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Implications of NHS Transformation and GP Commissioning for Public Health

Explore the effects of NHS structural changes, GP commissioning, and public health allocation shifts on healthcare services in the UK. Analyzing the impact of abolishing SHAs and PCTs, the role of NCB and NCB in allocating budgets, and the emphasis on partnership working. The transformation process and risk mitigations in transitioning to new structures in the National Health Service.

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Implications of NHS Transformation and GP Commissioning for Public Health

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  1. Implications of the Health Service White Papers Robert Mackie Interim Chief Executive NHS Walsall

  2. Context Transforming Community Services “Equity and Excellence” – Liberating the NHS July 2010 “Healthy lives, Healthy people White Paper” November 2010 NHS Operating Framework for England 2011/12

  3. SHAs & PCTs abolished GP Commissioning - responsible c.£80bn of current budget NCB – responsible for £20bn, influencing £80bn Public Health England PHE and LAs – responsible for c. 4% of budget External Regulators Care Quality Commission Monitor PCT Clustering & the creation of interim SpHAs New Landscape Same Names New Remits

  4. SHAs - Abolished April 2012 PCTs - Abolished April 2013 PCTs - Cluster by June 2011 TCS - Commissioner : Provider split by April 2011 “Old Architecture Timelines”

  5. PCTs / Clusters to facilitate development Shadow GPC arrangements April 2011 Authorised April 2012 Allocated budgets April 2013 Walsall Progress GP Commissioning

  6. White Paper consultation closes Feb 2011 - Shadow Arrangements 2011/12 Public Health England - live April 2012 Local Authority - shadow allocations for HI Autumn 2011 - shadow arrangements 2012/13 - live April 2013 Public Health

  7. CE designate appointed October 2011 Shadow Board in place Go live April 2012 National Commissioning Board

  8. Completes the Commissioner/Provider split Significant structural change & transitional risk Putting GPs at the heart of commissioning Emphasis on partnership working Allocations will be recast by April 2013 Implications

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