Commissioning Support Unit
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Commissioning Support Unit
Commissioning support units were established in April 2013 from the remains of the primary care trusts and strategic health authorities as part of the reorganisation of the National Health Service in England following the Health and Social Care Act 2012. Twenty five regional commissioning support units submitted outline business plans in 2012 to NHS England which hosted them. The commissioning support units were largely staffed by former employees of primary care trusts. They were intended to provide support to clinical commissioning groups by providing business intelligence, health and clinical procurement services and other back-office administrative functions, including contract management. The plan was to introduce competition into this market by making them independent businesses from 2016. By May 2014 there had been a number of amalgamations as some clinical commissioning groups brought their commissioning support services in-house. Greater East Midlands Commissioning Sup ...
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Primary Care Trust
Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers. Until 31 May 2011, they also provided community health services directly. Collectively PCTs were responsible for spending around 80 per cent of the total NHS budget. Primary care trusts were abolished on 31 March 2013 as part of the Health and Social Care Act 2012, with their work taken over by clinical commissioning groups. Establishment In 1997 the incoming Labour Government abolished GP Fundholding. In April 1999 they established 481 primary care groups in England "thereby universalising fundholding while repudiating the concept." Primary and community health services were brought together in a single Primary Care Group controlling a unified budget for delivering health care to and improving the health of communities of about 100,000 people. A PC ...
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Strategic Health Authority
Strategic health authorities (SHA) were part of the structure of the National Health Service in England between 2002 and 2013. Each SHA was responsible for managing performance, enacting directives and implementing health policy as required by the Department of Health at a regional level. History In 2002, the existing regional health authorities were renamed and merged to form 28 new strategic health authorities, under the National Health Service Reform and Health Care Professions Act 2002. This was the first time that the regional tier in the NHS reported directly to the centre rather than having a board and non-executive members. The SHA chief executives were appointed after a wide-ranging search and selection process and did not represent continuity with the previous regions, not least because CEOs were allocated to areas they were not generally familiar with. A number of the new CEOs had previously been health authority CEOs or CEOs of large trusts, rather than being on the ...
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Health And Social Care Act 2012
The Health and Social Care Act 2012c 7 is an act of the Parliament of the United Kingdom. It provided for the most extensive reorganisation of the structure of the National Health Service in England to date.''BMJ'', 2011; 342:d408Dr Lansley's Monster It removed responsibility for the health of citizens from the Secretary of State for Health, which the post had carried since the inception of the NHS in 1948. It abolished primary care trusts (PCTs) and strategic health authorities (SHAs) and transferred between £60 billion and £80 billion of "commissioning", or healthcare funds, from the abolished PCTs to several hundred clinical commissioning groups, partly run by the general practitioners (GPs) in England. A new executive agency of the Department of Health, Public Health England, was established under the act on 1 April 2013. The proposals are primarily the result of policies of the then Secretary of State for Health, Andrew Lansley. Writing in the ''BMJ'', Clive Peedell (co-c ...
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Clinical Commissioning Group
Clinical commissioning groups (CCGs) were NHS organisations set up by the Health and Social Care Act 2012 to organise the delivery of NHS services in each of their local areas in England. On 1 July 2022 they were abolished and replaced by Integrated care systems as a result of the Health and Care Act 2022. Establishment The announcement that GPs would take over this commissioning role was made in the 2010 white paper "Equity and Excellence: Liberating the NHS". This was part of the government's stated desire to create a clinically-driven commissioning system that was more sensitive to the needs of patients. The 2010 white paper became law under the Health and Social Care Act 2012 in March 2012. At the end of March 2013 there were 211 CCGs, but a series of mergers had reduced the number to 135 by April 2020. To a certain extent they replaced primary care trusts (PCTs), though some of the staff and responsibilities moved to local authority public health teams when PCTs ceased to ...
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Liz Kendall
Elizabeth Louise Kendall (born 11 June 1971) is a British Labour Party politician who has been Member of Parliament (MP) for Leicester West since 2010. Kendall was educated at Queens' College, Cambridge, where she read history. From 2011 to 2015, she served as Shadow Minister for Care and Older People and was invited to attend meetings of the Shadow Cabinet. Kendall stood in the Labour Party leadership election in September 2015 following the resignation of Ed Miliband. She finished in last place. In April 2020, new Labour Leader Keir Starmer appointed Kendall Junior Shadow Minister for Social Care, outside the Shadow Cabinet. Early life and career Kendall was born and raised in the village of Abbots Langley in Hertfordshire, near Watford. Her father was a senior Bank of England official, and her mother was a primary school teacher. Her father was also a local Liberal councillor and her parents involved her in local campaigns as a child. Both of her parents are now act ...
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Continuing Healthcare
The English national framework for NHS continuing healthcare came into force on 1 October 2007 as a development in the light of the case of Coughlan which established that where a person's need is primarily for health care then the health service must fund the whole cost of nursing home placement. People who qualify are entitled to care paid for by the NHS, for which they do not have to pay, rather than social care, which is means-tested. Most of those who qualify need nursing home care. It is in the interests of local social services departments to establish entitlement to continuing healthcare as this relieves them of any financial responsibility. This system has existed in one form or another since the creation of the NHS. Payments until 2013 were administered by primary care trusts, and this was transferred to clinical commissioning groups. Many CCGs found towards the end of 2014 that they were in financial difficulties facing the combination of an ageing population with compl ...
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Capita
Capita plc, commonly known as Capita, is an international business process outsourcing and professional services company headquartered in London. It is the largest business process outsourcing and professional services company in the United Kingdom, with an overall market share of 29% in 2016, and has clients in central government, local government and the private sector. It also has a property and infrastructure consultancy division which is the fourth largest multidisciplinary consultancy in the UK. Roughly half of its turnover comes from the private sector and half from the public sector. Whilst UK-focused, Capita also has operations across Europe, Africa and Asia. Capita is listed on the London Stock Exchange. History Capita was formed in 1984, as a division of the non-profit CIPFA (Chartered Institute of Public Finance and Accountancy). In 1987, it became an independent company with 33 staff as a result of a management buy-out, led by Rod Aldridge, and was first listed o ...
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Optum
Optum, Inc. is an American pharmacy benefit manager and health care provider. It has been a subsidiary of UnitedHealth Group since 2011. UHG formed Optum by merging its existing pharmacy and care delivery services into the single Optum brand, comprising three main businesses: OptumHealth, OptumInsight and OptumRx. In 2017, Optum accounted for 44 percent of UnitedHealth Group's profits and as of 2019, Optum's revenues have surpassed $100 billion. Also in early 2019, Optum gained significant media attention regarding a trade secrets lawsuit that the company filed against former executive David William Smith, after Smith left Optum to join Haven, the joint healthcare venture of Amazon, JPMorgan Chase, and Berkshire Hathaway. On January 15, 2019, Optum said that the revenue of the company had surpassed $100 billion for the first time, growing by 11.1% year over year to $101.3 billion. This also means that Optum will contribute more than 50% of UnitedHealth's 2020 earnings, m ...
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Mouchel
Mouchel Group was an infrastructure and business services company headquartered in Woking, United Kingdom. It provided advisory, design, project delivery and managed services associated with infrastructure and business services across the highways and transportation, local government, emergency services, property, health, education and utility markets across the world. In June 2015 Mouchel was purchased by Kier Group for £265 million. This included both the Mouchel Infrastructure Services and Mouchel Business Services divisions. Subsequently, Mouchel Infrastructure Services was rebranded as Mouchel Consulting, with the Business Services sector falling under the Kier brand. Grant Rumbles stepped down as CEO with Haydn Mursell, CEO of Kier Group, assuming the role. Kier sold Mouchel Consulting to WSP Global in October 2016 and the Mouchel name was dropped. History Early history Mouchel was founded in Briton Ferry in 1897 by Louis Gustave Mouchel, who arrived in the UK from ...
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BDO International
BDO (an acronym for Binder Dijker Otte) is an international network of public accounting, tax, consulting and business advisory firms that provide professional services under the name BDO. It is the fifth-largest accounting network in the world. Global fee income of the member firms in the network for the year ended 30 September 2021, including the members of their exclusive alliances, totaled US$11.8 billion. Each BDO member firm is an independent legal entity in its own country. The network, founded in 1963 as Binder Seidman International Group by firms from Canada, Germany, the Netherlands, the UK and the US, is coordinated by BDO Global Coordination B.V., with an office in Zaventem, Belgium. In 1973, the organisation adopted the name BDO, made up from the initials of the three founding firms: Binder (UK), Dijker (Netherlands) and Otte (Germany). Australia Established in 1975, BDO Australia has offices in Brisbane, Cairns, Sunshine Coast, Sydney, Melbourne, Hobart, Ad ...
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Dr Foster Intelligence
Dr Foster Intelligence is a provider of healthcare information in the United Kingdom, monitoring the performance of the National Health Service and providing information to the public. It was launched in February 2006 and is owned by Telstra. Dr Foster aims to improve the quality and efficiency of health and social care. It monitors the performance of the National Health Service and provides information to the public. In 2010, the Dr Foster 2010 Hospital Guide was launched in the ''Observer'' newspaper and on the BBC. History Formation In 2006, the UK Department of Health (DoH) paid £12m for a stake in Dr Foster Intelligence, a new joint venture with Dr Foster LLP. The following year, a House of Commons committee raised serious concerns about the legality of the acquisition, describing it as a "hole and corner deal". The main people at the time were Tim Kelsey (Chair) and Jake Arnold-Forster (CEO). A 'gag deal' was negotiated in connection with whistle-blower Denise Lievesley' ...
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Community Interest Company
A community interest company (CIC, colloquially pronounced "kick") is a type of company introduced by the United Kingdom government in 2005 under the Companies (Audit, Investigations and Community Enterprise) Act 2004, designed for social enterprises that want to use their profits and assets for the public good. CICs are intended to be easy to establish, with all the flexibility and certainty of the company form, but with some special features to ensure they are working for the benefit of the community. They are overseen by the Regulator of Community Interest Companies. CICs have proved popular and some 10,000 were registered in the status's first ten years. Objectives A community interest company is a business with primarily social objectives whose surpluses are principally reinvested for that purpose in the business or the community, rather than being driven by the need to maximize profit for shareholders and owners. CICs tackle a wide range of social and environmental iss ...
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