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Diagnostic And Treatment Centres

Volume 407: debated on Monday 23 June 2003

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To ask the Secretary of State for Health where diagnostic and treatment centres (DTCs) will be located; what the status will be of NHS consultants employed on a sessional basis by DTCs; what formal arrangements will be concluded for aftercare; and what the budget for DTCs will be. [119486]

A list of the locations of the 46 national health service-run diagnosis and treatment centres (DTCs) open or in development is shown in the table. The location of the independent DTC chain units, for which a procurement process is currently underway, will depend on the response of the independent sector to the clinical requirements of the NHS and the value for money for NHS commissioners offered by the different solutions.

Strategic health authorityDTC scheme
Avon, Gloucs and WiltsSwindon
Birmingham and the Black CountryBirmingham City Hospital
Good Hope
Royal Orthopaedic Hospital, Birmingham
Cheshire and MerseysideAintree
Royal Liverpool and Broadgreen
Southport and Ormskirk
County Durham and Tees ValleyBishop Auckland
EssexPrincess Alexandra
Greater ManchesterWithington
Hampshire and Isle of WightChase, Bordon
North Hampshire, Basingstoke
Royal Haslar Hospital
Southampton and Winchester
Kent and MedwayDartford
Leicestershire, Northamptonshire and RutlandKettering General
LondonRavenscourt Park
North and East Yorkshire and LincsGoole
North Central LondonMoorfields UCLH
Strategic health authorityDTC scheme
Norfolk, Suffolk and CambridgeBury St. Edmunds
North West LondonChelsea and Westminster
South East LondonBromley Hospitals
Kings College Hospital
Shropshire and StaffordshireCannock
South West PeninsulaRoyal Cornwall (Truro)
Surrey and SussexChichester
Frimley Park
South West LondonNewham Acute
Newham PCT
SW London Orthopaedic
Thames ValleyMilton Keynes
Nuffield Orthopaedic
Royal Berkshire and Battle
West Midlands SouthKidderminster
West YorkshirePontefract
The status of NHS consultants employed on a sessional basis by NHS DTCs will depend on local circumstances. Where consultants work in an NHS DTC as part of their contract with an NHS trust, their current terms and conditions of service will apply. But alternative arrangements can be agreed locally. Independent sector DTC providers will take clinical and managerial responsibility for any work carried out by NHS staff in their units.For both NHS and independent sector DTCs, arrangements for aftercare will be agreed locally between NHS commissioners and the providers concerned.£350 million capital has been invested in NHS DTCs. The cost of services delivered by NHS DTCs is for local agreement between the NHS provider and local NHS commissioners. The cost of services delivered through independent sector DTCs will be determined as part of the current procurement exercise.

To ask the Secretary of State for Health how many diagnostic and treatment centres will be (a) NHS units and (b) private hospitals; and how the decision will be taken on the criteria to be used to determine whether private bidders should be awarded contracts. [119487]

There will be 46 NHS-run diagnosis and treatment centre (DTC) units: 15 of these are already open.In December 2002, a procurement process for a set of DTCs run by the independent sector was launched. 11 of these schemes are being procured under locally-managed competitions by national health service commissioners; these supplement a national procurement process for seven chains of independent sector DTCs. The exact number of independent sector DTC units will be determined as part of the negotiations, in the light of the responses to the clinical requirements of the NHS and a determination of the value for money offered to NHS commissioners.Preferred bidders for independent sector DTCs will be selected through a bid evaluation process. Bids will be evaluated according to clinical competence, governance and quality; fit with the overarching aims of the DTC programme, such as providing extra staff for the benefit of NHS patients; the legal and financial standing of the bidder; and good value for money.

To ask the Secretary of State for Health if he will list the (a) names and (b) qualifications of the National Implementation Team who will manage the procurement process for diagnostic and treatment centres; and what arrangements for after-care will be provided by NHS local hospitals. [119570]

The National Implementation Team is part of the new Commercial Directorate of the Department of Health. Answering to the new Commercial Director, Ken Anderson, the team is headed by a clinician, Dr. Tom Mann, and brings together staff with a range of clinical, financial and commercial skills relevant to the procurement of clinical services.The diagnosis and treatment centre programme, in both the national health service and the independent sector, aims to provide patients with a clearly-structured, patient-focused care pathway. Where this involves different providers taking responsibility for different parts of the care pathway, these arrangements will be agreed locally between NHS commissioners and independent sector providers.