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Appointment of the Chair of the NHS Commissioning Board House of Commons Health Committee Appointment of the Chair of the NHS Commissioning Board Eleventh Report of Session 2010–12 Oral evidence Ordered by the House of Commons to be printed 18 October 2011 HC 1562-II Published on 28 March 2012 by authority of the House of Commons London: The Stationery Office Limited £4.00 2 Appointment of the Chair of the NHS Commissioning Board The Health Committee The Health Committee is appointed by the House of Commons to examine the expenditure, administration, and policy of the Department of Health and its associated bodies. Membership Rt Hon Stephen Dorrell MP (Conservative, Charnwood) (Chair)1 Rosie Cooper MP (Labour, West Lancashire) Yvonne Fovargue MP (Labour, Makerfield) Andrew George MP (Liberal Democrat, St Ives) Grahame M. Morris MP (Labour, Easington) Dr Daniel Poulter MP (Conservative, Central Suffolk and North Ipswich) Mr Virendra Sharma MP (Labour, Ealing Southall) Chris Skidmore MP (Conservative, Kingswood) David Tredinnick MP (Conservative, Bosworth) Valerie Vaz MP (Labour, Walsall South) Dr Sarah Wollaston MP (Conservative, Totnes) Powers The Committee is one of the departmental select committees, the powers of which are set out in House of Commons Standing Orders, principally in SO No 152. These are available on the Internet via www.parliament.uk. Publications The Reports and evidence of the Committee are published by The Stationery Office by Order of the House. All publications of the Committee (including press notices) are on the Internet at www.parliament.uk/healthcom. The Reports of the Committee, the formal minutes relating to that report, oral evidence taken and some or all written evidence are available in printed volume(s). Additional written evidence may be published on the internet only. Committee staff The staff of the Committee are David Lloyd (Clerk), Sara Howe (Second Clerk), David Turner (Committee Specialist), Steve Clarke (Committee Specialist), Frances Allingham (Senior Committee Assistant), and Ronnie Jefferson (Committee Assistant). Contacts All correspondence should be addressed to the Clerk of the Health Committee, House of Commons, 7 Millbank, London SW1P 3JA. The telephone number for general enquiries is 020 7219 5466. The Committee’s email address is [email protected] 1 Mr Stephen Dorrell was elected as the Chair of the Committee on 9 June 2010, in accordance with Standing Order No. 122B (see House of Commons Votes and Proceedings, 10 June 2010). Health Committee: Evidence Ev 1 Oral evidence Taken before the Health Committee on Tuesday 18 October 2011 Members present: Mr Stephen Dorrell (Chair) Rosie Cooper Dr Daniel Poulter Andrew George Mr Virendra Sharma Grahame M Morris Dr Sarah Wollaston ________________ Examination of Witness Witness: Professor Malcolm Grant CBE, Prospective Chair of the NHS Commissioning Board, gave evidence. Q1 Chair: Professor Grant, you are very welcome to how it works, not in the committee rooms of the Committee. Congratulations on securing the Westminster but in the general practices of this Secretary of State’s nomination to what is going to country. A second one is being the president of a be a very important post in the Health Service going university with a fantastic health and medical sciences forward. We are clearly going to have an open school and a very strong relationship with key London discussion with all the Members of the Committee, hospitals, which has grown quite dramatically in the but I would like to open by saying that you obviously eight years in which I have held this job. This has saw an advertisement in a newspaper and thought, given birth to UCL Partners, a unique academic health “That is a job I would be interested in doing.” An sciences centre in which I have been very closely interesting way to get the discussion going is to involved since its inception. understand why you reached that conclusion and what In a sense, although I am only a lawyer, I have been it was that attracted you to the job, and hopefully able to engage with the NHS through Partners to see still does. what is happening and what can be achieved. One Professor Grant: It certainly does, Chairman, and example by which I have been totally enthralled is the thank you for the opportunity to appear before the handling of acute stroke in London. Relatively simple Committee this morning. The processes of recruiting service reconfigurations—unthreatening and to major public sector jobs are never quite as strategically carried through—have led to a reduction straightforward as you have suggested. The approach in mortality from the national average of 22% to 10% did come to me originally from head-hunters. in this part of London. That opens the eyes of all of Head-hunters, as you know, were retained by the us to the opportunities that one can bring to the NHS Secretary of State for this post. Then various siren if it is led much more by strategy than crisis. That voices were spread around me to try to lead me to this seems to me to be the opportunity that the Board destination, but it has been a long and difficult provides. journey. It is not an obvious course for anybody who is enjoying their present job to head off along. I am Q3 Chair: We will no doubt come on to that as the here today because there is a serious job to be done session continues. How does this relate to your and I hope you find that my background and interests relationship with UCL? Clearly you have a full-time are sufficient to allow the Committee to endorse that executive post there and this is a pretty challenging nomination. post. How do you anticipate balancing those? Professor Grant: I hope to be able to do both jobs at Q2 Chair: At the heart of the question was not just once. What makes that possible is the very strong was it in response to an advertisement or a support I have had from senior colleagues at UCL, head-hunter approach, but what is the pitch that you which I will explain. made to yourself to think that someone with the I have a very strong senior management team, five background that you have has value to add? What is vice-provosts, who work directly to me, and 10 deans the value that you are seeking to add to this process, of the different faculties. A large component of what given the nature of the beast that you are taking on? we do is life and medical sciences, probably about Professor Grant: I start with something that is not a 60% of UCL’s activity. The enthusiasm that has been value to add but rather a quality and a value that is shown by my colleagues for my undertaking this role shared by everybody in this room, which is passion has been quite humbling. Their expression of a about the NHS. It is one of the greatest institutions willingness to support me intellectually and also to this country has. The path that has been mapped out substitute for me from time to time on formal in the Bill is one that contains a wide variety of engagements at UCL and to allow me to free up the opportunities and risks. time has been the key thing that has made it possible One of my great associations with the NHS is by for me to consider doing it, coupled with securing the virtue of having been married to a GP for the last 37 approval of the UCL Council to our proceeding in years, which has given me a remarkable insight as to this way. Ev 2 Health Committee: Evidence 18 October 2011 Professor Malcolm Grant CBE Recently I announced to the UCL Council that I executive and vice versa. The governance role needs would seek to stand down from my job in two years’ to be sufficient and focused to allow the executive time. That will have given me 10 years in the role, team a clear structure within which to operate. which I assure you is quite an endurance feat The second part—thinking over the role in the 100 nowadays for a vice-chancellor. That allows me to hours since my nomination was announced—seems to consider how to match my final two years at UCL me to engage with a much wider community. The against the growing demands of this job over the Chairman has to be engaging with the Royal Colleges, coming two years and then, of course, beyond. the clinical community across the country and with the other big beasts in the NHS landscape, such as Q4 Chair: The advertisement suggested that the NICE, the CQC and Monitor. It is critical to ensure higher time commitment to this job will be in the early that we overcome some of the inherent fragmentation period rather than the later period. Do you agree that presently exists across the NHS and get much with that? clearer ideas about where collaboration and Professor Grant: No, I do not. It is completely co-operation are going to be essential and, ultimately, impossible to forecast it at this stage. The one simple where accountability lies. That seems to be the maxim is that the work will grow to fill the time transformational change from where we are at the available. Would you like me to trace through how I moment to what the new Board must be able to see it developing over the coming two years? deliver. Chair: Indeed. Chair: I do not want to monopolise the questions, so Professor Grant: The first major task is to recruit the perhaps I will turn to Grahame because the point on other members of the Board.
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