Select Committee on Health First Report


Examination of draft legislation

20. The Committee examined no draft bills last year. We asked the Department to keep us abreast of developments in respect of the Draft Mental Health Bill, which we felt arrived too late for us to be able to give it detailed consideration in the last session. We have noted that the Government has indicated that it would look favourably on the idea of referring the bill to a special standing committee, a move we would welcome, and we would hope that the membership of the Health Committee would be well represented on such a committee.[8]

Extent to which systematic structure is in place for meeting the indicative tasks listed, and response of department

21. The Committee would formally determine whether or not to examine any draft bill. In our view, it would be helpful if the Government could be more open about the timetable for any draft legislation: the period of notice we received for the Draft Mental Health Bill limited our capacity to scrutinize that bill.

Examination of expenditure

22. The Health Committee has for many years conducted a detailed annual scrutiny of Departmental Expenditure, based on a lengthy questionnaire submitted to the Department each summer. The questionnaire provides a retrospective analysis of Department of Health expenditure in the previous financial year. Both the Secretary and Department of Health officials then give oral evidence on the questionnaire, usually in October, and these proceedings are published in addition to the questionnaire and response.

23. Data derived from the Public Expenditure Questionnaire not only informs many of our inquiries it also acts as a useful resource for academic and research institutions in the health field.

Extent to which systematic structure is in place for meeting the indicative tasks listed, and response of department

24. The Public Expenditure Questionnaire is an annual task. It is re-written each year but a number of questions in it remain the same to ensure consistency of data. The Department devotes considerable resources to completing the questionnaire for which we are grateful. However, the Department has a tendency to slip in complying with our timetable which limits the time we have to prepare for the oral evidence sessions.

25. With the advent of September sittings, we will need to review the timetable for the Public Expenditure Questionnaire and evidence.

Examination of Public Service Agreements (PSAs)[9]

26. A number of PSA issues were addressed in the Public Expenditure Questionnaire. The Spending Review (SR) 2002 target "to improve the quality of life and independence of older people so that they can live at home wherever possible" relates to one of the key issues addressed in our inquiry into Delayed Discharges, where the Committee argued that it was essential that, wherever possible, more support should be given to enable people to live at home rather than undergo institutionalisation. We put forward a number of proposals to facilitate this policy and were pleased to see the Government in its reply looked constructively at many of these. The inquiry also looked more generally at issues of best use of hospital capacity, which in turn impacts on the SR 2002 targets relating to maximum waits for outpatient appointments and for Accident and Emergency admission.

Extent to which systematic structure is in place for meeting the indicative tasks listed, and response of department?

27. No systematic structure exists at present for the Committee to scrutinize specific PSAs. The majority of PSAs were subject to some form of scrutiny over the previous year but again the breadth of subject matter covered by so large a department would make systematic scrutiny difficult.


8   HC Deb, 31 October 2002, col. 925W. Back

9   Public Service Agreements set goals for key service improvements across Government. Back


 
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Prepared 23 January 2003