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Transforming Community Services
Transforming Community Services was a programme in the English NHS which operated from 2008 at a national level and continued during the implementation of the Health and Social Care Act 2012. Although the rhetoric of the programme was about improving the quality of community services the reality was mostly concerned with structural changes. Community services in England did not fit easily into the model of the NHS developed under the National Health Service and Community Care Act 1990 and were repeatedly reorganised. When primary care trusts were established most of the free-standing community NHS trusts were dissolved and taken over by the PCTs – sometimes being divided up in the process. This left the PCTs in the position of both commissioning and providing services. The Transforming Community Services programme encouraged PCTs to divest themselves of their community services. In some areas community services were transferred to acute hospital trusts or mental health trust ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
National Health Service (England)
The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from general taxation (plus a small amount from National Insurance contributions), and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR). Free healthcare at the point of use comes from the core principles at the founding of the National Health Service. The 1942 Beveridge cross-party report established the principles of the NHS which was implemented by the Labour government in 1948. Labour's Minister f ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health And Social Care Act 2012
The Health and Social Care Act 2012c 7 is an act of the Parliament of the United Kingdom. It provided for the most extensive reorganisation of the structure of the National Health Service in England to date.'' BMJ'', 2011; 342:d408Dr Lansley's Monster It removed responsibility for the health of citizens from the Secretary of State for Health, which the post had carried since the inception of the NHS in 1948. It abolished primary care trusts (PCTs) and strategic health authorities (SHAs) and transferred between £60 billion and £80 billion of "commissioning", or healthcare funds, from the abolished PCTs to several hundred clinical commissioning groups, partly run by the general practitioners (GPs) in England. A new executive agency of the Department of Health, Public Health England, was established under the act on 1 April 2013. The proposals are primarily the result of policies of the then Secretary of State for Health, Andrew Lansley. Writing in the '' BMJ'', Clive Peedell ( ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
National Health Service And Community Care Act 1990
The National Health Service and Community Care Act 1990 (c 19) introduced an internal market into the supply of healthcare in the United Kingdom, making the state an 'enabler' rather than a supplier of health and social care provision.Health and Social Care, Mark Walsh et al., Collins, 2006, Contents The Act states that it is a duty for local authorities to assess people for social care and support to ensure that people who need community care services or other types of support get the services they are entitled to. Patients have their needs and circumstances assessed and the results determine whether or not care or social services will be provided. This also ensures that the people giving the care follow a certain set of rules called the care value base. Local authority resources can be taken into account during the assessment process, but if it is deemed that services are required, those services must be provided by law: services cannot be withdrawn at a later date if resources ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Primary Care Trust
Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers. Until 31 May 2011, they also provided community health services directly. Collectively PCTs were responsible for spending around 80 per cent of the total NHS budget. Primary care trusts were abolished on 31 March 2013 as part of the Health and Social Care Act 2012, with their work taken over by clinical commissioning groups. Establishment In 1997 the incoming Labour Government abolished GP Fundholding. In April 1999 they established 481 primary care groups in England "thereby universalising fundholding while repudiating the concept." Primary and community health services were brought together in a single Primary Care Group controlling a unified budget for delivering health care to and improving the health of communities of about 100,000 people. A ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Community Health Trust
As part of the English NHS programme of separating the provision of services from commissioning known as Transforming Community Services a number of community health trusts were established when these services were separated from primary care trusts. This was one of a number of options taken. In some places community services were transferred to an existing mental health trust or hospital trust. In South West England there was considerable pressure for staff to establish social enterprises such as Peninsula Community Health to take on these services. Campaigners in Gloucestershire successfully challenged the decision to establish a social enterprise to provide community health services there in 2012. Contracts to run NHS community services are subject to competitive tendering processes under the Health and Social Care Act 2012, so it is not clear whether these organisations will survive. The NHS community health services sector, not including mental health services is said to ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Nigel Edwards (health)
Nigel Edwards is a health policy researcher, appointed Chief Executive at the Nuffield Trust in April 2014. He was formerly an expert advisor with KPMG’s Global Centre of Excellence for Health and Life Sciences, a Senior Fellow at The King’s Fund. He was Policy Director of the NHS Confederation for 11 years. He has commented on government announcements about the English NHS, such as George Osborne George Gideon Oliver Osborne (born Gideon Oliver Osborne; 23 May 1971) is a former British politician and newspaper editor who served as Chancellor of the Exchequer from 2010 to 2016 and as First Secretary of State from 2015 to 2016 in the ...'s promise to find extra cash for the NHS, and the reconfiguration of cancer services in Staffordshire. In 2014 he is reported as saying " that "there's nothing intrinsically bad about private or public sector provision", and that the Better Care Fund might live up to the advertised savings if it concentrated entirely on moving peo ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Community Interest Company
A community interest company (CIC, colloquially pronounced "kick") is a type of company introduced by the United Kingdom government in 2005 under the Companies (Audit, Investigations and Community Enterprise) Act 2004, designed for social enterprises that want to use their profits and assets for the public good. CICs are intended to be easy to establish, with all the flexibility and certainty of the company form, but with some special features to ensure they are working for the benefit of the community. They are overseen by the Regulator of Community Interest Companies. CICs have proved popular and some 10,000 were registered in the status's first ten years. Objectives A community interest company is a business with primarily social objectives whose surpluses are principally reinvested for that purpose in the business or the community, rather than being driven by the need to maximize profit for shareholders and owners. CICs tackle a wide range of social and environmental issu ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Francis Maude
Francis Anthony Aylmer Maude, Baron Maude of Horsham, (born 4 July 1953) is a British Conservative Party politician and life peer who served as Minister of State for Trade and Investment from 2015 to 2016, having previously served as Minister for the Cabinet Office and Paymaster General from 2010 to 2015. He was Member of Parliament (MP) for North Warwickshire from 1983 to 1992 and then for Horsham from 1997 to 2015. Having served over 25 years on the frontbench in the House of Commons, he has run his own business since 2016. FMAP Limited is a consultancy specialising in government efficiency. Early life Maude is the son of Angus Maude (1912–1993), a life peer and one-time Conservative cabinet minister. He spent part of his childhood in Sydney, Australia, while his father edited the '' Sydney Morning Herald''. On the family's return to the UK, he was educated at Abingdon School, at Corpus Christi College, Cambridge, and at the College of Law. He was called to t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Inclusion Healthcare
Inclusion Healthcare Social Enterprise CIC Ltd is a Community Interest Company based in Leicester which provides publicly funded health and social care services at two clinics in the city for 900 homeless and vulnerable people. It was established in September 2010 as part of the ''Transforming Community Services'' initiative under the provisions of the Companies (Audit, Investigations and Community Enterprise) Act 2004. A team of 12, who formerly worked for Leicester City Primary Care Trust as Leicester Homeless Healthcare, formed the core of the new organisation. After a year staff employed by the organisation become shareholders, which allows them to make representations at the annual general meeting and be involved in the selection of directors and non-executive directors. Paymaster General Francis Maude mentioned the organisation at a speech in December 2014 about the Better Care Fund saying the company could provide care without the NHS's "endless process, bureaucracy and ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Judicial Review
Judicial review is a process under which executive, legislative and administrative actions are subject to review by the judiciary. A court with authority for judicial review may invalidate laws, acts and governmental actions that are incompatible with a higher authority: an executive decision may be invalidated for being unlawful or a statute may be invalidated for violating the terms of a constitution. Judicial review is one of the checks and balances in the separation of powers: the power of the judiciary to supervise the legislative and executive branches when the latter exceed their authority. The doctrine varies between jurisdictions, so the procedure and scope of judicial review may differ between and within countries. General principles Judicial review can be understood in the context of two distinct—but parallel—legal systems, civil law and common law, and also by two distinct theories of democracy regarding the manner in which government should be organized ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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