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Health and Social Care System in England
                                                       Parliament      Year: 2010
       Funding

    Accountability/Regulation

                                                       Department
                                                        of Health


                                            10 SHAs




                                            152 PCTs




                                                        8000+ GP
                                                        Practices




                                                           52m
                                                         Patients,
                                                       users, public



Mike Clark @clarkmike
Health and Social Care System in England
                                                                Parliament      Year: 2010
       Funding

    Accountability/Regulation

                                                                Department
Funding                                                          of Health
from
Government
grants, local
                                                     10 SHAs
income etc


                                             QIPP/
                                          Performance
                                             Mgmt



                                                     152 PCTs

                                   Joint Strategic
                                       Needs
           152 social               Assessment
                                                                 8000+ GP
              care
                                                                 Practices
           authorities




                                                                    52m
                                                                  Patients,
                                                                users, public



Mike Clark @clarkmike
Health and Social Care System in England
                                                                   Parliament                         Year: 2013 (Mar)
       Funding

    Accountability/Regulation

                                                                   Department
Funding                                                             of Health
from
Government
                                                                           NHS
grants, local                                        10 SHAs>>             Mandate
income etc                                           4 Regions
                                                                               Shadow
                                                                               from Oct
                                             QIPP/
Some NHS                                                                       2012.
                                          Performance              NHS England Commences
funding                                      Mgmt
available to                                                                   April 2013
social care
authorities                                          151 PCTs>>
                                                     50 Clusters

                                   Joint Strategic
                                       Needs                                       CCGs – likely to
           152 social               Assessment                       Clin Com      be 211 in total,
              care                                                                 authorisation
                                                                      Groups
           authorities                                                             of first 3 waves




                                                                     Patients,
                                                                   users, public




Mike Clark @clarkmike
Health and Social Care System in England
                                                                   Parliament                         Year: 2013 (Mar)
       Funding

    Accountability/Regulation

                                                                   Department
Funding                                                             of Health
from
Government
                                                                           NHS
grants, local                                        10 SHAs>>             Mandate
income etc                                           4 Regions
                                                                               Shadow from
                                                                               Oct 2012 as
                                             QIPP/
                                                                               NHSCB.
                                          Performance              NHS England Commenced
                                             Mgmt
                                                                               April 2013

                                                     151 PCTs>>
                                                     50 Clusters

                                   Joint Strategic                                                                     Mental
                                       Needs                                                           Acute
                                                                                   211 CCGs &                      Health Trusts
           152 social               Assessment                       Clin Com                         Hospitals
                                                                                   19 CSUs
Shared      care                                                     Groups &                           Community Health
services authorities             New Partnerships                      CSUs
across
                                                                                                                Trusts     Care Trusts
authorities                                                                                       Social ‘AnyQualified’ &
                                                                                                enterprises
           SWs/OTs
                                                                                                         other Providers
                                                                                                                                Charities
    Ind and Commercial                                                                            Consultancies     Voluntary
   Districts PAs Carers
                                                                     Patients,                                         GP Provider
         Providers SW                                                                                  Independent/
                                                                   users, public                                        Services
    Vol & Charities Pracs                                                                               Commercial
    Socents Advocates
        Trading arms

Mike Clark @clarkmike
Health and Social Care System in England
                                                                   Parliament                  Year: 2013 (Mar)
       Funding

    Accountability/Regulation

                                                                   Department
Funding                                                             of Health
from
                                                                                        Competition,
Government                                                                              Co-operation
                                                                           NHS             Panel
grants, local                                        10 SHAs>>             Mandate
income etc                                           4 Regions


                                                                   NHS England,                            Care Quality
Care Quality                                                                         Monitor               Commission
                                                                    4 regions &
Commission                                                            27 LATs

                                                     151 PCTs>>
                                                     50 Clusters

                                   Joint Strategic                                                              Mental
                                       needs                                                    Acute
           152 social                                                                                       Health Trusts
                                    Assessment                     211 CCGs &                  Hospitals
Shared      care
                                                                    19 CSUs                      Community Health
services authorities             New Partnerships
across
                                                                                                         Trusts     Care Trusts
authorities                                                                               Social ‘Any Qualified’ &
                                                                                        enterprises
           SWs/OTs
                                                                                                  other Providers
                                                                                                                            Charities
    Ind and Commercial                                                                     Consultancies        Voluntary
   Districts PAs Carers
                                                                     Patients,                                    GP Provider
         Providers SW                                                                           Independent/
                                                                   users, public                                   Services
    Vol & Charities Pracs                                                                        Commercial
    Socents Advocates
        Trading arms

Mike Clark @clarkmike
Health and Social Care System in England
                                                                      Parliament                  Year: 2013 (Mar)
       Funding

    Accountability/Regulation
                                 Public
                                                                      Department
                                 Health
Funding                                                                of Health
from
                                England                                                    Competition,
Government                                                                                 Co-operation
                                                                              NHS             Panel
grants, local                                           10 SHAs>>             Mandate
income etc                                              4 Regions


                                                                      NHS England,                            Care Quality
Care Quality                                                                            Monitor               Commission
                                                                       4 regions &
Commission                                                               27 LATs

                           152                          151 PCTs>>
                        Health and                      50 Clusters
                        Wellbeing
                                      Joint Strategic                                                              Mental
                         Boards           Needs                                                    Acute
           152 social                                                                                          Health Trusts
                                       Assessment                     211 CCGs &                  Hospitals
Shared      care
                                                                       19 CSUs                      Community Health
services authorities                 New Partnerships
across
                                                                                                            Trusts     Care Trusts
authorities                                                                                  Social ‘Any Qualified’ &
                                                                                           enterprises
           SWs/OTs
                                                                                                     other Providers
                                                                                                                               Charities
    Ind and Commercial                                                                        Consultancies        Voluntary
   Districts PAs Carers
                                                                        Patients,                                    GP Provider
         Providers SW                                                                              Independent/
                                                                      users, public                                   Services
    Vol & Charities Pracs                                                                           Commercial
    Socents Advocates
        Trading arms

Mike Clark @clarkmike
Health and Social Care System in England
                                                                      Parliament                  Year: 2013 (Mar)
       Funding

    Accountability/Regulation
                                 Public
                                                                      Department
                                 Health
Funding                                                                of Health
from
                                England                                                    Competition,
Government                                                                                 Co-operation
                                                                              NHS             Panel
grants, local                                           10 SHAs>>             Mandate
income etc                                              4 Regions
                        Public Health role
                          moves - 2013
                                                                      NHS England,                            Care Quality
Care Quality                                                                            Monitor               Commission
                                                                       4 regions &
Commission                                                               27 LATs

                           152                          151 PCTs>>
                        Health and                      50 Clusters
                        Wellbeing
                                      Joint Strategic                                                              Mental
                         Boards           Needs                                                    Acute
           152 social                                                                                          Health Trusts
                                       Assessment                     211 CCGs &                  Hospitals
Shared      care
                                                                       19 CSUs                      Community Health
services authorities                 New Partnerships
across
                                                                                                            Trusts     Care Trusts
authorities                                                                                  Social ‘Any Qualified’ &
                                                                                           enterprises
           SWs/OTs
                                                                                                     other Providers
                                                                                                                               Charities
    Ind and Commercial                                                                        Consultancies        Voluntary
   Districts PAs Carers
                                                                        Patients,                                    GP Provider
         Providers SW                                                                              Independent/
                                                                      users, public                                   Services
    Vol & Charities Pracs                                                                           Commercial
    Socents Advocates
        Trading arms

Mike Clark @clarkmike
Health and Social Care System in England
                                                                       Parliament                                 Year: 2013 (Mar)
       Funding

    Accountability/Regulation
                                 Public
                                                                       Department
                                 Health
Funding                                                                 of Health
from
                                England                                                                     Competition, Becomes part of
Government                                                                                                  Co-operation Monitor
                                                                               NHS                             Panel
grants, local                                            10 SHAs>>             Mandate
income etc                                               4 Regions
                         Public Health role
                           moves - 2013
                                                                       NHS England,                                           Care Quality
Care Quality                                                                                            Monitor               Commission
                                                                        4 regions &
Commission                                                                27 LATs

                            152                          151 PCTs>>
                         Health and                      50 Clusters
                         Wellbeing
                                       Joint Strategic                                                                             Mental
                          Boards           Needs                                                                   Acute
           152 social                                                                                                          Health Trusts
                                        Assessment                     211 CCGs &                                 Hospitals
              care                                                                                                  Community Health
                                                                        19 CSUs
           authorities                New Partnerships                                                                      Trusts
                                                                                       Community services                              Care Trusts
                                                                                       exited from PCTs       Social ‘AnyQualified’ &
                                                                                                            enterprises
           SWs/OTs
                                                                                                                     other Providers
          Independent/                                                                                                                         Charities
    Ind and Commercial                                                                                        Consultancies        Voluntary
            Commercial
  Districts PAs Carers
   Districts            SW                                               Patients,                                                   GP Provider
         Providers TeamsSW                                                                                          Independent/
  Voluntary                                                            users, public                                                  Services
    Vol & Charities Pracs
                 Social                                                                                              Commercial
    Socents enterprises
    Charities Advocates
        Trading arms

Mike Clark @clarkmike
Health and Social Care System in England
                                                                               Parliament                                    Year: 2013 (April)
       Funding
                                                                  NHS
                                                                  Constitution
    Accountability/Regulation
                                    Public
                                                                           Department
                                    Health
Funding                                                                     of Health
from
                                   England                                                                            Protect and
                                                                                                                      promote
Government
                                                                                     NHS                              patients’
grants, local      Ring Fenced Budgets for                                           Mandate                          interests
income etc         public health/ improve-
                   ment
                                                         NICE
                                                                                                   Licensing
                                                                           NHS England,                                     Quality   Care Quality
Care Quality                                                                                                    Monitor     and care Commission
                                                                            4 regions &
Commission                                     Development of Health &        27 LATs                                       standards
                                                Social Care Standards
                                                                                                                          Equity of treatment
                             152                                                                                          across providers,        Registration
                                               Joint Strategic Needs                             Clinical
                          Health and                                                                                      procurement rules
                                               Assessment/Health &                             Senates/Net
                          Wellbeing            Wellbeing Strategies                               works
                           Boards                                                                                                             Mental
                                                                                                                              Acute
           152 social                                                                                                                     Health Trusts
                                                                               211 CCGs &                                    Hospitals
              care                                                                                 Contracts
                                                                                19 CSUs                                        Community Health
           authorities                   New Partnerships                                                                              Trusts
                                         Patient choice for health services,                                                                      Care Trusts
                                         complaint handling                                                           Social ‘Any   Qualified’ &
                  Contracts/SLAs                                                                                    enterprises
           SWs/OTs
                                                                                                                                other Providers
                                                    Healthwatch                                                                                             Charities
    Ind and Commercial                              England and                                                       Consultancies             Voluntary
   Districts PAs Carers                              152 Local
                                   Personal                                  Patients,                                                            GP Provider
         Providers SW                                                                                                          Independent/
                                   budgets                                 users, public                                                           Services
    Vol & Charities Pracs                                                                         Personal health               Commercial
    Socents Advocates                                                                             budgets
        Trading arms
                                                              New Partnerships and alliances
Health and Social Care System in England
                                                                               Parliament                                    Year: 2013 (April)
       Funding
                                                                  NHS
                                                                  Constitution
    Accountability/Regulation
                                    Public
                                                                           Department
                                    Health
Funding                                                                     of Health
from
                                   England                                                                            Protect and
                                                                                                                      promote
Government
                                                                                     NHS                              patients’
grants, local      Ring Fenced Budgets for                                           Mandate                          interests
income etc         public health/ improve-
                   ment
                                                         NICE
                                                                                                   Licensing
                                                                           NHS England,                                     Quality   Care Quality
Care Quality                                                                                                    Monitor     and care Commission
                                                                            4 regions &
Commission                                     Development of Health &        27 LATs                                       standards
                                                Social Care Standards
                                                                                                                          Equity of treatment
                             152                                                                                          across providers,        Registration
                                               Joint Strategic Needs                             Clinical
                          Health and                                                                                      procurement rules
                                               Assessment/Health &                             Senates/Net
                          Wellbeing            Wellbeing Strategies                               works
                           Boards                                                                                                             Mental
                                                                                                                              Acute
           152 social                                                                                                                     Health Trusts
                                                                               211 CCGs &                                    Hospitals
              care                                                                                 Contracts
                                                                                19 CSUs                                        Community Health
           authorities                   New Partnerships                                                                              Trusts
                                         Patient choice for health services,                                                                      Care Trusts
                                         complaint handling                                                           Social ‘Any   Qualified’ &
                  Contracts/SLAs                                                                                    enterprises
           SWs/OTs
                                                                                                                                other Providers
                                                    Healthwatch                                                                                             Charities
    Ind and Commercial                              England and                                                       Consultancies             Voluntary
   Districts PAs Carers                              152 Local
                                   Personal                                  Patients,                                                            GP Provider
         Providers SW                                                                                                          Independent/
                                   budgets                                 users, public                                                           Services
    Vol & Charities Pracs                                                                         Personal health               Commercial
    Socents Advocates                                                                             budgets
        Trading arms
                                                              New Partnerships and alliances

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Reforms mike clark_1apr2013

  • 1. Health and Social Care System in England Parliament Year: 2010 Funding Accountability/Regulation Department of Health 10 SHAs 152 PCTs 8000+ GP Practices 52m Patients, users, public Mike Clark @clarkmike
  • 2. Health and Social Care System in England Parliament Year: 2010 Funding Accountability/Regulation Department Funding of Health from Government grants, local 10 SHAs income etc QIPP/ Performance Mgmt 152 PCTs Joint Strategic Needs 152 social Assessment 8000+ GP care Practices authorities 52m Patients, users, public Mike Clark @clarkmike
  • 3. Health and Social Care System in England Parliament Year: 2013 (Mar) Funding Accountability/Regulation Department Funding of Health from Government NHS grants, local 10 SHAs>> Mandate income etc 4 Regions Shadow from Oct QIPP/ Some NHS 2012. Performance NHS England Commences funding Mgmt available to April 2013 social care authorities 151 PCTs>> 50 Clusters Joint Strategic Needs CCGs – likely to 152 social Assessment Clin Com be 211 in total, care authorisation Groups authorities of first 3 waves Patients, users, public Mike Clark @clarkmike
  • 4. Health and Social Care System in England Parliament Year: 2013 (Mar) Funding Accountability/Regulation Department Funding of Health from Government NHS grants, local 10 SHAs>> Mandate income etc 4 Regions Shadow from Oct 2012 as QIPP/ NHSCB. Performance NHS England Commenced Mgmt April 2013 151 PCTs>> 50 Clusters Joint Strategic Mental Needs Acute 211 CCGs & Health Trusts 152 social Assessment Clin Com Hospitals 19 CSUs Shared care Groups & Community Health services authorities New Partnerships CSUs across Trusts Care Trusts authorities Social ‘AnyQualified’ & enterprises SWs/OTs other Providers Charities Ind and Commercial Consultancies Voluntary Districts PAs Carers Patients, GP Provider Providers SW Independent/ users, public Services Vol & Charities Pracs Commercial Socents Advocates Trading arms Mike Clark @clarkmike
  • 5. Health and Social Care System in England Parliament Year: 2013 (Mar) Funding Accountability/Regulation Department Funding of Health from Competition, Government Co-operation NHS Panel grants, local 10 SHAs>> Mandate income etc 4 Regions NHS England, Care Quality Care Quality Monitor Commission 4 regions & Commission 27 LATs 151 PCTs>> 50 Clusters Joint Strategic Mental needs Acute 152 social Health Trusts Assessment 211 CCGs & Hospitals Shared care 19 CSUs Community Health services authorities New Partnerships across Trusts Care Trusts authorities Social ‘Any Qualified’ & enterprises SWs/OTs other Providers Charities Ind and Commercial Consultancies Voluntary Districts PAs Carers Patients, GP Provider Providers SW Independent/ users, public Services Vol & Charities Pracs Commercial Socents Advocates Trading arms Mike Clark @clarkmike
  • 6. Health and Social Care System in England Parliament Year: 2013 (Mar) Funding Accountability/Regulation Public Department Health Funding of Health from England Competition, Government Co-operation NHS Panel grants, local 10 SHAs>> Mandate income etc 4 Regions NHS England, Care Quality Care Quality Monitor Commission 4 regions & Commission 27 LATs 152 151 PCTs>> Health and 50 Clusters Wellbeing Joint Strategic Mental Boards Needs Acute 152 social Health Trusts Assessment 211 CCGs & Hospitals Shared care 19 CSUs Community Health services authorities New Partnerships across Trusts Care Trusts authorities Social ‘Any Qualified’ & enterprises SWs/OTs other Providers Charities Ind and Commercial Consultancies Voluntary Districts PAs Carers Patients, GP Provider Providers SW Independent/ users, public Services Vol & Charities Pracs Commercial Socents Advocates Trading arms Mike Clark @clarkmike
  • 7. Health and Social Care System in England Parliament Year: 2013 (Mar) Funding Accountability/Regulation Public Department Health Funding of Health from England Competition, Government Co-operation NHS Panel grants, local 10 SHAs>> Mandate income etc 4 Regions Public Health role moves - 2013 NHS England, Care Quality Care Quality Monitor Commission 4 regions & Commission 27 LATs 152 151 PCTs>> Health and 50 Clusters Wellbeing Joint Strategic Mental Boards Needs Acute 152 social Health Trusts Assessment 211 CCGs & Hospitals Shared care 19 CSUs Community Health services authorities New Partnerships across Trusts Care Trusts authorities Social ‘Any Qualified’ & enterprises SWs/OTs other Providers Charities Ind and Commercial Consultancies Voluntary Districts PAs Carers Patients, GP Provider Providers SW Independent/ users, public Services Vol & Charities Pracs Commercial Socents Advocates Trading arms Mike Clark @clarkmike
  • 8. Health and Social Care System in England Parliament Year: 2013 (Mar) Funding Accountability/Regulation Public Department Health Funding of Health from England Competition, Becomes part of Government Co-operation Monitor NHS Panel grants, local 10 SHAs>> Mandate income etc 4 Regions Public Health role moves - 2013 NHS England, Care Quality Care Quality Monitor Commission 4 regions & Commission 27 LATs 152 151 PCTs>> Health and 50 Clusters Wellbeing Joint Strategic Mental Boards Needs Acute 152 social Health Trusts Assessment 211 CCGs & Hospitals care Community Health 19 CSUs authorities New Partnerships Trusts Community services Care Trusts exited from PCTs Social ‘AnyQualified’ & enterprises SWs/OTs other Providers Independent/ Charities Ind and Commercial Consultancies Voluntary Commercial Districts PAs Carers Districts SW Patients, GP Provider Providers TeamsSW Independent/ Voluntary users, public Services Vol & Charities Pracs Social Commercial Socents enterprises Charities Advocates Trading arms Mike Clark @clarkmike
  • 9. Health and Social Care System in England Parliament Year: 2013 (April) Funding NHS Constitution Accountability/Regulation Public Department Health Funding of Health from England Protect and promote Government NHS patients’ grants, local Ring Fenced Budgets for Mandate interests income etc public health/ improve- ment NICE Licensing NHS England, Quality Care Quality Care Quality Monitor and care Commission 4 regions & Commission Development of Health & 27 LATs standards Social Care Standards Equity of treatment 152 across providers, Registration Joint Strategic Needs Clinical Health and procurement rules Assessment/Health & Senates/Net Wellbeing Wellbeing Strategies works Boards Mental Acute 152 social Health Trusts 211 CCGs & Hospitals care Contracts 19 CSUs Community Health authorities New Partnerships Trusts Patient choice for health services, Care Trusts complaint handling Social ‘Any Qualified’ & Contracts/SLAs enterprises SWs/OTs other Providers Healthwatch Charities Ind and Commercial England and Consultancies Voluntary Districts PAs Carers 152 Local Personal Patients, GP Provider Providers SW Independent/ budgets users, public Services Vol & Charities Pracs Personal health Commercial Socents Advocates budgets Trading arms New Partnerships and alliances
  • 10. Health and Social Care System in England Parliament Year: 2013 (April) Funding NHS Constitution Accountability/Regulation Public Department Health Funding of Health from England Protect and promote Government NHS patients’ grants, local Ring Fenced Budgets for Mandate interests income etc public health/ improve- ment NICE Licensing NHS England, Quality Care Quality Care Quality Monitor and care Commission 4 regions & Commission Development of Health & 27 LATs standards Social Care Standards Equity of treatment 152 across providers, Registration Joint Strategic Needs Clinical Health and procurement rules Assessment/Health & Senates/Net Wellbeing Wellbeing Strategies works Boards Mental Acute 152 social Health Trusts 211 CCGs & Hospitals care Contracts 19 CSUs Community Health authorities New Partnerships Trusts Patient choice for health services, Care Trusts complaint handling Social ‘Any Qualified’ & Contracts/SLAs enterprises SWs/OTs other Providers Healthwatch Charities Ind and Commercial England and Consultancies Voluntary Districts PAs Carers 152 Local Personal Patients, GP Provider Providers SW Independent/ budgets users, public Services Vol & Charities Pracs Personal health Commercial Socents Advocates budgets Trading arms New Partnerships and alliances