1. Overview of the NHS Changes
Emma Easton
Regional Voices
9th November 2010

2. Regional Voices
• 9 regional networks (inc. South West Forum)
• Champion engagement of VCS
• Bridge between local and national policy and
share good practice across the region
• Regional Voices connects regional networks
• Enables work both at national level through DH
strategic partner programme, but also directly
with local and regional organisations.
• “Reach” into sector – recent White Paper
events

3. Equity & Excellence: Liberating the NHS
• Largest shake up in health since NHS formed

4. Underpinning Values
• Integral to Big Society
• Puts clinicians in the driving seat
• Putting patients and the public first
• Shared decision making – “no decision
about me without me”
• NHS constitution – fairness for everyone
• Prescribe WHAT the NHS should achieve,
not HOW

5. A quick glance at finance
• ‘Ring fenced’ NHS budget
• Reality £15-£20 billion saving
• Reduction in management of 45%
• Emphasis on QIPP

6. Choice and Control
• Consultation out now – January 14th
• Any willing provider
• Consultant-led team
• Maternity
• Mental health
• Diagnostic testing
• Registering with GP

7. Information Revolution
• Underpins new choices
• Consultation now – 14th January
• Increase accountability
• Ways of delivering care e.g. online
communication with GPs
• Data to rate clinical effectiveness
• Access to health records

8. Commissioning
• GP Consortia
• Overseen by NHS Commissioning Board

9. Local Democratic Legitimacy
• Influence over commissioning
• Link health, public health and social care
• Lead on JSNA
• Develop health and wellbeing boards
• Overview and scrutiny

10. Role of LINks / HealthWatch
• Morph to HealthWatch
• Continue current role, plus…
• Engagement with health and social care
structures
• Seat on health and wellbeing board
• Advocacy for complaints
• Role in promoting choice
• New HealthWatch England (independent
within CQC)

11. Improving Healthcare Outcomes
• Stop top down process driven targets
• Maintain rights through NHS Constitution
• Focus on outcomes not processes

12. Regulating Healthcare Providers
• Joint license through Monitor and CQC
• Any willing provider
• National tariffs for services
• Move towards foundation trust status

13. A bit on what next?
• Response to consultation – December
2010?
• Health Bill – autumn
• White Paper on Public Health – 30th
November??
• Vision for Adult Social Care – November??
• Review into adult social care due to publish
mid 2011
• White Paper on Adult Social Care – some
time in 2011?

14. MONITORCQC NMHDU
Secretary of State
CCP
Special Health Authorities
Department of Health
JIP / RIEP
PHO
RDC
SHA
Regional DH/ GO
Commercial Support Unit
Commissioners
LAJSNAPCT
2o Care TrustsProviders

15. GP commissioning
consortia
NHS Commissioning
Board
Local authorities Providers
Care Quality
Commission
Monitor (economic
regulator)
Funding
Accountability
Local HealthWatch Patients and public
Parliament
Department of Health
local partnership
contract
licensing
Accountability for results