The role and design of NHS England

2

About us• NHS England:

• was established as a special health authority on 31 October 2011 and as an executive non-departmental public body on 1 October 2012 under the name of the NHS Commissioning Board (NHS CB);

• plays a key role in the Government’s vision to modernise the NHS and secure the best possible outcomes for patients.

3

The role of NHS EnglandPatient-focused, clinically-led organisation that has the culture, style and leadership to truly improve outcomes for patients

• To allocate resources to clinical commissioning groups (CCGs)

• To support CCGs to commission services on behalf of their patients (according to evidence-based quality standards)

• To have direct responsibility for commissioning services:

• primary care;

• military and prison health services;

• high secure psychiatric services; and

• specialised services.

4

The role of NHS England• To uphold the principles and values of the NHS Constitution

 “The NHS belongs to the people. It is there to improve our health and wellbeing, supporting us to keep mentally and physically well, to get better when we are ill and, when we cannot fully recover, to stay as well as we can to the end of our lives. It works at the limits of science – bringing the highest levels of human knowledge and skill to save lives and improve health. It touches our lives at times of basic human need, when care and compassion are what matter most.”

5

Aims of NHS England• Improved health outcomes as defined by the NHS Outcomes

Framework

• People’s rights under the NHS Constitution are met

• NHS bodies operate within resource limits

These will enable:

• patients and the public to have more choice and control over their care and services;

• clinicians to have greater freedom to innovate to shape services around the needs and choices of patients; and

• the promotion of equality and the reduction of inequality in access to healthcare.

Phases to establishment

• Oct 2011 to Oct 2012• Preparatory work only• Taken over some National Patient Safety Agency functions

Stage 1

special

health authority

• Oct 2012 to April 2013• Becomes an executive non departmental public body• CCG authorisation • Planning for 2013/14

Stage 2

executive non- departmental public

body

• April 2013 onwards• Fully operational• SHAs & PCTs disestablished• Take on full statutory responsibilities

Stage 3

non departmental public body

NHS England structure• Area teams – commissioning high quality primary care services,

supporting and developing CCGs, assessing and assuring performance, direct and specialised commissioning, managing and cultivating local partnerships and stakeholder relationships, including representation on health and wellbeing boards

• Four regions - providing clinical and professional leadership, co-ordinating planning, operational management and emergency preparedness and undertaking direct commissioning functions and processes within a single operating model

• National support centre in Leeds and a presence in London

7

Our ways of working• A nationwide organisation

• Matrix working at the heart - to provide simplicity, aid efficiency and ensure singularity of approach

• We intend to ensure that everything that NHS England does:• contributes to improving outcomes;• has been clinically-led;• promotes equality and supports a reduction in health

inequalities;• is informed by the needs, views and wishes of patients and the

public; and• promotes innovation and puts research into practice.

8

Key facts and figures• The overall running costs budget (£527m) represents a reduction

of almost half on costs and staff, compared to the current costs of functions transferring to the Board

• Around 75% of the budget will be deployed locally:• reflects that the majority of NHS England’s functions will be

carried out locally, with the vast majority people based up and down the country in local area teams and regions; and

• provides strong local presence to best manage the transition.

• Eight directorates, with nearly half of the senior posts filled by clinical staff and a range of clinical professions represented throughout, plus extensive clinical advice and input from clinical networks and clinical senates

9

National Medical Director

Sir Bruce Keogh

Chief Nursing Officer

Jane Cummings

National Director for Patients & InformationTim Kelsey

Chief Financial Officer

Paul Baumann

National Director: PolicyBill McCarthy

National Director: HR

Jo-Anne Wass

Chief Operating Officer and

Deputy Chief ExecutiveIan Dalton

National Director: Commissioning Development

Dame Barbara Hakin

Chief ExecutiveSir David Nicholson

ChairmanProf Malcolm Grant

NHS England Directorates