The Structure of the NHS in England
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Reporting and Rating NHS Trusts' Use of Resources
Summary of consultation responses: Reporting and rating of NHS trusts’ use of resources March 2018 Contents 1. Introduction and overview ................................................................................... 3 2. Key themes of the consultation .......................................................................... 7 2.1 Introduction ........................................................................................................ 7 2.2 A transparent and streamlined approach to working together ........................... 8 What you said ....................................................................................................... 8 What we will do .................................................................................................... 9 2.3 A clear approach to displaying and communicating the new assessments and ratings .................................................................................................................... 11 What you said ..................................................................................................... 11 What we will do .................................................................................................. 12 2.4 Fair, proportionate and consistent rules for combining the Use of Resources rating with CQC’s existing quality ratings ............................................................... 13 What you said ..................................................................................................... 13 What we will do ................................................................................................. -
Devolution: What It Means for Health and Social Care in England
Devolution: what it means for health and social care in England Devolution of powers and funds from central down to local government has emerged as one of this government’s flagship policies. The notion of devolving health care was not core to the original devolution agenda, which focused on driving local economic growth. The inclusion of health and social care in the so-called ‘Devo Manc’ agreement announced in November last year therefore came as a surprise to many. Along with powers over housing, skills and transport, the landmark deal between the Treasury and Greater Manchester paves the way for the councils and NHS in Greater Manchester to take control of the region’s £6 billion health and social care budget. Ahead of further devolution deals expected to be announced as part of the Spending Review 2015, this briefing describes the origins of the devolution agenda and charts its progress in relation to health and social care. Before drawing some broad conclusions, the penultimate section explores some of the key policy and implementation questions that remain unresolved. Alongside secondary research, this paper is built on insights captured at events held at The King’s Fund as well as a series of conversations with representatives from various national bodies, think tanks and local areas involved in devolution, for which we are immensely grateful. What’s happening and how did we get here? A potted history of devolution and centralisation in England Over the past 150 years, there has been a tendency for UK governments to centralise power. The result is a UK system that is one of the most centralised of all countries belonging to the Organisation for Economic Co-operation and Development (OECD); 75 per cent of tax revenues were raised centrally in 2012 (OECD 2014), and in 2014 just under 25 per cent of public expenditure was by local government (OECD 2015). -
Response from NHS Digital
1 Trevelyan Square Boar Lane Leeds LS1 6AE FAO: Joanne Andrews North East Kent Coroners Cantium House Country Hall Sandling Road Maidstone Kent ME14 1XD By Email Only: [email protected] Your ref: Our ref: 4 February 2021 Dear Ms Andrews Inquest into the death of Mr Ronald Richard Tilley I am writing in response to the Regulation 28 report received from HM Coroner dated 4 December 2020. This follows the death of Ronald Richard Tilley, who sadly died on 23 October 2019. This was followed by an investigation and inquest which concluded on 29 October 2020. I would like to express my sincerest condolences to Mr Tilley’s family. NHS Digital provided written statements in advance of the inquest, but did not attend the inquest. NHS Digital is a non-departmental public body created by the Health and Social Care Act 2012 and is the national information and technology partner for the health and care system. We use technology to support the NHS and social care. NHS Digital operates and maintains the Personal Demographics Service (‘PDS’) under the Spine Services No.2 Directions issued by the Secretary of State for Health and Social Care to maintain a register of NHS patients in England. PDS is the national electronic database of NHS patient details such as name, address, date of birth and NHS Number (known as demographic data). It also records the primary care registration (i.e. the GP practice with which the patient is registered for general medical services1) held by each registered patient and as notified through other NHS systems. -
Randomised Trial to Compare the Immunogenicity and Safety of a CRM Or TT Conjugated Quadrivalent Meningococcal Vaccine in Teenag
Title Page Randomised trial to compare the immunogenicity and safety of a CRM or TT 1 2 conjugated quadrivalent meningococcal vaccine in teenagers who received a 3 4 5 CRM or TT conjugated serogroup C vaccine at preschool age 6 7 8 9 1,2 1,3 1 10 David A. Ishola , FFPH; Nick Andrews , PhD; Pauline Waight , BSc; Chee-Fu 11 12 Yung1,6, FFPH; Jo Southern1, PhD; Xilian Bai4, PhD; Helen Findlow4, PhD; Mary 13 14 5 5 5 4 15 Matheson , PhD; Anna England , MSc; Bassam Hallis , PhD; Jamie Findlow , PhD; 16 4 1 17 Ray Borrow , PhD; Elizabeth Miller , FRCPath. 18 19 1. Immunisation Department, Public Health England (PHE), London, UK 20 21 22 2. Department of Infection and Population Health, University College London, 23 24 London, UK 25 26 27 3. Statistics, Modelling, and Economics Department, PHE London, UK 28 29 4. Vaccine Evaluation Unit, PHE, Manchester Medical Microbiology Partnership, 30 31 32 Manchester Royal Infirmary, Manchester, UK 33 34 5. Microbiology Services, PHE, Porton Down, Salisbury, UK 35 36 6. Department of Clinical Epidemiology, Communicable Disease Centre, Tan Tock 37 38 39 Seng Hospital, Singapore. 40 41 Correspondence: David Ishola, University College London, Department of Infection 42 43 44 and Population Health, 222 Euston Road, London NW1 2DA, UK. Tel: +44 45 46 (0)7946412701. Fax: +44 (0)20 83277404. E-mail: [email protected] 47 48 49 Address for reprints: Not applicable (reprints not available). 50 51 Key words: Meningococcal, vaccine, teenagers, antibody, randomised trial 52 53 54 Abbreviated title: Teenage MenACWY booster vaccination: Randomised trial 55 56 Running head title: Teenage MenACWY booster vaccination 57 58 59 60 61 62 1 63 64 65 CONFLICTS OF INTEREST AND SOURCE OF FUNDING: 1 2 Funding and support: This report is independent research commissioned and 3 4 5 funded by the UK Department of Health Policy Research Programme (National 6 7 Vaccine Evaluation Consortium, 039/0031). -
1 Agenda Item No: 12.2 REPORT TO: GOVERNING BODY MEETING
Agenda Item No: 12.2 REPORT TO: GOVERNING BODY MEETING DATE: 28 January 2019 REPORT TITLE: Chief Officer’s Report SUMMARY OF REPORT: This report provides an update on issues of interest pertinent to Governing Body members which have taken place since the last formal Governing Body Meeting held in November 2018. REPORT RECOMMENDATIONS: Members are requested to note the updates within this report and ratify the adoption of the polices included in section 9 of this report. FINANCIAL IMPLICATIONS: None. REPORT CATEGORY: Tick Formally Receipt x Action the recommendations outlined in the report. x Debate the content of the report Receive the report for information AUTHOR: Debra Atkinson Head of Corporate Business Report supported & approved by your Senior Y Lead PRESENTED BY: Dr Julie Higgins Chief Officer OTHER COMMITTEES/ N/A GROUPS CONSULTED: EQUALITY IMPACT ANALYSIS Has an EIA been completed in respect of this report? N (EIA) : If yes, please attach If no, please provide reason below: Not required RISKS: Have any risks been identified / assessed? N CONFLICT OF INTEREST: Is there a conflict of interest associated with this N report? CLINICAL ENGAGEMENT: Has any clinical engagement/involvement taken Y place as part of the proposal being presented. PATIENT ENGAGEMENT: Has there been any patient engagement associated Y with this report? PRIVACY STATUS OF THE Can the document be shared? Y REPORT: Which Strategic Objective does the report relate to Tick 1 Commission the right services for patients to be seen at the right time, in the right place, X by the right professional. 2 Optimise appropriate use of resources and remove inefficiencies. -
A Summary April – June 2020 2 Healthwatch England Contents
COVID-19: What people are telling us A summary April – June 2020 2 Healthwatch England Contents 3 Introduction 5 Top advice the public are seeking 6 The impact of the COVID-19 pandemic 15 In focus: Technology in response to the pandemic 17 How do people feel about their care? A look at patient sentiment by sector Our approach to equality, diversity, and inclusion We believe that everyone should have a fair and equal experience of health and social care. We recognise that some people and communities face multiple layers of disadvantage and discrimination, and that their views and needs are often not represented where they should be. Healthwatch England has published an Equality, Diversity and Inclusion work plan for 2020-21. Going forward, we are working to ensure our insight better represents the diversity of the communities we serve. Our Equality, Diversity and Inclusion work plan. 3 Healthwatch England Introduction COVID-19 has had an unparalleled impact on us all. Over a few days in March, millions of NHS appointments were paused or moved online, hospitals quickly discharged patients to free up beds, and those most clinically vulnerable to COVID-19 were told to “shield” at home. The Government began a nationwide campaign to reduce the risks presented by a virus about which little was known. A multitude of guidance was also issued, which was often changed at short notice. While the crisis unfolded, Healthwatch did not stop our work. We mobilised staff and volunteers to advise a concerned public, and we alerted services to the issues that were confusing or preventing people from getting the care they needed. -
South Warwickshire NHS Foundation Trust Annual Report and Accounts
South Warwickshire NHS Foundation Trust Annual Report and Accounts for 2014/15 South Warwickshire NHS Foundation Trust Annual Report and Accounts for 2014/15 Presented to Parliament pursuant to Schedule 7, paragraph 25 (4) (a) of the National Health Service Act 2006 2 Content Introduction: pages 3-5 Section 2: Directors’ Report pages 69-90 Chief Executive’s message Chairman’s message - Directors’ Statement - Appointments and Roles Section 1: Strategic Report pages 6-68 - Board Profiles and Register of Interest - About the Trust - Executive Leadership Structure - Trust Structure - Disclosure of Corporate Governance Arrangements - Service Profile / Principal - Board Statements Activities - Board Committees - Strategy - Board and Committee - 2014/15 objectives Membership - Business Review - Directors’ Remuneration and Review of 2014/15 Pension Benefits objectives Trust performance Section 3: Council of Governors and against national Membership pages 91-112 targets Quality - Council of Governors Structure - Governor Profiles Key Developments in - Map of Constituencies 2013/14 - Meetings of the Council of Financial Performance Governors Review - Sub-committees of the Council of - Risks and Uncertainties Governors - Trends and Factors affecting the - Trust Membership Trust - Partnerships, Stakeholders and Section 4: Quality Report pages 113- Key Strategic Relationships 218 - Corporate Activity Data Part 1: Statement on Quality Part 2: Priorities for Improvement and Serious Untoward Assurance Statements Incidents Part 3: Review of Quality Performance Information Governance Section 5: Statement of Accounting Patient Experience Officers’ Responsibilities and Annual Workforce Governance Statement pages 219- Social, Community and 233 Human Rights Current Developments Section 6: Summary of Financial Environmental and Statements & Auditor’s Statement Sustainability pages 234-242 3 Chief Executive’s Message The end of another financial year provides an opportunity to reflect and to re- focus. -
The NHS's Role in the Public's Health
The NHS’s role in the public’s health A report from the NHS Future Forum Workstream members Vicky Bailey ‐ Chair, NHS’s role in the public’s health group Chief Operating Officer, Principia Rushcliffe Clinical Commissioning Group Ash Soni ‐ Chair, NHS’s role in the public’s health group Community Pharmacist; Clinical Network Lead, NHS Lambeth Dr Charles Alessi Senior GP Partner, The Churchill Practice Dr Frank Atherton President, Association of Directors of Public Health; Director of Public Health, North Lancashire Cluster Ratna Dutt Chief Executive, Race Equality Foundation Paul Farmer Chief Executive, Mind Moira Gibb Chief Executive, London Borough of Camden; Chair, Social Work Task Force Chris Long Chief Executive, Humber Cluster Claire Marshall Head of Professions, Heatherwood and Wexham Park Hospitals NHS Foundation Trust Dr Tim Riley Chief Executive, Wellstate Group Ltd Tom Riordan Chief Executive, Leeds City Council Dr Robina Shah Chair, Stockport NHS Foundation Trust Professor Jimmy Steele Head of School and Professor of Oral Health Services Research, School of Dental Sciences, Newcastle University Gill Walton Director of Midwifery, Portsmouth Hospitals NHS Trust Contents Contents.........................................................................................................................2 Foreword........................................................................................................................3 Terms used in this report...............................................................................5 -
Summer 2019 Magazine for Staff, Members, Volunteers and People Who Use Our Services
Summer 2019 Magazine for staff, members, volunteers and people who use our services 100% Renewable Energy for ELFT Award Success We car We r s ect We ar i clus ve TRUSTtalk IMPROVED EXPERIENCE OF CARE Chief Executive FOREWORD THE Trust has hosted a flurry of events comfort of our offices at HQ. reminded us all to take time to listen and and conferences that has set me in I was joined by 12 colleagues from understand complexities and events in a spin! But to me, these are a good different staff groups who not only the lives of others. (See page 8) sign because it means that people are listened in and watched the conference, This issue of Trusttalk has a special talking - they are listening, they are but contributed key points from our table feature on Mental Health Research and curious, open to new ideas, articulating discussion. (Page 10) Development which is a massive part of their own theories and understanding, Our Quality Conference took place on our work here in ELFT. We underestimate happy to be challenged and happy to be 13 May and brought together staff from how much research undertaken in the with peers talking about their work. It is all corners of the Trust. I felt so proud Trust contributes to treatment, care, sociable and it is stimulating - exactly hearing of the often simple projects management and approaches across the what an NHS trust like ELFT should that make a massive difference to world. I am very proud of our research be all about. -
Social Care for Adults Aged 18–64
Analysis April 2020 Social care for adults aged 18–64 Omar Idriss, Lucinda Allen, Hugh Alderwick Acknowledgements We would like to thank Richard Humphries, Jessica Morris, Helen Buckingham, Joshua Kraindler, Anita Charlesworth, Nihar Shembavnekar, Charles Tallack, Ruth Thorlby, and Jennifer Dixon for their comments on earlier drafts of the paper. We are also grateful for the contribution of other Health Foundation staff. Errors or omissions remain the responsibility of the authors alone. Copyright acknowledgements Contains public sector information licensed under the Open Government Licence v3.0. Incorporates data reproduced from www.skillsforcare.org.uk. When referencing this publication please use the following URL: https://doi.org/10.37829/HF-2020-P02 Social care for adults aged 18–64 is published by the Health Foundation, 8 Salisbury Square, London EC4Y 8AP ISBN: 978-1-911615-45-3 © 2020 The Health Foundation Contents Key points 2 Introduction 5 1: System context 8 2: Care needs 17 3: System performance 22 4: Outcomes 29 Discussion 35 References 39 Annex 1: Data sources 42 Key points • The adult social care system in England is broken and needs fixing. Debates about reform often focus on older people and the risk of them having to sell their homes to pay for social care. • What often gets missed are the issues facing younger adults needing social care – people aged 18–64 with learning disabilities, mental health problems and other social needs – and the care they need to support their independence and wellbeing. This publication presents analysis of publicly available data to understand the needs of younger adults in the social care system, how they differ from those of older people, and how these needs are changing. -
Annual Report
Our 2018/19 Annual Report Health and high quality care for all, now and for future generations HC 2293 NHS England Annual Report and Accounts 2018/19 NHS England is legally referred to as the National Health Service Commissioning Board. Presented to Parliament pursuant to the National Health Service Act 2006 (as amended by the Health and Social Care Act 2012). Ordered by the House of Commons to be printed 11 July 2019 HC 2293 © Crown copyright 2019 This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. This publication is available at www.gov.uk/official-documents Any enquiries regarding this publication should be sent to us at: NHS England, Quarry House, Quarry Hill, Leeds, LS2 7UE. ISBN 978-1-5286-1036-0 CCS0219647926 07/19 Printed on paper containing 75% recycled fibre content minimum Printed in the UK by the APS Group on behalf of the Controller of Her Majesty’s Stationery Office Contents A view from Lord David Prior, Chair ............................................................................7 About NHS England ......................................................................................................9 Performance Report ......................................................................................................13 Chief Executive’s -
Social Care Provision in the UK and the Role of Carers Debate on 24 June 2021 Author: Thomas Brown Date Published: 17 June 2021
Library Briefing Social care provision in the UK and the role of carers Debate on 24 June 2021 Author: Thomas Brown Date published: 17 June 2021 On 24 June 2021, the House of Lords is due to debate a motion moved by Baroness Jolly (Liberal Democrat) that “this House takes note of social care provision in the United Kingdom, and the role of carers in that provision”. The term ‘social care’ covers a wide range of support provided to children, young people, and working age and older adults, as well as their carers. This support can be provided formally, either by local authorities, private companies, charities, or other bodies; informally, by family members, friends, or neighbours; or through a combination of these. Although in practice it can include support for both children and adults, the term is often used as shorthand for adult social care in debates on the subject. Social care is a devolved matter and provision differs across the UK: • In England, local authorities hold both responsibility for children’s social care and a formal role in assessing the need for and commissioning adult social care. Differences in budgets, costs and local authorities having discretion to provide adult care services to individuals outside of eligibility thresholds have led to variations across the country. The adult social care system has been the focus of longstanding calls for reform. The UK Government has said it will bring forward proposals to “fix” adult social care in England later this year. • In Scotland, where an entitlement to free personal social care has been in place since 2002, the Scottish Government has pledged to create a National Care Service.