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Medeconomics: Who runs the NHS?

Explained: The new NHS structure from April 2013

Colin Cooper

on 4 November 2013

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Transcript of Medeconomics: Who runs the NHS?

Who runs the NHS?
Clinical Commissioning Groups
211 groups led by local GPs
Replace 152 Primary Care Trusts
Commission most secondary care
Control 68% of NHS budget

NHS England
with a budget of
Commissioning Support Units
This was a BIG change
organisations created
To oversee the new commissioning system...
Explained: The new NHS structure from April 2013
After months of political wrangling the controversial Health and Social Care Act 2012 came in to effect on 1 April 2013.

These changes are seen as the most complex and wide-ranging reforms of the NHS since the foundation of the service in 1948.

The aims include making clinicians, not managers, responsible for designing services, and increasing the involvement of patients in decisions about their care.

So, what does the NHS in England look like now?

organisations closed
Department of Health?
The DH has given up day-to-day direct
management control of the NHS
is in charge
And manage the 211 new Clinical Commissioning Groups...
And commission...
Primary care
Prison, military and secure care
Specialised services
What services do CCGs commission?
Children's healthcare
Community health services
Continuing healthcare
Elective hospital care
Learning disabilities
Assisted by
What about
local authorities?
The patient voice
152 local Healthwatch groups
Inform the public on access and choice
Record patient views and experience
Report back to Healthwatch England

What about the
Continues to provide strategy
and leadership
The 152 local authorities have a new statutory duty to improve the health of their populations.
They are now responsible for commissioning public health services, as well as social care.
They each have to set up and run a local Health and Wellbeing Board.

Health and Wellbeing Boards
HWBs bring together key players in the
local health and care system, including
councillors, patients, CCGs,
social services, children’s services,
and public health officials.
Which should mean...
More strategic influence over commissioning decisions.
More integrated plans and services.
More democratic legitimacy in the system.

Maternity services
Mental healthcare
Older people's healthcare
Urgent and emergency care
What are CSUs?
Hosted by NHS England
Sell their services to CCGs
Help to redesign patient pathways, negotiate provider contracts, monitor performance etc
Expected to become independent bodies in 2016

That's it...

... so far
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Full transcript