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Lord Darzi of Denham
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Darzi of Denham, Lord (77)
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My Lords, I am aware of these debates and refer to a publication from the Institute of Medicine in the US, which is the US academy. It stated that the surgery profession was concerned about the shift in work mentality, loss of professionalism and decreased access to quality surgical care; but that it was difficult to assess how much of the complaining represented rhetoric and resistance to change rather than valid criticism.
I am here to share evidence with noble Lords. The evidence is quite clear from the Institute of Medicine’s publication—the error is human. In 1999, between 44,000 and 98,000 people died in hospitals from adverse effects. The single and most important contributor is sleep deprivation and fatigue. The reduction to 48 hours a week is to enhance patient safety and, let us not forget, to enhance the social well-being of doctors, who have the highest rates of divorce, addiction and depression.
My Lords, I am aware of these debates and refer to a publication from the Institute of Medicine in the US, which is the US academy. It stated that the surgery profession was concerned about the shift in work mentality, loss of professionalism and decreased access to quality surgical care; but that it was difficult to assess how much of the complaining represented rhetoric and resistance to change rather than valid criticism.
I am here to share evidence with noble Lords. The evidence is quite clear from the Institute of Medicine’s publication—the error is human. In 1999, between 44,000 and 98,000 people died in hospitals from adverse effects. The single and most important contributor is sleep deprivation and fatigue. The reduction to 48 hours a week is to enhance patient safety and, let us not forget, to enhance the social well-being of doctors, who have the highest rates of divorce, addiction and depression.
Answered by
Lord Darzi of Denham
(Labour)
Asked by
Baroness Knight of Collingtree
(Conservative)
Type
Oral answers to questions
My Lords, has the Minister noted the severe warnings from the president of the Royal College of Surgeons and bodies representing junior and hospital doctors who are far from pleased about the arrangements that have been made so far and who should know what they are talking about? They say that this diktat will mean surgeons not being properly trained, patient safety being severely compromised and hospitals closing. Does the Minister really think that the problem should continue to be met by junior hospital doctors being ordered by their NHS bosses to lie about the hours they work in order to keep to the restrictions? Why cannot the Government simply refuse to accept these rules or ignore them as other countries do?
Subjects
Resident doctors; EU law; NHS; Patients; Working hours; Safety
Date
29 June 2009
Reference
712 c2
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, I am grateful to the noble Baroness for raising the issue. She is correct that we have had 10 years to get these rotas compliant. There are 200 rotas and, to be fair to the service—I am sure that the noble Baroness will agree—there are some sub-specialties for which we find it extremely difficult to make these rotas compliant: for example, transplantation in children and some neurosurgical disciplines. As a result, we have requested derogation for another few years. This is a health and safety directive, so if an organisation is not compliant, the accountable officer, who is the chief executive, will be accountable for breaking the law in relation to the 48-hour week.
My Lords, I am grateful to the noble Baroness for raising the issue. She is correct that we have had 10 years to get these rotas compliant. There are 200 rotas and, to be fair to the service—I am sure that the noble Baroness will agree—there are some sub-specialties for which we find it extremely difficult to make these rotas compliant: for example, transplantation in children and some neurosurgical disciplines. As a result, we have requested derogation for another few years. This is a health and safety directive, so if an organisation is not compliant, the accountable officer, who is the chief executive, will be accountable for breaking the law in relation to the 48-hour week.
Answered by
Lord Darzi of Denham
(Labour)
Asked by
Baroness Tonge
(Liberal Democrat)
Type
Oral answers to questions
My Lords, I am sure that many of us in the House who have had medical training will welcome the introduction of the 48-hour week. I well remember the hours that I worked as a junior hospital doctor—they were the hardest times of my life. Will the Minister enlarge a little on what he has just said? Many hospital trusts are still not ready to introduce a 48-hour week for their junior doctors in training. Why is this so, when they have had 10 years of unprecedented increase in their funding? Will any action be taken against those managers who fail to introduce the directive?
Subjects
Resident doctors; EU law; NHS; Patients; Working hours; Safety
Date
29 June 2009
Reference
712 c3
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, I am grateful for the noble Lord raising that important issue. Anaesthetists should get more rest than surgeons. Some of us may enjoy the odd nap here, but it is a dangerous thing to do in an operating theatre. The answer to the question is valid: a number of rotas have been requested for derogation in anaesthesia, but we hope that within two years we will be able to resolve some of these issues.
My Lords, I am grateful for the noble Lord raising that important issue. Anaesthetists should get more rest than surgeons. Some of us may enjoy the odd nap here, but it is a dangerous thing to do in an operating theatre. The answer to the question is valid: a number of rotas have been requested for derogation in anaesthesia, but we hope that within two years we will be able to resolve some of these issues.
Answered by
Lord Darzi of Denham
(Labour)
Asked by
Lord Skelmersdale
(Conservative)
Type
Oral answers to questions
My Lords, the Minister has concentrated on doctors and surgical consultants. What is the position for anaesthetists? I believe that the situation is likely to be fairly dangerous.
Subjects
Resident doctors; EU law; NHS; Patients; Working hours; Safety
Date
29 June 2009
Reference
712 c4
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, there have been 200 successful applications across 13 specialties, which represents about 3 per cent of all the rotas. I could write to the noble Baroness with details of which regions and what specialties. The 3 per cent is what we believe needs to be derogated by 1 August. However, if there are strains on services within a period of 26 weeks—we calculate the 48-hour week over a period of 26 weeks—the employing organisation could request further rotas to be derogated.
My Lords, there have been 200 successful applications across 13 specialties, which represents about 3 per cent of all the rotas. I could write to the noble Baroness with details of which regions and what specialties. The 3 per cent is what we believe needs to be derogated by 1 August. However, if there are strains on services within a period of 26 weeks—we calculate the 48-hour week over a period of 26 weeks—the employing organisation could request further rotas to be derogated.
Answered by
Lord Darzi of Denham
(Labour)
Asked by
Baroness Finlay of Llandaff
(Crossbench)
Type
Oral answers to questions
My Lords, will the Minister tell the House how many services requested derogation in January this year, and what has been set as the trigger for an extension of the numbers to request derogation for other services, given the anxiety that has been expressed by the Academy of Medical Royal Colleges?
Subjects
Resident doctors; EU law; NHS; Patients; Working hours; Safety
Date
29 June 2009
Reference
712 c2-3
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, I am told that the directive was introduced in Europe at a time when impact assessment was not a part of the introduction of European legislation. However, I share the noble Lord’s concerns about its impact on the quality of training for the future generation of surgeons, which is an important issue. To address that, we need to start a dialogue not around the numbers of hours of training, but on how we can improve the quality of the hours of training. The noble Lord is well aware that some units across the country which have a dedicated curriculum may separate elective from emergency services or use simulation, all of which are training tools. Some organisations have different training cultures in addressing the quality of training. My right honourable friend the Secretary of State recently asked Medical Education England to look at the impact of the European working time directive on the quality of training.
My Lords, I am told that the directive was introduced in Europe at a time when impact assessment was not a part of the introduction of European legislation. However, I share the noble Lord’s concerns about its impact on the quality of training for the future generation of surgeons, which is an important issue. To address that, we need to start a dialogue not around the numbers of hours of training, but on how we can improve the quality of the hours of training. The noble Lord is well aware that some units across the country which have a dedicated curriculum may separate elective from emergency services or use simulation, all of which are training tools. Some organisations have different training cultures in addressing the quality of training. My right honourable friend the Secretary of State recently asked Medical Education England to look at the impact of the European working time directive on the quality of training.
Answered by
Lord Darzi of Denham
(Labour)
Asked by
Lord McColl of Dulwich
(Conservative)
Type
Oral answers to questions
My Lords, will the Minister tell us about the impact assessment that has been done on this directive?
Subjects
Resident doctors; EU law; NHS; Patients; Working hours; Safety
Date
29 June 2009
Reference
712 c3
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, any doctor employed in the National Health Service who might provide services within an NHS provider or outside in social community services will be obliged to comply with the 48-hour working time directive.
My Lords, any doctor employed in the National Health Service who might provide services within an NHS provider or outside in social community services will be obliged to comply with the 48-hour working time directive.
Answered by
Lord Darzi of Denham
(Labour)
Asked by
Baroness Pitkeathley
(Labour)
Type
Oral answers to questions
My Lords, while the doctor’s clinical practice is obviously of great importance, also of great importance is the ability of the doctor to liaise outside the clinical practice—for example, in the social care arena. Will my noble friend assure the House that that side of the doctor’s practice will not suffer from the 48-hour directive?
Subjects
Resident doctors; EU law; NHS; Patients; Working hours; Safety
Date
29 June 2009
Reference
712 c4
Chamber / Committee
House of Lords chamber
House
House of Lords
To ask Her Majesty’s Government what steps they will take to ensure that patient care will not suffer following the introduction of the new European Working Time Directive on 1 August.
To ask Her Majesty’s Government what steps they will take to ensure that patient care will not suffer following the introduction of the new European Working Time Directive on 1 August.
Asked by
Baroness Knight of Collingtree
(Conservative)
Answered by
Lord Darzi of Denham
(Labour)
Oral questions - Lead
Status
Answered
For answer on
29 June 2009
Answered on
29 June 2009
My Lords, the NHS has made excellent progress in implementing this important health and safety legislation, which ensures that patients receive safe, high-quality care from staff who have not worked excessive hours. Only doctors in training remain to become fully compliant by 1 August and two-thirds of them are already working a 48-hour week averaged over 26 weeks. Our overriding principles are patient safety and the quality of care. This is paramount to all that we do.
Subjects
Resident doctors; EU law; NHS; Patients; Working hours; Safety
Date
29 June 2009
Reference
712 c1-2
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, the NHS has made excellent progress in implementing this important health and safety legislation, which ensures that patients receive safe, high-quality care from staff who have not worked excessive hours. Only doctors in training remain to become fully compliant by 1 August and two-thirds of them are already working a 48-hour week averaged over 26 weeks. Our overriding principles are patient safety and the quality of care. This is paramount to all that we do.
My Lords, the NHS has made excellent progress in implementing this important health and safety legislation, which ensures that patients receive safe, high-quality care from staff who have not worked excessive hours. Only doctors in training remain to become fully compliant by 1 August and two-thirds of them are already working a 48-hour week averaged over 26 weeks. Our overriding principles are patient safety and the quality of care. This is paramount to all that we do.
Answered by
Lord Darzi of Denham
(Labour)
Asked by
Baroness Knight of Collingtree
(Conservative)
Type
Oral answers to questions
To ask Her Majesty’s Government what steps they will take to ensure that patient care will not suffer following the introduction of the new European Working Time Directive on 1 August.
Subjects
Resident doctors; EU law; NHS; Patients; Working hours; Safety
Date
29 June 2009
Reference
712 c1-2
Chamber / Committee
House of Lords chamber
House
House of Lords
To ask Her Majesty's Government further to the Written Answer by Lord Darzi of Denham on 30 April (WA 70), whether they are consulting patient representatives on the proposals to introduce generic substitution by pharmacists of branded medicines prescribed under the National Health Service.
To ask Her Majesty's Government further to the Written Answer by Lord Darzi of Denham on 30 April (WA 70), whether they are consulting patient representatives on the proposals to introduce generic substitution by pharmacists of branded medicines prescribed under the National Health Service.
Asked by
Earl Howe
(Conservative)
Answered by
Lord Darzi of Denham
(Labour)
Type
Written questions
Status
Answered
Answered on
1 June 2009
This is a complex issue with many interested stakeholders, including patients and their representative groups. Whilst we have not yet met with any such groups, we want to make sure we engage with all stakeholders in the best way possible and are currently considering how best to do so.
Subjects
NHS; Patients; Pharmacy; Prescription drugs; Public consultation
Date
1 June 2009
Reference
3750; 711 c48-9WA
House
House of Lords
To ask Her Majesty's Government when the report by the Healthcare Commission on standards of patient safety in West London Mental Health Trust will be published.
To ask Her Majesty's Government when the report by the Healthcare Commission on standards of patient safety in West London Mental Health Trust will be published.
Asked by
Earl Howe
(Conservative)
Answered by
Lord Darzi of Denham
(Labour)
Type
Written questions
Status
Answered
Answered on
20 May 2009
The Care Quality Commission has taken over responsibility for the Healthcare Commission's report on patient safety in West London Mental Health Trust. It is for the Care Quality Commission to decide when this report will be published.
Subjects
Inquiries; Patients; Standards; Safety; Healthcare Commission; West London Mental Health NHS Trust
Date
20 May 2009
Reference
3708; 710 c329WA
House
House of Lords
To ask Her Majesty's Government why West London Mental Health Trust was offered Foundation Trust equivalent status prior to the consideration of (a) the report of the independent investigation into failures at Broadmoor Hospital in 2004, and (b) the Healthcare Commission report on standards of patient safety in West London...
To ask Her Majesty's Government why West London Mental Health Trust was offered Foundation Trust equivalent status prior to the consideration of (a) the report of the independent investigation into failures at Broadmoor Hospital in 2004, and (b) the Healthcare Commission report on standards of patient safety in West London...
Asked by
Earl Howe
(Conservative)
Answered by
Lord Darzi of Denham
(Labour)
Type
Written questions
Status
Answered
Answered on
20 May 2009
West London Mental Health Trust has not been offered foundation trust equivalent status. A foundation trust equivalent organisation will be a National Health Service trust responsible for delivering high secure services which has been assessed as meeting the same standards as a foundation trust. It will be an equivalent organisation rather than a foundation trust because the trust provides high secure services, over which Ministers will retain oversight and powers of direction. The provision of high secure services legally prevents these organisations from becoming actual foundation trusts.
Before any trust can be granted this status, the trust will need to be approved by its strategic health authority to proceed to a rigorous assessment process. If it is then assessed as meeting the standards, a recommendation for approval will be made by an assessment panel to the Secretary of State for Health, who will make the final decision on whether it can become a foundation trust equivalent.
Subjects
Inquiries; Homicide; Patients; Psychiatric patients; Standards; Safety; Healthcare Commission; West London Mental Health NHS Trust; Broadmoor Hospital
Date
20 May 2009
Reference
3709; 710 c330WA
House
House of Lords
To ask Her Majesty's Government what steps will be taken to monitor standards of safety and patient care at Broadmoor Hospital in the light of the findings of the independent investigation of care at Broadmoor and from the report of the Healthcare Commission on standards of patient safety in West...
To ask Her Majesty's Government what steps will be taken to monitor standards of safety and patient care at Broadmoor Hospital in the light of the findings of the independent investigation of care at Broadmoor and from the report of the Healthcare Commission on standards of patient safety in West...
Asked by
Earl Howe
(Conservative)
Answered by
Lord Darzi of Denham
(Labour)
Type
Written questions
Status
Answered
Answered on
20 May 2009
There are rigorous, ongoing performance management arrangements which apply to all high-secure services, including Broadmoor Hospital. These are set out in the document A framework for the performance management of high security hospitals. A copy has been placed in the Library.
National Health Service London has specific performance management responsibilities in relation to Broadmoor. As part of these, it will continue to monitor safety and patient care, and will work with the department and the trust to ensure that all necessary steps are taken in relation to the findings of the investigation of care at Broadmoor, and the Healthcare Commission (now Care Quality Commission) report into patient safety at West London Mental Health Trust.
High-secure services, including performance management arrangements, are also subject to overview by the National Oversight Group which reports to Ministers, and services are also reviewed by the Care Quality Commission.
Subjects
Patients; Monitoring; Psychiatric patients; Standards; Safety; West London Mental Health NHS Trust; Broadmoor Hospital
Date
20 May 2009
Reference
3710; 710 c330WA
House
House of Lords
My Lords, the National Cancer Action Team is working with cancer networks and cancer charities to develop an electronic delivery system that can be used by professionals to deliver information prescriptions to patients at any point during their cancer journey. Eleven tumour-specific information pathways have been developed and are being piloted across 71 sites in England. It is planned that the full system will be available and that all cancer patients will receive an information prescription as part of their consultation from 2010.
My Lords, the National Cancer Action Team is working with cancer networks and cancer charities to develop an electronic delivery system that can be used by professionals to deliver information prescriptions to patients at any point during their cancer journey. Eleven tumour-specific information pathways have been developed and are being piloted across 71 sites in England. It is planned that the full system will be available and that all cancer patients will receive an information prescription as part of their consultation from 2010.
Answered by
Lord Darzi of Denham
(Labour)
Asked by
Lord Clement-Jones
(Liberal Democrat)
Type
Oral answers to questions
To ask Her Majesty’s Government when all cancer patients will receive an information prescription.
Subjects
Cancer; Information; Patients; Prescriptions
Date
19 May 2009
Reference
710 c1307
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, that is correct. The information prescription pilots are addressing, first, the concept of the dispensing of patient prescription information by a clinical nurse specialist who has all the competencies to explain the content of such prescription information. In addition, a written consultation discussion will be recorded and explained by the consultant; prescribing and dispensing information with a palliative care setting will be given; and there will be patient self-prescribing, with an explanation of what the content of that prescription means.
My Lords, that is correct. The information prescription pilots are addressing, first, the concept of the dispensing of patient prescription information by a clinical nurse specialist who has all the competencies to explain the content of such prescription information. In addition, a written consultation discussion will be recorded and explained by the consultant; prescribing and dispensing information with a palliative care setting will be given; and there will be patient self-prescribing, with an explanation of what the content of that prescription means.
Answered by
Lord Darzi of Denham
(Labour)
Asked by
Lord Clement-Jones
(Liberal Democrat)
Type
Oral answers to questions
My Lords, I thank the Minister for that reply; it is welcome news. The pilot scheme is obviously taking slightly longer than anticipated; the cancer reform strategy promised the information prescription in 2009. Nevertheless, I welcome the news. Can the Minister say whether, along with the information prescription, all patients will have the assistance of a healthcare professional in helping them to understand and act on the information prescription made available?
Subjects
Cancer; Information; Patients; Prescriptions
Date
19 May 2009
Reference
710 c1307
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, I agree. I can say that patients’ satisfaction and experience tremendously improved when I started to work for the specialist nurse in my colorectal team. I could not agree more; we need to develop specialist nurses and the roles that they will play, but that needs a significant mindset shift, certainly on the part of many of my nursing colleagues, as well as the development of competencies in providing that type of service.
My Lords, I agree. I can say that patients’ satisfaction and experience tremendously improved when I started to work for the specialist nurse in my colorectal team. I could not agree more; we need to develop specialist nurses and the roles that they will play, but that needs a significant mindset shift, certainly on the part of many of my nursing colleagues, as well as the development of competencies in providing that type of service.
Answered by
Lord Darzi of Denham
(Labour)
Asked by
Lord Walton of Detchant
(Crossbench)
Type
Oral answers to questions
My Lords, I am grateful that the Minister expressed support for the concept of specialist nurses working in this important field. Specialist nurses are making an increasingly important contribution across many fields in the National Health Service, particularly in supporting and helping patients suffering from a variety of progressive diseases such as Parkinson’s, epilepsy, multiple sclerosis and many more, as well as cancer. May I have an assurance from the Minister that the development of specialist nurse services, not just in cancer but in other fields, is likely to be high on the agenda of the National Health Service?
Subjects
Cancer; Information; Patients; Prescriptions
Date
19 May 2009
Reference
710 c1309
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, the reason these are called information prescriptions rather than notes is because they contain evidence-based information. As to what this process does to the relationship between the clinician and the patients, I personally think it is transforming it from an era of paternalism into an era of partnership between the patient and the clinician.
My Lords, the reason these are called information prescriptions rather than notes is because they contain evidence-based information. As to what this process does to the relationship between the clinician and the patients, I personally think it is transforming it from an era of paternalism into an era of partnership between the patient and the clinician.
Answered by
Lord Darzi of Denham
(Labour)
Asked by
Lord Patel
(Crossbench)
Type
Oral answers to questions
My Lords, I am sure the Minister is well aware that in obstetrics these information prescriptions are more appropriately referred to as patient information notes. In fact, obstetricians were the first to pioneer such notes. How do such notes help the patient-professional relationship? Should these notes record the performance of the surgeon—or the robot, as appropriate—in terms of outcome?
Subjects
Cancer; Information; Patients; Prescriptions
Date
19 May 2009
Reference
710 c1308
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, I commend Christie’s and many specialist hospitals around the country. I work in one, the Royal Marsden, which provides services not dissimilar to the ones provided by Christie’s. I have little expertise in the banking arrangements of specialist hospitals, but I shall be more than happy to write to my noble friend about the issue.
My Lords, I commend Christie’s and many specialist hospitals around the country. I work in one, the Royal Marsden, which provides services not dissimilar to the ones provided by Christie’s. I have little expertise in the banking arrangements of specialist hospitals, but I shall be more than happy to write to my noble friend about the issue.
Answered by
Lord Darzi of Denham
(Labour)
Asked by
Lord Bradley
(Labour)
Type
Oral answers to questions
My Lords, does my noble friend agree that specialist cancer hospitals such as the Christie in Manchester, where I am a non-executive director, already provide excellent information for specialist services, as evidenced by the fact that the hospital came first in the country in the recent in-patient survey for overall care? Does he further agree that the Christie charity provides invaluable additional support through specialist nurses and counsellors to provide disease-specific information, and that that is why the Government’s support to get compensation for the failed UK subsidiary of an Icelandic bank is so essential?
Subjects
Cancer; Information; Patients; Prescriptions
Date
19 May 2009
Reference
710 c1308
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, we give guidance to PCTs about the information prescription. As it stands, we are running the pilots to learn more from them but, while we are doing so, we also have 25,000 patient questionnaires seeking patients’ views about the information. One thousand, two hundred and fifty patients will be part of the participating pilot while the other half will be the control group without the information prescription, and those are the comparative data on which we hope to build the system in 2010.
My Lords, we give guidance to PCTs about the information prescription. As it stands, we are running the pilots to learn more from them but, while we are doing so, we also have 25,000 patient questionnaires seeking patients’ views about the information. One thousand, two hundred and fifty patients will be part of the participating pilot while the other half will be the control group without the information prescription, and those are the comparative data on which we hope to build the system in 2010.
Answered by
Lord Darzi of Denham
(Labour)
Asked by
Baroness Barker
(Liberal Democrat)
Type
Oral answers to questions
My Lords, the evaluation of the information prescription pilots suggested that PCTs needed to be given guidance about commissioning charitable and voluntary organisations to provide support to people to enable them to understand the prescription they have been given. What guidance does the Minister’s department give to PCTs about commissioning information and support services?
Subjects
Cancer; Information; Patients; Prescriptions
Date
19 May 2009
Reference
710 c1308-9
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, we are working with a large number of charities. I acknowledge the championing and pioneering impact of the work of the late Lady Clement-Jones, who introduced this concept through Cancerbackup and, more recently, Macmillan Cancer Support. We are working with CRUK, the biggest cancer charity in this country, supporting research and the evidence base for these information prescriptions. In addition, at least 32 other charities that deal with cancer are helping us with the content of such information prescriptions.
My Lords, we are working with a large number of charities. I acknowledge the championing and pioneering impact of the work of the late Lady Clement-Jones, who introduced this concept through Cancerbackup and, more recently, Macmillan Cancer Support. We are working with CRUK, the biggest cancer charity in this country, supporting research and the evidence base for these information prescriptions. In addition, at least 32 other charities that deal with cancer are helping us with the content of such information prescriptions.
Answered by
Lord Darzi of Denham
(Labour)
Asked by
Earl Howe
(Conservative)
Type
Oral answers to questions
My Lords, what quality assurance is being put in place for information prescriptions?
Subjects
Cancer; Information; Patients; Prescriptions
Date
19 May 2009
Reference
710 c1308
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, this is an academic evaluation so there is a random control trial going on. Patients will be selected at random. That is one of the pilots looking at the impact of this. Our aspiration is that every patient with cancer will receive an information prescription throughout the whole of their pathway, whether that is the referral from the general practitioner to the specialist centre, the diagnosis, the treatment, the long-term follow-up or the prognosis. We believe in empowering patients because many will say that an empowered patient will get through the cancer pathway at a speedier rate and feel much more confident in the treatment they are receiving.
My Lords, this is an academic evaluation so there is a random control trial going on. Patients will be selected at random. That is one of the pilots looking at the impact of this. Our aspiration is that every patient with cancer will receive an information prescription throughout the whole of their pathway, whether that is the referral from the general practitioner to the specialist centre, the diagnosis, the treatment, the long-term follow-up or the prognosis. We believe in empowering patients because many will say that an empowered patient will get through the cancer pathway at a speedier rate and feel much more confident in the treatment they are receiving.
Answered by
Lord Darzi of Denham
(Labour)
Asked by
Baroness Gardner of Parkes
(Conservative)
Type
Oral answers to questions
My Lords, will the Minister tell me, for the benefit of other Members of the House also, quite simply what the information prescription will be, how it will be decided which people will get it—in the pilot, he said, half will get it and half will not—and how you will discover that you are one of the ones who will? Will it just arrive out of the blue in written form, or in another form?
Subjects
Cancer; Information; Patients; Prescriptions
Date
19 May 2009
Reference
710 c1309
Chamber / Committee
House of Lords chamber
House
House of Lords