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NHS Internal Market
The NHS internal market was established by the National Health Service and Community Care Act 1990, to separate the roles of purchasers and providers within the National Health Service in the United Kingdom. Previously, healthcare was provided by regional health authorities which were given a budget to run hospitals and community health services (but not general practice) in their area. The Health and Social Care Act 2012 was intended to open up the internal market to external competition. The 2019 NHS Long Term Plan called for the establishment of integrated care systems across England by 2021, effectively ending the internal market. Establishment Although the Thatcher government was slow to reform the NHS, following the 1983 Griffiths report, from 1988 it began to apply the principles of New Public Management vigorously across the welfare state. The plan was to decentralize decision making and introduce competition, with the state becoming a purchaser, rather than a provider, o ...
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National Health Service And Community Care Act 1990
The National Health Service and Community Care Act 1990 (c 19) introduced an internal market into the supply of healthcare in the United Kingdom, making the state an 'enabler' rather than a supplier of health and social care provision.Health and Social Care, Mark Walsh et al., Collins, 2006, Contents The Act states that it is a duty for local authorities to assess people for social care and support to ensure that people who need community care services or other types of support get the services they are entitled to. Patients have their needs and circumstances assessed and the results determine whether or not care or social services will be provided. This also ensures that the people giving the care follow a certain set of rules called the care value base. Local authority resources can be taken into account during the assessment process, but if it is deemed that services are required, those services must be provided by law: services cannot be withdrawn at a later date if resources ...
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Premiership Of Tony Blair
Tony Blair's term as the prime minister of the United Kingdom began on 2 May 1997 when he accepted an invitation of Queen Elizabeth II to form a government, succeeding John Major of the Conservative Party, and ended on 27 June 2007 upon his resignation. While serving as prime minister, Blair also served as the first lord of the treasury, minister for the civil service and leader of the Labour Party. As prime minister, Blair used the term "New Labour" to distinguish his pro-market policies from the more socialist policies which the party had espoused in the past. Many of his policies reflected a centrist "Third Way" political philosophy. In domestic government policy, Blair significantly increased public spending on healthcare and education while also introducing controversial market-based reforms in these areas. In addition, Blair's tenure saw the introduction of a minimum wage, tuition fees for higher education, constitutional reform such as devolution in Scotland and Wales a ...
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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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COVID-19 Pandemic In England
The COVID-19 pandemic was first confirmed to have spread to England with two cases among Chinese nationals staying in a hotel in York on 31 January 2020. The two main public bodies responsible for health in England are NHS England and Public Health England (PHE). NHS England oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the NHS in England, while PHE's mission is "to protect and improve the nation's health and to address inequalities". As of 14 September 2021, there have been 6,237,505 total cases and 117,955 deaths in England. In January 2021, it was estimated around 22% of people in England have had COVID-19. Healthcare in Scotland, Wales and Northern Ireland is administered by the devolved governments, but there is no devolved government for England and so healthcare is the direct responsibility of the UK Government. As a result of each country having different policies and priorities, a variety of differences now exist betwe ...
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Tameside And Glossop Integrated Care NHS Foundation Trust
Tameside and Glossop Integrated Care NHS Foundation Trust is an integrated foundation Trust that operates from Tameside General Hospital situated in Ashton-under-Lyne. It serves the surrounding area of Tameside in Greater Manchester, and the town of Glossop and other smaller towns and villages in the north western part of the High Peak district of Derbyshire. Employing approximately 3,800 staff, the Trust provides a range of services both within the hospital and in the local community. This includes Accident and Emergency services, and full consultant-led obstetric and paediatric hospital services for women, children and babies. Performance In 2005 the hospital received the maximum three star rating from the Healthcare Commission in recognition of the quality of its services, and was granted Foundation Trust status on 1 February 2008. In July 2013 ''The Guardian'' newspaper disclosed the existence of two previously unpublished critical reviews commissioned by the hospital whi ...
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NHS Improvement
NHS Improvement (NHSI) was a non-departmental body in England, responsible for overseeing the National Health Service's foundation trusts and NHS trusts, as well as independent providers that provide NHS-funded care. It supported providers to give patients consistently safe, high quality, compassionate care within local health systems that are financially sustainable. A previous body – also called NHS Improvement – was set up in April 2008 to drive clinical service improvement, but was merged into NHS Improving Quality in 2013 following the Health and Social Care Act reforms. From 1 April 2016, NHS Improvement was the operational name for an organisation that brought together Monitor, NHS Trust Development Authority, Patient Safety (from NHS England), National Reporting and Learning System, Advancing Change Team and Intensive Support Teams. In 2018 it became clear that the organisation, while maintaining its statutory independence, was for practical reasons to be merged ...
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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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Simon Stevens (NHS England)
Simon Laurence Stevens, Baron Stevens of Birmingham, (born 4 August 1966) is a British public policy adviser, former CEO, and independent member of the UK House of Lords. He served as the eighth Chief Executive of the National Health Service in England from 2014 to 2021. He first joined the NHS in 1988, and worked at the Department of Health and 10 Downing Street, as well as internationally, including in Guyana, Malawi, and in the United States. A former member of the Labour Party, Stevens was a councillor in the London Borough of Lambeth from 1998 to 2002. Stevens served as a senior executive at the UnitedHealth Group from 2004 to 2014, an American for-profit managed health care company which offers health care products and insurance services. He was also a Visiting Professor at the London School of Economics from 2004 to 2008. Stevens was appointed as Chief Executive of NHS England after a worldwide competitive search, and served under Prime Ministers David Cameron, Theres ...
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Full Fact
Full Fact is a British charity, based in London, which checks and corrects facts reported in the news as well as claims which circulate on social media. History and structure Full Fact was founded in 2009 by businessman Michael Samuel, the charity's chair, and Will Moy, who serves as director. It has 18staff . Moy had been working as a researcher for Lord Low and noticed that lobbyists often provided inaccurate briefings to legislators, while Samuel had been concerned about accuracy in public debate for some years. Moy and Samuel were introduced by Julia Neuberger and began working together. Full Fact applied to the Charity Commission for charitable status in 2009 but was refused. An appeal to the commission's tribunal in 2011 was rejected on the grounds that the stated objective of "civic engagement" was too political. Charitable status was granted in 2014 after the wording was changed to "the advancement of public education". In March 2017, the International Fact Checking ...
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York University
York University (french: Université York), also known as YorkU or simply YU, is a public university, public research university in Toronto, Ontario, Canada. It is Canada's fourth-largest university, and it has approximately 55,700 students, 7,000 faculty and staff, and over 325,000 alumni worldwide. It has 11 faculties, including the Faculty of Liberal Arts and Professional Studies, Faculty of Science, Lassonde School of Engineering, Schulich School of Business, Osgoode Hall Law School, Glendon College, Faculty of Education, Faculty of Health, Faculty of Environmental and Urban Change, Faculty of Graduate Studies, School of the Arts, Media, Performance and Design, and 28 research centres. York University was established in 1959 as a non-denominational institution by the ''York University Act'', which received royal assent in the Legislative Assembly of Ontario on 26 March of that year. Its first class was held in September 1960 in Falconer Hall on the University of Toronto campu ...
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Care Quality Commission
The Care Quality Commission (CQC) is an executive non-departmental public body of the Department of Health and Social Care of the United Kingdom. It was established in 2009 to regulate and inspect health and social care services in England. It was formed from three predecessor organisations: * the Healthcare Commission * the Commission for Social Care Inspection * the Mental Health Act Commission The CQC's stated role is to make sure that hospitals, care homes, dental and general practices and other care services in England provide people with safe, effective and high-quality care, and to encourage those providers to improve. It carries out this role through checks during the registration process which all new care services must complete, as well as through inspections and monitoring of a range of data sources that can indicate problems with services. Part of the commission's remit is protecting the interests of people whose rights have been restricted under the Mental Healt ...
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Healthcare Commission
The Healthcare Commission was a non-departmental public body sponsored by the Department of Health of the United Kingdom. It was set up to promote and drive improvement in the quality of health care and public health in England and Wales. It aimed to achieve this by becoming an authoritative and trusted source of information and by ensuring that this information is used to drive improvement. The Commission was abolished on 31 March 2009 and its responsibilities in England broadly subsumed by the Care Quality Commission. History The legal name for the Healthcare Commission was the Commission for Healthcare Audit and Inspection (CHAI). It was created by the Health and Social Care (Community Health and Standards) Act 2003. The Healthcare Commission took over the role of the Commission for Health Improvement (CHI) on the 1 April 2004 and also assumed some of the responsibilities of the National Care Standards Commission (NCSC) and the Audit Commission, as well as a number of addit ...
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