Source · Select Committees · Public Accounts Committee
Recommendation 20
20
Acknowledged
NHSE told us that it monitored performance constantly, with fresh data available weekly, and that...
Conclusion
NHSE told us that it monitored performance constantly, with fresh data available weekly, and that it was continually developing the metrics it uses to track performance. It argued that this was a comprehensive and agile approach.40 We heard how NHSE uses data to place NHS providers into tiers, depending on how on or off track they are against targets. It then seeks to provide greater support to those organisations that are more off track, including sharing best practice from other areas.41
Government Response Summary
The government agrees and outlines actions taken, including provider assessments, additional support for high-risk providers, monitoring, and addressing health inequalities, with ICBs expected to develop delivery plans.
Government Response
Acknowledged
HM Government
Acknowledged
5.1 The government agrees with the Committee’s recommendation. Target implementation date: July 2023 5.2 As part of the second phase of the Elective Recovery Plan, all providers have been 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. 5.3 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. 5.4 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