NHS mandate 2020 to 2021

NHS mandate 2020 to 2021
DHSC 25 March 2020

• The government's mandate to NHS England and NHS Improvement sets out their objectives and budgets for 2020 to 2021.
• A brief Mandate to "provide important clarity for the system about the headline objectives that we need NHS support to achieve at this difficult time". It will be replaced with a further mandate that takes account of the NHS's capacity to achieve our wider goals in light of developments with Covid-19, once the virus has been effectively managed.

NHS accountability framework 2019 to 2020

NHS accountability framework 2019 to 2020
DHSC 21 May 2019

• This Accountability Framework with NHS England and NHS Improvement, which includes the Government's statutory mandate to NHS England, sets out the expectations for NHS England and NHS Improvement in 2019-20 to deliver the first year of the Long Term Plan and address the immediate needs associated with EU Exit. A further Accountability Framework will then cover the following four-year period.
• Annex A sets out the NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20

NHS mandate 2017 to 2018

NHS mandate 2017 to 2018
20 March 2017

• The mandate to NHS England sets out the government’s objectives for NHS England, as well as its budget.
• Building on the previous multi-year mandate, which came into effect on 1 April 2016 and set long term objectives and goals to 2020, this mandate focuses on the same 7 high-level objectives. It sets out the main aims in each area for the financial year 2017 to 2018 to achieve the 2020 goals.

1. Through better commissioning, improve local and national health outcomes, and reduce health inequalities.
2. To help create the safest, highest quality health and care service.
3. To balance the NHS budget and improve efficiency and productivity.
4. To lead a step change in the NHS in preventing ill health and supporting people to live healthier lives.
5. To maintain and improve performance against core standards.
6. To improve out-of-hospital care.
7. To support research, innovation and growth.

NHS mandate 2016 to 2017

NHS mandate 2016 to 2017
Department of Health, 17 December 2015

• This mandate sets out objectives to 2020, sets requirements relating to the Better Care Fund, and sets NHS England’s budget for five years.
• The annex shows NHS England’s objectives with an overall measurable 2020 goals and clear priority deliverables for 2016-17.

Consultation on new NHS England mandate

A consultation on the Government's mandate to NHS England to 2020
Department of Health, 29 October 2015

• A new mandate to NHS England will take effect from April 2016. The mandate sets direction for the NHS, and helps ensure the NHS is accountable to Parliament and the public.
• The new mandate will be based on the priorities this Government believes are central to delivering the changes needed to ensure that free healthcare is always there whenever people need it most. The priorities for the health and care system as a whole are: 
• Preventing ill health and supporting people to live healthier lives. 
• Creating the safest, highest quality health and care service
• Maintaining and improving performance against core standards while achieving financial balance
• Transforming out-of-hospital care, ensuring services outside hospital settings are more integrated and accessible. 
• Driving improvements in efficiency and productivity 
• Supporting research, innovation and growth
• Proposals directly affecting CCGs include: 
• New outcome measures at local CCG population level will complement the national NHS Outcomes Framework.
• CCG allocations will be set for three or more years. 
• A new scorecard, developed by The Kings Fund, will provide transparency about comparative quality of care and outcomes for different CCG populations to support work on reducing variations in quality of care and outcomes at a local level.
• Transforming out-of-hospital care through joined up care across all service levels incorporating a vision for a 7-day NHS and transformation of out-of hospital care using whole system approaches to ensure people get the right care in the right place at the right time. For 2016/17 this would also mean the continuation of the Better Care Fund.
•  New mental health access and waiting time standards to be embedded and expanded and crisis care to be improved for people of all ages. 
• A consultation on the mandate will run from 29 October 2015 to 23 November 2015. Find out more and respond to this consultation here.

NHS Mandate 2014 to 2015

NHS Mandate 2014 to 2015
Department of Health, 5 December 2014

• The ambitions for the health service for April 2014 to March 2015 
• This mandate challenges NHS England to make greater progress towards transforming patient care and safety and in tackling the growing pressures and demand on NHS services. 
• Significant improvements are expected by:
• taking forward the relevant actions set out in the further response to the Robert Francis QC public inquiry into the lessons from Mid Staffordshire NHS Foundation Trust; 
• taking forward the actions set out in the vulnerable older people’s plan which will set out the Government’s ambition for improved health for the whole population, starting with the most elderly and vulnerable in society; and
• taking forward actions to deliver a service that values mental and physical health equally.

Ambitions for the health service - NHS mandate and Outcomes Framework 2014/15

A mandate from the Government to NHS England: April 2014 to March 2015
NHS England, 12 November 2013

• The ambitions for the health service for April 2014 to March 2015 as based on the NHS Outcomes Framework

The NHS outcomes framework 2014-2015
DH, 12 November 2013

• The outcomes and corresponding indicators that will be used to hold NHS England to account for improvements in health outcomes, as part of the government’s Mandate to NHS England.

Strengthening relations between the NHS and voluntary sector

Working together to deliver the Mandate: Strengthening partnerships between the NHS and the voluntary sector
Kings Fund,1 July 2013

• This report, commissioned by the Foundation Trust Network (FTN) and the Association of Chief Executives of Voluntary Organisations (ACEVO), pulls together a wide range of innovative partnerships and projects between health trusts and voluntary sector providers across the country to consider how the barriers to effective partnership working can be overcome.
• Key findings
• Strategic leadership within local partner organisations will be vital to creating a supportive, enabling culture and to removing the barriers (real or perceived) to partnership working. But there is also a need for a national dialogue about how to develop new and innovative models of care.
• Locally led partnerships offer the opportunity to reduce fragmentation, drive efficiencies and deliver cost savings, and improve the patient experience. To work effectively together, trusts and voluntary sector providers need to establish clear roles and responsibilities, develop new skills to support a range of partnership models and governance structures, share risks and rewards, and develop business skills that can help deliver shared aims and improved outcomes.

NHS England business plan to 2016

Putting patients first: the NHS England business plan for 2013/14–2015/16
NHS England, April 2013

• This plan describes an 11 point NHS scorecard which NHS England will introduce for measuring performance of key priorities, focused on receiving direct feedback from patients, their families and NHS staff.

1. Satisfied patients
2. Motivated, positive NHS staff
3. Outcomes Framework – Domain 1 Preventing people from dying prematurely. (Improvement areas 1.1 – 1.7 of the Outcomes Framework )
4. Outcomes Framework - Domain 2 Enhancing quality of life for people with long term conditions. (Progress against Improvement areas 2.1 – 2.6 )
5.  Outcomes Framework – Domain 3 Helping people to recover from episodes of ill health or following injury. (Progress against Improvement areas 3.1 – 3.6 )
6. Outcomes Framework – Domain 4 Ensuring that people have a positive experience of care. (Progress against Improvement areas 4.1 – 4.9 )
7. Outcomes Framework – Domain 5 Treating and caring for people in a safe environment and protecting them from avoidable harm. (Progress against Improvement areas 5.1 – 5.6 )
8. Promoting equality and reducing inequalities in health outcomes
9.  NHS Constitution
10.  Becoming an excellent organisation
11.  High quality fi­nancial management

•  Builds on earlier plan published Dec 2012
• Appendix 2 is a description of deliverables against key accountabilities across the NHS Mandate