Second Report - Delivering core NHS and care services during the pandemic and beyond
Select Committee
Health and Social Care Committee
HC 320
1 October 2020
Government response
Second Special Report - Delivering core NHS and care services during the pandemic and beyond: Government Response to the Committee’s Second Report of Session 2019–21 · published 15 Jan 2021
Recommendations & Conclusions
12 results
8
Conclusion
Acknowledged
Para 67
We further conclude that the delivery of dental services in England has been significantly hindered...
Conclusion
We further conclude that the delivery of dental services in England has been significantly hindered by the pandemic. This has been largely due to the need to protect both patients and staff from COVID-19 which has, in turn, presented financial …
Read more
Government Response Summary
The government acknowledges the pandemic's impact on dental services and is working to increase service levels, noting updated guidance allows reduced room resting time. They are also exploring future use of Point of Care testing to increase patient throughput, but this is in early stages.
Department of Health and Social Care
View Details
11
Recommendation
Acknowledged
We request an update from the Department of Health & Social Care by the end...
Recommendation
We request an update from the Department of Health & Social Care by the end of November 2020 on what steps are being taken to ensure that there is a consistent and reliable supply of appropriately fitting PPE to all …
Read more
Government Response Summary
The government is confident in a consistent PPE supply for winter, citing 32 billion items on order and a 4-month strategic stockpile. They are committed to addressing fitting difficulties by understanding user needs and incorporating feedback, especially for face masks.
Department of Health and Social Care
View Details
12
Conclusion
Acknowledged
Para 120
We are grateful to Professor Chris Whitty (Chief Medical Officer) and his expert colleagues for...
Conclusion
We are grateful to Professor Chris Whitty (Chief Medical Officer) and his expert colleagues for their continued and constructive engagement with our work. We also recognise that the Government, following the advice of the Chief Medical Officer and others, has …
Read more
Government Response Summary
The government acknowledges the committee's gratitude to Professor Whitty and reiterates its intention to use the SIREN study to inform the frequency and circumstances of NHS staff coronavirus testing.
Department of Health and Social Care
View Details
14
Conclusion
Acknowledged
Para 122
We note that Professor Chris Whitty has said that the testing of asymptomatic staff may...
Conclusion
We note that Professor Chris Whitty has said that the testing of asymptomatic staff may be necessary in the future and that if there is a “surge in winter” of coronavirus cases then he would be likely to advise that …
Read more
Government Response Summary
The government recognizes the Committee's concerns regarding routine asymptomatic testing of NHS staff and acknowledges its importance as a protective measure for staff, patients, and visitors from COVID-19 infection.
Department of Health and Social Care
View Details
16
Recommendation
Acknowledged
Para 124
We conclude that the case for routine testing of all NHS staff in all parts...
Recommendation
We conclude that the case for routine testing of all NHS staff in all parts of the country (including clinical staff as well as cleaners, porters and so forth) is compelling and should be introduced as quickly as capacity allows …
Read more
Government Response Summary
The government recognises the committee's concerns and acknowledges that routine asymptomatic testing is an important component of protecting NHS staff and patients, but does not commit to introducing it rapidly or expanding capacity as recommended.
Department of Health and Social Care
View Details
19
Conclusion
Acknowledged
Para 138
We are grateful for NHSE/I’s continued support of NHS staff and welcome the further measures...
Conclusion
We are grateful for NHSE/I’s continued support of NHS staff and welcome the further measures set out in the People Plan (July 2020) for the 2020–21 period. In particular, we welcome the important and ambitious measures set out in the …
Read more
Government Response Summary
The government acknowledges the need to mitigate the psychological impact of pressures on staff and to increase workforce supply and improve retention, promising to provide further details on these efforts in another section of the letter.
Department of Health and Social Care
View Details
20
Recommendation
Acknowledged
Para 139
We recommend that NHSE/I set out in detail what further specific steps it would like...
Recommendation
We recommend that NHSE/I set out in detail what further specific steps it would like to take over the coming years to support the mental and physical wellbeing of all staff and a plan to deal with the specific issue …
Read more
Government Response Summary
The government acknowledges the importance of mitigating psychological pressures and continuing to increase workforce supply and retention, stating that measures have been outlined and promising further details in another section of the letter, but does not commit to setting out a specific plan to the committee by the requested deadline.
Department of Health and Social Care
View Details
23
Conclusion
Acknowledged
Para 152
The NHS is founded on the principle of equality and is one of the most...
Conclusion
The NHS is founded on the principle of equality and is one of the most diverse and inclusive organisations in the UK. It hugely benefits from the diversity of its staff as in turn so does the nation. In recent …
Read more
Government Response Summary
The government acknowledges the committee's comments by outlining its approach to eradicating racism and discrimination, which aligns with legal definitions from the Equalities Act 2010 and Race Relations Act 1976, stating that its work in this area is multi-faceted.
Department of Health and Social Care
View Details
24
Conclusion
Acknowledged
Para 153
We have also heard that some BAME NHS staff face discrimination and racism in the...
Conclusion
We have also heard that some BAME NHS staff face discrimination and racism in the NHS and that, across the NHS, the levels of diversity must be improved. We accept Sir Simon Stevens’ comments that “there are systemic features to …
Read more
Government Response Summary
The government aligns its definition of racism and discrimination with the Race Relations Act 1976 and Equalities Act 2010, confirming their approach to addressing the issues of discrimination faced by BAME NHS staff.
Department of Health and Social Care
View Details
27
Recommendation
Acknowledged
We welcome the news that the Government and NHSE/I are piloting a ‘111 dial first’...
Recommendation
We welcome the news that the Government and NHSE/I are piloting a ‘111 dial first’ scheme to support the triaging of patients before they attend A&E departments. The introduction of an expectation that a patient will call first before walking …
Read more
Government Response Summary
The government welcomes support for the ‘111 dial first’ scheme and states that pilots are being monitored and evaluated to inform wider rollout, but does not provide the requested update or specific plans for A&E departments.
Department of Health and Social Care
View Details
28
Conclusion
Acknowledged
Para 184
We welcome the support of the Secretary of State and the Chief Executive of NHSE/I...
Conclusion
We welcome the support of the Secretary of State and the Chief Executive of NHSE/I for technological innovation in the NHS. The use of technology and digital alternatives (“telemedicine”), although it has had a mixed response from some patients and …
Read more
Government Response Summary
The government welcomes the committee's support for technological innovation and is committed to supporting wider technology deployment, but does not address the call for a comprehensive assessment of digital exclusion risks or methods to bring forward successful innovations.
Department of Health and Social Care
View Details
30
Conclusion
Acknowledged
Para 193
We commend the efforts of the Government, NHSE/I and the independent sector for stepping up...
Conclusion
We commend the efforts of the Government, NHSE/I and the independent sector for stepping up and securing independent sector capacity (i.e. beds, staff and facilities) which has been crucial to supporting the NHS during the pandemic. It is clear that …
Read more
Government Response Summary
The government agrees that independent sector capacity will be needed and states it has secured this capacity through agreements to ensure the NHS can meet patient demand.
Department of Health and Social Care
View Details