NHS Operating Framework 2006-7

[Guest guest]

I was looking for the new White Paper: not yet on DH website, but I

found the new 'Operating Framework.' This seems to be the new term for

what used to be the Priorities and Planning Guidance and has just been

issued. Lots (and lots) about new financial procedures, which I guess

is predictable given the current dire state of many organisations.

Other things of note:

Important paragraph 4.6 (my added emphasis):

"Following the publication of the forthcoming White Paper, from 2007

each PCT will be expected to review formally and systematically whether

local services are delivering high-quality, effective and efficient

care, and whether they are tackling health inequalities. This applies

both to directly-provided and contracted services, and will be a

central part of each PCT’s role as a commissioner. Good management of

community services is essential for good patient and carer experience. There

is no requirement for PCTs to divest themselves of provision, and nor

will there be in the future, but PCTs will also be free to make

different arrangements where they believe these will continue to

improve services, especially in relation to health inequalities.

Where PCTs do continue to provide services, they will need to put in

place clear governance procedures that ensure that there is no undue

influence from the provider side on commissioning decisions. Further

details will be available in the forthcoming White Paper on provision

in primary and community settings."

Local delivery plan measures (what providers are judged against) include

Inequalities

Infant mortality: Smoking during pregnancy

Infant mortality: Breastfeeding initiation rates

Smoking

Obesity (but returning childhood obesity plan to DH is deferred)

Sexual health (including teenage pregnancy)

best wishes