Nicholson Challenge
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Nicholson Challenge
The term "Nicholson challenge" refers to a set of mandates that the former (2006-2012) leader of the National Health Service in England, David Nicholson (civil servant), Sir David Nicholson, has put forth to the entirety of the NHS in a drive to find "efficiency savings" amidst a UK economy in upheaval. The parameters of the "challenge" by Nicholson to the NHS collectively add up to a demand by Nicholson for the NHS to find £20 billion in "efficiency savings" by 2015. The claim is that better ways of working rather than more spending must be found, amidst a warning that if the challenge were not met, either more money would be needed or fewer desirable results would be achieved. The Health and Social Care Bill 2011's provisions, which greatly alter the fundamentals of NHS ''functioning'' (not just financing), is technically not a part of this "challenge" at all, but is happening separately. The Nicholson challenge keeps NHS law and regulations as they have been prior to the Health ...
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National Health Service In England
The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from general taxation (plus a small amount from National Insurance contributions), and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR). Free healthcare at the point of use comes from the core principles at the founding of the National Health Service. The 1942 Beveridge cross-party report established the principles of the NHS which was implemented by the Labour government in 1948. Labour's Minister for H ...
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David Nicholson (civil Servant)
Sir David Nicholson is a public policy analyst, forthcoming Chair of Sandwell and West Birmingham NHS Trust, current Chair of Worcestershire acute hospitals NHS trust and NHS manager who was Chief Executive of the National Health Service in England. He was appointed in October 2011 following the NHS reforms, having been seventh Chief executive of the NHS within the Department of Health since September 2006. He issued what has become known as the "Nicholson challenge" regarding the finances of the NHS. He retired from the role on 1 April 2014. Background Nicholson was educated at Forest Fields Grammar School in Nottingham, and graduated from Bristol Polytechnic (now known as the University of the West of England) with a 2:1 in History and Politics. He joined the Communist Party of Great Britain after graduation,''Private Eye'', 27 October 2006, p. 10. and remained a member of the party until 1983. Career Early career Nicholson joined the NHS as a graduate trainee. For 10 y ...
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UK Economy
The economy of the United Kingdom is a highly developed social market and market-orientated economy. It is the sixth-largest national economy in the world measured by nominal gross domestic product (GDP), ninth-largest by purchasing power parity (PPP), and twenty second-highest by GDP per capita, constituting 3.3% of nominal world GDP. By PPP (purchasing power parity) terms, UK constitutes 2.34% of world GDP. The United Kingdom is one of the most globalised economies, and comprises England, Scotland, Wales and Northern Ireland. In 2020, the UK was the fifth largest exporter in the world and the fifth-largest importer. It also had the third-largest inward foreign direct investment, and the fifth-largest outward foreign direct investment. In 2020, the UK's trade with the 27 member states of the European Union accounted for 49% of the country's exports and 52% of its imports. The service sector dominates, contributing 81% of GDP; the financial services industry is partic ...
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Health And Social Care Bill 2011
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 ...
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John Appleby (economist)
John Appleby, FAcSS is a British economist. He was chief economist at the King's Fund from 1998 to 2016 and is now Director of Research and Chief Economist at the Nuffield Trust. Appleby has worked in the National Health Service in Birmingham and London, and was a senior lecturer at the University of Birmingham and University of East Anglia. He is a Visiting Professor at the City Health Economics Centre, City University London. For five years he worked for the National Association of Health Authorities (now the NHS Confederation) as manager of the Association’s Central Policy Unit. He writes extensively about current health policy matters, including the economic issues associated with the government’s reform agenda for health care such as the expansion of competitive forces in the NHS, patient choice, secondary care payment system, the use of patient reported outcome measures and the measurement of productivity in health care. He has acted as an advisor to the UK government ...
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King's Fund
The King's Fund is an independent think tank, which is involved with work relating to the health system in England. It organises conferences and other events. Since 1997, they have jointly funded a yearly award system with GlaxoSmithKline. They reward small to medium-sized health charities who are improving people's health. The Chief Executive is Richard Murray. Before 1948 the body contributed significantly to London's voluntary hospitals. History Founded as the Prince of Wales's Hospital Fund for London in 1897, the fund changed its name in 1902 to King Edward's Hospital Fund after the accession to the throne of King Edward VII. In 1907, Parliament incorporated the fund as the King's Fund. George Stephen, 1st Baron Mount Stephen worked closely with the future George V in building the charity's endowment fund. Lord Mount Stephen was the charity's most important benefactor, having made gifts to the amount of £1,315,000. The fund was originally set up to contribute to Lond ...
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Risk Register
A risk register (PRINCE2) is a document used as a risk management tool and to fulfill regulatory compliance acting as a repository for all risks identified and includes additional information about each risk, e.g., nature of the risk, reference and owner, mitigation measures. It can be displayed as a scatterplot or as a table. ISO 73:2009 Risk management—Vocabulary defines a risk register to be a "record of information about identified risks". Example Risk register of the project "barbecue party" with somebody inexperienced handling the grill, both in table format (below) and as plot (right). Terminology A Risk Register can contain many different items. There are recommendations for Risk Register content made by the Project Management Institute Body of Knowledge (PMBOK) and PRINCE2. ISO 31000:2009 does not use the term risk register, however it does state that risks need to be documented. There are many different tools that can act as risk registers from comprehensive s ...
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The Guardian
''The Guardian'' is a British daily newspaper. It was founded in 1821 as ''The Manchester Guardian'', and changed its name in 1959. Along with its sister papers ''The Observer'' and ''The Guardian Weekly'', ''The Guardian'' is part of the Guardian Media Group, owned by the Scott Trust. The trust was created in 1936 to "secure the financial and editorial independence of ''The Guardian'' in perpetuity and to safeguard the journalistic freedom and liberal values of ''The Guardian'' free from commercial or political interference". The trust was converted into a limited company in 2008, with a constitution written so as to maintain for ''The Guardian'' the same protections as were built into the structure of the Scott Trust by its creators. Profits are reinvested in journalism rather than distributed to owners or shareholders. It is considered a newspaper of record in the UK. The editor-in-chief Katharine Viner succeeded Alan Rusbridger in 2015. Since 2018, the paper's main news ...
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London
London is the capital and largest city of England and the United Kingdom, with a population of just under 9 million. It stands on the River Thames in south-east England at the head of a estuary down to the North Sea, and has been a major settlement for two millennia. The City of London, its ancient core and financial centre, was founded by the Romans as '' Londinium'' and retains its medieval boundaries.See also: Independent city § National capitals The City of Westminster, to the west of the City of London, has for centuries hosted the national government and parliament. Since the 19th century, the name "London" has also referred to the metropolis around this core, historically split between the counties of Middlesex, Essex, Surrey, Kent, and Hertfordshire, which largely comprises Greater London, governed by the Greater London Authority.The Greater London Authority consists of the Mayor of London and the London Assembly. The London Mayor is distinguished fr ...
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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 ...
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The Independent
''The Independent'' is a British online newspaper. It was established in 1986 as a national morning printed paper. Nicknamed the ''Indy'', it began as a broadsheet and changed to tabloid format in 2003. The last printed edition was published on Saturday 26 March 2016, leaving only the online edition. The newspaper was controlled by Tony O'Reilly's Irish Independent News & Media from 1997 until it was sold to the Russian oligarch and former KGB Officer Alexander Lebedev in 2010. In 2017, Sultan Muhammad Abuljadayel bought a 30% stake in it. The daily edition was named National Newspaper of the Year at the 2004 British Press Awards. The website and mobile app had a combined monthly reach of 19,826,000 in 2021. History 1986 to 1990 Launched in 1986, the first issue of ''The Independent'' was published on 7 October in broadsheet format.Dennis Griffiths (ed.) ''The Encyclopedia of the British Press, 1422–1992'', London & Basingstoke: Macmillan, 1992, p. 330 It was produc ...
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Institute For Fiscal Studies
The Institute for Fiscal Studies (IFS) is an economic research institute based in London, United Kingdom, which specialises in UK taxation and public policy. It produces both academic and policy-related findings. The institute's aim is to "advance education for the benefit of the public by promoting on a non-political basis the study and discussion of and the exchange and dissemination of information and knowledge concerning national economic and social effects and influences of existing taxes and proposed changes in fiscal systems." It is located in the Bloomsbury area of Central London close to the British Museum and University College London (UCL). History The institute was founded in response to the passing of the Finance Act 1965, by four financial professionals: a banker and later Conservative Party politician ( Will Hopper), an investment trust manager (Bob Buist), a stockbroker (Nils Taube), and a tax consultant (John Chown). In 1964, the then Chancellor of th ...
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