1. The ‘New’ NHS Structure
Salman Gauher

2. Health and Social Care Act 2012
Clinically led commissioning
Increase in patient involvement
Renew focus on Public Health
Streamline arms length bodies
Allowing competition in healthcare market
Increase in public involvement through healthwatch
Streamlining bodies

3. Current Structure

4. NHS Improvement (Monitor)
NHS Improvement (TDA)
NHS Improvement (Monitor)
NHS Digital

5. NHS Improvement (Monitor)
NHS Improvement (TDA)
NHS Improvement (Monitor)
The process by which the health needs of the local population are identified and services purchased and reviewed to meet those needs
PLANNING
PROCUREMENT
APPRAISAL
Previously done by 152 PCT replaced with 211 CCG’s
CSU provide help in transaction as well as transformational commissioing
NHS Digital

6. NHS Improvement (Monitor)
NHS Improvement (TDA)
NHS Improvement (Monitor)
NHS services are delivered by a variety of organisations called providers
Examples:
Primary care: optometrists/GP/Dentist/walk-in centres/NHS 111
Secondary care: acute trusts (some locally, some nationally)
Ambulance trusts
Mental health trusts
Community health services: district health visitors/school nurses/community specialist services
NHS Digital

7. NHS Improvement (Monitor)
NHS Improvement (TDA)
NHS Improvement (Monitor)
In addition to assessing NHS trusts for foundation trust status and ensuring that foundation trusts are well led, in terms of quality and finances,[5] Monitor also has a duty to:
set prices for NHS-funded care in partnership with NHS England;[6]
enable integrated care;[7]
safeguard patient choice and prevent anti-competitive behaviour which is against the interests of patients;[8] and
support commissioners to protect essential health care services for patients if a provider gets into financial difficulties.[
CQC used to be healthcare commision, mental health commision and commission for social care
NHS Digital

8. NHS Improvement (Monitor)
NHS Improvement (TDA)
NHS Improvement (Monitor)
Arms Length Bodies
Care.data and its failure of combining HES with GP ES data.
NICE has now got powers to set standards which are called NICE Standards
NHS Digital

9. NHS Improvement (Monitor)
NHS Improvement (TDA)
NHS Improvement (Monitor)
NHS Digital

12. Outcomes Framework

13. Additional Resources Understanding the new NHS
NHS Five Year Forward View
NHS GP Five Year Forward View