Projected Reforms of the NHS in England

  • David Cameron becomes Prime Minister

    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
  • Period: to

    This timespan seeks to map the projected progess of the Coalition Goverments reforms of the NHS in England

  • Andrew Lansley becomes Secutary of State for Health

  • 'Equality and Excellence: Liberating the NHS' published by the Department of Health

  • Publications relased on framework for transition, NHS outcomes framework, commissioning for patients, local democratic legitimacy in health, freeing providers and economic regulation

    'Liberating' schedules this to begin from july
  • 'Healthy lives healthy people'

    The Department of health publishes the policy statement 'Healthy lives healthy people: update and way forward'
  • Consultation documents launched

    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.
  • The Commission on Funding of Care and Support (Dilnot Commission) launched

    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.
  • Review of arms length bodies

    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”
  • 'Healthy lives, healthy people' White Paper published

    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.
  • 'Liberating the NHS: Legislative framework and next steps' published

    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.
  • Sir David Nicholson confirmed as Chief Executive designate of the NHS Commissioning Board

    In January Sir David Nicholson, was confirmed as Chief Executive designate of the NHS Commissioning Board
  • 2011/12 GP consortia established in shadow form over the course of the year

    'Liberating' projects that over 2011/12 GP consortia will be established in shadow form over the course of the year
  • First reading of the Health and Social Care Bill in the House of Commons

  • Second reading of Health and Social Care Bill in the House of Commons

  • House Committee begin process of debating Health and Social Care Bill

    8 February -13 July Committee debate on Bill House of Commons
  • A range of aspects of the new NHS structure laid out by the Department of Health schedled to come into effect

    '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
  • Government announce a 'pause' in the progress of the Health and Social Care Bill

    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
  • NHS Future Forum launched

    NHS Future Forum launched in response to the pause
  • 'Fairer Funding for All' published

    the Dilnot Commission delivers its final report 'Fairer Funding for All' to the Government
  • NHS Future Forum report published

    The NHS Future Forum publishes its recommendations to the Government on the modernisation of health and care
  • Third reading of Health and Social Care Bill in House of Commons

    The Bill passes 316 to 251
  • First reading of Health and Social Care Bill in the House of Lords

  • Second reading of Health and Social Care Bill in House of Lords

  • NHS Commissioning Board Authority goes live

    NHS Commissioning Board Authority, a shadow form of the NHS Commissioning Board, goes live
  • Committee debate on Health and Social Care Bill in the House of Lords Begins

    2 November – 21 December Committee debate on Bill House of Lords
  • NHS outcomes framework 2012/13 published

    7 December NHS outcomes framework 2012/13 published (this had earlier been scheduled for April 2011)
  • NHS Outcomes Framework 2012-13 published

    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.
  • Transition of various seperate organisations to the authority of PHE

    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)
  • throughout 2012 Free choice of GP practice, formal establishment of all GP consortia

    'Liberating' projects that over the course of 2012 there will be free choice of GP practice and the formal establishment of all GP consortia
  • 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

    '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
  • 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.

    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.
  • Projected that the NHS Outcomes Framework will be fully implemented

    'Liberating' projects that by April 2012 NHS Outcomes Framework fully implemented
  • Choice of consultant led team

    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.
  • The date that 'Liberating' sets out for the majority of its reforms to come into effect

    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
  • SHA's to be abolished

    Strategic Health Authorities to be abolished
  • April 2012 GP consortia hold their own contracts with providers

  • Funding of health improvement to be transferred to local authorities

    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.
  • April 2012 Local ‘HealthWatch’ groups will replace the existing Local Involvement Networks

    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
  • NHS patients in England will have the freedom to choose not only where they are treated, but who provides their hospital care

    '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
  • Shadow Health and Wellbeing Boards to be in place

  • 'HealthWatch' established

    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
  • Full People Transition Policy to be published

    Full People Transition Policy to be published, this is to be an important milestone in the establishment of Public Health England
  • Report by the Secutary of State into Impact of NHS Constitution

    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
  • Upper-tier and unitary local authorities allocations for their new public health responsibilities to be made available.

    From 2012/13 upper-tier and unitary local authorities allocations for their new public health responsibilities to be made available.
  • PCTs to be abolished

  • PCTs to be abolished

  • PCTs to be abolished

  • Local Authorities to take on their new public health responcibilities

    Projected in 'liberating' that Local Authorities to take on their new public health responcibilities
  • Chief Executive for Public Health England to be appointed

    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.
  • GP consortia (CCGs) to be formally establised

    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.
  • PHE to be formally established

    PHE to have been established, additionally transition of public health responsibilities to local authorities
  • GP consortia to take on full financial responsibility, allowed hold contracts with providers

  • Health and Welbeing Boards expected to be fully in place

  • Upper-tier and unitary local authorities to receive aring-fenced grant for their new public health responsibilities

    From this date upper-tier and unitary local authorities to receive a
    ring-fenced grant for their new public health responsibilities
  • All NHS trusts become, or are part of, foundation trusts,

    Over 2013/14 all NHS trusts become, or are part of, foundation trusts, all providers subject to monitor regulation
  • Choice of treatment and provider for patients in the vast majority of NHS-funded services

    '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
  • 2013/14 The foundation trust regulator Monitor will be transformed into an economic regulator of providers of NHS-funded care

    By 2013/14 The foundation trust regulator Monitor will be transformed into an economic regulator of providers of NHS-funded care
  • Key performance targets to be scrapped

    By end of 2014 'Liberating' plans for key performance targets, such as waiting times, will be scrapped
  • By this date NHS management costs reduced by over 45%

    'Liberating' sets out the target that by end of 2014 NHS management costs reduced by over 45%
  • NICE to produce 150 quality standards

    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.
  • By end of 2015 the NHS is to have delivered £20 billion in efficiency savnigs

    By 2015 NHS is to have delivered £20 billion of efficiency savings, as outlined in David Nicholson's efficeincy challenge.