Wednesday, January 21, 2009

Harrow PCT 20 January 2009

Highlights, not a complete report.

The annual OFSTED assessment of services for children and young adults in Harrow was quite satisfactory: on the 7 areas considered Harrow achieved 2 grade 4 and 5 grade 3.

Performance Report The A&E 4 hour target is causing some worries, with a great increase in attenders recently, staff sickness problems have caused some difficulties. Some of these are seasonal problems but all the London PCTs have seen them. Childhood immunisations are below the intended trajectory, again a London problem with figures below national averages.

There is a new pharmacy contract and £1 M has been set aside to deal with it.

Medium Term Financial Strategy This has now been agreed by all 31 London PCTs. The cooperation of the London PCTs has clearly impressed the DoH, which has provided an additional £100 M for London, so that the levy on PCTs can be reduced from 1.3% to 0.8%. For Harrow this means a reduction of £1.2 M.

Sex and Our City Another joint report from the PCTs, giving information on sexual health needs assessment and available services. Expenditure varies widely across the boroughs but it is also clear that spending more does not necessarily provide better services. Much further work has to be done.

Registration with the Care Quality Commission The CQC is the new body that replaces the Healthcare Commission in April. All providers have to register and declare that they meet criteria of service provision. The item that requires some rapid action is training on policies and protocols for the prevention and control of hospital acquired infections. All relevant staff must have received appropriate training within the last 12 months, Harrow has to give such training to some of its staff. Non-provision of training could mean that registration is refused and the PCT would not be able to operate.

Paul Samet
21 January 2009

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