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Five Year Forward View
The Five Year Forward View was produced by NHS England in October 2014 under the leadership of Simon Stevens as a planning document. Publication and reception It received praise for brevity, being only 39 pages, and lacking the illustrations which had graced its predecessors. Like the NHS Plan 2000 with which Stevens was also associated it was supported by the great and good of the NHS, but in this case it was regulators - Monitor, the Care Quality Commission and the like, rather than the Royal Colleges and Trades Unions of the earlier plan. This new national leadership of the NHS issues an unprecedented warning to politicians, none of whom are included in the endorsements, that it cannot continue at current funding levels, and additional resources worth more than 1.5 per cent a year in real terms will be required. No more top-down reorganisation was proposed, but instead the development of new models to suit local needs, something quite radical for the NHS, which is accustomed ...
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NHS England
NHS England, officially the NHS Commissioning Board, is an executive non-departmental public body of the Department of Health and Social Care. It oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the National Health Service in England as set out in the Health and Social Care Act 2012. It directly commissions NHS general practitioners, dentists, optometrists and some specialist services. The Secretary of State publishes annually a document known as the '' NHS mandate'' which specifies the objectives which the Board should seek to achieve. National Health Service (Mandate Requirements) Regulations are published each year to give legal force to the mandate. In 2018 it was announced that the organisation, while maintaining its statutory independence, would be merged with NHS Improvement, and seven "single integrated regional teams" would be jointly established. History NHS England is the operating name of the NHS Commissioning Boar ...
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Accountable Care System
An accountable care system is a system of healthcare provision which is intended to be integrated, and in particular to merge the funding of primary care with that for hospital care, therefore providing incentives to keep people healthy and out of hospital. It has features in common with accountable care organizations in the United States. England Accountable care systems were organisations in the English NHS which in some respects are intended to replicate the features of the American accountable care organization. They were defined by NHS England as an area ‘in which commissioners and providers, in partnership with local authorities, take explicit collective responsibility for resources and population health’. After a great deal of hostility to the use of the term it was announced in February 2018 that these organisations were in future to be called integrated care systems, and that all the 44 sustainability and transformation plans will be expected to progress in this di ...
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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 ...
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Nottingham University Hospitals NHS Trust
Nottingham University Hospitals NHS Trust (NUH) is one of England's largest acute teaching trusts. It was established on 1 April 2006 following the merger of Nottingham City Hospital and the Queen's Medical Centre NHS Trusts. They provide acute and specialist services to 2.5m people within Nottingham and surrounding communities at the Queen's Medical Centre (QMC) and the City Hospital campuses, as well as specialist services for a further 3-4m people from across the region. A merger with Sherwood Forest Hospitals NHS Foundation Trust was planned, and Peter Homa, Chief Executive of Nottingham at that time took the same role at Sherwood Forest, but refused to accept responsibility for the trust's £2.5bn private finance initiative contract. In 2016 Homa stepped down from the job at Sherwood Forest and in November 2016 it was announced that the merger would not proceed. Campus The City Hospital campus is the older of the two campuses, founded in 1903. It occupies a large 90-acre ( ...
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System Resilience
Robustness is the property of being strong and healthy in constitution. When it is transposed into a system, it refers to the ability of tolerating perturbations that might affect the system’s functional body. In the same line ''robustness'' can be defined as "the ability of a system to resist change without adapting its initial stable configuration". "Robustness in the small" refers to situations wherein perturbations are small in magnitude, which considers that the "small" magnitude hypothesis can be difficult to verify because "small" or "large" depends on the specific problem. Conversely, "Robustness in the large problem" refers to situations wherein no assumptions can be made about the magnitude of perturbations, which can either be small or large.C.Alippi: "Robustness Analysis" chapter in ''Intelligence for Embedded Systems.'' Springer, 2014, 283pp, . It has been discussed that robustness has two dimensions: resistance and avoidance.Durach, C.F. et al. (2015)Antecedents an ...
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NHS 111
111 is a free-to-call single non-emergency number medical helpline operating in England, Scotland and parts of Wales. The 111 phone service has replaced the various non-geographic 0845 rate numbers and is part of each country's National Health Service: in England the service is known as NHS 111; in Scotland, NHS 24; and in Wales, NHS 111 Wales. The transition from NHS Direct (0845 4647) to NHS 111 in England was completed during February 2014 with NHS 24 Scotland (08454 24 24 24) following during April 2014. NHS Direct Wales started a phased roll-out of a similar 111 service in late 2016 and completed it in March 2022. As of June 2018, the 111 number was not in use across Northern Ireland. The NHS 111 service was extended to Northern Ireland from February 2020, although this is for advice relating to the COVID-19 virus only. After dialling, callers will be asked to follow prompts to determine what nation they are calling from. The service is available 24 hours a day, every da ...
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Healthcare In Yorkshire
Healthcare in Yorkshire from 2016 was the responsibility of 19 clinical commissioning groups, which were replaced by integrated care systems in July 2022. History From 1947 to 1974 NHS services in Yorkshire were managed by the Leeds and Sheffield regional hospital boards. In 1974 the boards were abolished and replaced by regional health authorities. Yorkshire came under the Leeds and Sheffield RHAs. Regions were reorganised in 1996 and most of Yorkshire came under the Yorkshire Regional Health Authority. South Yorkshire was under the Trent Regional Health Authority. In 1994 the Yorkshire RHA merged into Northern and Yorkshire. Yorkshire from 1974 had 17 district health authorities. Barnsley, Sheffield and Rotherham each had their own DHA. In 1994 the 17 in Yorkshire were merged into seven: Bradford, East Riding, Grimsby and Scunthorpe, Leeds, North Yorkshire, Wakefield, and West Yorkshire. Thirteen primary care trusts were established covering the whole of the county in 200 ...
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Sutton Homes Of Care
Sutton Homes of Care is one of six vanguard projects focussed on ‘Enhanced health in care homes’ established under the Five Year Forward View in 2015. It is a partnership involving Sutton Clinical Commissioning Group, Epsom and St Helier University Hospitals NHS Trust, Sutton Health Community Services, London Ambulance Service, South West London and St George's Mental Health NHS Trust, the London Borough of Sutton, Age UK Sutton, St Raphael's Hospice, Alzheimer's Society and Sutton Care for the Voluntary Sector. It has established a number of initiatives intended to keep residents of the 70 care homes in the borough out of hospital, or to get out of hospital more easily. These include regular named-GP visits to local care homes to provide healthcare, health and wellbeing reviews and end-of-life planning. It claims credit for a 10% drop in visits to A&E. Training is provided for care home staff. A Red Bag Scheme has improved transfers between homes and hospitals by ensuring th ...
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Lakeside Healthcare
Lakeside Healthcare Groupwhich operates from a number of sites across Cambridgeshire, Lincolnshire and Northamptonshire, is one of the biggest General practice / Primary Care Providers in the National Health Service with 80 partners and almost 200,000 patients. Formation The original practice, Lakeside Surgery, was one of the largest GP partnerships in England with 47,000 registered patients in 2014, the majority of Corby Clinical Commissioning Group's population, and 22 doctors. The practice managing partner Linda Ward joined as practice manager in 1988 and became managing partner, one of the first non-clinical partners in the country. She helped develop and open Corby Urgent Care Centre (later run by separate business 'Lakeside Plus Limited', see below). She retired in July 2014. Professor Robert Harris, former national Director of Strategy at NHS England and NHS National Commissioning Board, was appointed a full-time equity partner of Lakeside Surgeries in July 2014 with a remit ...
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Southern Health NHS Foundation Trust
Southern Health NHS Foundation Trust is an NHS foundation trust which provides community health, mental health and learning disability services across Hampshire. It is one of the largest providers of such services in England. History The trust was formed on 1 April 2011 following the merger of Hampshire Community Healthcare NHS Trust and Hampshire Partnership NHS Foundation Trust. Operations The trust runs Eastrop House and Parklands Hospital in Basingstoke, Hollybank and Elmleigh in Havant, Postern House in Marlborough, Wiltshire, Marlborough, Melbury Lodge and Leigh House in Winchester, Crowlin House and Forest Lodge, Woodhaven, Western Community Hospital, Antelope House and Moorgreen Hospital in Southampton, Fareham Community Hospital and Ravenswood House in Fareham, Jacobs Lodge in Hounsdown, as well as Chase Community Hospital, Alton Community Hospital, Fordingbridge Hospital, Romsey Hospital, Petersfield Hospital and Gosport War Memorial Hospital. The Trust is one of ei ...
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Healthcare In Kent
Healthcare in Kent has, from 1 July 2022, been mainly the responsibility of the Kent & Medway Integrated Care Board. Certain specialised services are directly commissioned by NHS England, coordinated through the South East integrated regional team. Some NHS England structures are aligned on a Kent and Medway basis, others on a South East basis and there is liaison with London to provide many tertiary (highly specialised) healthcare services. History From 1947 to 1965 NHS services in Kent were managed by the South-East Metropolitan Regional Hospital Board (RHB). In 1974 the boards were abolished and replaced by regional health authorities (RHA). The whole of Kent came under the South East Metropolitan RHA. Regions were reorganised in 1996 and Kent came under the South Thames Regional Health Authority. Kent had an area health authority (AHA) from 1974 until 1982 when it was divided into five district health authorities (DHA): Canterbury and Thanet; Dartford and Gravesham; Ma ...
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General Practice
General practice is the name given in various nations, such as the United Kingdom, India, Australia, New Zealand and South Africa to the services provided by general practitioners. In some nations, such as the US, similar services may be described as family medicine or primary care. The term Primary Care in the UK may also include services provided by community pharmacy, optometrist, dental surgery and community hearing care providers. The balance of care between primary care and secondary care - which usually refers to hospital based services - varies from place to place, and with time. In many countries there are initiatives to move services out of hospitals into the community, in the expectation that this will save money and be more convenient. India A group of 15 doctors based in Birmingham have set up a social enterprise company - Pathfinder Healthcare - which plans to build eight primary health centres in India on the British model of general practice. According to Dr Niti ...
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