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House of Commons
Session 2002-03
Publications on the internet
Health Committee Publications

Health - Second Report

Here you can browse the report together with the Proceedings of the Committee. The published report was ordered by the House of Commons to be printed 29 April 2003.


CONTENTS


Terms of Reference

REPORT

SUMMARY

INTRODUCTION

Report outline

1. WILL THE PROPOSED CHANGES BRING ABOUT IMPROVEMENTS

FOR PATIENTS WHO ARE TREATED BY FOUNDATION TRUSTS?

How will management freedoms benefit the patients of Foundation Trusts?

Will the proposals increase resources for Foundation Trusts?

Social ownership

Membership of a Foundation Trust

Who will the members be?

What will membership really mean?

How will the Board of Governors work?

What if the Board of Governors is divided?

Local interests versus wider priorities?

The costs and benefits of democracy?

Lack of patient and public involvement forums

A marriage of convenience?

2. WHAT IMPLICATIONS WILL THE PROPOSED CHANGES HAVE FOR

PATIENTS BEING TREATED IN THE REST OF THE NHS?

Are local communities being sufficiently consulted?

Implementing Foundation Status across the NHS

The Star ratings system

A system which is "fundamentally flawed", "too blunt an instrument"?

Two-stars missing out

Star-stability

Managing performance within Foundation Trusts

Rolling out the system

Promoting integrated and non-hospital based care - will Foundation Trusts reinforce divides?

Foundation Trust status for other NHS organisations

PCT capacity

Will competition corrode co-operation?

Will patient choice ultimately drag resources away from poorer-performing hospitals?

Will staffing freedoms lead to inequities?

Inequitable access to resources - will this compound health inequalities?

3. CONCLUSIONS

LIST OF RECOMMENDATIONS AND CONCLUSIONS

ANNEX

Background to Foundation Trusts

PROCEEDINGS OF THE COMMITTEE RELATING TO THE REPORT

LIST OF WITNESSES

MINUTES OF EVIDENCE

Thursday 6 February 2003
Thursday 11 February 2003
Tuesday 4 March 2003

LIST OF MEMORANDA INCLUDED IN THE MINUTES OF EVIDENCE

LIST OF APPENDICES TO THE MINUTES OF EVIDENCE

APPENDICES

LIST OF MEMORANDA REPORTED TO THE HOUSE BUT NOT PRINTED

LIST OF REPORTS OF THE HEALTH COMMITTEE IN THE CURRENT PARLIAMENT


 
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