The provision of out-of-hours care in England: sixteenth report of session 2006-07, report, together with formal minutes, oral and written evidenceThe Stationery Office, 14 mrt 2007 - 46 pagina's Approximately 9 million patients receive urgent primary out-of -hours care in England. In April 2004 the Department of Health gave GPs the chance to opt out of providing this service and transfer responsibility to the Primary Care Trust. This report looks at three main issues related to the change: how well did the Department of Health prepare; how did the new service perform and what did it cost. It concludes that the preparation was shambolic both at local and national level and although the new service is starting to improve performance against key access targets is still not good enough. In addition the cost of the new out-of-hours service has been £70 million higher than was foreseen. |
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392 million 53 million 70 million agreed Annette Brooke arrangements Audit Office Report Austin Mitchell average Bath and North benchmark best practice budget C&AG's Report Chairman Chris Shapcott commissioning cost Curry definitive clinical assessment delivered Department of Health development fund doctors Edward Leigh estimate example face-to-face consultation figure forecast Gary Belfield GMS contract GP co-operatives Greg Clark guidance handover Helen Goodman Hours services Ian Davidson improve increased investment Khan look medical care services Mitchell monitored MP Labour NAO Report National Audit Office NHS Confederation NHS Direct NHS Employers North East Somerset organisations out-of out-of-hours providers out-of-hours services paragraph patients performance Primary Care Trusts primary medical Professor Colin-Thomé Professor David Colin-Thomé programme Provision of Out-of-Hours Quality Requirements quality standards Report says Richard Bacon Saturday morning Scotland Sir Ian Carruthers spend target value for money White Paper Williams