Source · Select Committees · Public Accounts Committee
Recommendation 5
5
Acknowledged
NHSE started 2022–23 with a strategy but spent most of the year dealing with tactical...
Conclusion
NHSE started 2022–23 with a strategy but spent most of the year dealing with tactical issues and its strategic and programme management of the recovery must improve. NHSE was allocated £14 billion of recovery funding in September 2021 (for the three years from April 2022) and published its recovery plan in February
Government Response Summary
The government acknowledges the need to improve strategic and programme management of recovery and describes monitoring and support structures in place for providers at the highest risk and efforts to address health inequalities.
Government Response
Acknowledged
HM Government
Acknowledged
The government agrees with the Committee’s recommendation. assessed based on confidence of delivering against the targets of reducing the cancer 62 day backlog back to pre-pandemic levels by March 2023, and reducing the number of 78 week elective long waiters to zero by April 2023 with the exception of those patients who choose to wait longer, and a very small number of specific highly specialised areas. Those providers at the highest risk have been included in a Tier 1 grouping. This means additional national support and oversight, which may include on-site expertise and ongoing conversation between ministers and provider chief executives. Day-to-day performance is continually monitored through NHS England’s Elective Recovery and Cancer programme teams, under the Senior Responsible Officers of these teams’ National Directors, with the department providing additional oversight. The elective recovery programme has established an elective recovery health inequalities user group to ensure the lens of health inequalities is embedded within all aspects of elective recovery, guaranteeing that recovery is fair for all those who need treatment. As set out in the 2023/24 priorities and operational planning guidance, Integrated Care Boards are expected to work with NHS England through their joint commissioning arrangements to develop delivery plans. These should identify at least three key priority pathways for transformation, where integrated commissioning can support the triple aim of improving quality of care, reducing inequalities across communities, and delivering best value.