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NHS Commissioning Board
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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Department Of Health And Social Care
The Department of Health and Social Care (DHSC) is a department of His Majesty's Government responsible for government policy on health and adult social care matters in England, along with a few elements of the same matters which are not otherwise devolved to the Scottish Government, Welsh Government or Northern Ireland Executive. It oversees the English National Health Service (NHS). The department is led by the secretary of state for health and social care with three ministers of state and three parliamentary under-secretaries of state. The department develops policies and guidelines to improve the quality of care and to meet patient expectations. It carries out some of its work through arms-length bodies (ALBs), including executive non-departmental public bodies such as NHS England and the NHS Digital, and executive agencies such as the UK Health Security Agency and the Medicines and Healthcare products Regulatory Agency (MHRA). The DHSC also manages the work of the Nation ...
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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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Narcolepsy
Narcolepsy is a long-term neurological disorder that involves a decreased ability to regulate sleep–wake cycles. Symptoms often include periods of excessive daytime sleepiness and brief involuntary sleep episodes. About 70% of those affected also experience episodes of sudden loss of muscle strength, known as cataplexy. Narcolepsy paired with cataplexy is evidenced to be an autoimmune disorder. These experiences of cataplexy can be brought on by strong emotions. Less commonly, there may be vivid hallucinations or an inability to move (sleep paralysis) while falling asleep or waking up. People with narcolepsy tend to sleep about the same number of hours per day as people without, but the quality of sleep tends to be lessened. Narcolepsy is a clinical syndrome of hypothalamic disorder, however, the exact cause of narcolepsy is unknown, with potentially several causes. In up to 10% of cases, there is a family history of the disorder. Often, those affected have low levels of ...
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Tuberous Sclerosis
Tuberous sclerosis complex (TSC) is a rare multisystem autosomal dominant genetic disease that causes non-cancerous tumours to grow in the brain and on other vital organs such as the kidneys, heart, liver, eyes, lungs and skin. A combination of symptoms may include seizures, intellectual disability, developmental delay, behavioral problems, skin abnormalities, lung disease, and kidney disease. TSC is caused by a mutation of either of two genes, ''TSC1'' and ''TSC2'', which code for the proteins hamartin and tuberin, respectively, with ''TSC2'' mutations accounting for the majority and tending to cause more severe symptoms. These proteins act as tumor growth suppressors, agents that regulate cell proliferation and differentiation. Prognosis is highly variable and depends on the symptoms, but life expectancy is normal for many. The prevalence of the disease is estimated to be 7 to 12 in 100,000. The disease is often abbreviated to tuberous sclerosis, which refers to the har ...
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Everolimus
Everolimus, sold under the brand name Afinitor among others, is a medication used as an immunosuppressant to prevent rejection of organ transplants and as a targeted therapy in the treatment of renal cell cancer and other tumours. It is the 40-''O''-(2-hydroxyethyl) derivative of sirolimus and works similarly to sirolimus as an inhibitor of mammalian target of rapamycin (mTOR). It is marketed by Novartis under the trade names Zortress (US) and Certican (European Union and other countries) in transplantation medicine, and as Afinitor (general tumours) and Votubia (tumours as a result of Tuberous Sclerosis Complex (TSC)) in oncology. It is on the World Health Organization's List of Essential Medicines. It is available as a generic medication. Medical uses Everolimus is approved for various conditions: * Advanced kidney cancer (US FDA approved in March 2009) * Prevention of organ rejection after renal transplant(US FDA April 2010) * Subependymal giant cell astrocytoma (SEGA) as ...
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Shelford Group
The Shelford Group is a collaboration of ten of the largest teaching and research NHS hospital trusts in England. The ten members collectively employ over 140,000 people and account for over £12.5 billion of the NHS budget. The member organisations are: *Cambridge University Hospitals NHS Foundation Trust *Guy's and St Thomas' NHS Foundation Trust *Imperial College Healthcare NHS Trust *King's College Hospital NHS Foundation Trust *Manchester University NHS Foundation Trust *Newcastle upon Tyne Hospitals NHS Foundation Trust *Oxford University Hospitals NHS Foundation Trust *Sheffield Teaching Hospitals NHS Foundation Trust *University College London Hospitals NHS Foundation Trust *University Hospitals Birmingham NHS Foundation Trust The University Hospitals Birmingham NHS Foundation Trust provides adult district general hospital services for Birmingham as well as specialist treatments for the West Midlands. The trust operates the Queen Elizabeth Hospital in Edgbaston ( ...
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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 Long Term Plan
The NHS Long Term Plan, also known as the NHS 10-Year Plan is a document published by NHS England on 7 January 2019, which sets out its priorities for healthcare over the next 10 years and shows how the NHS funding settlement will be used. It was published by NHS England chief executive Simon Stevens and Prime Minister Theresa May. The plan marked the official abandonment of the policy of competition in the English NHS, which was established by the Health and Social Care Act 2012. Integrated care systems are to be created across England by 2021, Clinical Commissioning Groups are to be merged and NHS England with NHS Improvement appear to be merging, unofficially, though this is all to happen without actually repealing the legislation. The plan The plan proposes to shift resources out of hospitals into community services and primary care and in particular to improve mental health support in schools and 24-hour access to mental health crisis teams. The NHS budget is to increase by £2 ...
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Matt Hancock
Matthew John David Hancock (born 2 October 1978) is a British politician who served as Minister for the Cabinet Office and Paymaster General from 2015 to 2016, Secretary of State for Digital, Culture, Media and Sport from January to July 2018, and Secretary of State for Health and Social Care from 2018 to 2021. He has been Member of Parliament (United Kingdom), Member of Parliament (MP) for West Suffolk (UK Parliament constituency), West Suffolk since 2010. He is a member of the Conservative Party (UK), Conservative Party, but now sits in the House of Commons as an Independent politician, independent, having had the Whip (politics)#United Kingdom, whip suspended since November 2022. Hancock was born in Cheshire, where his family runs a software business. He studied for a Bachelor of Arts, BA in Philosophy, Politics and Economics (PPE) at Exeter College, Oxford, and an MPhil in Economics at Christ's College, Cambridge. He was an economist at the Bank of England before serving ...
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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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