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Overview of the nhs changes emma easton


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Overview of the nhs changes emma easton

  1. 1. Overview of the NHS Changes Emma Easton Regional Voices 9th November 2010
  2. 2. Regional Voices • 9 regional networks (inc. South West Forum) • Champion engagement of VCS • Bridge between local and national policy and share good practice across the region • Regional Voices connects regional networks • Enables work both at national level through DH strategic partner programme, but also directly with local and regional organisations. • “Reach” into sector – recent White Paper events
  3. 3. Equity & Excellence: Liberating the NHS • Largest shake up in health since NHS formed
  4. 4. Underpinning Values • Integral to Big Society • Puts clinicians in the driving seat • Putting patients and the public first • Shared decision making – “no decision about me without me” • NHS constitution – fairness for everyone • Prescribe WHAT the NHS should achieve, not HOW
  5. 5. A quick glance at finance • ‘Ring fenced’ NHS budget • Reality £15-£20 billion saving • Reduction in management of 45% • Emphasis on QIPP
  6. 6. Choice and Control • Consultation out now – January 14th • Any willing provider • Consultant-led team • Maternity • Mental health • Diagnostic testing • Registering with GP
  7. 7. Information Revolution • Underpins new choices • Consultation now – 14th January • Increase accountability • Ways of delivering care e.g. online communication with GPs • Data to rate clinical effectiveness • Access to health records
  8. 8. Commissioning • GP Consortia • Overseen by NHS Commissioning Board
  9. 9. Local Democratic Legitimacy • Influence over commissioning • Link health, public health and social care • Lead on JSNA • Develop health and wellbeing boards • Overview and scrutiny
  10. 10. Role of LINks / HealthWatch • Morph to HealthWatch • Continue current role, plus… • Engagement with health and social care structures • Seat on health and wellbeing board • Advocacy for complaints • Role in promoting choice • New HealthWatch England (independent within CQC)
  11. 11. Improving Healthcare Outcomes • Stop top down process driven targets • Maintain rights through NHS Constitution • Focus on outcomes not processes
  12. 12. Regulating Healthcare Providers • Joint license through Monitor and CQC • Any willing provider • National tariffs for services • Move towards foundation trust status
  13. 13. A bit on what next? • Response to consultation – December 2010? • Health Bill – autumn • White Paper on Public Health – 30th November?? • Vision for Adult Social Care – November?? • Review into adult social care due to publish mid 2011 • White Paper on Adult Social Care – some time in 2011?
  14. 14. MONITORCQC NMHDU Secretary of State CCP Special Health Authorities Department of Health JIP / RIEP PHO RDC SHA Regional DH/ GO Commercial Support Unit Commissioners LAJSNAPCT 2o Care TrustsProviders
  15. 15. GP commissioning consortia NHS Commissioning Board Local authorities Providers Care Quality Commission Monitor (economic regulator) Funding Accountability Local HealthWatch Patients and public Parliament Department of Health local partnership contract licensing Accountability for results