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NHS Structure

GP ST1/2 Teaching

Simon Tricker

on 22 June 2016

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Transcript of NHS Structure

Today I do not want to be a doctor.
Nobody is getting any better.
Those who were well are sick again
and those who were sick are sicker.
The dying think they will live.
The healthy think they are dying.
Someone has taken too many pills.
Someone has not taken enough.
A woman is losing her husband.
A husband is losing his wife.
The lame want to walk.
The blind want to drive.
The deaf are making too much noise.
The depressed are not making enough.
The asthmatics are smoking.
The alcoholics are drinking.
The diabetics are eating chocolate.
The mad are beginning to make sense.
Everyone’s cholesterol is high.
Disease will not listen to me
Even when I shake my fist.

Dr Glenn Colquhoun
NHS England
(formally NHS Commissioning Board)
Local Area Teams
Patients and the Public
Clinical Commissioning Groups
Clinical Networks
Local Authorities
Local Health Watch
Public Health
Prisons & Military
Specialist Commissioning
(High Cost)
Primary Medical Services
Dental Services
Pharmacy Services
Some NHS Optical Services
Health & Wellbeing Boards
Who are the providers?
NHS Trusts
Private Providers
"Third Sector"
Health Watch England
Foundation Trusts
Any Concerns?
Today I want to be a doctor
Today I want to be a doctor
Someone is getting better
Those who were sick are well again
And those who are well are enjoying the sun
The dying are comforted
The balance of drugs is just right
I knew what to prescribe
And how to empower self healing
A woman has found a new friend
A man has found a new passion
Someone has accepted their lot in life
with grace and dignity and humour
I made someone's day just a little brighter
An asthmatic stopped smoking
An alcoholic joined AA
A diabetic lost a stone
The mad made me cry with laughter
Disease will not listen to me
But I will still fight on
NHS Structure
What is it?
How does everything fit together?
The Department of Health’s purpose is to help people live better for longer. We lead, shape and fund health and care in England, making sure people have the support, care and treatment they need, with the compassion, respect and dignity they deserve. The new and changing health and care organisations work together with the Department to achieve this common purpose.

We enable health and social care bodies to deliver services according to national priorities and work with other parts of government to achieve this. We set objectives and budgets and hold the system to account on behalf of the Secretary of State.

The Secretary of State for Health has ultimate responsibility for ensuring the whole system works together to meet the needs of patients and the public and reflect their experiences.

NHS statistics

Community Services - redesigned
The Vanguards
Multispeciality Community Providers (MCP)
Integrated Primary & Acute Care Systems (PACS)
The Future....?
Natural Communities of Care:
GP Federations
GP Practices
Community Trusts
Full transcript