NHS | What it does

WHO IS RESPONSIBLE FOR WHAT

The Department of health

• Strategic leadership and funding for both health and social care in England.
• Ministerial department supported by 23 agencies and public bodies.

NHS England

• An independent body.
• Sets priorities and directions of the NHS to improve health and care outcomes in England.
• Five Year Forward View sets out future vision for the NHS.
• Commissions and primary care services.
• Manages around £100 billion of the NHS budget.
• Allocates resources to Clinical commission Groups.

Clinical Commissioning Groups

• Clinically lead statutory NHS bodies responsible for commissioning care services in their areas.
• Members include GP’s, Nurses & other consultants.
• Responsible for 60% of the NHS budget.
• Commissions secondary care services.
• Both NHS England and CCGs have a duty to involve parents carers and the public in decisions. 

Public Health England

• Co-ordinates a national public health service.
• Builds evidence to support local health services.
• Supports the public to make healthier choices.
• Provides leadership to the public health system.
• Supports the development of the Public Health Workforce.

Health & Wellbeing Boards

• Established by local authorities.
• Forum for local commissioners across the NHS.
• Increase local input into strategic decisions about health & wellbeing services.
• Strengthen relationships between health & social care.
• Encouraging integrated commissioning of health & social care services.

NICE

• National Institute for Health & Care Excellence.
• According to the NHS Website….. Helps Practices to deliver the best possible care.
• Give people the most effective treatment based on latest evidence.
• Provide value for money.
• Reduces inequalities and variation.

But wen does it hit the news?

When it is refusing to recommend drugs because of cost.

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