Source · Select Committees · Public Accounts Committee
Recommendation 3
3
Not Addressed
NHS England’s existing oversight arrangements are not improving GPs’ assessment and support of people with...
Recommendation
NHS England’s existing oversight arrangements are not improving GPs’ assessment and support of people with frailty. It is not clear exactly who is responsible for improving performance. NHSE considers that ICBs are responsible for commissioning services to meet the needs of their population; and that the service providers must ensure that the services they are commissioned to provide are delivered. We are concerned that this divided system could lead to no-one being responsible. NHSE is aware that this system of accountability is challenging for ICBs given the large numbers of providers in general practice and community services. In the future, NHSE intends to hold ICBs to account for commissioning against the promised modern service framework, and expects there will be data from a national frailty dashboard to support the framework. However, it is still finalising details of how this will work. recommendation The Department of Health & Social Care and NHS England should set out how new accountability arrangements will improve how GPs assess and support people living with, or at risk of, frailty.
Government Response Summary
The government stated it agreed with the recommendation but then discussed initiatives related to green choices, energy efficiency, and zero-emission vehicles, failing to address how new accountability arrangements would improve GP assessment and support for people with frailty.
Government Response
Not Addressed
HM Government
Not Addressed
The government agrees with the Committee’s recommendation. the public and support them to make green choices. This includes ensuring that green choices are affordable and easier to make. In summer 2022 government launched a comprehensive energy advice service on GOV.UK to help consumers improve the energy performance of their homes, which is supported by a phoneline and in-person advice scheme. The government has also spent over £2 billion to support the transition to zero emission vehicles. This funding has focused on reducing barriers to the adoption of such vehicles, including offsetting their higher upfront cost and accelerating the rollout of charge- point infrastructure. Consumer interests and the potential challenges they face are a key consideration when designing R&I programmes. For example, through the £1 billion Net Zero Innovation Portfolio, the Heat Pump Ready programme tests how domestic heat pumps can be made more accessible, deployable and attractive to the consumer. Similarly, the Green Home Finance Accelerator develops new consumer finance models to make the initial capital required for building energy efficiency measures more accessible. The government will further consider consumer challenges as it reviews progress against the innovation priorities. As part of this, DESNZ intends to publish an update on the Net Zero Research and Innovation Framework Delivery Plan by the end of the current Spending Review period in 2025.