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Home Care Services

Volume 503: debated on Monday 11 January 2010

To ask the Secretary of State for Health what his policy is on the creation of independent provider arms for community care. (309438)

‘NHS Next Stage Review: Our Vision for Primary and Community Care’, (Department of Health July 2008) made a commitment to support the national health service in making local decisions on the governance and organisational models that best underpin the development of flexible, responsive community services. ‘Enabling New Patterns of Provision’ (Department of Health, January 2009) set out best practice guidance for primary care trusts (PCTs) to support them to make decisions on the most appropriate organisational form or forms for delivery of their directly provided community services. This followed a requirement in the ‘Operating Framework 2008-09’ that they must have moved into a contractual relationship with the community provider function and achieve business readiness by April 2009.

The ‘Operating Framework 2010-11’ (Department of Health, 16 December 2009) sets out that by March 2010 PCTs must have agreed with strategic health authorities proposals for the future organisational structure of all current PCT-provided community services.

‘NHS Next Stage Review: Our Vision for Primary and Community Care’, ‘Enabling New Patterns of Provision’ and ‘Operating Framework 2010-11’ have already been placed in the Library and are also available on the Department's website at:

To ask the Secretary of State for Health for what reasons the Green Paper on Shaping the Future of Care Together did not refer to the Government's policy on there being no cash losers among existing benefit recipients after the implementation of a National Care Service. (310098)

The Green Paper, ‘Shaping the Future of Care and Support Together’, made clear that if we reform disability benefits as part of the National Care Service, anyone receiving an affected benefit at the time of reform would continue to receive the equivalent level of support and protection.