The new NHS: how providers are regulated and commissioned
Providers of NHS services Contract with Clinical commissioning Private providers Care Quality Commission groups (CCGs) £££ Independent regulator Voluntary sector for quality
NHS England £££ GPs Governors Foundation trusts Local authorities £££ NHS trusts }
Monitor NHS Trust Development Authority (NHS TDA) The financial regulator of foundation trusts Responsible for overseeing the performance management and governance of NHS trusts
NHS Improvement • Brings together Monitor and the NHS TDA, along with: NHS England’s Patient Safety Team; the Advancing Change Team; NHS Interim Management and Support’s two Intensive Support Teams; and the National Reporting and Learning System • Oversees foundation trusts, NHS trusts and independent providers • Supports providers and local health systems to improve • Holds providers and boards to account and, where necessary, intervenes The new NHS: who can influence commissioning of services
Department of Health Greater Manchester health and The Mandate social care devolution arrangements**
Strategic clinical Clinical networks senates Public Health * ** From 1 April 2016, leaders in England NHS England and regional teams Greater Manchester are taking greater control of the region’s health Commissioning guidance and social care budget. This includes NICE Expert taking on delegated responsibility Local advice for several commissioning budgets previously controlled by NHS England. Healthwatch Other areas are also pursuing ‘devolved’ arrangements. Represented on Commissioning Represented on support units Health and Clinical wellbeing board Local commissioning Local h ealth and authorities wellbeing strategy groups Seek views Commissioning == plan
Public Community Mental health Primary Specialist health services services Hospital services care services
* Screening/immunisation programmes run by NHS England. == In 2016/17 a total of 114 CCGs will have assumed full responsibility for the commissioning of primary medical care services under delegated commissioning arrangements. Nearly all CCGs are expected to have taken on delegated arrangements by 2017/18. The new NHS: how the money flows
Regulators: NHS Improvement, Parliament Care Quality Commission £120.4 billion
Public £5.0 billion Health England Department of Health Health Education England £106.8 billion
£2.1 billion Sustainability and Transformation Fund
£3.4 billion £1.1 billion* NHS England and regional teams (4)
£71.9 billion
Local Better Care Clinical commissioning authorities (152) Fund groups (209) ** £3.4 £12.8 £15.7 billion billion billion
Public Community Mental Specialised health services health Hospital services Primary care services
* Screening/immunisation programmes run by NHS England. ** In 2016/17 a total of 114 CCGs will have assumed full responsibility for the commissioning of primary medical care services under delegated commissioning arrangements. Nearly all CCGs are expected to have taken on delegated arrangements by 2017/18. How the money flows – medical and professional education and training
Department of Health
£5.0 billion*
Health Education England (HEE)
13 local education and training boards (LETBs)
Deaneries Health service providers Education providers
*Allocation for 2016/17