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NHS Reforms in England - From 2010 to April 2013
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Parliament
Department of Health
8000+ GP Practices
10 SHAs
152 PCTs
Funding
Accountability/Regulation
Mike Clark @clarkmike
52mPatients,
users, public
Year: 2010Health and Social Care System in England
Parliament
Department of Health
152 social care
authorities
Joint Strategic Needs
Assessment
10 SHAs
152 PCTs
Funding
QIPP/Performance
Mgmt
8000+ GP Practices
52mPatients,
users, public
Mike Clark @clarkmike
Funding from Government grants, local income etc
Year: 2010Health and Social Care System in England
Accountability/Regulation
Parliament
Department of Health
NHS England
Clin Com Groups
Patients, users, public
152 social care
authorities
Joint Strategic Needs
Assessment
Funding
QIPP/Performance
Mgmt
Funding from Government grants, local income etc
CCGs – likely to be 211 in total, authorisation of first 3 waves
Shadow from Oct 2012. Commences April 2013
Mike Clark @clarkmike
151 PCTs>> 50 Clusters
Year: 2013 (Mar)
10 SHAs>> 4 Regions
NHS Mandate
Some NHS funding available to social care authorities
Health and Social Care System in England
Accountability/Regulation
Parliament
Department of Health
Patients, users, public
152 social care
authorities New Partnerships
Joint Strategic Needs
Assessment
Funding
QIPP/Performance
Mgmt
Shared services across authorities
Acute Hospitals
‘Any Qualified’ & other Providers
Mental Health Trusts
Care Trusts
Social enterprises
Charities
Independent/Commercial
VoluntaryConsultancies
GP Provider Services
Community Health Trusts
Clin Com Groups &
CSUs
Trading arms
ProvidersVol & Charities
SWs/OTsInd and Commercial
Districts PAs
Advocates
CarersSW
Pracs
Mike Clark @clarkmike
Socents
Funding from Government grants, local income etc
10 SHAs>> 4 Regions
151 PCTs>> 50 Clusters
211 CCGs & 19 CSUs
Health and Social Care System in England
Year: 2013 (Mar)
NHS Mandate
Accountability/Regulation
Shadow from Oct 2012 as NHSCB. Commenced April 2013
NHS England
Parliament
Department of Health
NHS England, 4 regions &
27 LATs
Patients, users, public
152 social care
authorities
MonitorCare Quality Commission
New Partnerships
Joint Strategic needs
Assessment
151 PCTs>> 50 Clusters
Funding
Competition, Co-operation
Panel
Trading armsSocents
ProvidersVol & Charities
SWs/OTsInd and Commercial
PAs
Advocates
CarersSW
Pracs
Mike Clark @clarkmike
Districts
Acute Hospitals
‘Any Qualified’ & other Providers
Mental Health Trusts
Care Trusts
Social enterprises
Charities
Independent/Commercial
VoluntaryConsultancies
GP Provider Services
Community Health Trusts
10 SHAs>> 4 Regions
211 CCGs & 19 CSUs
Shared services across authorities
Funding from Government grants, local income etc
Care Quality Commission
Health and Social Care System in England
Year: 2013 (Mar)
NHS Mandate
Accountability/Regulation
Parliament
Department of Health
Patients, users, public
Public Health
England
152 social care
authorities
Care Quality Commission
New Partnerships
Joint Strategic Needs
Assessment
152 Health and Wellbeing
Boards
Funding
Monitor
Competition, Co-operation
Panel
Trading armsSocents
ProvidersVol & Charities
SWs/OTsInd and Commercial
PAs
Advocates
CarersSW
Pracs
Mike Clark @clarkmike
Districts
Acute Hospitals
‘Any Qualified’ & other Providers
Mental Health Trusts
Care Trusts
Social enterprises
Charities
Independent/Commercial
VoluntaryConsultancies
GP Provider Services
Community Health Trusts
10 SHAs>> 4 Regions
151 PCTs>> 50 Clusters
Shared services across authorities
Funding from Government grants, local income etc
Care Quality Commission
Health and Social Care System in England
Year: 2013 (Mar)
NHS Mandate
Accountability/Regulation
NHS England, 4 regions &
27 LATs
211 CCGs & 19 CSUs
Parliament
Department of Health
Patients, users, public
Public Health
England
152 social care
authorities
Care Quality Commission
New Partnerships
Joint Strategic Needs
Assessment
Funding
Monitor
Competition, Co-operation
Panel
Trading armsSocents
ProvidersVol & Charities
SWs/OTsInd and Commercial
PAs
Advocates
CarersSW
Pracs
Mike Clark @clarkmike
Districts
152 Health and Wellbeing
Boards Acute Hospitals
‘Any Qualified’ & other Providers
Mental Health Trusts
Care Trusts
Social enterprises
Charities
Independent/Commercial
VoluntaryConsultancies
GP Provider Services
Community Health Trusts
151 PCTs>> 50 Clusters
Shared services across authorities
Funding from Government grants, local income etc
Care Quality Commission
10 SHAs>> 4 Regions
Public Health role moves - 2013
Health and Social Care System in England
Year: 2013 (Mar)
NHS Mandate
Accountability/Regulation
NHS England, 4 regions &
27 LATs
211 CCGs & 19 CSUs
Parliament
Department of Health
Patients, users, public
Public Health
England
152 social care
authorities
Care Quality Commission
CharitiesTrading arms
Social enterprises
Providers
New Partnerships
Joint Strategic Needs
Assessment
Voluntary
Funding
SW Teams
Independent/Commercial
Districts
Public Health role moves - 2013
Community services exited from PCTs
Monitor
Competition, Co-operation
Panel
Trading armsSocents
ProvidersVol & Charities
SWs/OTsInd and Commercial
PAs
Advocates
CarersSW
Pracs
Mike Clark @clarkmike
Districts
152 Health and Wellbeing
Boards Acute Hospitals
‘Any Qualified’ & other Providers
Mental Health Trusts
Care Trusts
Social enterprises
Charities
Independent/Commercial
VoluntaryConsultancies
GP Provider Services
Community Health Trusts
151 PCTs>> 50 Clusters
Funding from Government grants, local income etc
Care Quality Commission
10 SHAs>> 4 Regions
Becomes part of Monitor
Health and Social Care System in England
Year: 2013 (Mar)
NHS Mandate
Accountability/Regulation
NHS England, 4 regions &
27 LATs
211 CCGs & 19 CSUs
Parliament
Department of Health
Patients, users, public
Public Health
England
152 social care
authorities
Care Quality Commission
Healthwatch England and
152 Local
New Partnerships
Joint Strategic Needs Assessment/Health & Wellbeing Strategies
Quality and care standards
Registration
Funding
Equity of treatment across providers, procurement rules
Contracts
Ring Fenced Budgets for public health/ improve- ment
Patient choice for health services, complaint handling
New Partnerships and alliances
Personal health budgets
Personal budgets
Contracts/SLAs
Monitor
Clinical Senates/Net
works
Protect and promote patients’ interests
NHS Constitution
Trading armsSocents
ProvidersVol & Charities
SWs/OTsInd and Commercial
PAs
Advocates
CarersSW
Pracs
Districts
Health and Social Care System in England
152 Health and Wellbeing
Boards Acute Hospitals
‘Any Qualified’ & other Providers
Mental Health Trusts
Care Trusts
Social enterprises
Charities
Independent/Commercial
VoluntaryConsultancies
GP Provider Services
Community Health Trusts
Funding from Government grants, local income etc
Care Quality Commission
Year: 2013 (April)
NHS Mandate
Licensing
Accountability/Regulation
NHS England, 4 regions &
27 LATs
211 CCGs & 19 CSUs
NICE
Development of Health & Social Care Standards
