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NHS Mandate
The Health and Social Care Act 2012 established NHS England and provides that the Secretary of State is to publish, 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. 2014-15 The mandate centred on uncontroversial ambitions: reducing rates of premature death, enhancing quality of life for people with long-term conditions, enhancing recovery. 2015-16 2016-17 There was a consultation process for the 2016 to 2017 mandate in the autumn of 2015. It was criticised as having little publicity. 2017-18 The mandate for 2017-18 centres on the implementation of the Five Year Forward View. It requires NHS England to provide weekend and evening access to primary care for 40% of the population by the end of 2017-18 and sets goals to improve the performance of Accident and Emergency departments with the majo ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Accident And Emergency
An emergency department (ED), also known as an accident and emergency department (A&E), emergency room (ER), emergency ward (EW) or casualty department, is a medical treatment facility specializing in emergency medicine, the Acute (medicine), acute care of patients who present without prior appointment; either by their own means or by that of an ambulance. The emergency department is usually found in a hospital or other primary care center. Due to the unplanned nature of patient attendance, the department must provide initial treatment for a broad spectrum of illnesses and injuries, some of which may be Medical emergency, life-threatening and require immediate attention. In some countries, emergency departments have become important entry points for those without other means of access to medical care. The emergency departments of most hospitals operate 24 hours a day, although staffing levels may be varied in an attempt to reflect patient volume. History Accident services wer ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Four-hour Target In Emergency Departments
NHS targets are performance measures used by NHS England, NHS Scotland, NHS Wales, and the Health and Social Care service in Northern Ireland. These vary by country but assess the performance of each health service against measures such as 5 hour waiting times in Accident and Emergency departments, weeks to receive an appointment and/or treatment, and performance in specific departments such as oncology. History The Major Conservative government first set public targets for the NHS in the 1990s – for example, guaranteeing a maximum two-year wait for non-emergency surgery and reducing rates of death from specific diseases. The subsequent Labour government introduced far more targets and managed performance far more aggressively - a management regime sometimes referred to as 'targets and terror'. Targets were blamed for distorting clinical priorities, and in particular for one organisation achieving a target at the expense of another. For example, ambulances have been forced ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
NHS Providers
NHS Providers is the membership organisation for NHS trusts in England, which takes part in negotiations between the trusts and the Department of Health and provides development support to trust leaders. Until 2011, it was a section of the NHS Confederation. Claiming 100% of trusts and foundation trusts in England as members, NHS Providers is overseen by a board of 20 trust chiefs. The organisation's interim chief executive since June 2022 is Saffron Cordery and its chair is Sir Ron Kerr, former chief executive of Guy's and St Thomas' NHS Foundation Trust, London. Steve Barclay spoke at the organisation's 2022 conference, hinting that the NHS would be given more money in the chancellor's Autumn Statement. See also * NHS Confederation – represents organisations that commission and provide NHS services * NHS Employers NHS Employers is an organisation which acts on behalf of NHS trusts in the National Health Service in England and Wales. It was formed in 2004, is part of t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
NHS Foundation Trust
A foundation trust is a semi-autonomous organisational unit within the National Health Service in England. They have a degree of independence from the Department of Health and Social Care (and, until the abolition of SHAs in 2013, their local strategic health authority). As of March 2019 there were 151 foundation trusts. Inspiration Alan Milburn's trip in 2001 to the Hospital Universitario Fundación Alcorcón in Spain is thought to have been influential in developing ideas around foundation status. That hospital was built by the Spanish National Health System, but its operational management is contracted out to a private company, and exempt from many of the rules normally imposed on state-owned hospitals, and in particular, that hospital was allowed to negotiate its own contracts with workers. The governance of that hospital includes local government, trade unions, health workers and community groups. History Foundation trusts were announced by Health Secretary Alan Milburn ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
NHS Legislation
The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the "NHS" name (NHS England, NHS Scotland and NHS Wales). Health and Social Care in Northern Ireland was created separately and is often locally referred to as "the NHS". The four systems were established in 1948 as part of major social reforms following the Second World War. The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care. In England, NHS patients have to pay prescription charges; some, such as those aged over 60 and certain state benef ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
