PROJECT PLAN

Project Plan

Executive Summary

To help GP consortia identify and plan the delegated responsibilities that they wish to take on during the year, the table on the following page provides an indicative assessment of the types of commissioned services that fall into each bundle. The list is not intended to be exhaustive. If, when applying to take on delegated responsibilities, consortia believe the level of complexity applied to a commissioned service in the table above it either too high or too low, consortia should provide clear evidence as to why they believe this to be the case.

Table of Content

Introduction4

So what are the planned reforms?4

Intended Road Map5

New GP Commissioning Consortia5

Pathfinder GP Consortia6

Relationship between the NHS Commissioning Board and GP Consortia6

Commissioning changes - Present Local PCT's to PCT Clusters7

Provider Changes7

Local and Government and Public Health Reform8

Patient Information Revolution9

Running Costs9

Assurance Framework9

Risk Evaluation and Assessment10

Performance Management10

GP Power10

References12

Appendix13

Project Plan

Introduction

Over 60 years before, the National Health Service comprised a fundamental answer for consigning healthcare. It has stayed ever since in nearly enduring transformation as it adapts to communal anticipations, technological and technical improvement, demographic moves and political needs. New authorities generally signify new main concerns, new beliefs and new staff at the top (Rogers, 1998, 693). The Coalition Government is no different. On July 12, the Health Secretary, Andrew Lansley broadcast the important functional alterations he envisions for the NHS with the publication of the Department of Health White Paper Equity and Excellence: Liberating the NHS.

It suggests power will be devolved from Whitehall in the anticipation that this will permit clinicians to aim on advancing wellbeing conclusions and patients will get more alternative and control. At the centre of Mr Lansley's dream is eliminating commissioning from Primary Care Trusts (PCT) which, along with Strategic Health Authorities (SHA), are to be phased out and presenting it rather than to General Practitioners.

So what are the planned reforms?

There is a complex roadmap of change ahead with reforms happening in local authority, public health, primary and acute sectors of the NHS. Introduction of 'any willing providers' and new commissioning structures in terms of who design's, buy's and then who provides and overall how this is monitored and processes remain transparent, fair and open to existing independent contractors such as community pharmacy.

PCT's are going - they will be replaced by PCT Clusters and Commissioning Support Units

GP Commissioning Consortia have started via Pathfinders with full coverage by 2013/14

Strategic Health Authorities will be abolished with the NHS Commissioning Board assuming responsibility in2012

Local authorities will put in place Health and Well Being boards with new Joint assessment and strategy processes

New regulators for Quality and NHS Finances

New Public Health Department

Public voice will be strengthened by Health Watch UK

New changes for providers

The reforms will minimise the risk of failure in the system by having,

Health Watch - local and national panels representing patient views to commissioners and the NHS with statutory powers to recommend Care Quality Commission investigations

Strengthened governance arrangements of Foundation Trusts

Strong regulation - regulate providers on safety and quality with the CQC ...