The government’s immigration white paper does not provide a long-term solution to the NHS’ workforce needs, NHS Employers has warned.
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 ...
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.
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.
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.
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.
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”.
A new figure from the Department of Health estimates the cost of its reform “transition programme” at £1.49bn.
The British Medical Association’s ruling council today voted to begin a public campaign for the withdrawal of the Health Bill.
A proposal for the NHS Commissioning Board to be known as “NHS England” is attracting criticism for inflating the organisation’s role and power.
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 government has tabled 181 amendments to the Health Bill following a review of health secretary Andrew Lansley’s controversial original proposals.
Changes to the health bill risk propagating procedural requirements and increasing pressure on the health secretary to intervene, a lawyer has warned.
The changes to Monitor’s role brought about by amendments to the Health Bill may not be “substantive”, lawyers have warned.
It is unclear how far government Health Bill changes will go in forcing foundation trusts and clinical commissioning groups to hold public board meetings.
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.
The government today published full details of the changes to its reform plans in a command paper to Parliament.
The NHS is set to form four regional bodies out of grouped strategic health authorities.
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.
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.
New local commissioning groups – where established – will be subject to a list of new requirements and conditions, under revised government reform plans.
The government has responded to the NHS Future Forum, confirming agreed changes to its overhaul of the service.
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.
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.
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.
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.
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.
One of the leaders of the NHS reform “listening exercise”, Sir Stephen Bubb, has accused politicians of “grandstanding” and “playing on misconceptions” about competition.
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.
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.
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.
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.
The panel of senior health policy experts appointed to advise the prime minister on NHS reform met for the first time yesterday.
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.
Primary care trusts are clustering into 52 commissioners across England – ranging from a £4.7bn giant to an £800m standalone PCT.
Full list of primary care trust clusters and their chief executives, where confirmed by the strategic health authority.
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.
The perceived independence of public health advice could be compromised if Public Health England becomes an integrated government department, existing agencies have warned.
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.
The practical implications of the “pause” in the passage of the Health Bill will significantly hamper the reform process, according to NHS sources.
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, 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.
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.
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.
GPs are forming commissioning groups that do not cover a defined geographic area, sometimes excluding lower performing practices.
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.
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.
Former Labour health secretary Alan Milburn has rejected a government offer to become a candidate for the chair of the NHS Commissioning Board.
Potential consortium leaders will “walk away” unless they are handed sufficient autonomy, leading GP commissioners have warned the NHS chief executive.
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.
Not all public health directors and their teams will be welcomed by local authorities, the Local Government Association has warned.
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.
The government has performed a significant U-turn on allowing price competition between NHS trusts and independent providers.
The Foundation Trust Governors Association has called for the Care Quality Commission to assess the quality of governors.
NHS Western Cheshire staff may launch the first commissioning support social enterprise.
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.
The government has insisted its NHS reform process is “carefully designed and managed”, in reaction to criticism from the health committee.
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.
The Department of Health has written to local authority leaders inviting them to become pilots for health and wellbeing boards.
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.