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Patients’ Prospectus

Volume 472: debated on Thursday 21 February 2008

To ask the Secretary of State for Health (1) when he plans to publish a patients' prospectus, as referred to by the Prime Minister in his speech to King's college London and the Florence Nightingale school of Nursing of 7 January; and if he will make a statement; (183556)

(2) what programmes and services will be provided under the (a) active patient and (b) care at home care options announced by the Prime Minister in his speech to King's college London and the Florence Nightingale school of Nursing of 7 January; how many patients he expects to be cared for through each care option in (A) 2008-09 and (B) 2009-10; whether the care options will receive central Government funding; and if he will make a statement.

Departmental officials will be working collaboratively with key stakeholders to develop further detail on the framework for the Patients' Prospectus. A timeframe for publication in 2008 has still to be finalised.

However, in line with the Departments “Supporting people with long term conditions to Self Care—A guide to developing local strategies and good practice” (February 2006), we envisage the Prospectus would illustrate what people might expect broadly under four key areas (care options) for self care/self management:

information;

skills;

equipment, tools and devices; and

support networks.

The Prospectus might also cover the wider aspects of self care such as choices about healthy lifestyles.

The number of people who will be cared for through each care option will be locally determined as individuals will make different choices depending on their needs and lifestyle.

This is in keeping with proposals (trailed in “Our NHS, Our Future”) to provide greater personalisation and control for people with long term conditions, and the “Operating Framework: for the NHS in England 2008-09”, published 13 December 2007, which expects primary care trusts (PCTs) to improve care for people with long term conditions and to ensure more choices for these patients. We expect PCTs to roll out choice to all people in their area with a long term condition, with local flexibility on the pace and priorities.

Funding to support the delivery of improved care and support for people with long term conditions is included in PCTs main allocations. Consistent with shifting the balance of power, local empowerment and local area agreements, decisions on the level of investment in this approach will be decided locally.