Source · Select Committees · Public Accounts Committee

Recommendation 15

15 Acknowledged

NHSE’s elective recovery programme includes plans for: • GPs to handle many elective cases previously...

Conclusion
NHSE’s elective recovery programme includes plans for: • GPs to handle many elective cases previously dealt with by hospital doctors. Instead of referring some patients for elective care, GPs manage them within the 24 C&AG’s Report, paras 7, 1.15; Autumn Budget and Spending Review 2021, para 2.11 25 Autumn Statement 2022, para 5.57, table 2.1 26 NHS England Board Paper, 6 October 2022 27 Q 105 28 C&AG’s Report, paras 7, 1.23 29 C&AG’s Report, paras 13, 3.21 30 C&AG’s Report, para 3.21 31 Q 96 12 Managing NHS backlogs and waiting times in England primary care system after receiving advice and guidance from hospital doctors. The recovery plan aims for 1.7 million elective referrals to be avoided in this way in 2022–23, rising to 2.0 million in 2023–24. • Surgical hubs and community diagnostic centres which contribute to elective recovery by improving efficiency and access to services. These two programmes may provide resilience by allowing elective care to continue on physically separate ‘cold sites’ when other parts of hospitals struggle with high rates of bed occupancy or other kinds of patient demand.32
Government Response Summary
The government highlights actions in the NHS published Delivery Plan are targeted at increasing activity, managing demand or increasing productivity and NHS England carefully monitors progress against delivery targets at regular intervals.
Government Response Acknowledged
HM Government Acknowledged
4.2 The actions in the NHS published Delivery Plan are targeted at increasing activity, managing demand or increasing productivity and NHS England carefully monitors progress against delivery targets at regular intervals. 4.3 The 2023-24 priorities and operational planning guidance published on 23 December 2022 detailed three tasks over the coming year; recover core services and productivity; as the NHS recovers, make progress in delivering the key ambitions in the Long Term Plan, and; continue transforming the NHS for the future. To assist in meeting these objectives, NHS England has set out the most critical, evidence-based actions that will support delivery - based on what systems and providers have already demonstrated makes the most difference to patient outcomes, experience, access, and safety.