NHS England, formerly the NHS Commissioning Board, is an executive non-departmental public body of the Department of Health and Social Care. It oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the National Health Service in England as set out in the Health and Social Care Act 2012.[3] It directly commissions NHS general practitioners, dentists, optometrists and some specialist services. The Secretary of State publishes annually a document known as the NHS mandate which specifies the objectives which the Board should seek to achieve. National Health Service (Mandate Requirements) Regulations are published each year to give legal force to the mandate.
In 2018 it was announced that the organisation, while maintaining its statutory independence, would be merged with NHS Improvement, and seven "single integrated regional teams" would be jointly established.[4]
NHS England is the operating name of the NHS Commissioning Board and, before that, the NHS Commissioning Board Authority.[5] It was set up as a special health authority of the NHS in October 2011 as the forerunner to becoming a non-departmental body on 1 April 2013.[3] It was renamed NHS England on 26 March 2013,[6] although its legal name remains the NHS Commissioning Board.
Sir David Nicholson, who became Chief Executive at the establishment of the Board, retired at the end of March 2014 and was replaced by Simon Stevens. One of Stevens' first acts was to announce a restructure of the 27 area teams, in response to a requirement to reduce running costs, which would reduce staffing by around 500.[7] The 27 teams outside London were reduced to 12 in 2015.[8] Amanda Pritchard, the Chief Operating Officer of NHS England, was promoted to Chief Executive on 1 August 2021.[9]
NHS England produced a planning document – the Five Year Forward View – in October 2014 which envisaged development of new models to suit local needs. In conjunction with the other central regulators, the organisation established what is called a "success regime" in south and mid Essex, North Cumbria and north east and western Devon in June 2015. It was intended to tackle "deep rooted and systemic issues that previous interventions have not tackled across [a] whole health and care economy".[10]
In 2016 it organised the geographical division of England into 44 sustainability and transformation plan areas, with populations between 300,000 and 3 million. These areas were locally agreed between NHS Trusts, local authorities and clinical commissioning groups (CCGs). A leader was appointed for each area, who is to be responsible for the implementation of the plans which are to be agreed by the component organisations. They will be "working across organisational boundaries to help build a consensus for transformation and the practical steps to deliver it".[11]
In April 2017 it introduced a capped expenditure process, applied to NHS commissioners and providers in the 13 areas across England with the largest budget deficits. It is intended to reduce their spending by around £500 million, and health leaders were told to "think the unthinkable".[12]
In 2022 there were seven regional teams and 10,640 full time equivalent staff.[13]
NHS England allocates funding (£69.5 billion in 2016/2017) to CCGs in accordance with a funding formula. Until 2016, progress towards the amount indicated by the formula from the historical allocation was slow, and CCGs which were above their allocation did not suffer a reduction. From April 2016, however, CCGs with more than 10 per cent above their fair share were to receive "flat cash" – an effective reduction. This would also ensure than no CCG was more than 5 per cent below its target allocation in 2016/2017.[14]
In October 2016 it introduced the Operational Pressures Escalation Levels (OPEL) system for the management of operational difficulties in English hospitals, replacing the system of red and black alerts which was locally defined. OPELs range from 1 (normal) to 4 (a major crisis requiring external intervention either regionally or nationally).[15][16] This is intended, among other things, to enable comparisons of trends over time and between areas.[17]
In view of the coronavirus pandemic, the Secretary of State for Health and Social Care directed the NHS Commissioning Board to buy services from the private sector, thereby bypassing CCGs. The Exercise of Commissioning Functions by the NHS Commissioning Board (Coronavirus) Directions 2020 came into force on 20 March 2020, and were revised to widen the definition of independent providers on 27 March.[18] The directive also allows NHS England to exercise functions normally carried out by CCGs, as the Board deems appropriate. The direction will be in place until the end of 2020.[19]
Applications by GPs to reduce their catchment area are dealt with by NHS England.[20]
In November 2014, Mr Justice Popplewell declared that NHS England "has acted unlawfully by reason of its failure to make arrangements for the involvement of patients in primary care commissioning decisions as required by the National Health Service Act 2006". The case involved the decision to scrap the minimum practice income guarantee. Richard Stein, a partner at Leigh Day, said the declaration could mean that patients would have to be involved in discussions on changes to the GP contract.[21]
NHS England awarded a four-year contract to Capita to become sole provider of administrative services including payment administration, management of medical records, and eligibility lists for practitioners for GPs, opticians and dentists across the UK in June 2015.[22]
The organisation was reported to be developing a strategy to support the use of personal health records in June 2015. This, it is hoped, could achieve up to £3.4 billion in annual efficiency savings by 2020.[23] In April 2016 it published an index of digital maturity, where each of the 239 NHS trusts assessed its own "readiness", "capabilities" and "enabling infrastructure".[24][25]
In 2018 the NHS app was unveiled, with public backing from Matt Hancock, who presented it as the key to a radical overhaul of NHS technology.[26]
The NHS Long Term Plan set a target for all secondary care providers to move to digital records by 2024, which "will cover clinical and operational processes across all settings, locations and departments and be based on robust, modern IT infrastructure services for hosting, storage, networks and cyber security."[27]
In 2020 the NHS awarded an emergency contract to Palantir Technologies for the creation of a Covid Data Store system for a statutory fee of £1. Palantir then won a £23.5 million contract with the NHS to continue with its work in December 2020. Palantir's involvement with the NHS was subject to criticism from civil liberties groups, including Open Democracy. [28]
In 2023 the NHS began a procurement process for a Federated Data Platform (FDP). [29] An FDP would enable every hospital trust and integrated care system (ICS) to have their own platform through which they could connect and share information between them where helpful. [30] The FDP would build on the work done with the Covid Data Store .The contract to provide the FDP would be worth up to £480 million. [31] Palantir are widely thought to be the frontrunners to win. [32] This has prompted further criticism from civil liberties groups. [33]
Specialised services are those provided in relatively few hospitals and accessed by comparatively small numbers of patients, but with catchment populations of usually more than one million. These services tend to be located in specialised hospital trusts that can recruit a team of staff with the appropriate expertise. NHS England is responsible for commissioning £19.3 billion of specialised services in 2021-2 and for dealing with Individual Funding Requests in respect of the specialist services it commissions. There are proposals to move some of this commissioning to integrated care systems. The Shelford Group expressed concerns in May 2022 about services "where the numbers and evidence base supports the planning and provision of care being done at a population size larger than a typical ICS footprint."[34]
In 2015 there was criticism of delays in deciding on a policy for the prescription of Everolimus in the treatment of tuberous sclerosis. Twenty doctors addressed a letter to the board in support of the charity Tuberous Sclerosis Association saying "around 32 patients with critical need, whose doctors believe everolimus treatment is their best or only option, have no hope of access to funding. Most have been waiting many months. Approximately half of these patients are at imminent risk of a catastrophic event (renal bleed or kidney failure) with a high risk of preventable death."[35]
It authorises and pays for treatment of narcolepsy with sodium oxybate by means of individual funding requests on the basis of exceptional circumstances. In May 2016 the High Court ordered NHS England to provide funding to treat a teenager with severe narcolepsy. The judge criticised their "thoroughly bad decision" and "absurd" policy discriminating against the girl when hundreds of other NHS patients already receive the drug. The Department of Health is also paying for the treatment of people whose narcolepsy was caused by the swine flu vaccine Pandemrix in 2009–10 by means of private prescriptions outside the National Health Service.[36]
In May 2022 it produced guidance that said 65 of the 154 services they commissioned were ready and suitable to be devolved to the integrated care systems. It is expected that most will be jointly commissioned with their neighbours, rather than on their own.[37]
The organisation's responsibilities include arbitration in disputes between clinical commissioning groups and NHS trusts.[38]
Премия «Сатурн» («Золотой свиток» с 1973 по 1977 год) за лучший сценарий (англ. Saturn Award for Best Writing) вручается ежегодно Академией научной фантастики, фэнтези и фильмов ужасов, начиная с 1975 года. Содержание 1 Лауреаты и номинанты 1.1 1975—1980 1.2 1981—1990 1.3 1991—2000 1.4 2001—2010 1.5 2011—2019 1.6 2…
SanggrahanDesaKantor Desa SanggrahanNegara IndonesiaProvinsiJawa TengahKabupatenSukoharjoKecamatanGrogolKode pos57552Kode Kemendagri33.11.09.2011 Luas184,3535km²Jumlah penduduk8807 jiwaKepadatan29jiwa/km² Sanggrahan adalah desa di kecamatan Grogol, Sukoharjo, Jawa Tengah, Indonesia. Pembagian wilayah Desa Sanggrahan terdiri dari beberapa dukuh, antara lain: Dukuh Badongan Dukuh Badan Dukuh Dukuh Dukuh Sanggrahan Dukuh Mantung Dukuh Sidorejo Dukuh Ciptonegaran Dukuh Karang Dukuh Kaliwingko…
Berikut adalah daftar sirkuit yang dipakai untuk gelaran lomba NASCAR baik yang masih aktif ataupun yang sudah tidak aktif. Sudah banyak jenis sirkuit yang digunakan dalam sejarah NASCAR, termasuk yang dibangun khusus untuk balapan, misalnya Daytona. Trek aktif Sirkuit Julukan Mil Konfig. Lokasi Seri Tempat duduk Lomba Peta Atlanta Motor Speedway Hotlanta Speedway 1.540-mil (2.480 km) Quad-Oval Georgia (Hampton) Sprint Cup Xfinity SeriesCamping World Truck 111,000 Folds of Honor QuikTrip 50…
Railway station in Greater Sudbury, Ontario, Canada CapreolGeneral informationLocation8 Front StreetCapreol, ONP0M 1H0CanadaCoordinates46°42′40″N 80°55′44″W / 46.71111°N 80.92889°W / 46.71111; -80.92889Owned byVia RailConnections GOVAConstructionAccessibleYesOther informationStatusStaffed stationHistoryOpened1915Services Preceding station Via Rail Following station Laforesttoward Vancouver The Canadian Sudbury Junctiontoward Toronto Former services Preceding s…
Pilar Vidal en 1910 Pilar Vidal Ferrando (Barcelona, 1855 - † Barcelona, 8 de febrero de 1932) fue una actriz y cantante española. Biografía Siempre desde su debut se dedica a actriz característica. Se instala en Madrid en el año 1889, y tras pasar por los Teatros Maravillas y teatro Variedades de Madrid, recala en el Apolo, en el que cosechará sus mayores triunfos como actriz de carácter en multitud de piezas de Zarzuela. Así, puede destacarse que formó parte del elenco en el estreno …
Theater performed in Chicago, Illinois For the theater building at 175 North State Street built in 1921, see Chicago Theatre. The Chicago Theatre The Auditorium Theatre Theater in Chicago describes not only theater performed in Chicago, Illinois, but also to the movement in Chicago that saw a number of small, meagerly funded companies grow to institutions of national and international significance. Chicago had long been a popular destination for touring productions, as well as original productio…
يفتقر محتوى هذه المقالة إلى الاستشهاد بمصادر. فضلاً، ساهم في تطوير هذه المقالة من خلال إضافة مصادر موثوق بها. أي معلومات غير موثقة يمكن التشكيك بها وإزالتها. (فبراير 2016) إذاعة مصرية تقدم البرامج التعليمية المنهجية لطلاب الحلقة الابتدائية للتعليم الأساسي والمرحلة الإعدادية
Джозеф Берріангл. Joseph BerryНародився 28 лютого 1920(1920-02-28)Cassop-cum-Quarringtond, Графство Дарем, Дарем, Англія, Сполучене КоролівствоПомер 2 жовтня 1944(1944-10-02) (24 роки)Вендам, Гронінген, Нідерланди·загиблий у боюПоховання : Країна Велика Британія Сполучене КоролівствоДіяльніс
1994 video game This article is about the 1990s game. For the 2000s game, see WWF Raw (2002 video game). This article needs additional citations for verification. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed.Find sources: WWF Raw 1994 video game – news · newspapers · books · scholar · JSTOR (May 2007) (Learn how and when to remove this template message) 1994 video gameWWF R…
German actor Bert SprotteTom Mix and Sprotte (right) in Trailin (1921)Born(1870-12-09)9 December 1870Chemnitz, Saxony, GermanyDied30 December 1949(1949-12-30) (aged 79)Los Angeles, California, USAOccupationActorYears active1918–1938 Bert Sprotte (9 December 1870 – 30 December 1949) was a German actor.[1] He appeared in more than 70 American films between 1918 and 1938. He was born in Chemnitz, Saxony, and died in Los Angeles, California. Selected filmography Selfish Yat…
Pertempuran Kuruc-Labanc Kuruc (bahasa Hungaria: [ˈkurut͡s], jamak kurucok), juga dieja kurutz,[1][2][3] adalah para pemberontak anti-Habsburg di Kerajaan Hungaria dari tahun 1671 hingga 1711. Pasukan kuruc terdiri dari para petani dan hamba, termasuk petani-petani Protestan Hungaria.[4] Terdapat pula petani Slavia yang tergabung dalam kelompok ini.[5] Kelompok ini dikenal karena telah melancarkan perang kemerdekaan besar melawan dominasi Habsburg y…
Nama ini menggunakan kebiasaan penamaan Filipina; nama tengah atau nama keluarga pihak ibunya adalah Zimmerman dan marga atau nama keluarga pihak ayahnya adalah Duterte. The HonorableSebastian DuterteDuterte pada tahun 2022Wali Kota Davao ke-33PetahanaMulai menjabat 30 Juni 2022Wakil Wali KotaJesus Melchor Quitain Jr.PendahuluSara DuterteWakil Wali Kota Kota DavaoMasa jabatan30 Juni 2019 – 30 Juni 2022Wali KotaSara DutertePendahuluBernard Al-ag (pelaksana tugas)PenggantiJesus…
Group of tribal societies, 5th–10th c. Battle between the Slavs and the Scythians — painting by Viktor Vasnetsov (1881) The early Slavs were an Indo-European peoples who lived during the Migration Period and the Early Middle Ages (approximately from the 5th to the 10th century AD) in Central, Eastern and Southeast Europe and established the foundations for the Slavic nations through the Slavic states of the Early and High Middle Ages.[1] The Slavs' original homeland is still a matter…
Thiamine monophosphate Identifiers CAS Number 10023-48-0 Y 3D model (JSmol) Interactive image ChEBI CHEBI:9533 Y ChemSpider 10307 Y ECHA InfoCard 100.007.762 MeSH Thiamine+Monophosphate PubChem CID 10761 UNII 71F2V60NN0 Y CompTox Dashboard (EPA) DTXSID6046397 InChI InChI=1S/C12H17N4O4PS.ClH/c1-8-11(3-4-20-21(17,18)19)22-7-16(8)6-10-5-14-9(2)15-12(10)13;/h5,7H,3-4,6H2,1-2H3,(H3-,13,14,15,17,18,19);1H YKey: GUGWNSHJDUEHNJ-UHFFFAOYSA-N YInChI=1/C12H17N4O4PS.ClH/c1…
Советское правительство — обобщённое название правительства в государствах и странах с советской формой государственного устройства (Советская республика), а также в государствах и странах «народной демократии». Содержание 1 Россия и Союз ССР 2 Другие страны 3 См. такж…
Species of shrub in the family Proteaceae endemic to Western Australia Hakea pritzelii Scientific classification Kingdom: Plantae Clade: Tracheophytes Clade: Angiosperms Clade: Eudicots Order: Proteales Family: Proteaceae Genus: Hakea Species: H. pritzelii Binomial name Hakea pritzeliiDiels[1] Habit in a nature reserve south of Tarin Rock Fruit Hakea pritzelii is a flowering shrub in the family Proteaceae and is endemic to a few small areas in the Great Southern region of Western Au…
Barettabzeichen Die Liste der Truppenteile der Panzergrenadiertruppe des Heeres der Bundeswehr enthält alle aufgelösten, aktiven und nicht aktiven (Geräteeinheiten) Panzergrenadierverbände (auch Grenadierverbände und Großverbände) der Bundeswehr sowie eine kurze Übersicht über ihren Aufstellungszeitpunkt, Stationierungsorte und gegebenenfalls über ihre Auflösung oder Umbenennung. Inhaltsverzeichnis 1 Nummernkonventionen 1.1 Divisionen 1.2 Brigaden 1.3 Bataillone 2 Liste 2.1 Lege…
Фантух Антоніна ПавлівнаНародилася 7 грудня 1952(19521207)Кривий Ріг, Дніпропетровська область, Українська РСР, СРСРКраїна РосіяДіяльність журналісткаAlma mater ЧНУ імені Юрія ФедьковичаЗнання мов російськаНагороди Ця стаття має кілька недоліків. Будь ласка, допоможіть удо…
Indian multi-media artist Ranbir Kaleka 2012 Ranbir Kaleka (born 1953) is a contemporary Indian multi-media artist based in New Delhi whose work often centers around themes of animals, sexuality and tradition. Initially trained as a painter, his work has increasingly animated two-dimensional canvases within experimental film narrative sequences, and has been exhibited in a range of major international gallery and museum venues.[1][2][3][4] In 2007, Dr. Felicitas H…
Railway station in Rhondda Cynon Taf, Wales TreorchyWelsh: TreorciGeneral informationLocationTreorchy, Rhondda Cynon TafWalesCoordinates51°39′27″N 3°30′22″W / 51.6575°N 3.5061°W / 51.6575; -3.5061Grid referenceSS959964Managed byTransport for WalesPlatforms1Other informationStation codeTRYClassificationDfT category F1Key dates27 Sept. 1869first station opened3 March 1884resitedPassengers2017/18 169,9482018/19 151,0642019/20 132,8902020/21 20,2422021/22 77,888 L…
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