My Lords, that was a helpful answer from the Minister and I thank him for it. We would all acknowledge that there is good practice, as well as less good practice, in this area, but there are no doubt problems to be addressed. How best do we do that? Part of the answer lies in encouraging accreditation, as I argued in Grand Committee; part of it lies in external review and in performance management. Most of all, however, the answer lies in better collaboration between clinicians, finance officers and business managers, with, as the Minister rightly said, clinicians taking ownership of data. The arrival of quality accounts creates a real opportunity in that sense.
Again, however, we should not forget about setting appropriate standards for data quality. The Audit Commission said in paragraph 57 of its report: ""Standards used for regulation and registration should include a requirement to ensure the quality of data and to submit accurate information. The current Standards for Better Health omits this. Use and submission of poor quality data should have direct regulatory consequences"."
Therefore, it envisaged the CQC being involved in this area. Clinicians, as the Minister indicated, are likely to take ownership of the raw data for such things as patient outcome and mortality ratios. They are less likely to be closely involved in the statistical analysis of the data, an area where there is scope for things to go awry. We need to be mindful that there is a limit to the extent to which clinicians can oversee everything produced as statistics. Nevertheless, as so often, and in this area above all, I have confidence in the Minister wanting to get things right. I have no doubt that he is doing his level best to ensure that this part of the Bill will result in something that we can all value and be proud of, so I beg leave to withdraw the amendment.
Amendment 19 withdrawn.
Health Bill [HL]
Proceeding contribution from
Earl Howe
(Conservative)
in the House of Lords on Tuesday, 28 April 2009.
It occurred during Debate on bills on Health Bill [HL].
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710 c172 Session
2008-09Chamber / Committee
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