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David Cameron becomes Prime Minister following the 2010 General Election which ends in a hung parliment. He announces his intention to form a coalition government with the Liberal Democrats, the first of its kind in the United Kingdom since the Second World War
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'Liberating' schedules this to begin from july
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The Department of health publishes the policy statement 'Healthy lives healthy people: update and way forward'
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The Department of Health launsches the following consultation documents. Transparacy of outcomes: a framework for the NHS, Increasing democratic legitimacy in health, liberating the NHS: commissioning for patients, Liberating the NHS: regulating healthcare providers.
In 11/10/10 this process closes. -
Launch of the Commission on Funding of Care and Support an independent body tasked by Government with reviewing the funding system for care and support in England.
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Review of arms length bodies to cut bureaucracy published, report indicates that only six of the 18 arms length bodies associated with the NHS have a “clear future as arm’s length bodies”
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The White Paper sets out the Government’s long-term vision for the future of public health in England. The aim is to create a ‘wellness’ service (Public Health England) and to strengthen both national and local leadership.
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Following three months of consultation on its plans for the service, the white paper sets out the governments resonse. It outlines further policy development based on substantial feedback and reaffirms the strong commitment to the reforms.
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In January Sir David Nicholson, was confirmed as Chief Executive designate of the NHS Commissioning Board
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'Liberating' projects that over 2011/12 GP consortia will be established in shadow form over the course of the year
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8 February -13 July Committee debate on Bill House of Commons
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'Liberating' projects that by April of this year Shadow NHS Commissioning Board established as a special health authority, Arrangements to support shadow health and wellbeing partnerships begin to be put in place, Quality accounts expanded to all providers of NHS care, Cancer Drug Fund established
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In response to increasing opposition from various sources the government anounce on 4 April 2011 a "pause" in the progress of the Bill to allow the government to 'listen, reflect and improve' the proposals
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NHS Future Forum launched in response to the pause
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the Dilnot Commission delivers its final report 'Fairer Funding for All' to the Government
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The NHS Future Forum publishes its recommendations to the Government on the modernisation of health and care
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The Bill passes 316 to 251
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NHS Commissioning Board Authority, a shadow form of the NHS Commissioning Board, goes live
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2 November – 21 December Committee debate on Bill House of Lords
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7 December NHS outcomes framework 2012/13 published (this had earlier been scheduled for April 2011)
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The framework sets out the changes that have been made to the indicators in the NHS Outcomes Framework and is designed to help NHS organisations to start to think through what to focus on outcomes means in practical terms.
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2011/12 Transition of authorities of various separate organisations (such as the National Treatment Agency (NTA)) to the single authority of Public Health England (PHE)
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'Liberating' projects that over the course of 2012 there will be free choice of GP practice and the formal establishment of all GP consortia
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'Liberating' states that by this date formal transition plans are to be agreed with the regional director of public health to facilitate the transition of public health functions to local authorities
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Formal transition plans are to be agreed with the regional director of public health to facilitate the transition of public health functions to local authorities. Ahead of this date DH strongly encorage local augthorities and PCTs to work together on developing the relationships and joint working thatr will facilitate a robust transition for April 2013.
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'Liberating' projects that by April 2012 NHS Outcomes Framework fully implemented
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Strategic Health Authorities to be abolished
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Funding of health improvement to be transferred to local authorities, who will jointly appoint local directors of public health with a new national Public Health Service.
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Projected in 'liberating' that by April 2012 Local ‘HealthWatch’ groups will replace the existing Local Involvement Networks, to help involve the public and patients in shaping local health services. A national HealthWatch body will be located within the Care Quality Commission
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'liberating' predicts that by this date NHS patients in England will have the freedom to choose not only where they are treated, but who provides their hospital care
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This was originally scheduled for 2011 but was pushed back following Governments listening exercise.
The guidance is for providers and commissioners on implementing the choice of named consultant-led team for a first consultant-led outpatient appointment for elective care where clinically appropriate. -
Local ‘HealthWatch’ groups will replace the existing Local Involvement Networks, to help involve the public and patients in shaping local health services. A national HealthWatch body will be located within the Care Quality Commission
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April 2012 Majority of reforms come into effect, NHS Commissioning Board fully established, new local authority health and wellbeing boards in place, limits on the ability of the Secretary of State to micromanage and intervene, public record of all meetings between the Board and the Secretary of State, public Health Service in place, with ring-fenced budget and local health improvement led by Directors of Public Health in local authorities, NICE put on a firmer statutory footing
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Full People Transition Policy to be published, this is to be an important milestone in the establishment of Public Health England
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First report by secretary of state due into how the NHS constitution has affected patients, staff and carers as well as members of the public as per his responsibility outlined in the 2009 health act
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From 2012/13 upper-tier and unitary local authorities allocations for their new public health responsibilities to be made available.
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Projected in 'liberating' that Local Authorities to take on their new public health responcibilities
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Subject to Parliamentary approval, the Chief Executive for Public Health England will be responsible for leading and managing an integrated delivery service at the centre of a new public health system from 1 April 2013. This post was origionaly scheduled to be compleeted on the same date of the previous year.
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Commissioning groups will all be established by April 2013 – In responce to the future forum report the government announced that there will be no two-tier system. But where a group is not yet ready, the NHS Commissioning Board will commission on their behalf.
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PHE to have been established, additionally transition of public health responsibilities to local authorities
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From this date upper-tier and unitary local authorities to receive a
ring-fenced grant for their new public health responsibilities -
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Over 2013/14 all NHS trusts become, or are part of, foundation trusts, all providers subject to monitor regulation
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'Liberating' anticipates that by by 2013/14 Choice of treatment and provider for patients in the vast majority of NHS-funded services, introduction of value-based approach to the way that drug companies are paid for NHS medicines
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By 2013/14 The foundation trust regulator Monitor will be transformed into an economic regulator of providers of NHS-funded care
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By end of 2014 'Liberating' plans for key performance targets, such as waiting times, will be scrapped
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'Liberating' sets out the target that by end of 2014 NHS management costs reduced by over 45%
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By July 2015 the National Institute of Clinical Excellence (NICE) expected to produce 150 quality standards setting out aspirational, but achievable, markers of high-quality, cost-effective patient care, covering the treatment and prevention of different diseases and conditions.
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By 2015 NHS is to have delivered £20 billion of efficiency savings, as outlined in David Nicholson's efficeincy challenge.