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Equity and Excellence: Liberating the NHS Implications for Sexual Health Services

Equity and Excellence: Liberating the NHS Implications for Sexual Health Services . Gerry Taylor Director of Public Health . Background. The White Paper Equity and excellence: Liberating the NHS , published on

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Equity and Excellence: Liberating the NHS Implications for Sexual Health Services

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  1. Equity and Excellence: Liberating the NHSImplications for Sexual Health Services Gerry Taylor Director of Public Health

  2. Background The White Paper Equity and excellence: Liberating the NHS, published on 12th July 2010, sets out proposals for the NHS to become a truly world-class service that is: easy to access, treats people as individuals and offers care that is safe and of the highest quality

  3. Liberating the NHS Four core areas of White Paper: • Putting Patients and Public First • Improving Healthcare Outcomes • Autonomy, Accountability and Democratic Legitimacy • Cutting Bureaucracy and Improving Efficiency

  4. Putting Patients & Public First • “No decision about me, without me” • Increased control over care records & personalised care focus • Patients will have choice of: • Any provider • Consultant-led team • GP practice • Treatment • Maternity through new maternity network • Patients to rate hospitals & clinical depts. • HealthWatch

  5. Improving Healthcare Outcomes • Focus on improving clinical outcomes, rather than monitoring inputs or processes • Targets without clinical justification to be removed • NICE to inform commissioning of all NHS care & payment systems • Money to follow the patient transparently • Provider payments linked to outcomes

  6. Autonomy, Accountability and Democratic Legitimacy • Responsibility for commissioning to GP Consortia • New NHS Commissioning Board • Public Health/Health Improvement responsibility to Local Authority • All NHS trusts will become or be part of a foundation trust • Care Quality Commission will act as a quality inspectorate • PCTs and SHAs to be abolished

  7. Cutting Bureaucracy and Improving Efficiency • QIPP confirmed as a priority • Cut NHS management costs by 45% • New review of Quangos

  8. Suggested Structure Department of Health Public Health Service NHS Commissioning Board Care Quality Commissioning Local Authority (Public Health) GP Commissioning Consortia Providers Local HealthWatch Patients and Public

  9. Implications for Sexual Health • Prioritising SH Issues • Commissioning of Services • ‘Any Willing Provider’ • Public Health Input • Care closer to home • Patient Choice • Existing Networks and Forums

  10. Next Steps • Public Health White Paper • Establishment of: • GP Consortia • Health & Wellbeing Board • Public Health Service • NHS Commissioning Board • HealthWatch • Transfer PH function to local authority

  11. Further Information www.dh.gov.uk/liberatingthenhs

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