Implications of the Health Service White Papers Robert Mackie Interim Chief Executive NHS Walsall
Apr 01, 2015
Implications of the Health Service White Papers
Robert Mackie
Interim Chief Executive
NHS Walsall
Context
• Transforming Community Services
• “Equity and Excellence” – Liberating the NHS July 2010
• “Healthy lives, Healthy people White Paper” November 2010
• NHS Operating Framework for England 2011/12
New LandscapeSHAs & PCTs abolished
GP Commissioning - responsible c.£80bn of current budget
NCB – responsible for £20bn, influencing £80bn
Public Health England• PHE and LAs – responsible for c. 4% of budget
External Regulators• Care Quality Commission• Monitor
PCT Clustering & the creation of interim SpHAs
Same Names New Remits
“Old Architecture Timelines”
• SHAs - Abolished April 2012
• PCTs - Abolished April 2013
• PCTs - Cluster by June 2011
• TCS - Commissioner : Provider split by April 2011
GP Commissioning
• PCTs / Clusters to facilitate development
• Shadow GPC arrangements April 2011
• Authorised April 2012
• Allocated budgets April 2013
• Walsall Progress
Public Health
• White Paper consultation closes Feb 2011- Shadow Arrangements 2011/12
• Public Health England - live April 2012
• Local Authority
- shadow allocations for HI Autumn 2011 - shadow arrangements 2012/13 - live April 2013
National Commissioning Board
• CE designate appointed
• October 2011 Shadow Board in place
• Go live April 2012
Implications
• Completes the Commissioner/Provider split
• Significant structural change & transitional risk
• Putting GPs at the heart of commissioning
• Emphasis on partnership working
• Allocations will be recast by April 2013