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The new health system Health and Community Involvement Scrutiny - - PowerPoint PPT Presentation
The new health system Health and Community Involvement Scrutiny - - PowerPoint PPT Presentation
The new health system Health and Community Involvement Scrutiny Commission Tuesday 26 February 2012 Rod Moore Deputy Director of Public Health NHS Leicester City/Leicester City Council B6 New Walk Centre rod.moore@leicestercity.nhs.uk 0116
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2. Responsibilities of key new bodies
NHS Commissioning Board
- Primary care
- GPs
- Dentists
- Pharmacists
- Optometrists
- Specialised commissioning
- Prison health
- Immunisation
- Public Health 0-5yrs
- Screening
Clinical Commissioning Groups
- Most commissioning
- f healthcare services
locally (except for GP’s)
Local government
- Health and Wellbeing
Board
- Public health
- Health
improvement
- Health protection
- Health care
- JSNA (with CCGs)
- Joint commissioning
(with CCGS)
Public Health England
- Health Protection
Agency
- National Treatment
Agency
- Regional PH teams
- PH Observatories
- Cancer registries
- National advice
- Public Health Outcomes
Framework
Health and Wellbeing Board
strategic influence and drive over commissioning decisions across health, public health and social care. strengthen democratic legitimacy bring together clinical commissioning groups and councils to develop a shared understanding of the health and wellbeing needs of the community and how best to meet them (through JSNSA and Joint H&WB Strategy) Strategy can include recommendations for joint commissioning and integrating services across health and care.
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Department of Health Public Health England NHS Commissioning Board
NHS Budget Public Health Budget
Social Care funding Local Authority Providers commissioned
- incl. NHS Trusts, Primary
Care, voluntary sector, any qualified provider GP Clinical Commissioning Groups Health and Wellbeing Boards
Public health ring-fenced grant
NHS funding
3. Basic architecture and funding flows
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Ministers and the Department of Health
national local
Patients and the public
Public Health NHS Adult Social Care
4.
Overview of structures from April 2013
Public Health England (part of DH)
Care Quality Commission, including HealthWatch England
Social care providers NHS providers, inc:
- Foundation Trusts & NHS Trusts
- Primary care providers
- Independent / 3rd sector providers
Local authorities NHS CB
NHS Trust Develop- ment Authority
Monitor CCGs Local authorities
National Institute for Health and Clinical Excellence (to include social care) Health and Care Information Centre
Public health providers
Local HealthWatch (formerly LINks) Health and Wellbeing Boards (part of local authorities)
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Community Health Services
Leicestershire Partnership Trust Derbyshire CHS
NHS Commissioning Board
GPs, dentists, chemists, opticians
Clinical Commissioning Groups Regional or National hubs
Public Health England Specialised Commissioning Communications
Leicester City Council Leicestershire County Council Rutland County Council
Public Health Local Health & Wellbeing Boards HealthWatch City West East
The Commissioning Collaborative Other transfers to LPT
Some buildings Computing services Managing charitable funds
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NHS Leicester City NHS Leicestershire County and Rutland PCT Cluster Commissioning Support Unit
‘back office’ functions
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7. Local progress with new organisations
NHS Commissioning Board Area Team – senior directors and other staff appointed or transferred, taking over from PCT Clusters ( NHS Leicestershire County and Rutland and NHS Leicester City are now a single PCT Cluster) Area Team Director: David Sharp. Base Fosse House, Enderby Leicester City Clinical Commissioning Group - now authorised (to be a legal entity), has approved commissioning strategy and staff and board members in place. Managing Director: Simon Freeman. Base, St John’s House, East St, Leicester Public Health England – national senior staff appointed and staff in process of appointment to other functions. Regional Director Midland and East of England: Dr Rashmi Shukla. Centre Director for Lincolnshire, Leicestershire, Nottinghamshire and Derbyshire to be appointed/announced.
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