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Palliative Care

Volume 493: debated on Tuesday 2 June 2009

To ask the Secretary of State for Health if he will publish a report on progress on implementation of the 2005 national service framework for long-term conditions. (277385)

There are no plans to publish a report on implementation of the national service framework (NSF) for long-term conditions. The NSF was published in March 2005, and will be implemented over 10 years with flexibility for local health and social care communities to take account of local priorities and needs.

The Department has provided service planners, commissioners and providers with guidance, expert advice and support to help them to deliver the NSF's quality requirements. However, in line with devolving responsibility to local organisations, we are moving to new phase with much greater emphasis on local health and social care communities and the third sector taking responsibility for driving forward service change and improvement. This also recognises that the NSF is not a stand-alone priority but that it needs to be closely aligned and integrated into mainstream NHS and Social Services activity.

To ask the Secretary of State for Health what assessment his Department has made of the needs of (a) children and (b) adults receiving long-term ventilation (i) in hospital, (ii) in their own homes, (iii) in residential care and (iv) elsewhere. (277480)

It is for local clinicians and multi-disciplinary teams to assess the needs of people receiving long-term ventilation. The Department of Health, with Barnardo’s, published “From Hospital to Home: guidance on discharge management and community support for children using long-term ventilation” in 2005. A copy has been placed in the Library. The forthcoming national strategy for chronic obstructive pulmonary disease will include material on access to invasive and non-invasive ventilation.