Maternity services. Volume II, Minutes of evidence.

  • Great Britain. Parliament. House of Commons. Health Committee
Date:
1992
Catalogue details

Licence: Open Government Licence

Credit: Maternity services. Volume II, Minutes of evidence. Source: Wellcome Collection.

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    6 November 1991 ] [Continued NE Thames Region Two Regional Centres. RHA intends to have 56 intensive care cots—of a planned total of 62—in place by March 1992. To cope with current shortfall, referrals outside RHA dealt with as emergency extra-contractual referrals. Working towards contracts on basis of individual cost per case per day basis. SE Thames Region Four Regional Centres. NIC funded centrally by RHA through top-slicing on basis of agreed number of cot days activity reviewed regularly within year. Those treated from outside RHA dealt with extra- contractually. SW Thames Region Block contracts currently, though likely to be devolved to DHAs by 1993-94. Referrals outside RHA dealt with through DHA’s extra-contractual reserves. One Regional Centre (St. George’s), though hopes to establish three more by end of 1991-92. Clearing house based at St. George’s. Wessex Region One Regional Centre. Block contracts between individual purchasers and providers. Oxford Region One Regional Centre. NIC referrals to Centre by DHAs based on previous patterns of usage and funded accordingly; otherwise, contracted for by individual DHAs and included within paediatric contracts. S Western Region * One Regional and seven sub-Regional Centres. Contracts arranged by individual DHAs within paediatrics. Likely that this will be contracted for separately in future. W Midlands Region One Regional and three sub-Regional Centres. Contracts at these centres administered and funded by RHA’s Specialties Agency until March 1993; elsewhere, by individual DHAs. Referrals outside RHA dealt with extra-contractually. Mersey Region One Regional and four sub-Regional Centres. Block contracts in operation for all referrals to Regional Centres; otherwise, covered by individual DHA contracts. Additional £270K allocated to Regional Centre in 1991-92 to increase number of cots and staffing. N Western Region Two Regional Centres. Block contracts for NIC at centres for next three years; otherwise, individual DHA contracts. RHA intend to set up a bureau in Oldham DHA and further two intensive care cots planned during 1991-92. SHAs (Hammersmith and Queen Charlotte’s) Majority of referrals from DHAs in NE Thames. Current funding arrangements reviewed (additional funding from NE Thames but not from SW Thames whose target referrals for 1991-92 have been reduced as a result). August 1991 MANAGEMENT OF THE NHS 1. Introduction 1.1 This paper is concerned with the way in which the Department oversees the delivery of services by the National Health Service and how it monitors them. It describes the new management structure and lines of accountability which have been put in place and are being developed following implementation of the NHS and Community Care Act 1990. 4