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Tuesday 25th October 2016

Across the CEO's desk

10th June 2006

A summary of guidance to NHS Chief Executives issued by the DoH over the last week.


Commissioning a Patient-led NHS: The legislative tool, known as a Statutory Instrument, that will legally establish the new SHAs was laid before Parliament on 2 June. Subject to Parliamentary approval the new organisations will come into force as planned on 1 July.

The new Mental Health Bill: As part of its comprehensive strategy to reform and modernise mental health care, the Government plans to update the Mental Health Act 1983. The amending Bill will ensure that legislation reflects the modernisation of services and the move towards more treatment in the community. It will improve safeguards and increase the safety of individual patients, and protect the wider public from harm.

The key policy areas where changes to the Act are proposed are as follows:

  • Supervised community treatment: which aims to ensure that patients who have been discharged from compulsory treatment in hospital continue to comply with treatment. It will be used in suitable cases to help prevent the relapse of patients and so will help to improve their safety and the safety of others.
  • Professional roles: expanding the skill base of professionals who are responsible for the treatment of patients without their consent
  • Nearest relative: make it possible for some patients to appoint a different ‘nearest relative’ to represent them
  • Definition of mental disorder: introduce a new, simplified definition of mental disorder throughout the Act
  • Criteria for detention: introduce a requirement that someone cannot be detained for treatment unless appropriate treatment is available and remove the ‘treatability’ test.
  • Mental Health Review Tribunal (MHRT): increase the speed to, and frequency of, the Mental Health Review Tribunal for civil patients.
  • Implementation: sets out the Government’s plans once the new Bill receives Royal Assent and its plans to take action on a number of other areas which will not be included in the Bill.
  • General information about the 1983 Act: explains the key facts to set the context for the planned changes.

Consultations and evaluations

Payment by Results: The DoH is inviting feedback on the new Healthcare Resource Groups (HRG V4) together with the procedure classification on which they are based (OPCS 4.3) and the arrangements for handling specialised services under Payment by Results. Consultation is by questionnaire available on the DoH site and closes on 30th June.


Choice matters: provides a snapshot of the policy of patient choice in the NHS five months after choice at the point of referral was introduced service-wide. It contains a series of case studies that illustrate the experience of choice from the perspective of both patients and NHS staff.

Impact of digital TV switchover dates: Between 2008 and 2012, TV signals across the UK will switch to digital format. Conversion or upgrading all analogue TV equipment, and aerials (where necessary) should be considered by all NHS and social care services.

Productivity Metrics: The Operating Framework for 2006-07 explained that a set of productivity metrics would be published. A follow-up letter from Sir Ian Carruthers on 10 May set out the proposed initial set of indicators and the definitions of these indicators are now available.

Investment Guidance RouteMap: This new web-tool is designed to bring together all guidance for Capital and IM&T Investment programmes. It enables quick access to information currently hosted in different parts of the DH and other Government websites.

Chief Executive’s Report to the NHS: Describes activity in the NHS over the past year including information on financial performance.

Conferences and events

None to report

Patient Safety 

Medical device alerts have been issued for the following:

  • Draeger anaesthetic vaporisers: Vapor 2000 and D-Vapor
  • Electrosurgical vessel-sealing instruments: Valleylab Ligasure Atlas catalogue numbers LS1100 and LS1120
  • Contact lens solution: ReNu with MoistureLoc® from Bausch & Lomb
  • Adult proctoscopes: Seward Thackray
  • Fischer Cone Biopsy Excisor (FCBE): Apple Medical Corp



All supporting documentation to this bulletin can be found on the Department of Health website bu following the Source link on the top right of this article page.

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Article Information

Title: Across the CEO's desk
Author: Sue Knights
Article Id: 392
Date Added: 10th Jun 2006


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