NHS Integrated Care Systems 2022-06-14
2022-06-14
TAGS
Response quality
Questions & Answers
Q1
Partial Answer
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Context
The question arises from concerns about how integrated care systems affect cross-boundary NHS trusts, particularly in areas where constituents are not represented in the decision-making processes of adjacent ICSs.
What assessment has been made of the effect of integrated care systems on cross-boundary NHS trusts? The specific concern is that Cheshire and Merseyside ICS stopped routine dermatology services at St Helens Hospital, affecting West Lancashire constituents who are part of the Lancashire ICS. These constituents have no representation in Cheshire-Mersey's decision-making process which affects their care.
The hon. Lady and I speak regularly about different aspects of her local health system, and I am happy to do so again on this matter. I do not know the exact details behind the specific example, but I do not think it relates directly to how ICSs are configured in statute and guidance. I would be happy to meet her to understand the local factors that may have contributed to the situation.
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Assessment & feedback
The mechanism for representation of constituents from one ICS in decisions made by an adjacent ICS was not addressed with specifics or commitments.
I Would Be Happy To Meet Her To Understand The Local Factors That May Have Contributed To The Situation
Response accuracy
Q2
Partial Answer
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Context
The question stems from a specific incident where Cheshire and Merseyside ICS decided to stop routine dermatology services at St Helens Hospital, affecting West Lancashire constituents who are part of the Lancashire ICS. This raises concerns about cross-border difficulties within the national health service.
Cheshire and Merseyside integrated care system stopped my West Lancashire constituents from accessing routine dermatology at St Helens Hospital due to geography. My question is: what mechanism does the Department have to ensure that my constituents in Lancashire ICS can be represented in Cheshire-Mersey's decision-making process, which affects their care? This highlights cross-border difficulties within the NHS.
The hon. Lady and I speak regularly about different aspects of her local health system, and I am happy to do so again on this matter. I do not know the exact details behind the specific example, but I do not think it relates directly to how ICSs are configured in statute and guidance. I would be happy to meet her to understand the local factors that may have contributed to the situation.
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Assessment & feedback
The mechanism for representation of constituents from one ICS in decisions made by an adjacent ICS was not addressed with specifics or commitments.
I Would Be Happy To Meet Her To Understand The Local Factors That May Have Contributed To The Situation
Response accuracy