Transcript Prime Minister’s Stocktake Communications

Health & Social Care Bill: Proposed
inequalities duty for Clinical
Commissioning Groups
“Each clinical commissioning group must, in
the exercise of its functions, have regard to the need to:
-
reduce inequalities between patients with respect to
their ability to access health services
-
reduce inequalities between patients with respect to the
outcomes achieved for them by the provision of health
services…” (Clause 14S)
The CCG duty complements duties proposed for the
Secretary of State for Health and the NHSCB.
Proposed duties for Secretary of
State for health and NHSCB
“In exercising functions in relation to the health
service, SofS must have regard to the need to
reduce inequalities between the people of England
with respect to the benefits that they can obtain from
the health service”.
The phrase “health service” incorporates both the NHS and
public health.
“The NHSCB must, in the exercise of its functions, have
regard to the need to:
- reduce inequalities between patients with respect to
their ability to access health services
- reduce inequalities between patients with respect to
the outcomes achieved for them by the provision of
health services…..” (Clause 13G]
The Bill also proposes duties to
integrate health with other services
Each CCG must exercise its functions with a view to
securing that the provision of health services is integrated
with the provision of other health services, health-related
services or social care services where it consider that
this would:
- reduce inequalities between persons with respect to their
ability to access those services; or
- reduce inequalities between persons with respect to the
outcomes achieved for them by the provision of those
services.
Health related services are broadly defined and can include
services related to the wider determinants eg housing,
fuel poverty, debt, education, employment etc. The
practical effect should be that services are integrated
around the needs of the individual.
There are equivalent integration duties proposed for NHSCB
and Monitor.
Further resources on tackling health
inequalities
 Health Inequalities National Support Team
resources (Masterclasses, ”How to” guides,
Workbooks and practical tools:
http://www.institute.nhs.uk/commissioning/general/h
ealth_inequalities_national_support_team_resour
ces.html
 Institute of Health Equity led by Professor Sir
Michael Marmot at UCL:
http://www.instituteofhealthequity.org/
 BMA Report: Social determinants of health – what
can doctors do?
http://www.bma.org.uk/health_promotion_ethics/soci
aldeterminantshealth.jsp
CCG bite size session - handout