British Medical Association (BMA), R (On the Application Of) v Secretary of State for Health And Social Care [2020] EWHC 64 (Admin) (17 January 2020) – England and Wales High Court (Administrative Court)

This claim challenges the lawfulness of certain provisions of the National Health Service Pension Schemes, Additional Voluntary Contributions and Injury Benefits (Amendment) Regulations 2019 (“the 2019 Regulations”) by which amendments were made to the terms of the NHS Pension Scheme.  Prior to the relevant amendments, the Defendant (“the Secretary of State”) had the power to forfeit a pension after a member or beneficiary of the pension scheme had been convicted of a prescribed criminal offence which was committed before the benefit became payable. Most, if not all, public sector pension schemes contain similar provisions. The amendments confer upon the Secretary of State an additional power to suspend payment of pension benefits not only after conviction and prior to a decision being taken on forfeiture, but also where a person is charged with certain very serious offences (“the suspension power”).

The claimant, the British Medical Association (“the BMA”), represented by Ms Morris QC and Ms Thelen, is a trade union and professional body for doctors in the UK, with a membership of more than 150,000. Most of its members belong to the NHS Pension Scheme. The BMA has serious concerns about the potential impact on its members of the introduction of the suspension power. It is particularly concerned that the changes will disproportionately impact on those who are already receiving their pensions, who are more likely to be suffering from ill health or a disability than those who have not yet retired from practice, either by reason of their age or because those factors led the individual concerned to take early retirement.

Finds that the BMA is entitled to the declaratory relief that it seeks and to a quashing order in respect of the provisions of the 2019 Regulation which enable the Secretary of State to make a suspension decision after charge and prior to conviction.

British Medical Association (BMA), R (On the Application Of) v Secretary of State for Health And Social Care [2020] EWHC 64 (Admin) (17 January 2020)
0.4 MiB
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Adult Social Care Activity and Finance Report: Detailed Analysis England 2017-18 – Adult Social Care Statistics and NHS Digital

Sets out the findings from a review of adult social care statistics in England. Adult social care is a large and important area which requires strong evidence to support effective policy development, delivery of care and personal choice. While there is rightly a focus on delivery, a scarcity of funding has led to under investment in data and analysis, making it harder for individuals and organisations to make informed decisions. This review highlights three main areas for attention: better leadership and collaboration; gaps in available data; and improving existing official statistics. Key findings are:

  1. Gross current expenditure on adult social care by local authorities was £17.9 billion. This represents an increase of £402 million from the previous year, a 2.3% increase in cash terms and a 0.4% increase in real terms
  2. The area of care which saw the largest increase in expenditure was long term support, which increased by £369 million to £14.0 billion in 2017-18, an increase in cash terms of 2.7%.
  3. 1.8 million requests for adult social care support from 1.3 million new clients, for which an outcome was determined in the year, were received by local authorities in 2017-18. This was an increase of 1.6% since 2016-17. This is equivalent to more than 5,000 requests for support received per day by local authorities.
  4. Overall, the number of clients receiving long term care has decreased each year since 2015-16, to 857,770 in 2017-18. This has been mainly driven by a decrease in clients aged 65 and over receiving long term care, down 22,110 to 565,385 since 2015-16. However, the number of clients aged 18 to 64 receiving long term care has increased slightly over the period, up 7,360 to 292,380 since 2015-16.
Adult Social Care Activity and Finance Report: Detailed Analysis England 2017-18
1.7 MiB
24 Downloads
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Briefing 1: Determinants of mental health – Commission for Equality in Mental Health, Centre for Mental Health

Centre for Mental Health briefing finding that mental health inequalities are closely linked to wider injustices in society. Inequalities in wealth, power and voice are linked to poorer mental health. Exclusion, discrimination, violence and insecurity all increase our risk of poor mental health and explain why some groups of people face markedly higher rates of mental ill health than others. The briefing explores actions that can be taken, from communities and local services to national policies, to reduce mental health inequalities.

Briefing 1: Determinants of mental health
Briefing 1: Determinants of mental health
CentreforMH_Commission-Briefing-1-_Website.pdf
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Separation of children in young offender institutions: A thematic review – HM Inspectorate of Prisons

HM Inspectorate of Prisons thematic report on separation covers the variety of ways in which children aged 15-18 in young offender institutions are unable to mix with their peers or attend activities in the normal way. Many children separated from their peers are effectively held in harmful solitary confinement, with little human contact and in conditions which risk damaging their mental health.

Separation of children in young offender institutions: A thematic review
0.3 MiB
17 Downloads
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Hepatitis C in London: 2019 report: Field Service – Public Health England

This report describes the epidemiology of hepatitis C in the London. Provides recommendations for stakeholders on measures to prevent further infections and to reduce the morbidity and mortality of those already infected.

Hepatitis C in London: 2019 report: Field Service
1.0 MiB
41 Downloads
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Hepatitis C in the South East: 2019 report: Field Service – Public Health England

This report describes the epidemiology of hepatitis C in the South East of England. Provides recommendations for stakeholders on measures to prevent further infections and to reduce the morbidity and mortality of those already infected.

Hepatitis C in the South East: 2019 report: Field Service
1.0 MiB
18 Downloads
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EL (90) MB 86: Role of District Health Authorities – Department of Health and Social Security

Issued with copies of the first report of the work of the DHA project (not attached).

EL 90 MB 86: Role of District Health Authorities
60 KiB
19 Downloads
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EL (90) P 10: Funding of Hospices and Similar Organisation – Department of Health

Letter that details an £8m allocation to assist funding of hospices and similar bodies by Health Authorities.

EL (90) P 10: Funding of Hospices and Similar Organisation
0.3 MiB
18 Downloads
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EL (90) MB 83: Service Support for Research in Non-SIFT Hospitals – Department of Health

Issued with a consultation document on service support for research in Non-SIFT Hospitals (not attached) .

EL (90) MB 83: Service Support for Research in Non-SIFT Hospitals
37 KiB
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EL (90) MB 43: NHS Residential Accomodation – Department of Health

Details:

  1. Adjustment of rates charges and abatements arising from the abolition of the domestic rating system and introduction of the community charge in ENgland from1 April 1990
  2. Review of formula for the calculation of rents

EL (90) MB 43: NHS Residential Accomodation
0.1 MiB
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EL (90) MB 53: Valuation of Land and Buildings – Department of Health

Gives guidance on the valuation of buildings.

EL (90) MB 53: Valuation of Land and Buildings
73 KiB
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EL (90) MB 58: Achieving a Balance: Allocation of Staff Grade Posts from the Central Reserve: 1989/90 and Part Time Appointments to the Staff Grade – Department of Health

Notifies authourities of the third and final allocation of staff grade posts from the central reserve.

EL (90) MB 58: Achieving a Balance: Allocation of Staff Grade Posts from the Central Reserve: 1989/90 and Part Time Appointments to the Staff Grade
0.1 MiB
16 Downloads
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EL (90) MB 136: Valuation of Land and Buildings – Department of Health

Gives guidance on the valuation of buildings.

EL (90) MB 136: Valuation of Land and Buildings
0.2 MiB
13 Downloads
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EL (90) MB 132: Capital Charges Update 90/6 – Department of Health

Encloses Capital Charges Update 90/6.

EL (90) MB 132: Capital Charges Update 90/6
0.2 MiB
4 Downloads
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EL (90) MB 120: Losses Due to Fraud – Department of Health

Requires authorities to submit annual reports on fraud.

EL (90) MB 120: Losses Due to Fraud
0.4 MiB
13 Downloads
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EL (90) MB 118: The Analysis of Prescribing in General Practice – A Guide to Audit and Research – Department of Health

Details publication of guide to audit and research into prescribing following the release of the working paper on indicitive prescribing.

EL (90) MB 118: The Analysis of Prescribing in General Practice - A Guide to Audit and Research
0.2 MiB
3 Downloads
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EL (90) MB 42: FPCL (90) 41: General Managers Pay – NHS Management Executive

Announces that HC (90) 8 and HC FP (90) 4 which introduce the new pay structures for general managers.  Responsibility for introducing this change has been devolved to regions.

EL (90) MB 42: FPCL (90) 41: General Managers Pay
0.2 MiB
17 Downloads
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EL (90) MB 37: Estate Utilisation Seminars – Department of Health and Social Security

Details the encouraging response to the estate utilisation seminars and emphasises the importance of the general manager.

EL (90) MB 37: Estate Utilisation Seminars
0.3 MiB
22 Downloads
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EL (90) MB 139: NHS Trusts Financial Proformas: Supplementary Table – NHS Management Executive

Attaches a table to proformas issued with EL (90) MB 84 intended to give the NHS Management Executive an overview of planned capital spend.

EL (90) MB 139: NHS Trusts Financial Proformas: Supplementary Table
0.3 MiB
15 Downloads
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EL (90) MB 79: Achieving a Balance: Early Retirement for Consultants: HC (87) 38 – Department of Health

Letter that allows bids to be carried over to the next financial year.

EL (90) MB 79: Achieving a Balance: Early Retirement for Consultants: HC (87) 38
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