The Health and Social Care Act 2012 - Introduction and Overview


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Ian Winter CBE, Deputy Director, Health and Social Care, Department of Health


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The Reforms in Summary. Ian Winter CBE DH (London Region) Chippenham Health and Wellbeing 29 November 2012:

The Reforms in Summary. Ian Winter CBE DH (London Region) Chippenham Health and Wellbeing 29 November 2012

Purpose of Reforms:

2 2 Purpose of Reforms Health and Social Care Act 2012 – NHS reforms puts patients first – more choice and control greater focus on outcomes - using innovation and evidence to provide quality care professionals and providers have the freedom to innovate and respond to patient needs and aspirations greater accountability to the public and strengthened regulation . Health and Social Care Act 2012 – Public Health a response to Sir Michael Marmot’s’ Fair Society, Healthy Lives’ Report sets out a long-term strategy for Public Health in England creates local freedom creates accountability ring fence funding

The Opportunities:

3 The Opportunities The integration of care Understanding need Effective planning Joined up commissioning and contracting Tackling inequalities Improving quality and outcomes & safety Managing the money

Role of Health and Wellbeing Boards:

4 Role of Health and Wellbeing Boards HWBs will be the new statutory committee of local authorities. Membership will come from elected members, Directors of Public Health, Adult and Children’s Services, Clinical Commissioning Groups (CCGs), the NHS Commissioning Board and local HealthWatch representatives. HWBs must prepare Joint Strategic Needs Assessments (JSNAs) and Joint Health and Wellbeing Strategies (JHWBs). HWBs must give their views on whether CCG commissioning plans accord with the JHWBS when those plans are submitted to the NHS Commissioning Board. HWBs can refer commissioning plans back if they do not think they have adequate regard for the JHWBS. HWBs will be the “vehicle” for lead commissioning of services

Clinical Commissioning Groups:

5 Clinical Commissioning Groups From April 2012 general practices across England will be preparing to take on responsibility for commissioning the majority of healthcare for their local population by forming clinical commissioning groups The present systems and structures of commissioning organisations will be abolished. CCGs will need to ensure they have effective structures and governance arrangements, strong clinical leadership and good relationships with their member practices and engagement with their local population – how they do this will be documented in their constitution For a CCG to become established it will need to demonstrate its capability to deliver against an evidenced based process. This is Authorisation.

NHS Commissioning Board Functions:

6 NHS Commissioning Board Functions The NHS CBA will deliver both its own commissioning functions and ensure that the whole of the architecture is cohesive, coordinated and efficient. It will also: Provide leadership to the NHS. Assess, assure and hold CCGs to account for delivering their statutory responsibilities. Commission Primary Care services, such as dental and pharmaceutical. Commission Specialised Services, such as specialised cancer services and specialised services for haemophilia. Commission both offender health and Armed Forces’ healthcare. Likely to commission certain services on behalf of Public Health, such as screening and immunisation.

What the Local HealthWatch will be:

7 What the Local HealthWatch will be An independent organisation starting April 2013 with statutory functions Funded and commissioned through the local authority A strong voice representing the experience of local people To local decision makers To HealthWatch England Part of local Health and Wellbeing Boards An information point for local people

What HealthWatch will do:

8 What HealthWatch will do Develop strong inclusive local networks to gather people’s views. Collate and analyse information to inform/lobby decision makers and regulators. Enter and view local services – Health & Social Care, both Adult and Children’s services. Work with CQC and HealthWatch England to raise concerns and inform national debate. Provide information and advice about local services and how to access them (currently provided by the PCT Patient Advice and Liaison Service (PALS)) but not information and advice on specific treatments or individual practitioners.

Role of Public Health England:

9 Role of Public Health England Provide public health advice, evidence and expertise to the Secretary of State and work with partners to gather and share examples of what works Delivery of effective health protection services Commission or provide national-level health improvement services Appoint Directors of Public Health jointly with local authorities Allocate ring-fenced funding to local authorities and reward them for progress made against elements of the proposed public health outcomes framework Commission some public health services such as screening services and children’s public health (services for the under 5s) from the NHS via the NHS Commissioning Board

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