Information relating to health and adult social care services. Brought about a massive restructuring of the NHS, costing billions of pounds to introduce and extra billions to run because of the additional costs of operating the NHS as a market.
How effective the new proposals will be at engaging GPs and other primary care staff in public health activities is still open to question, as for many GPs there is still a significant amount of distrust.
GP representatives from CCGs sit on these boards, and they will probably be expected to contribute to the understanding of what the local health demands are, as well as the ways that general practice and other primary care services can improve health outcomes in these areas.
Very few people understand its implications but it will affect each of us arguably more than any other legislation passed in our lifetimes. Choice and competition were not, as envisaged, the driving principles of the NHS. More consortiums mean that commissioning skills, already in short supply nationally, will be spread even more thinly.
Government to lay regulations through secondary legislation to implement Part 3 of the Act Regulation of health and adult social care services. Smaller populations increase the chances that a few very expensive patients will blow a hole in budgets.
Status of the Care Quality Commission The already established Care Quality Commission CQC is distinct from Monitor in that it focuses on quality, and works to ensure the maintenance of standards in health and social care practices.
Government to lay Health and social care act 2012 through secondary legislation establishing clinical commissioning groups CCGs and Healthwatch England. The health service in England including duties of the secretary of state for health and new commissioning arrangements.
Clinical commissioning groups CCGs to begin commissioning services. That idea has received some wider support and the government has agreed to give it consideration.
CCGs will remain responsible for what is done in their name although the situation is less clear in those parts of the country where control of the NHS is being devolved to local authorities. The white paper set out the following timetable. Below is a summary of the key stakeholders involved in the provision of healthcare in England.
One of the reasons given for introducing the HSC Act was because of the financial issues facing the NHS and the huge pressure on its services, but the Act failed to address these. Following changes made through the Act, the CQC will licence NHS and adult social care providers with a view to keeping check on safety and quality levels.
The government claims private providers will improve standards through competition and choice. Dependent on the legislation item being viewed this may include: In effect, S75 orders the NHS to use the private sector.
Final provisions, including financial provisions and commencement of a consultation with Scottish Ministers. Background[ edit ] The proposals in the Act were not discussed during the general election campaign in and were not contained in the Conservative — Liberal Democrat coalition agreement of 20 May which declared an intention to "stop the top-down reorganisations of the NHS that have got in the way of patient care".
Met a long-term political aim of successive governments to use competition to drive the NHS, and turn the NHS into a market place. Although these plans had no political mandate, their scale was massive: Whereas in the past such pressures within PCTs have tended to squeeze out public health expenditure, the protected LA budget will not be at risk of being shifted towards clinical services.
As I sat down to watch the ceremony, I kept an eye out for my young patient. In particular, commissioning agencies need to urgently identify how services from existing groups of primary care-based public health providers midwives, school nurses, etc.
This is why corporates such as UnitedHealth are preparing to take over the complex task of commissioning. CCGs will each have a governing body which must include "health care professionals of a prescribed description", lay persons, and "individuals of any other description which is prescribed".
Yet this legislation is just one of many planks in the dismantling of the NHS.
CCGs should have responsibility for, or at least be directly involved in, commissioning those public health activities that most closely relate to the ones they provide themselves via the GP contract such as contraception services and cervical cancer screening.
Continue to open Legislation is available in different versions: This may be confusing and frustrating to patients as well as GPs, requiring good communication between different agencies to minimise this confusion.
Systems developed within PCTs for supporting GPs with epidemiological analyses are likely to have been substantially disrupted with changes to public health departments. Changing of the language of the NHS tenets to read "any willing provider" takes away that requirement and allows private sector providers to have a potentially major say inside the NHS, potentially introducing private-sector operations and pricing within the NHS and even opening up local NHS operations to the possibility of forced closure because the private industry could out-compete them and corral the NHS services into bankruptcy.
Following changes made through the Act, the CQC will licence NHS and adult social care providers with a view to keeping check on safety and quality levels.
General[ edit ] On 19 January two major unions of healthcare professionals that had previously tried to work with the Government on the bill, the Royal College of Nursing and the Royal College of Midwivesdecided instead to join with the British Medical Association in "outright opposition" to the bill.
Section 14 of the Act details the ability of CCGs to make arrangements to work together. While NHS England has local offices, co-ordination between commissioners is important.A series of fact sheets explaining aspects of the Health and Social Care Act Published 15 June From: Department of Health and Social Care.
This was published under the to A core argument for the HSC Act was that the NHS would benefit from being freed from central command, with providers like hospital Trusts and health care professionals having more autonomy.
3. The Secretary of State’s duty as to the NHS Constitution 4. The Secretary of State’s duty as to reducing inequalities 5. The Secretary of State’s duty as to promoting autonomy 6. The Secretary of State’s duty as to research. A core argument for the HSC Act was that the NHS would benefit from being freed from central command, with providers like hospital Trusts and health care professionals having more autonomy.
Last updated 30th April 1. Throughout its passage, the Government was committed to ensuring full, robust scrutiny of the Health and Social Care Act Latest news on the Health and Social Care Act Following agreement by both Houses on the text of the Bill it received Royal Assent on 27 March.
The Bill is now an Act of Parliament (law).Download