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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 - PowerPoint PPT Presentation
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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