Hierarchical reconfiguration within the NHS in England as of 1 April 2019

2019 Hierarchical Reconfiguration
NHS Digital Organisation Data Service (ODS) 19 February 2019

• Details of organisational changes with the NHS in England as of 1 April 2019.
• Includes
• Regional changes to support joint working between NHS Improvement and NHS England
• Local Office name and boundary changes (eg Y55 Midlands & East splits into 2 -Midlands and East of England) 
• CCG mergers and membership changes.

How does the NHS in England work - an animation

How does the NHS in England work? An alternative guide
Kings Fund 19 October 2017

• An animation giving a whistle-stop tour of how the NHS works in 2017 and how it is changing.

Reconfiguration of NHS services

Reconfiguration of NHS services (England)
House of Commons Briefing 9 October 2017

• An overview of recent policy developments and trends regarding NHS service reconfiguration, the involvement of the public and local authorities in the reconfiguration process, and some of the major drivers of change.

Priorities for health and social care from Kings Fund

What are the priorities for health and social care?
Kings Fund 8 August 2017

• The King's Fund has assessed the state of health and social care and set out the big issues facing the government under the headings of  NHS finance and performance, NHS reform and social care.

Analysis of NHS Reforms under the coalition government

The NHS under the coalition government: Part one: NHS reform
Kings Fund 6 February 2015

• This report covers six major themes of the coalition government’s reform programme and describes the situation the coalition government inherited when it came to power in 2010, the policies it has pursued, and (where available) evidence of their impact.
• Themes:
• commissioning of care
• provision of care
• regulation of care
• competition
• governance and accountability
• integration of care.

New website from LGA - Care and support reform implementation

Care and support reform implementation - new website
LGA, ADASS, DH January 2014

• A new website supported by Local Government Association, Association of Directors and Adult Social Services and Department of Health for CCG leads and others responsible for, or implementing care and support reforms in the context of the other changes and challenges for local health and care systems, including the Better Care Fund.
• Includes an implementation guide, must knows around governance, analysis of the Care Bill clause by clause, an explanation of new IT requirements, and  interactive timeline.

Vulnerable people - responsibilities

Safeguarding Vulnerable People in the Reformed NHS: Accountability and Assurance Framework 
NHS Commissioning Board, 22 March 2013

• Sets out the responsibilities of each of the key players for safeguarding in the future NHS. 
• Includes a description of safeguarding requirements addition in addition to those set out in CCG authorisation.

Updated NHS Constitution

NHS Constitution updated 
DH, 20 March 2013

• The updated NHS constitution includes changes around patient involvement; feedback; duty of candour; end of life care; integrated care; complaints; patient information; staff rights, responsibilities and commitments; dignity, respect and compassion.
•  Accompanied by a revised Handbook to the NHS Constitution, which explains the rights, pledges and responsibilities set out in the NHS Constitution in more detail.

Mid term assessment by the Kings Fund

Health policy under the coalition government: A mid-term assessment
Kings Fund 28 November 2012

• An examination of the policies introduced by the coalition government,  focusing on eight key aspects of health care: access, patient safety, promoting health, managing long-term conditions, clinical effectiveness, patient experience, equity, and efficiency
• Key findings
• In general, the performance of the NHS is holding up despite financial pressures and disruption from reforms. However, cracks are emerging, with longer waiting times in accident and emergency, and the financial difficulties of more providers being exposed.
• There have been improvements in transactional aspects of care (access and waiting times) but concerns remain about relational aspects of care (emotional support, dignity and empathy), particularly in acute hospitals.
• Levels of public satisfaction with the NHS have fallen, although the reasons for this are not clear.
• Smoking rates continue to fall and obesity among children is stabilising, but excess alcohol consumption continues to rise, as does adult obesity.
• Mortality from cancer and cardiovascular disease has fallen but the United Kingdom still has higher levels of avoidable mortality than other countries, and health inequalities persist.

Early lessons from CCGs

Exploring the early workings of emerging CCGs: Final report
Policy Research Unit in Commissioning, November 2012

• Findings from a study of developing CCGs, early experiences of emerging CCGs moving towards authorisation and investigating the factors that had affected their development and lessons for the future.

Insights from scenario workshop

Steering or Rowing? Report from a simulation event which tested how CCGs might utilise CSSs
NHS Commissioning Board, 8 August 201

• Report of an event with leaders from CCGs, CSSs and the independent sector, to explore the relationships between CCGs and CSSs, and to anticipate some of the likely challenges.

Mental illness in the NHS

How Mental Illness Loses Out in the NHS 
Mental Health Policy Group, LSE, 18 June 2012

• A description of the scale of mental illness in Britain and how the NHS is responding.

Amendments to Health and Social Care Bill

The Government has tabled a series of amendments to the Health and Social Care Bill  (2 Feb 2012) in advance of its Report Stage in the House of Lords including: Secretary of State accountability: patient
involvement; education & training ; annual report on health inequalities ; strengthening
integration of NHS services.

Was it all worth it?

Were massive reforms necessary to save the NHS? Inquiry into the NHS Health Reforms
All Party Parliamentary Group Primary Care and Public Health, Jan 2012

• This report argues that the NHS was not in need of overall restructuring and highlights concerns about the cost of the reforms, at a time when the NHS has been required to make efficiency savings. It also makes recommendations on how to minimise disruption for patients and maintain quality of care over the course of the NHS reforms.