The New NHS: A Guide

The New NHS Explained provides a brief and authoritative overview of the funding, organization, delivery systems and accountability mechanisms of the new NHS and enables the reader to get a rapid grasp of the nature and significance of the new structures.

List of illustrations

vii

Preface

ix

Acknowledgements

x

List of abbreviations

xi

1 Introduction

1

(11)

The original NHS

2

(3)

The transition to a market

5

(2)

The emerging market in clinical care

7

(5)

2 Organisations with strategic roles

12

(24)

The Department of Health

12

(6)

Strategic Health Authorities (SHAs)

18

(2)

'Arm's length' bodies of the Department of Health

20

(16)

3 Organisations commissioning services

36

(12)

Primary Care Trusts

36

(7)

GP practice-based commissioning

43

(1)

Care trusts

44

(2)

Children's trusts

46

(2)

4 Organisations providing services

48

(30)

Primary care

49

(11)

Secondary care

60

(11)

Public health

71

(7)

5 Funding and resources

78

(26)

The allocation of resources for the NHS in England

79

(16)

The flow of funds: from commissioners to providers

95

(5)

Financial duties of NHS bodies

100

(3)

Banking arrangements

103

(1)

6 Efficiency and standards

104

(32)

Contracts

108

(1)

Strategic health authorities and performance management

108

(1)

National targets

109

(1)

National standards

110

(1)

Accountability: who is responsible

111

(2)

Clinical standards and safety

113

(3)

Performance frameworks' and performance ratings

116

(5)

Professional regulation

121

(3)

Lifelong learning

124

(3)

Patient and public involvement in healthcare

127

(5)

Complaints and clinical negligence

132

(4)

7 Research and development, and research governance

136

(11)

Research and development policy in the 1990's

136

(3)

Research and development policy since 2000

139

(6)

New strategy for clinical research and development

145

(1)

Conclusion

146

(1)

8 The NHS workforce

147

(8)

Medical staff

149

(2)

Nursing staff

151

(1)

Allied health professionals

152

(1)

Other staff

153

(1)

Trade unions

154

(1)

9 Devolution: the NHS in Scotland, Wales and Northern Ireland

155

(23)

Funding

155

(1)

Structures

156

(1)

The NHS in Scotland

156

(8)

The NHS in Wales

164

(5)

The NHS in Northern Ireland

169

(7)

Summary

176

(2)

10 The future

178

(4)

Notes

182

(12)

Index

194

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Summary

Table of Contents

Supplemental Materials

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The New NHS: A Guide

Summary

Table of Contents

Supplemental Materials

Digital License