Implications of the Health Service White Papers

Robert Mackie

Interim Chief Executive

NHS Walsall

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

New LandscapeSHAs & 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

Same Names New Remits

“Old Architecture Timelines”

• SHAs - Abolished April 2012

• PCTs - Abolished April 2013

• PCTs - Cluster by June 2011

• TCS - Commissioner : Provider split by April 2011

GP Commissioning

• PCTs / Clusters to facilitate development

• Shadow GPC arrangements April 2011

• Authorised April 2012

• Allocated budgets April 2013

• Walsall Progress

Public Health

• 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

National Commissioning Board

• CE designate appointed

• October 2011 Shadow Board in place

• Go live April 2012

Implications

• 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