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