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Modernising the NHS: Resilience Challenges & Opportunities

Modernising the NHS: Resilience Challenges & Opportunities. David Walker Emergency Planning & Public Health Manager 23 June 2011. SCOPE. Dept of Health & NHS – current & transitional structures Resilience roles & responsibilities The future 2013+ ? Resilience opportunities & challenges

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Modernising the NHS: Resilience Challenges & Opportunities

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  1. Modernising the NHS: Resilience Challenges & Opportunities David Walker Emergency Planning & Public Health Manager 23 June 2011

  2. SCOPE • Dept of Health & NHS – current & transitional structures • Resilience roles & responsibilities • The future 2013+ ? • Resilience opportunities & challenges • Questions

  3. DEPT OF HEALTH CURRENT STRUCTURE DH HPA 10 x SHAs HPUs 151 x PCTs £ 10 x regional ambulance Hospitals, GPs, Mental Health Trusts, Dentists, community services providers Patients

  4. RESILIENCE ROLES & RESPONSIBILITIES HPA DH Ambulance HPU SHA Suffolk Beds & Luton Cambs 2 x PCTs 4 x acutes 1 x MH 1 x CCS Essex Herts Norfolk

  5. TRANSITIONAL STRUCTURES NHS CB shadow DH HPA PHE shadow 4 x SHA clusters HPUs 50 x PCT clusters £ Clinical Commissioning Groups shadow PHE (local) shadow Hospitals, GPs, Mental Health Trusts, Dentists, Community Services 10 x regional ambulance Patients

  6. The future 2013+ ? Monitor CQC DH/ SoS NHS CB PHE Sectors NHS CB PHE Clinical Commissioning Groups PHE (local) £ Any Qualified Providers NHS trusts LRF Local Resilience Forum DPH Health & Wellbeing Boards Patients

  7. TRANSITION: TIMETABLE FOR CHANGE Planned date • October 2011 • April 2012 • By October 2012 • October 2012 • April 2013 • April 2014 Commitment • SHA clusters in place. NHS CB in shadow form • Extend choice of Any Qualified Provider • NHS CB established – establish & authorise Clinical Commissioning Groups • Monitor takes on new statutory functions • SHAs & PCTs abolished.NHS CB takes over. PHE established. CCGs established • Remaining NHS trusts become Foundation Trusts

  8. RESILIENCE OPPORTUNITIES & CHALLENGES OPPORTUNITIES • Streamlined healthcare patient pathways • Integrated Public Health services • Better research & innovation • Cost savings • Local Health & Wellbeing Boards oversee clinical quality & effectiveness CHALLENGES • £20bn NHS management costs savings • CCA 2004 – Cats of responders & levers of power • Leadership of NHS/PHE at LRF & sub-national levels • Numbers of Any Qualified Provider

  9. ANY QUESTIONS? david.walker@eoe.nhs.uk

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