Maternity services. Volume II, Minutes of evidence.

  • Great Britain. Parliament. House of Commons. Health Committee
Date:
1992
Catalogue details

Licence: Open Government Licence

Credit: Maternity services. Volume II, Minutes of evidence. Source: Wellcome Collection.

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    6 November 1991] [Continued — day care through out-of-school clubs to reduce number of latchkey children and support parents under stress, day nurseries to enable parents to participate in training schemes and employment, and information and referral centres. 9. Projects complementing specific initiatives to prevent homelessness among young people under 18 may be appropriate for UP funding. These could include counselling services aimed at reconciling young people with their families or helping young people leaving care to find suitable alternative support. Co-ordination of a number of agencies locally will be required. Health and Personal Social Services for Ethnic Minorities 10. Difficulties in obtaining appropriate health and personal social services can be accentuated for the large proportion of people from ethnic minorities who live in socially deprived conditions of unemployment, poverty and overcrowded accommodation. UP projects aimed at improving access to these services by ethnic minority communities might, for example, promote the use of interpreters or linkworkers, the provision of development officers for black self-help groups, or the provision of information in appropriate languages on health promotion and local health and personal social services. Close liaison will be needed to ensure that such projects are co-ordinated the mainstream services provided by health authorities and social services departments and have regard to different needs and expectations of people from a variety of races and cultures. CURRENT CONTRACTING AND FUNDING ARRANGEMENTS FOR REGIONAL NEONATAL INTENSIVE CARE AND PERINATAL CENTRES The attached table sets out the latest information available to the Department about current contracting and funding arrangements for Neonatal Intensive Care (NIC) for each Regional Health Authority and the one Special Health Authority specialising in maternity and neonatal care. (While the term used throughout the table is Centres for Neonatal Intensive Care, these are also sometimes known in the field as Regional Perinatal Centres.) NEONATAL INTENSIVE CARE (NIC) CONTRACTING/ FUNDING ARRANGEMENTS Northern Region | NIC at Regional Centre based in Newcastle included in obstetric contracts in 11 DHAs; in five other DHAs referrals dealt with extra-contractually. Clearing house for NIC based in Newcastle. Yorkshire Region Purchasers contract with three Regional Centres (two in Leeds, one in Hull). Leeds GH and Hull RI ona cost per day basis; St. James’ Leeds on cost per episode basis. RHA allocated £286K for 1991-92 to increase staffing in units. Following recent review, Bradford RI recognised as fourth provider of NIC. Work in hand to develop level of services and the co-ordination between all four provider units. Trent Region Three Regional Centres. Majority of NIC provided in block contracts and some through extra-contractual referrals. Separate contacts with DHAs outside RHA boundaries. Most contracts based on average cost of neonatal care (special care and NIC likely to be separated for 1992-93 contracting process). Informal clearing house for NIC in operation. E Anglia Region All NIC dealt with through DHA contracts, including some outside RHA. Rosie Maternity Unit in Cambridge acts as informal Regional Centre. NW Thames Region Five Regional and three sub-Regional Centres. All NIC dealt with through extra-contractual referrals earmarked in advance on an average cost per episode basis (need rather than historical pattern of referral).