Reforms mike clark_1apr2013

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NHS Reforms in England - From 2010 to April 2013

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Reforms mike clark_1apr2013

  1. 1. Health and Social Care System in England Parliament Year: 2010 Funding Accountability/Regulation Department of Health 10 SHAs 152 PCTs 8000+ GP Practices 52m Patients, users, publicMike Clark @clarkmike
  2. 2. Health and Social Care System in England Parliament Year: 2010 Funding Accountability/Regulation DepartmentFunding of HealthfromGovernmentgrants, local 10 SHAsincome etc QIPP/ Performance Mgmt 152 PCTs Joint Strategic Needs 152 social Assessment 8000+ GP care Practices authorities 52m Patients, users, publicMike Clark @clarkmike
  3. 3. Health and Social Care System in England Parliament Year: 2013 (Mar) Funding Accountability/Regulation DepartmentFunding of HealthfromGovernment NHSgrants, local 10 SHAs>> Mandateincome etc 4 Regions Shadow from Oct QIPP/Some NHS 2012. Performance NHS England Commencesfunding Mgmtavailable to April 2013social careauthorities 151 PCTs>> 50 Clusters Joint Strategic Needs CCGs – likely to 152 social Assessment Clin Com be 211 in total, care authorisation Groups authorities of first 3 waves Patients, users, publicMike Clark @clarkmike
  4. 4. Health and Social Care System in England Parliament Year: 2013 (Mar) Funding Accountability/Regulation DepartmentFunding of HealthfromGovernment NHSgrants, local 10 SHAs>> Mandateincome etc 4 Regions Shadow from Oct 2012 as QIPP/ NHSCB. Performance NHS England Commenced Mgmt April 2013 151 PCTs>> 50 Clusters Joint Strategic Mental Needs Acute 211 CCGs & Health Trusts 152 social Assessment Clin Com Hospitals 19 CSUsShared care Groups & Community Healthservices authorities New Partnerships CSUsacross Trusts Care Trustsauthorities Social ‘AnyQualified’ & enterprises SWs/OTs other Providers Charities Ind and Commercial Consultancies Voluntary Districts PAs Carers Patients, GP Provider Providers SW Independent/ users, public Services Vol & Charities Pracs Commercial Socents Advocates Trading armsMike Clark @clarkmike
  5. 5. Health and Social Care System in England Parliament Year: 2013 (Mar) Funding Accountability/Regulation DepartmentFunding of Healthfrom Competition,Government Co-operation NHS Panelgrants, local 10 SHAs>> Mandateincome etc 4 Regions NHS England, Care QualityCare Quality Monitor Commission 4 regions &Commission 27 LATs 151 PCTs>> 50 Clusters Joint Strategic Mental needs Acute 152 social Health Trusts Assessment 211 CCGs & HospitalsShared care 19 CSUs Community Healthservices authorities New Partnershipsacross Trusts Care Trustsauthorities Social ‘Any Qualified’ & enterprises SWs/OTs other Providers Charities Ind and Commercial Consultancies Voluntary Districts PAs Carers Patients, GP Provider Providers SW Independent/ users, public Services Vol & Charities Pracs Commercial Socents Advocates Trading armsMike Clark @clarkmike
  6. 6. Health and Social Care System in England Parliament Year: 2013 (Mar) Funding Accountability/Regulation Public Department HealthFunding of Healthfrom England Competition,Government Co-operation NHS Panelgrants, local 10 SHAs>> Mandateincome etc 4 Regions NHS England, Care QualityCare Quality Monitor Commission 4 regions &Commission 27 LATs 152 151 PCTs>> Health and 50 Clusters Wellbeing Joint Strategic Mental Boards Needs Acute 152 social Health Trusts Assessment 211 CCGs & HospitalsShared care 19 CSUs Community Healthservices authorities New Partnershipsacross Trusts Care Trustsauthorities Social ‘Any Qualified’ & enterprises SWs/OTs other Providers Charities Ind and Commercial Consultancies Voluntary Districts PAs Carers Patients, GP Provider Providers SW Independent/ users, public Services Vol & Charities Pracs Commercial Socents Advocates Trading armsMike Clark @clarkmike
  7. 7. Health and Social Care System in England Parliament Year: 2013 (Mar) Funding Accountability/Regulation Public Department HealthFunding of Healthfrom England Competition,Government Co-operation NHS Panelgrants, local 10 SHAs>> Mandateincome etc 4 Regions Public Health role moves - 2013 NHS England, Care QualityCare Quality Monitor Commission 4 regions &Commission 27 LATs 152 151 PCTs>> Health and 50 Clusters Wellbeing Joint Strategic Mental Boards Needs Acute 152 social Health Trusts Assessment 211 CCGs & HospitalsShared care 19 CSUs Community Healthservices authorities New Partnershipsacross Trusts Care Trustsauthorities Social ‘Any Qualified’ & enterprises SWs/OTs other Providers Charities Ind and Commercial Consultancies Voluntary Districts PAs Carers Patients, GP Provider Providers SW Independent/ users, public Services Vol & Charities Pracs Commercial Socents Advocates Trading armsMike Clark @clarkmike
  8. 8. Health and Social Care System in England Parliament Year: 2013 (Mar) Funding Accountability/Regulation Public Department HealthFunding of Healthfrom England Competition, Becomes part ofGovernment Co-operation Monitor NHS Panelgrants, local 10 SHAs>> Mandateincome etc 4 Regions Public Health role moves - 2013 NHS England, Care QualityCare Quality Monitor Commission 4 regions &Commission 27 LATs 152 151 PCTs>> Health and 50 Clusters Wellbeing Joint Strategic Mental Boards Needs Acute 152 social Health Trusts Assessment 211 CCGs & Hospitals care Community Health 19 CSUs authorities New Partnerships Trusts Community services Care Trusts exited from PCTs Social ‘AnyQualified’ & enterprises SWs/OTs other Providers Independent/ Charities Ind and Commercial Consultancies Voluntary Commercial Districts PAs Carers Districts SW Patients, GP Provider Providers TeamsSW Independent/ Voluntary users, public Services Vol & Charities Pracs Social Commercial Socents enterprises Charities Advocates Trading armsMike Clark @clarkmike
  9. 9. Health and Social Care System in England Parliament Year: 2013 (April) Funding NHS Constitution Accountability/Regulation Public Department HealthFunding of Healthfrom England Protect and promoteGovernment NHS patients’grants, local Ring Fenced Budgets for Mandate interestsincome etc public health/ improve- ment NICE Licensing NHS England, Quality Care QualityCare Quality Monitor and care Commission 4 regions &Commission Development of Health & 27 LATs standards Social Care Standards Equity of treatment 152 across providers, Registration Joint Strategic Needs Clinical Health and procurement rules Assessment/Health & Senates/Net Wellbeing Wellbeing Strategies works Boards Mental Acute 152 social Health Trusts 211 CCGs & Hospitals care Contracts 19 CSUs Community Health authorities New Partnerships Trusts Patient choice for health services, Care Trusts complaint handling Social ‘Any Qualified’ & Contracts/SLAs enterprises SWs/OTs other Providers Healthwatch Charities Ind and Commercial England and Consultancies Voluntary Districts PAs Carers 152 Local Personal Patients, GP Provider Providers SW Independent/ budgets users, public Services Vol & Charities Pracs Personal health Commercial Socents Advocates budgets Trading arms New Partnerships and alliances
  10. 10. Health and Social Care System in England Parliament Year: 2013 (April) Funding NHS Constitution Accountability/Regulation Public Department HealthFunding of Healthfrom England Protect and promoteGovernment NHS patients’grants, local Ring Fenced Budgets for Mandate interestsincome etc public health/ improve- ment NICE Licensing NHS England, Quality Care QualityCare Quality Monitor and care Commission 4 regions &Commission Development of Health & 27 LATs standards Social Care Standards Equity of treatment 152 across providers, Registration Joint Strategic Needs Clinical Health and procurement rules Assessment/Health & Senates/Net Wellbeing Wellbeing Strategies works Boards Mental Acute 152 social Health Trusts 211 CCGs & Hospitals care Contracts 19 CSUs Community Health authorities New Partnerships Trusts Patient choice for health services, Care Trusts complaint handling Social ‘Any Qualified’ & Contracts/SLAs enterprises SWs/OTs other Providers Healthwatch Charities Ind and Commercial England and Consultancies Voluntary Districts PAs Carers 152 Local Personal Patients, GP Provider Providers SW Independent/ budgets users, public Services Vol & Charities Pracs Personal health Commercial Socents Advocates budgets Trading arms New Partnerships and alliances

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