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The ‘New’ NHS Structure
Salman Gauher
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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
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Current Structure
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NHS Improvement (Monitor)
NHS Improvement (TDA) NHS Improvement (Monitor) NHS Digital
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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
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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
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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
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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
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NHS Improvement (Monitor)
NHS Improvement (TDA) NHS Improvement (Monitor) NHS Digital
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Outcomes Framework
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Additional Resources Understanding the new NHS
NHS Five Year Forward View NHS GP Five Year Forward View
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