43
It is not appropriate to set a numerical target for the proportion of appointments carried...
Conclusion
It is not appropriate to set a numerical target for the proportion of appointments carried out remotely in general practice. Instead practices should respond to the needs of their local populations and work together with patients to establish the most … Read more
Government Response Summary
The government accepted the conclusion that setting numerical targets for remote general practice appointments is inappropriate, agreeing that practices should respond to local population needs.
Department of Health and Social Care
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3 Recommendation Accepted
Para 44
NHS England has already commissioned an evaluation of the role of digital tools in primary...
Recommendation
NHS England has already commissioned an evaluation of the role of digital tools in primary care. We recommend that it publishes that evaluation at the earliest opportunity and uses it as a basis to produce clear and consistent guidance on … Read more
Government Response Summary
The government confirms NHS England's evaluation of digital tools in primary care has concluded, and it will publish clear guidance on best practice, including reducing bureaucracy and the use of remote consultations, in due course.
Department of Health and Social Care
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4 Recommendation Accepted in Part
Para 45
We further recommend that NHS England looks beyond primary care in its assessment of the...
Recommendation
We further recommend that NHS England looks beyond primary care in its assessment of the use of digital tools and considers the impact of an increased usage of such tools not only on patients, but also on other parts of … Read more
Government Response Summary
The government states NHS England has concluded an evaluation of digital tools in primary care and will publish guidance on best practice, including reducing bureaucracy at the primary/secondary care interface and the use of remote consultations, partially addressing the recommendation to look beyond primary care.
Department of Health and Social Care
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5 Conclusion Acknowledged
Para 53
Managed well, we see enormous potential for a beefed-up version of 111 to regulate the...
Conclusion
Managed well, we see enormous potential for a beefed-up version of 111 to regulate the demands on emergency departments and ensure that patients get the right care, in the right place, at the right time. However, we acknowledge concerns that … Read more
Government Response Summary
The government states that NHS England is evaluating the NHS 111 First service and a final report assessing its impact on emergency departments and patient outcomes will be published in due course.
Department of Health and Social Care
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6 Recommendation Accepted
Para 54
We therefore recommend that NHS England completes and publishes evaluations of NHS 111 call first...
Recommendation
We therefore recommend that NHS England completes and publishes evaluations of NHS 111 call first services as soon as is practicable, including learning from those evaluations and the implications for any future iterations of the service.
Government Response Summary
The government states that NHS England is currently conducting detailed analysis of the NHS 111 First programme and expects the results to be published in 2023.
Department of Health and Social Care
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7 Recommendation Accepted
Para 60
The response to long covid shows both the kind of integrated, patient-centred care the NHS...
Recommendation
The response to long covid shows both the kind of integrated, patient-centred care the NHS can provide when systems work effectively, and the frustration and detriment experienced by patients who have to “fight” to access to the right care when … Read more
Government Response Summary
The government recognizes the importance of supporting long COVID sufferers, detailing existing investment of over £50 million in research and the establishment of over 90 specialist multidisciplinary clinics across the country to provide care.
Department of Health and Social Care
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8 Recommendation Deferred
Para 61
We therefore recommend that NHS England publishes, before the end of this financial year, a...
Recommendation
We therefore recommend that NHS England publishes, before the end of this financial year, a long covid plan covering the period until 2023. The plan must be developed in consultation with a wide range of stakeholders, including patient groups. NHS … Read more
Government Response Summary
The government states NHS England included long COVID commitments in a March 2022 plan and is currently refreshing its long COVID strategy in consultation with stakeholders to determine next steps, but does not commit to the specific plan or deadline requested.
Department of Health and Social Care
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9 Recommendation Accepted
Para 65
It is not acceptable for patients awaiting planned treatment or feeling the debilitating effects of...
Recommendation
It is not acceptable for patients awaiting planned treatment or feeling the debilitating effects of long covid to feel “abandoned” by the NHS. We appreciate the uncertainty about the length of future waiting lists, but this is no excuse for … Read more
Government Response Summary
The government agrees on the importance of patient communication, stating NHS England has already published guidance for providers on effective communication and is actively working to improve waiting list management.
Department of Health and Social Care
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10 Recommendation Acknowledged
The national health and care recovery plan must set out a clear vision for what...
Recommendation
The national health and care recovery plan must set out a clear vision for what ‘success’ in tackling the backlog will look like, and what patients can expect their care to look like in their local area in the coming … Read more
Government Response Summary
The government acknowledges the importance of setting a clear vision for success and patient communication, stating NHS England is responsible for this and is working on effective patient communication and waiting list management.
Department of Health and Social Care
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11 Recommendation Accepted
Para 67
Lastly, we heard that patient involvement in services was important to tackle long covid.
Recommendation
Lastly, we heard that patient involvement in services was important to tackle long covid. It should also be taking place in other areas. We have previously called for the Care Quality Commission’s assessments of Integrated Care Systems (ICSs) to include … Read more
Government Response Summary
The government accepts the principle of patient involvement, stating that the Care Quality Commission’s assessments of Integrated Care Systems already include consultation with patient groups and patient outcomes.
Department of Health and Social Care
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12 Recommendation Accepted
We again recommend that the Care Quality Commission includes consultation with patient groups and details...
Recommendation
We again recommend that the Care Quality Commission includes consultation with patient groups and details of patient outcomes in its assessment of ICSs. (Paragraph 68) Funding and policies to tackle the backlog
Government Response Summary
The government agrees on the importance of patient involvement and states that the CQC's assessments of ICSs already include consultation with patient groups and patient outcomes.
Department of Health and Social Care
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13 Conclusion Accepted
Para 79
The pandemic has had a negative impact on health inequalities and highlighted the crucial importance...
Conclusion
The pandemic has had a negative impact on health inequalities and highlighted the crucial importance of effective public health services in supporting local populations. Public health services are therefore vital allies in tackling the backlog, and we are surprised at … Read more
Government Response Summary
The government acknowledges the importance of public health services and states that public health grant funding levels have been increased by £340 million in 2022/23 to £3.47 billion.
Department of Health and Social Care
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14 Recommendation Accepted in Part
Para 80
As part of its national health and care recovery plan, we recommend that the Government...
Recommendation
As part of its national health and care recovery plan, we recommend that the Government sets out the contribution that public health services will make, and ensures that this contribution is backed with a level of funding that acknowledges their … Read more
Government Response Summary
The government acknowledges the vital role of public health services and states that funding levels have been increased by £340 million in 2022/23 to £3.47 billion, but does not explicitly commit to setting out their contribution within a national recovery plan.
Department of Health and Social Care
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15 Conclusion Accepted
Para 92
We note that the Government decided to resist an amendment to the Health and Care...
Conclusion
We note that the Government decided to resist an amendment to the Health and Care Bill that would have required it to publish independently verified assessment of health, social care and public health workforce numbers at least once every two … Read more
Government Response Summary
The government acknowledges the importance of workforce assessments and states that it already publishes independently verified assessments of workforce numbers at least once every two years, and will continue this practice.
Department of Health and Social Care
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16 Recommendation Accepted in Part
Para 93
We repeat our recommendation that HEE must be required (whether in its own right or...
Recommendation
We repeat our recommendation that HEE must be required (whether in its own right or as part of NHS England) to publish objective, transparent and independently-audited annual reports on workforce projections that cover the next five, ten and twenty years, … Read more
Government Response Summary
The government accepted in principle, stating it already publishes independently verified workforce assessments at least every two years (not annually as recommended), covering health, social care, and public health. It also affirmed that DHSC works with NHS England to incorporate workforce planning into all NHS plans and give attention to social care.
Department of Health and Social Care
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17 Recommendation Accepted in Part
We recommend that the Government undertake an urgent review of short-term recruitment and retention issues...
Recommendation
We recommend that the Government undertake an urgent review of short-term recruitment and retention issues within the health and care workforce, including productivity improvements, sharing of best practice through data, removal of professional demarcation, use of technology, additional training places … Read more
Government Response Summary
The government accepted in principle the need to address recruitment and retention issues, stating NHS England will publish a refreshed People Plan for 2022/23 as soon as practicable to address these, including productivity improvements, technology use, and training.
Department of Health and Social Care
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18 Conclusion Deferred
Para 95
Investing resource in our health and care workforce will ultimately save money— for example through...
Conclusion
Investing resource in our health and care workforce will ultimately save money— for example through reduced locum and agency fees over time—and help build a better, safer health service. It will also give hope to staff—who are feeling increasing desperate … Read more
Government Response Summary
The government acknowledges the importance of investing in the workforce and states that NHS England’s Long Term Workforce Plan, due in Spring 2023, will detail actions for recruitment, retention, and reform.
Department of Health and Social Care
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19 Recommendation Accepted
Para 96
We call on NHS England to demonstrate its ongoing commitment to staff wellbeing by publishing...
Recommendation
We call on NHS England to demonstrate its ongoing commitment to staff wellbeing by publishing a refreshed People Plan to cover the financial year 2022/23 as soon as is practicable.
Government Response Summary
The government states that NHS England is committed to staff wellbeing and will publish a refreshed People Plan for 2022/23 as soon as practicable, outlining support for wellbeing and addressing workforce shortages.
Department of Health and Social Care
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20 Conclusion Acknowledged
Para 98
An NHS running too ‘hot’ for patients to move from crowded emergency departments into wards...
Conclusion
An NHS running too ‘hot’ for patients to move from crowded emergency departments into wards cannot provide safe, efficient or effective care in the long- term. Furthermore, the advent of ICSs offers an opportunity to provide patients with more integrated … Read more
Government Response Summary
The government accepted in principle the committee's conclusion that an NHS running 'too hot' impacts care and that ICSs offer opportunities for integrated care, committing generally to support the NHS.
Department of Health and Social Care
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21 Recommendation Accepted
Para 99
As part of its broader health and care recovery plan, the Government must produce an...
Recommendation
As part of its broader health and care recovery plan, the Government must produce an independently-verified analysis of how many, and what type, of extra beds the NHS needs in order to provide safe and effective everyday care for patients, … Read more
Government Response Summary
The government accepted in principle, stating NHS England is working to produce an independently-verified analysis of the NHS's bed needs and will accompany this with sustainable, long-term plans to tackle delayed discharges.
Department of Health and Social Care
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22 Conclusion Deferred
Para 102
We welcome the £2.3bn pledged in the Spending Review to create around 100 new community...
Conclusion
We welcome the £2.3bn pledged in the Spending Review to create around 100 new community diagnostic hubs, but we are yet to see detailed plans for their implementation.
Government Response Summary
The government noted the committee's welcome of funding for new diagnostic hubs and stated that detailed implementation plans will be set out in due course.
Department of Health and Social Care
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23 Recommendation Accepted
Para 103
Ahead of the arrival of the new funding from the Spending Review in Spring 2022,...
Recommendation
Ahead of the arrival of the new funding from the Spending Review in Spring 2022, we recommend that Government provides more details on the 100 new community diagnostic hubs, including where they will be placed, who will staff them and … Read more
Government Response Summary
The government states that over 90 community diagnostic centres are now open, providing various services based on local need to support earlier diagnosis and treatment, making services more convenient and accessible.
Department of Health and Social Care
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24 Recommendation Accepted
Para 105
Access to care should not be dependent on where you live in the country.
Recommendation
Access to care should not be dependent on where you live in the country. Regional and national co-ordination will be necessary to ensure that strategies aimed at tackling the backlog do not have the unintended consequence of increasing health inequalities. Read more
Government Response Summary
The government states the Elective Recovery Taskforce is already working to adopt innovative solutions and foster collaboration across the country to ensure equitable access to care and prevent increased health inequalities from backlog strategies.
Department of Health and Social Care
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25 Recommendation Acknowledged
Para 106
We recommend that NHS England, together with ICBs and the new Office for Health Improvement...
Recommendation
We recommend that NHS England, together with ICBs and the new Office for Health Improvement and Disparities (OHID), work together to deliver regional and national coordination as the system tackles the backlog in elective care. If the independent sector is … Read more
Government Response Summary
The government stated the Elective Recovery Taskforce is working to ensure innovative solutions provide equitable access to care across the country, including promoting collaboration and patient travel for faster treatment.
Department of Health and Social Care
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26 Conclusion Accepted
Para 112
We have heard much about how a robust social care system that can support hospital...
Conclusion
We have heard much about how a robust social care system that can support hospital discharges and free up capacity is essential to clear the backlog. We welcome the inclusion of the social care workforce in the refreshed Framework 15. … Read more
Government Response Summary
The government recognizes the importance of social care and commits up to £7.5 billion over the next two years, including £5.4 billion from the Health and Social Care Levy and £500 million for hospital discharge.
Department of Health and Social Care
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27 Recommendation Not Addressed
Para 113
In light of the Government’s commitment to reform social care, we again recommend that it...
Recommendation
In light of the Government’s commitment to reform social care, we again recommend that it publishes a ten-year plan for social care, setting out how it in detail how it will tackle the structural and financial problems the sector faces … Read more
Government Response Summary
The government detailed £7.5 billion in funding for adult social care and discharge, including for workforce pressures, but did not address the recommendation to publish a ten-year social care plan or a social care People Plan.
Department of Health and Social Care
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28 Recommendation Accepted in Part
Para 114
To encourage better integration and mutual understanding across health and social care, we again recommend...
Recommendation
To encourage better integration and mutual understanding across health and social care, we again recommend that a duty is placed on ICSs so that where a decision by an ICS affects carers and the social care sector, the ICS must … Read more
Government Response Summary
The government agrees on integration's importance, noting the Health and Care Act 2022 places a duty on ICBs to promote integration and that statutory guidance will clarify expectations for wide engagement, including with carers, without committing to a specific formal consultation duty.
Department of Health and Social Care
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29 Conclusion Accepted
Para 118
There is enormous potential for technology to support a transformation in NHS care that will...
Conclusion
There is enormous potential for technology to support a transformation in NHS care that will bring benefits for patients and staff alike. However, this potential will not be realised while many providers still struggle with basic IT infrastructure. The Wade-Gery … Read more
Government Response Summary
The government commits to publishing a roadmap in response to the Wade-Gery report in Autumn 2022, detailing how data, digital, and technology will transform the NHS and support IT infrastructure improvements.
Department of Health and Social Care
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30 Recommendation Accepted
Para 119
NHS England must produce its roadmap in response to the Wade-Gery report on Putting data,...
Recommendation
NHS England must produce its roadmap in response to the Wade-Gery report on Putting data, digital and tech at the heart of transforming the NHS at the earliest opportunity so that we and others are able to scrutinise it ahead of implementation.
Government Response Summary
The government commits to publishing a roadmap in response to the Wade-Gery report in Autumn 2022, outlining how data, digital, and technology will transform the NHS and improve IT infrastructure.
Department of Health and Social Care
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31 Conclusion Accepted
Para 125
The upcoming national introduction of ICBs provides the opportunity for local integration and innovation.
Conclusion
The upcoming national introduction of ICBs provides the opportunity for local integration and innovation. This opportunity must not be wasted, particularly in the context of the backlog. There must be clear incentives for ICBs to deliver integrated and innovative care, … Read more
Government Response Summary
The government agrees on the importance of ICBs delivering integrated and innovative care with accountability, stating that the Health and Care Act 2022 places relevant duties on ICBs, and NHS England will publish guidance on ICB assessment to ensure incentives.
Department of Health and Social Care
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32 Recommendation Deferred
Para 126
We have previously recommended that Care Quality Commission ratings include an assessment of the progress...
Recommendation
We have previously recommended that Care Quality Commission ratings include an assessment of the progress ICBs make on the integration of information technology between primary care, secondary care, and the social care sector. We repeat this recommendation here. Although the … Read more
Government Response Summary
The government agrees on the importance of integrated care but states that the Care Quality Commission (CQC) is an independent body responsible for determining its ratings. It commits to working with CQC to ensure they are aware of the importance of integrated care and effective technology use.
Department of Health and Social Care
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33 Recommendation Accepted
Para 127
We recommend the Government creates a platform to share examples of good practice and innovation...
Recommendation
We recommend the Government creates a platform to share examples of good practice and innovation at ICB level so that lessons can be learnt, and practices adapted in ways that reflect the health needs of local areas. Without this, the … Read more
Government Response Summary
The government accepts the recommendation, stating NHS England is currently developing a platform to share good practice and innovation at ICB level, which is set to launch in Autumn 2022.
Department of Health and Social Care
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34 Recommendation Accepted
We again recommend that a duty be placed on ICBs for them to have regard...
Recommendation
We again recommend that a duty be placed on ICBs for them to have regard to mental health and public health. (Paragraph 128) Clearing the backlog caused by the pandemic 39
Government Response Summary
The government agrees with the recommendation, noting that the Health and Care Act 2022 already places a duty on ICBs to reduce health inequalities and promote integration, which covers having regard to mental health and public health.
Department of Health and Social Care
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