1. 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. 2

3. The role of NHS England Patient-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. 3

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.” 4

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. 5

6. 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

7. 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

8. 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

9. 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

10. National Medical Director Sir Bruce Keogh Chief Nursing Officer Jane Cummings National Director for Patients & Information Tim Kelsey Chief Financial Officer Paul Baumann National Director: Policy Bill McCarthy National Director: HR Jo-Anne Wass Chief Operating Officer and Deputy Chief Executive Ian Dalton National Director: Commissioning Development Dame Barbara Hakin Chief Executive Sir David Nicholson Chairman Prof Malcolm Grant NHS England Directorates