Commons Sense

House of Commons · Ministers' Questions

NHS Integrated Care Systems

Tuesday 14 June 2022 · 2 questions

Summarised by AI from the official record, so it can contain mistakes.

Read the full transcript on Parliament.uk

At a glance

Answered 0 Partly answered 2 Not answered 0

Key points

  • Rosie Cooper inquired about the assessment of the impact of integrated care systems on cross-boundary NHS trusts.
  • The Minister responded that they regularly discuss local health system issues with Rosie Cooper.
  • The Minister stated they are unsure if the specific dermatology service issue relates directly to statutory ICS configuration.

Topics (select to filter)

Questions & Answers

Q1 Rosie Cooper Lab
NHS
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.

Question

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.

Answer from Edward Argar

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.

Partly answered

Not addressed: The mechanism for representation of constituents from one ICS in decisions made by an adjacent ICS was not addressed with specifics or commitments.

How: I Would Be Happy To Meet Her To Understand The Local Factors That May Have Contributed To The Situation

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Q2 Rosie Cooper Lab
NHS Social Care
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.

Question

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.

Answer from Edward Argar

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.

Partly answered

Not addressed: The mechanism for representation of constituents from one ICS in decisions made by an adjacent ICS was not addressed with specifics or commitments.

How: I Would Be Happy To Meet Her To Understand The Local Factors That May Have Contributed To The Situation

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How accurate was this summary? (1 = poor, 5 = spot on)