Select Committee on Health Minutes of Evidence


7: Department of Health

(Including Personal Social Services)

THE GOVERNMENT WILL REBUILD THE NHS AND IMPROVE THE DELIVERY OF SOCIAL SERVICES BY:

    —  modernising the NHS, by improving hospitals and GPs' premises, and by establishing NHS Direct, to give everyone access to a 24 hour telephone nurse advice line; and

    —  improving the efficiency of the NHS and social services by up to 3 per cent a year;

THESE REFORMS WILL, BY THE END OF THE PARLIAMENT:

    —  reduce NHS waiting lists to 100,000 below the level the Government inherited;

    —  begin to reduce avoidable illness, disease and injury, which will result in time in lower death rates from heart disease and stroke, cancer, and suicide, and cutting health inequalities;

    —  improve cooperation between the NHS, social services and other services which will strengthen the focus on patients' needs, and help to reduce the rate of growth in emergency admissions to an average of 3 per cent a year over the next five years for people over 75; and

    —  improve the educational achievement of children looked after by local authorities, increasing from 25 per cent to at least 50 per cent the proportion of children leaving care at 16 or later with GCSE or GNVQ qualifications.

A new approach to investment in Health

  7.1  The Government set out its ten year programme to rebuild the NHS in the White Paper The New NHS and the Green Paper Our Healthier Nation. The Government's vision is of a modernised NHS that is:

    —  a national service;

    —  fast and convenient;

    —  of a uniformly high standard;

    —  designed around the needs of patients not of institutions;

    —  efficient, so that every pound is spent to maximise the care for patients;

    —  making good use of modern technology and know-how; and

    —  tackling the causes of ill health as well as its treatment.

  7.2  The Government is abolishing the destructive, bureaucratic competition of the internal market, and replacing it with a fairer, more collaborative system. It will be based on partnership and driven by performance. All local health bodies will come together to draw up the Health Improvement Programme, working out how best to use their resources to improve the health and well being of people in their area, cutting health inequalities, and increasing the length of people's lives and the number of years they spend free from illness. GPs and nurses, the people closest to patients, will increasingly take the lead in commissioning services.

Spending plans

  7.3  The new spending plans for England provide for average real increases of 4.7 per cent, in real terms, over the next three years. In the first year, resources for the NHS rise by 5.7 per cent in real terms, followed by increases of 4.5 per cent and 3.9 per cent in the later years. In addition, savings on bureaucracy are generating £1 billion extra for patient care over the Parliament, and wider value-for-money savings from the CSR will produce about an extra £1 billion each year.


 
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Prepared 5 October 1998