Everyone counts: introductory videos

Sir David Nicholson, Chief Executive of the NHS Commissioning Board, outlines his vision for a modern, patient-centred NHS where improvements will be driven by clinically-led, local commissioners.

Ian Dalton, Chief Operating Officer, sets out his views on a new approach to NHS planning in 2013/14.


  1. mandeep says:

    Comment log: Passed on to the contract helpdesk

    Dear Contract helpdesk,

    As you are aware the CQUIN pre qualification criteria, stipulates that 3 out of the 6 criteria must be met for providers to be eligible for CQUIN i..e

    1 – Dementia
    2 – Reducing face to face contacts
    3 – Commercial Activity
    4 – Mobility services for children
    5 – NTAC guidance trajectories for children
    6 – Tele-health trajectories

    With a lot of small (third sector) provider, it is unlikely they will be able to meet one, let alone three of these criteria, thus can I confirm that in these instances we can agree a NHS standard contract 13/14 with these providers with no CQUIN unless they can demonstrate that they meet the pre qualification criteria .


    Mandeep S Duhra
    Contracts Manager

  2. LYNNE HEAL says:

    Everyone counts for CCSVI for MS in the UK and should all be helped too. Its unethical NOT to help us all

  3. william connell says:

    the proposal to create a national database copelling GPs to handover personal medical records without parients consent is illegal from start to finish

    Article 8: Right to privacy

    Everyone has the right for his private and family life, his home and his correspondence.
    There shall be no interference by a public authority with the exercise of this right except such as in accordance with the law and is necessary in a democratic society in the interests of national security, public safety or the economic well-being of the country, for the prevention of disorder or crime, for the protection of health or morals, or for the protection of the rights and freedoms of others.

    • Simon@NHS CB says:

      Hi William
      Thank you for your comment. Data collection from GPs has been instigated and designed by GPs themselves. Family doctors want to do the best they can for their patients, and they recognise that to do this they need better evidence so that they can better understand their patients’ needs. NHS data of the highest possible quality is needed to provide the basis for the best decision-making at every level. This does not put patient confidentiality at any risk. Information is anonymised on the way into the the NHS Information Centre, so only the GP submitting it sees any identifiable information. No third party can access identifiable patient data without the patient’s expressed, informed consent or another statutory basis to do so. This is enshrined in legislation and reaffirmed in the NHS Constitution consultation, which closed on January 29.

      The NHS is very experienced in handling and maintaining the confidentiality of patient data, and our duty to do that is reaffirmed as part of proposed additions to the NHS Constitution, as well as a wealth of legal safeguards. Patients and their GPs should be reassured that the NHS is well-equipped to maintain the integrity and confidentiality of individual patients’ data. Data sharing is part of our commitment to ensuring every patient gets the care and treatment they need.

      Kind regards

      Digital Communications Officer
      NHS Commissioning Board

  4. Dr. David Paynton says:

    While I understand your arguement, I think this is missing the point

    Everyone works as part of a local system so performance of the individual is in the context of the local system but if we believe in clinical leadership we also have to take responsiblity for that local system.

    Clinicans have been given the opportunity to lead in the context of commissioning and as providers and so while it is uncomfortable we will have to held to account for our results

  5. Simon@NHS CB says:

    Hi Gordon
    Thank you for your comment. On 21 May 2012, the Government published its information strategy for health and social care in England. The strategy, The power of information – putting all of us in control of the health and care information we need covers public health, healthcare and adult social care across England and is underpinned by provisions in the Health and Social Care Act 2012. It sets a ten-year framework for transforming information for health and care, and aims to harness information and new technologies to achieve higher quality care and improve outcomes for patients and service users.

    Information will be used to drive integrated care across the entire health and social care sector, both within and between organisations. Information recorded once, at our first contact with professional staff, and shared securely between those providing our care – supported by consistent use of information standards that enable data to flow (interoperability) between systems whilst keeping our confidential information safe and secure.

    From 2013 onwards, the legal provisions within the Health and Social Care Act 2012 will come into force. These will ensure that standards, to which all providers of health and social care must have regard, can be set once across the health and care system in England. A fundamental part of setting those standards will be comprehensive and consistent use of the NHS number across health and social care services, at the point of care and in ‘real time’, as care is delivered.

    The NHS Commissioning Board, Public Health England and social care are taking forward more detailed planning to implement the strategy.

    Kind regards

    Digital Communications Officer
    NHS Commissioning Board

    • Zabeda says:

      Comment log: Does not meet moderation requirements

      Hello Simon

      I agree there are also ways to ensure that patient consent is achieved. It is called sharing and asking while in consultation.

      We are a small company based in Hampshire who have dedicated 4 and ½ years of research and development into new ideas to enhance communication and information flow in urgent care. We have developed basic clinical data bases, a messaging platform and two new services. These include Emergency Referrals and Community Nurse Referrals. We have started with the requirement development for other services while we scope the market. Feedback from key people in our local patient groups and different organisation has been very positive, but as you can imagine the process is very challenging.

      Our hope is to collaborate with other organisation to achieve and standardise datasets.

  6. Simon@NHS CB says:

    Hi Mark
    Thank you for your comment. With oversight from our National Medical Director, the Healthcare Quality Improvement Partnership (HQIP) will develop methodologies for casemix comparison and, in conjunction with NHS Choices, publish activity, clinical quality measures and survival rates from national clinical audits for every consultant practising in the following specialties:
    • adult cardiac surgery;
    • interventional cardiology;
    • vascular surgery;
    • upper gastro-intestinal surgery;
    • colorectal surgery;
    • orthopaedic surgery;
    • bariatric surgery;
    • urological surgery;
    • head and neck surgery; and
    • thyroid and endocrine surgery.

    This data will be published by summer 2013. Commissioners should ensure that each of their providers publishes its own information on these specialties on its website. Publication will be part of the NHS Standard Contract from 2014/15 to allow for comparisons across hospitals.

    Kind regards

    Digital Communications Officer
    NHS Commissioning Board