Book Description

Given the divergence in health policy between England and Wales, and the significant number of patients who cross the border for treatment, the Welsh Affairs Committee examined the interface between the two systems and the effectiveness of co-ordination between the Department for Health and the Welsh Assembly Government. It wanted to discover whether cross-border patients are treated fairly and whether the Welsh Assembly Government and the Department of Health consider the border in the development of the diverging policy environment. The Committee was aware of significant confusion amongst patients, for example in knowing what they are entitled to receive from their health service and that cross-border providers were being disadvantaged by the need to cope with two separate funding and commissioning schemes. The Committee's interim report on this topic (HC 870, session 2007-08, ISBN 9780215521682) concluded that four key criteria should be established in cross-border health policy: clinical excellence as close to home as possible; border-proofing of policy and practice; cross-border citizen engagement; and transparent and accountable co-operation between localities, regions and governments. This report returns to these key criteria. The Committee is very disappointed that a protocol on cross-border health services has not been agreed, further evidence of a clear lack of co-ordination between the UK and Welsh Assembly governments and which leaves clinicians and administrators in a strained position and risks adversely affecting patients as a result of cross-border commissioning and funding problems. Better information for patients must be provided. The Committee finds the Department of Health's delay in responding to its interim report until some 6 months after publication to be unacceptable.