Health white paper

Visa passport

NHS needs 'more nuanced approach' to immigration

The government’s immigration white paper does not provide a long-term solution to the NHS’ workforce needs, NHS Employers has warned.

nicholson_david

Commissioning board and Trust Development Authority directors handed responsibility for 2012-13 delivery

Senior leaders appointed to the NHS Commissioning Board and NHS Trust Development Authority are to take on ‘management responsibility’ for the delivery of NHS performance in 2012/13 from 1 October, six months before the abolition of PCTs and SHAs. This is in addition to existing respective responsibility for commissioning development ...

Empty board room table

Some 'abolished' PCT and SHA staff to stay on after April 2013

Some primary care trust and strategic health authority staff may be kept on for up to a year after April 2013 to help “close down” the abolished organisations, it has emerged.

Empty board room table with chairs round it

Vacant commissioning board posts endangering transition

Vital appointments to the new commissioning system have fallen further behind schedule, the NHS Commissioning Board has admitted, causing significant knock-on problems for the transition process.

NHS Commissioning Board chair Malcolm Grant

Commissioning board chair: liberation of the NHS 'won't happen overnight'

The health service should not expect a “sudden overnight change on 1 April next year” to an autonomous and liberated system, the chair of the NHS Commissioning Board has told HSJ.

Bill delay threat as government consults on reform risk register

Bill delay threat as government consults on reform risk register

The health secretary has been forced to consult across government on whether to publish the risk register for the NHS reform “transition”, as ordered by the Information Commissioner, ministers have confirmed.

Health Bill risks 'weakening ministerial responsibility and accountability' - Lords committee

Health Bill risks 'weakening ministerial accountability' - Lords committee

The Lords committee which reviews the constitutional implications of new legislation has said the Health Bill poses a risk that “individual ministerial responsibility to parliament will be diluted or that legal accountability to the courts will be fragmented”.

Pile of pound coins sterling

Reform transition cost now £1.49bn, according to DH figure

A new figure from the Department of Health estimates the cost of its reform “transition programme” at £1.49bn.

BMA to launch campaign calling for withdrawal of Health Bill

BMA to launch campaign calling for withdrawal of Health Bill

The British Medical Association’s ruling council today voted to begin a public campaign for the withdrawal of the Health Bill.

'NHS England' plan sparks controversy

'NHS England' name plan stirs controversy

A proposal for the NHS Commissioning Board to be known as “NHS England” is attracting criticism for inflating the organisation’s role and power.

Health secretary Andrew Lansley

Lansley meeting Future Forum to discuss its future

Members of the NHS Future Forum - set up to review the government’s controversial reform plans - are to meet to discuss whether and how the group should continue.

The houses of Parliament

Health Bill: government publishes 181 amendments

The government has tabled 181 amendments to the Health Bill following a review of health secretary Andrew Lansley’s controversial original proposals.

Health Bill: Changes risk ‘paper duties’ and central pressure

Health Bill: changes risk ‘paper duties’ and central pressure

Changes to the health bill risk propagating procedural requirements and increasing pressure on the health secretary to intervene, a lawyer has warned.

Health Bill: Monitor changes may not be ‘substantive’

Health Bill: competition changes may not be ‘substantive’

The changes to Monitor’s role brought about by amendments to the Health Bill may not be “substantive”, lawyers have warned.

Health Bill: Rules unclear on open board meetings

Health Bill: rules unclear on open board meetings

It is unclear how far government Health Bill changes will go in forcing foundation trusts and clinical commissioning groups to hold public board meetings.

DH admits preparing Health bill changes before review report

DH admits preparing Health Bill changes before review report

The government was “exploring potential amendments” to the Health Bill with parliamentary lawyers before the report of the NHS Future Forum, health minister Simon Burns has admitted.

Government publishes full details of reform changes

Government publishes full details of reform changes

The government today published full details of the changes to its reform plans in a command paper to Parliament.

Exclusive: Plan for four regional NHS bodies

Exclusive: Details of NHS regional tier plan

The NHS is set to form four regional bodies out of grouped strategic health authorities.

Nicholson: I feared Lansley’s competition rules

Nicholson: I feared Lansley’s competition rules

NHS chief executive Sir David Nicholson has confirmed he was against the government’s original proposal for a regulator promoting competition in the NHS, which was dropped this week.

David Nicholson

Commissioning board shouldn’t become ‘greatest quango’ – Nicholson

Sir David Nicholson says he will prevent the NHS Commissioning Board becoming “the greatest quango in the sky” by maintaining an “ambition” for the whole country to be covered by active clinical commissioning groups.

Government introduces string of requirements for new-look consortia

Government introduces string of requirements for new-look consortia

New local commissioning groups – where established – will be subject to a list of new requirements and conditions, under revised government reform plans.

Government responds to NHS Future Forum

In full: government responds to NHS Future Forum

The government has responded to the NHS Future Forum, confirming agreed changes to its overhaul of the service.

Generic doctor white coat and utensils

GPs don't think they are ready to commission, survey suggests

GPs and primary care staff are not confident in their ability to carry out the roles they would have under the government’s reforms, findings released today suggest.

Royal College of GPs receiving £1.9m for commissioning school

Royal College commissioning school receiving nearly £2m for GPs' training

The Royal College of GPs – which has heavily criticised the government’s NHS reform programme – has already been paid £1.5m to help teach GPs how to commission.

Cameron signals consortia boards must contain doctor and nurse

Exclusive: GP commissioning consortia boards must contain a doctor and nurse

David Cameron has announced a radical reworking of the government’s NHS reform plans which will give hospital doctors and nurses mandated places on GP commissioning consortium boards.

Exclusive: Clegg aide signals major delay to bill

Exclusive: Clegg aide signals major delay to bill

Nick Clegg’s right hand man has told HSJ the Health Bill may not re-enter the Commons until the autumn to ensure some of its most controversial provisions can be “thoroughly and comprehensively” redrafted.

NHS faces further delay and confusion on reform

Reforms face further delay and confusion, concedes Lansley

The health secretary has admitted his NHS reform bill might have to return to committee stage in the Commons – leading to warnings of further delay and uncertainty.

Exclusive: Clegg and Cameron 'grandstanding', says review chair

Exclusive: politicians 'grandstanding' on competition, says review chair

One of the leaders of the NHS reform “listening exercise”, Sir Stephen Bubb, has accused politicians of “grandstanding” and “playing on misconceptions” about competition.

Clegg: 'NHS managers will continue where GPs are not ready'

Clegg: 'NHS managers will continue where GPs are not ready'

Deputy prime minister Nick Clegg has given the clearest signal yet the transition to commissioning consortia will be slowed down, with other structures remaining in place “where GPs are not yet ready” to take over.

A smoking cigarette in ashtray

Public health funding cut threatens skilled staff

Valuable health intelligence expertise is facing “fragmentation and dissolution”, following a 30 per cent cut in the core funding of public health observatories, MPs have been warned.

bruce keogh

Clinical networks to respond to competition fears

Clinical networks could be given a more prominent role to address fears that greater NHS competition will lead to service fragmentation and greater variations in standards of care.

PCT clusters may survive as reform pressure builds

PCT clusters may survive as reform pressure builds

A continued existence beyond 2013 for primary care trust clusters looked increasingly likely this week, as the health secretary’s NHS reforms came under huge political pressure.

Exclusive: McKinsey called into advise PM on NHS reforms

Exclusive: McKinsey called in to advise PM on NHS reforms

The panel of senior health policy experts appointed to advise the prime minister on NHS reform met for the first time yesterday.

Prime minister David Cameron

Exclusive: expert panel to advise prime minister on NHS

Number 10 Downing Street is establishing its own panel of senior health policy experts – including two former NHS chief executives – to advise the prime minister on NHS reform, HSJ has learned.

HSJ's map of consortia

Cluster landscape shows 52 commissioners

Primary care trusts are clustering into 52 commissioners across England – ranging from a £4.7bn giant to an £800m standalone PCT.

PCT clusters and chief executives list

PCT clusters and chief executives list

Full list of primary care trust clusters and their chief executives, where confirmed by the strategic health authority.

National Voices Jeremy Taylor

Reform review may demand 'no more reorganisations'

The NHS Future Forum is considering recommending “no more top-down reorganisations” of the service in its report to the prime minister, HSJ has learned.

Patient trust in public health information could be compromised by reforms

Trust in public health advice could be compromised by reforms

The perceived independence of public health advice could be compromised if Public Health England becomes an integrated government department, existing agencies have warned.

Time out hand signal

'Any qualified provider' guidance to slow market expansion

Forthcoming guidance on the “any qualified provider” policy will see competition phased in more slowly than expected and the creation of a national register of private providers authorised to bid for NHS work, HSJ can reveal.

David Nicholson

Reform goals hampered by political pause

The practical implications of the “pause” in the passage of the Health Bill will significantly hamper the reform process, according to NHS sources.

'Listening exercise' review members announced

'Listening exercise' review members announced

The members of the government’s NHS Future Forum, which is reviewing the Health Bill in response to concerns about the policy, have been announced.

Steve Field: Cameron listening exercise is for real

Steve Field: Cameron listening exercise is for real

Steve Field, chair of the government’s NHS Future Forum review, has told HSJ it is “not just a paper exercise” but says “going back” on the Health Bill is not an option.

Steve Field to front 'listening exercise' advisory panel

Exclusive: Steve Field to front PM's 'listening exercise' advisory panel

Immediate past chair of the Royal College of GPs Steve Field is to chair a panel as part of the government’s “listening exercise” over NHS reform, HSJ has learned.

Lansley trails 'improvements' to NHS reforms

One month's delay to NHS reforms

The Health Bill’s progress through Parliament is to be delayed by a month, HSJ understands, to give health secretary Andrew Lansley time to listen to concerns about the possible impact on the NHS.

Unconventional GP groups pose policy palaver

Leading GP groups risk creation of 'sink estate' consortia

GPs are forming commissioning groups that do not cover a defined geographic area, sometimes excluding lower performing practices.

A boardroom view

Health boards need greater powers, says King's Fund

Health and wellbeing boards should be given more powers to ensure that GP consortia and local authorities work together, the King’s Fund has said.

Uding a laptop computer

DH struggling to achieve consultant choice within deadline

Patients’ ability to choose between named consultant led teams for elective hospital care looks unlikely to be significantly extended by the government’s deadline in April.

Lansley asked Alan Milburn to apply for Commissioning Board chair

Milburn rejects offer to join Commissioning Board chair competition

Former Labour health secretary Alan Milburn has rejected a government offer to become a candidate for the chair of the NHS Commissioning Board.

Sir David must 'prove he trusts' GP commissioners

Nicholson must 'prove he trusts' GP commissioners

Potential consortium leaders will “walk away” unless they are handed sufficient autonomy, leading GP commissioners have warned the NHS chief executive.

Money

Commissioning funds used to pay for GP basics

GPs have been able to boost their take-home pay by using commissioning funds rather than their general contractors’ income to buy basic medical equipment and fund practice refurbishments, an HSJ investigation reveals.

Some public health teams will face 'stress and uncertainty'

Public health directors warned of cool welcome

Not all public health directors and their teams will be welcomed by local authorities, the Local Government Association has warned.

A woman drinking from a wine glass

Experts warn of increase in alcohol-related deaths

Health experts have accused the government of pandering to the drinks industry as they revealed up to 250,000 extra lives could be lost in the next 20 years unless tough restrictions are introduced.

lansley

Lansley U-turn on price competition

The government has performed a significant U-turn on allowing price competition between NHS trusts and independent providers.

An empty board meeting room

FT governors calls for CQC quality assessment

The Foundation Trust Governors Association has called for the Care Quality Commission to assess the quality of governors.

PCT 'first' to look at commissioning social enterprise

PCT 'first' to look at commissioning social enterprise

NHS Western Cheshire staff may launch the first commissioning support social enterprise.

Commissioning firms to help shape support landscape

Commissioning firms to help shape support landscape

Private companies are being invited to a series of NHS events to help design commissioning support arrangements which will apply after primary care trusts are abolished.

Transition 'carefully designed and managed', says government

Transition 'carefully designed and managed', says government

The government has insisted its NHS reform process is “carefully designed and managed”, in reaction to criticism from the health committee.

NHS chief executive David Nicholson and health secretary Andrew Lansley

Central grip tightens under 'independence' bill

The government’s ambition to liberate the NHS has been called into question after the Health and Social Care Bill published last week apparently granted wide ranging powers of intervention to the health secretary.

Government invites councils to pilot health and wellbeing boards

Government invites councils to pilot health and wellbeing boards

The Department of Health has written to local authority leaders inviting them to become pilots for health and wellbeing boards.

Health bill round-up

Your essential guide to the Health Bill

Analysis of this week’s Health Bill by HSJ and lawyers Beachcroft has shed further light on the direction and nature of health secretary Andrew Lansley’s NHS reforms.

Health White paper