HC Deb 08 September 2003 vol 410 cc189-90W
Chris Grayling

To ask the Secretary of State for Health what process will be used to recruit members of NHS Foundation Trusts. [127625]

Mr. Hutton

It will be for each national health service foundation trust to determine what approach to take.

A source book has now been developed to help applicants for NHS foundation trust status develop their governance and membership arrangements. NHS foundation trusts will be under a statutory duty to take steps to have a representative membership.

Dr. Fox

To ask the Secretary of State for Health whether foundation hospitals established in England will be required to treat patients referred by general practitioners based in Wales. [127376]

Mr. Hutton

Arrangements for cross border referrals to national health service foundation trusts are expected to continue to work in the same way as referrals from NHS Commissioners in Wales to NHS trusts currently operate.

Chris Grayling

To ask the Secretary of State for Health what estimate he has made of how many members a foundation trust will have. [127644]

Mr. Hutton

National health service foundation trusts will be required to set their own minimum membership as part of their constitution. The Independent Regulator must be satisfied that the membership is sufficient to ensure that a Board of Governors can be elected according to its constitution and that the actual membership will be representative of those eligible.

Chris Grayling

To ask the Secretary of State for Health what plans he has for piloting the scheme for foundation hospitals. [127645]

Mr. Hutton

We have no plans to pilot national health service foundation trusts.

Chris Grayling

To ask the Secretary of State for Health when he expects to send out the source book for foundation hospital applicants. [127646]

Mr. Hutton

A first version of the governance source book has been made available to applicants. This will be supplemented, over time, to include learning from the experience of first wave applicants.

Mrs. Curtis-Thomas

To ask the Secretary of State for Health if he will make a statement on the role of the Foundation Trusts Regulator. [127662]

Mr. Hutton

Subject to Parliament, the Independent Regulator for National Health Service foundation trusts will be responsible for authorising, monitoring and regulating NHS foundation trusts. Details of the role of the Independent Regulator can be found in the Health and Social Care (Community Health and Standards) Bill.

Mrs. Curtis-Thomas

To ask the Secretary of State for Health whether the Regulator of Foundation Trusts will be required to maintain universal access to healthcare services. [127663]

Mr. Hutton

Subject to legislation, the Independent Regulator will be required to exercise his functions in a manner that is consistent with the performance by the Secretary of State of the duties under sections 1, 3 and 51 of the National Health Service Act 1977.

Mrs. Curtis-Thomas

To ask the Secretary of State for Health what role he will play in the work of foundation trusts. [127664]

Mr. Hutton

The Secretary of State has overall responsibility for the National Health Service. The Secretary of State sets the strategic vision for the health service, distributes resources to the NHS, sets the national tariff and will set national standards. The Secretary of State's main role, with regard to NHS foundations trusts, will be to decide whether to support proposals for NHS foundation trust status.

Mrs. Curtis-Thomas

To ask the Secretary of State for Health what steps will be taken to ensure that foundation trusts do not turn away patients with chronic conditions. [127665]

Mr. Hutton

The services National Health Service foundation trusts provide for NHS Commissioners will be set out in legally binding contracts.

NHS foundation trusts will be required, under their terms of authorisation, to continue to provide essential NHS services to NHS commissioners.

Mrs. Curtis-Thomas

To ask the Secretary of State for Health whether each foundation trust will have unique clinical targets and health care priorities. [127666]

Mr. Hutton

National Health Service foundation trusts will be established with the principal purpose of providing NHS services to NHS patients. They will be held to account for delivering the outputs agreed with primary care trusts and other partners in the health economy, as part of the commissioning process.

NHS foundation trusts will be independently inspected by the Commission for Healthcare Audit and Inspection against the same national standards as other NHS trusts.

Chris Grayling

To ask the Secretary of State for Health what estimate he has made of the extent to which foundation trusts will have access to non-public finance. [127681]

Mr. Hutton

National health service foundation trusts will have freedom to decide where to go for capital borrowing.

Chris Grayling

To ask the Secretary of State for Health what discussions he has had with City institutions about interest rates available for bond-based finance for foundation trusts. [127682]

Mr. Hutton

The Department of Health has undertaken a wide range of consultations with a variety of City institutions over future financing options for national health service foundation trusts.