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HEALTH
NHS
The Parliamentary Under-Secretary of State for Health (Mr. David Lammy): The system of patient and public involvement in the National Health Service that will be in place from 1 September provides far greater support for patients than ever before.
By 1 September the programme of work to set up patients' forums will be well under way and the support for them will be in place to provide a one-stop shop for information and advice; the Commission for Patient and Public Involvement in Health (CPPIH) will be representing the patients voice nationally; local authority overview and scrutiny committees will be scrutinising the NHS; the NHS itself will be carrying out its new duty to involve and consult the public; there will be independent support for complainants; there will be support for patients from PALS (Patient Advice and Liaison Service) in almost all trusts; there will be a national help line set up by CPPIH that will provide advice, information and signposting for the public about where to get advice and support ; and there will be monitoring of the NHS by the Commission for Health Improvement and by Patient Environment Action Teams.
The Government have been consistent in their drive to ensure accessible and informed support for patients; provide for the independent scrutiny by democratically elected representatives; and, ensure that the views and experiences of patients are fed into decisions affecting their health and health services. Massive progress has already been made.
We have listened to Parliamentarians and other stakeholders, including the CPPIH, and we are responding positively to comments around the specific issue of independent monitoring of the NHS during the transition period.
We have therefore decided to make the position absolutely unassailable by retaining Community Health Councils to continue their monitoring function until 1 December, at which point all patient forums will be in place to take up this role. Sharon Grant, Chair of CPPIH, has stated that this decision allows an important breathing space to help ensure a smooth handover to the new system of Patient and Public Involvement Forums in December.
All CHC staff and members have been sent a letter advising them of the change of arrangements.
4 Jun 2003 : Column 24WS
WORK AND PENSIONS
Basingstoke and Deane Borough Council
The Parliamentary Under-Secretary of State for Work and Pensions (Malcolm Wicks): On behalf of my right hon. Friend the Secretary of State for Work and Pensions, the Benefit Fraud Inspectorate (BFI) inspection report on Basingstoke and Deane Borough Council was published on Wednesday 28 May 2003 and copies of the report have been placed in the Library.
In its response to the Housing Green Paper of November 2000, the Department for Work and Pensions developed a performance framework for housing benefits. The Performance Standards for housing benefit allow local authorities to make a comprehensive self-assessment of whether they deliver benefit effectively and securely. They are standards the Department for Work and Pensions aspires to and expects local authorities to achieve in time.
The BFI inspected Basingstoke and Deane Borough Council against the Performance Standards. The report finds that the council is not at Standard for any of the seven functional areas of the Performance Standards—strategic management, customer services, processing of claims, working with landlords, internal security, counter-fraud, and overpayments.
The report finds a number of weaknesses in the council's procedures and performance. A focus on paying benefit quickly, due to the council's strategy to support vulnerable people, meant that benefit had been paid without the necessary controls in place. The emphasis on paying benefit quickly has caused poor adherence to the Verification Framework, adopted by the council in April 1999.
The quality of the council's counter-fraud activity was inconsistent and in some instances did not adhere to legal requirements. The council's Housing Benefit debt was not being managed, and the council did not use all of the recovery methods available to it.
The report finds some clear strengths in the customer services offered by the council which had developed good working relationships with its major landlords and Housing Associations.
In 2001–02, Basingstoke and Deane Borough Council administered approximately £22 million in housing benefits, approximately 22 per cent. of its total gross revenue expenditure.
The report makes recommendations to help the council address weaknesses and to further improve the administration of Housing Benefit and Council Tax Benefit, as well as counter-fraud activities.
My right hon. Friend the Secretary of State is now considering the report and will be asking the council for its proposals in response to the findings and recommendations of the BFI.