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Integrated Care System
In England, an integrated care system (ICS) is a statutory partnership of organisations who plan, buy, and provide health and care services in their geographical area. The organisations involved include the NHS, local authorities, voluntary and charity groups, and independent care providers. The NHS Long Term Plan of January 2019 called for the whole of England to be covered by ICSs by April 2021. On 1 July 2022, ICSs replaced clinical commissioning groups in England. Statutory bodies The Health and Care Act 2022 put these systems on a statutory basis, each with an approved constitution. On 1 July 2022, a total of 42 ICSs became statutory. There are more than 70 performance metrics by which they are judged, grouped into six "oversight themes": quality, access and outcomes, preventing ill health and reducing inequalities, leadership, people, and finances. The poorest performers will be put in a "recovery support programme", which will replace the label of special measures. Each syst ...
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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 Board and ...
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Healthcare In Berkshire
Healthcare in Berkshire was the responsibility of five clinical commissioning groups until July 2022: Windsor, Ascot and Maidenhead, Slough, Bracknell and Ascot and Wokingham. History From 1947 to 1965 NHS services in Berkshire were managed by Oxford (the eastern side) and the North-West Metropolitan (the western side) Regional Hospital Board. In 1974 the boards were abolished and replaced by regional health authorities. Berkshire came under the Oxford RHA. Regions were reorganised in 1994 and Berkshire came under the Anglia and Oxford Regional Health Authority. Berkshire had two area health authorities from 1974 – Berkshire, Buckinghamshire and Berkshire, Oxfordshire. In 1982 it was divided into East and West Berkshire district health authorities. Regional health authorities were reorganised and renamed strategic health authorities in 2002. Berkshire was part of Thames Valley SHA. In 2006 regions were again reorganised and Berkshire came under NHS South Central until that ...
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Healthcare In Sussex
Healthcare in Sussex was the responsibility of seven Clinical Commissioning Groups covering: Brighton and Hove; Coastal West Sussex; Horsham and Mid Sussex; Crawley; Eastbourne Hailsham and Seaford; Hastings and Rother; High Weald; and Lewes-Havens from 2013 to 2020. From April 2020 they were merged into three covering East Sussex, West Sussex, and Brighton and Hove. History From 1947 to 1974, NHS services in Sussex were managed by the South-East Metropolitan Regional Hospital Board. In 1965 a new board was formed for Wessex which also covered Dorset apart from Lyme Regis. In 1974 the boards were abolished and replaced by regional health authorities (RHAs). East Sussex came under the South East Thames RHA. West Sussex was under South West Thames RHA. Regions were reorganised in 1996 and the whole of Sussex came under the South Thames Regional Health Authority. East Sussex and West Sussex each had its own area health authority from 1974 until 2000 when they were abolished. T ...
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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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Chris Ham
Sir Chris Ham (born 15 May 1951), is a health policy academic who started life as a political scientist. He was chief executive of the King's Fund from 2010 to 2018. He was professor of health policy and management at University of Birmingham's health services management centre from 1992 to 2010. He was seconded to the Department of Health where he was Director of the Strategy Unit working with Alan Milburn and John Reid until 2004. He was said to be "unrivalled in his ability to distil and synthesise complex policy developments and present them in a clear and digestible manner for non-specialists" in 1999. He is frequently called upon to chair large conferences on health policy in England. He was said by the ''Health Service Journal'' to be the 38th most powerful person in the English NHS in December 2013. In the June 2018 Birthday Honours he was appointed a CBE for his services. He was appointed as independent chair of the Coventry and Warwickshire sustainability and t ...
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Health Select Committee
The Health and Social Care Select Committee (abbreviated to HSC, HSCC and HSCSC) is a Departmental Select Committee of the British House of Commons, the lower house of the United Kingdom Parliament. Its remit is to examine the policy, administration and expenditure of the Department of Health and Social Care (DHSC) and its associated agencies and public bodies. The Clerks of the Committee are Previn Desai and Joanna Dodd. Inquiries The Committee regularly initiates inquiries into government and the policies of DHSC's agencies and public bodies, such as NHS England. The Committees' power to hold an inquiry is a core function of a Departmental Select Committee. 2019 to present Management of the Coronavirus Outbreak opened 3 March 2020 (completed) Pre-appointment hearing for the role of Chair of NICE opened 4 March 2020 (completed) Social care: funding and workforce opened 10 March 2020 (completed) Delivering Core NHS and Care Services during the Pandemic and Beyond opened 22 ...
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Indemnity
In contract law, an indemnity is a contractual obligation of one party (the ''indemnitor'') to compensate the loss incurred by another party (the ''indemnitee'') due to the relevant acts of the indemnitor or any other party. The duty to indemnify is usually, but not always, coextensive with the contractual duty to "hold harmless" or "save harmless". In contrast, a "guarantee" is an obligation of one party (the ''guarantor'') to another party to perform the promise of a relevant other party if that other party defaults. Indemnities form the basis of many insurance contracts; for example, a car owner may purchase different kinds of insurance as an indemnity for various kinds of loss arising from operation of the car, such as damage to the car itself, or medical expenses following an accident. In an agency context, a principal may be obligated to indemnify their agent for liabilities incurred while carrying out responsibilities under the relationship. While the events giving ris ...
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Leicestershire County Council
Leicestershire County Council is the county council for the English non-metropolitan county of Leicestershire. It was originally formed in 1889 by the Local Government Act 1888. The county is divided into 52 electoral divisions, which return a total of 55 councillors. The council is controlled by the Conservative Party. The leader of the county council is currently Nick Rushton, who was elected to the post in September 2012. The headquarters of the council is County Hall beside the A50 at Glenfield, just outside the city of Leicester in Blaby district. History From its establishment in 1889 to 1974, the county council covered the administrative county of Leicestershire, excluding Leicester. In 1974, the Local Government Act reconstituted Leicestershire County Council, adding the former county borough of Leicester, and the small county of Rutland to the area. On 1 April 1997 these were removed from the county council area again, to become unitary authorities. Districts and bo ...
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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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NHS Trust
An NHS trust is an organisational unit within the National Health Services of England and Wales, generally serving either a geographical area or a specialised function (such as an ambulance service). In any particular location there may be several trusts involved in the different aspects of providing healthcare to the local population. there were altogether 217 trusts, and they employ around 800,000 of the NHS's 1.2 million staff. History NHS trusts were established under the National Health Service and Community Care Act 1990 and were set up in five waves. Each one was established by a Statutory Instrument. NHS trusts are not trusts in the legal sense but are in effect public sector corporations. Each trust is headed by a board consisting of executive and non-executive directors, and is chaired by a non-executive director. There were about 2,200 non-executives across 470 organisations in the NHS in England in 2015. Non-executive directors are recruited by open advertisement. ...
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Capitation (healthcare)
Capitation is a payment arrangement for health care service providers. It pays a set amount for each enrolled person assigned to them, per period of time, whether or not that person seeks care. The amount of remuneration is based on the average expected health care utilization of that patient, with payment for patients generally varying by age and health status. Types There are differing arrangements in different healthcare systems. Capitation in the USA Primary capitation is a relationship between a managed care organization and primary care physician, in which the physician is paid directly by the organization for those who have selected the physician as their provider. Secondary capitation is a relationship arranged by a managed care organization between a physician and a secondary or specialist provider, such as an X-ray facility or ancillary facility such as a durable medical equipment supplier whose secondary provider is also paid capitation based on that PCP's enrolled ...
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