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NHS England

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1382: 138: 1606: 406:. Twenty doctors addressed a letter to the board in support of the charity Tuberous Sclerosis Association saying "around 32 patients with critical need, whose doctors believe everolimus treatment is their best or only option, have no hope of access to funding. Most have been waiting many months. Approximately half of these patients are at imminent risk of a catastrophic event (renal bleed or kidney failure) with a high risk of preventable death." 36: 243:– in October 2014 which envisaged development of new models to suit local needs. In conjunction with the other central regulators, the organisation established what is called a "success regime" in south and mid Essex, North Cumbria and north east and western Devon in June 2015. It was intended to tackle "deep rooted and systemic issues that previous interventions have not tackled across whole health and care economy". 258:(CCGs). A leader was appointed for each area, who is to be responsible for the implementation of the plans which are to be agreed by the component organisations. They will be "working across organisational boundaries to help build a consensus for transformation and the practical steps to deliver it". 317:
In November 2014, Mr Justice Popplewell declared that NHS England "has acted unlawfully by reason of its failure to make arrangements for the involvement of patients in primary care commissioning decisions as required by the National Health Service Act 2006". The case involved the decision to scrap
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by means of individual funding requests on the basis of exceptional circumstances. In May 2016 the High Court ordered NHS England to provide funding to treat a teenager with severe narcolepsy. The judge criticised their "thoroughly bad decision" and "absurd" policy discriminating against the girl
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In 2023 the NHS began a procurement process for a Federated Data Platform (FDP). An FDP would enable every hospital trust and integrated care system (ICS) to have their own platform through which they could connect and share information between them where helpful. The FDP would build on the work
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NHS England allocates funding (£69.5 billion in 2016/2017) to CCGs in accordance with a funding formula. Until 2016, progress towards the amount indicated by the formula from the historical allocation was slow, and CCGs which were above their allocation did not suffer a reduction. From April 2016,
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The organisation was reported to be developing a strategy to support the use of personal health records in June 2015. This, it is hoped, could achieve up to £3.4 billion in annual efficiency savings by 2020. In April 2016 it published an index of digital maturity, where each of the 239 NHS
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Specialised services are those provided in relatively few hospitals and accessed by comparatively small numbers of patients, but with catchment populations of usually more than one million. These services tend to be located in specialised hospital trusts that can recruit a team of staff with the
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In October 2016 it introduced the Operational Pressures Escalation Levels (OPEL) system for the management of operational difficulties in English hospitals, replacing the system of red and black alerts which was locally defined. OPELs range from 1 (normal) to 4 (a major crisis requiring external
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directed the NHS Commissioning Board to buy services from the private sector, thereby bypassing CCGs. The Exercise of Commissioning Functions by the NHS Commissioning Board (Coronavirus) Directions 2020 came into force on 20 March 2020, and were revised to widen the definition of independent
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set a target for all secondary care providers to move to digital records by 2024, which "will cover clinical and operational processes across all settings, locations and departments and be based on robust, modern IT infrastructure services for hosting, storage, networks and cyber security."
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In April 2017 it introduced a capped expenditure process, applied to NHS commissioners and providers in the 13 areas across England with the largest budget deficits. It is intended to reduce their spending by around £500 million, and health leaders were told to "think the unthinkable".
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for the creation of a Covid Data Store system for a statutory fee of £1. Palantir then won a £23.5 million contract with the NHS to continue with its work in December 2020. Palantir's involvement with the NHS was subject to criticism from civil liberties groups, including
227:. One of Stevens' first acts was to announce a restructure of the 27 area teams, in response to a requirement to reduce running costs, which would reduce staffing by around 500. The 27 teams outside London were reduced to 12 in 2015. 374:
done with the Covid Data Store .The contract to provide the FDP would be worth up to £480 million. Palantir are widely thought to be the frontrunners to win. This has prompted further criticism from civil liberties groups.
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however, CCGs with more than 10 per cent above their fair share were to receive "flat cash" – an effective reduction. This would also ensure than no CCG was more than 5 per cent below its target allocation in 2016/2017.
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to become sole provider of administrative services including payment administration, management of medical records, and eligibility lists for practitioners for GPs, opticians and dentists across the UK in June 2015.
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providers on 27 March. The directive also allows NHS England to exercise functions normally carried out by CCGs, as the Board deems appropriate. The direction will be in place until the end of 2020.
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expressed concerns in May 2022 about services "where the numbers and evidence base supports the planning and provision of care being done at a population size larger than a typical ICS footprint."
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in October 2011 as the forerunner to becoming a non-departmental body on 1 April 2013. It was renamed NHS England on 26 March 2013, although its legal name remains the NHS Commissioning Board.
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which specifies the objectives which the Board should seek to achieve. National Health Service (Mandate Requirements) Regulations are published each year to give legal force to the mandate.
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when hundreds of other NHS patients already receive the drug. The Department of Health is also paying for the treatment of people whose narcolepsy was caused by the swine flu vaccine
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intervention either regionally or nationally). This is intended, among other things, to enable comparisons of trends over time and between areas.
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NHS England is the operating name of the NHS Commissioning Board and, before that, the NHS Commissioning Board Authority. It was set up as a
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appropriate expertise. NHS England is responsible for commissioning £19.3 billion of specialised services in 2021-2 and for dealing with
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In May 2022 it produced guidance that said 65 of the 154 services they commissioned were ready and suitable to be devolved to the
1911: 292: 1234: 1677: 1580: 247: 1409: 804: 1651: 1534: 158: 115: 760: 520: 173:, dentists, optometrists and some specialist services. The Secretary of State publishes annually a document known as the 322:, said the declaration could mean that patients would have to be involved in discussions on changes to the GP contract. 1589: 1824: 1672: 223:, who became Chief Executive at the establishment of the Board, retired at the end of March 2014 and was replaced by 213: 162: 17: 1183: 1845: 738: 182:
In 2018 it was announced that the organisation, while maintaining its statutory independence, would be merged with
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in respect of the specialist services it commissions. There are proposals to move some of this commissioning to
220: 166: 831: 1130: 1015: 102: 853: 572: 1850: 1725: 1454: 438: 255: 224: 154: 902: 462: 429:. It is expected that most will be jointly commissioned with their neighbours, rather than on their own. 1875: 1459: 1059: 384: 161:. It oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the 876:"The Exercise of Commissioning Functions by the NHS Commissioning Board (Coronavirus) Directions 2020" 1783: 1715: 1402: 491: 16:
This article is about the oversight body for the NHS in England. For the health service itself, see
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areas, with populations between 300,000 and 3 million. These areas were locally agreed between
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National Medical Director (and interim Chief Executive of NHS Improvement): Professor
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In 2015 there was criticism of delays in deciding on a policy for the prescription of
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Parliamentary Under-Secretary of State for Mental Health and Women's Health Strategy
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trusts assessed its own "readiness", "capabilities" and "enabling infrastructure".
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in 2009–10 by means of private prescriptions outside the National Health Service.
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Applications by GPs to reduce their catchment area are dealt with by NHS England.
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In 2022 there were seven regional teams and 10,640 full time equivalent staff.
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The organisation's responsibilities include arbitration in disputes between
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National Director, Transformation and Corporate Development: Timothy Ferris
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Parliamentary Under-Secretary of State for Public Health and Prevention
1484: 928:"NHS England rejects one in four requests to shrink GP catchment areas" 410: 399: 350:, who presented it as the key to a radical overhaul of NHS technology. 1305:"Judge criticises NHS England for 'totally irrational' drug decision" 442: 419: 319: 251: 318:
the minimum practice income guarantee. Richard Stein, a partner at
277: 1593: 1283:"Policy delays risk 'preventable deaths', doctors warn NHS England" 580: 200: 35: 1060:"Matt Hancock's plan for an NHS tech revolution is doomed to fail" 246:
In 2016 it organised the geographical division of England into 44
1349:"Mapped: Quarter of area teams resort to NHS England arbitration" 950:"NHS England primary care decisions 'unlawful', High Court rules" 343: 629:"Exclusive: NHS England to cut hundreds of posts in restructure" 1902:
Non-departmental public bodies of the United Kingdom government
972:"Capita is awarded NHS England admin contract worth up to £1bn" 783:"Major allocations shakeup means real terms cuts for some CCGs" 326: 1387: 1375: 1209:"UK consortium takes on Palantir for £480mn NHS data contract" 126: 1179: 1131:"NHS England patient data platform procurement, FDP, is live" 59: 673:"Amanda Pritchard appointed as NHS England chief executive" 268: 1560:
National Director, Specialised Commissioning: John Stewart
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Oversight body for the National Health Service in England
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National Director, Chief Financial Officer: Julian Kelly
1184:"£480 million NHS Federated Data Platform tender opens" 1327:"ICSs face test to take on billions worth of services" 1235:"Why Palantir's latest NHS land-grab is such bad news" 854:"How many hospital black alerts were there this week?" 1551:
National Director, Strategy and Innovation: Ian Dodge
1260:"Big hospitals warn NHSE of dangers of ICS takeover" 1711:
Medicines and Healthcare products Regulatory Agency
805:"Operational Pressures Escalation Levels Framework" 1820:Review Body on Doctors' and Dentists' Remuneration 739:"'Secret plans' detail severe cuts across the NHS" 1799:National Institute for Health and Care Excellence 1693:Parliamentary Under-Secretary of State for Health 651:"Revealed: NHS England's new area team structure" 361:In 2020 the NHS awarded an emergency contract to 278:Operational pressures escalation levels framework 1888: 1830:Advisory Committee on Clinical Excellence Awards 695:"Mackey: Success regime not working fast enough" 196:History of the National Health Service (England) 1871:National Institute for Health and Care Research 239:NHS England produced a planning document – the 1668:Secretary of State for Health and Social Care 1636: 1403: 1038:"First digital maturity index scores in full" 717:"The leaders chosen for 41 of England's STPs" 297:Secretary of State for Health and Social Care 1789:Human Fertilisation and Embryology Authority 1082:"Secondary care to 'fully digitise' by 2024" 377: 325:NHS England awarded a four-year contract to 286: 1643: 1629: 1410: 1396: 1380: 952:. Health Service Journal. 24 November 2014 785:. Health Service Journal. 17 December 2015 136: 34: 697:. Health Service Journal. 29 January 2016 527:. NHS Commissioning Board. Archived from 333: 1084:. Health Service Journal. 7 January 2019 653:. Health Service Journal. 1 October 2015 603:"NHS England Chairman welcomes new name" 409:It authorises and pays for treatment of 269:Funding of clinical commissioning groups 199: 1917:Government agencies established in 2011 1351:. Health Service Journal. 19 March 2015 1280: 1040:. Health Service Journal. 12 April 2016 900: 829: 719:. Health Service Journal. 30 March 2016 553:. Health Service Journal. 27 March 2018 486: 484: 346:was unveiled, with public backing from 1889: 994:"NHS developing PHR adoption strategy" 675:. Health Service Journal. 28 July 2021 631:. Health Service Journal. 29 July 2014 248:sustainability and transformation plan 1624: 1391: 1329:. Health Service Journal. 31 May 2022 1262:. Health Service Journal. 17 May 2022 832:"Black alert? Or many shades of OPEL" 763:. Health Service Journal. 1 June 2022 1897:Department of Health and Social Care 1652:Department of Health and Social Care 1307:. Health Service Journal. 4 May 2016 761:"The Integrator: The swollen centre" 515: 513: 481: 234: 159:Department of Health and Social Care 116:Department of Health and Social Care 903:"NHS England takes over CCG powers" 13: 163:National Health Service in England 14: 1928: 1907:National Health Service (England) 1825:Independent Reconfiguration Panel 1678:Minister of State for Social Care 1367: 1128: 901:Brennan, Sharon (23 March 2020). 830:Edwards, Nigel (6 January 2017). 510: 18:National Health Service (England) 1846:British Pharmacopoeia Commission 1605: 1604: 1281:Lintern, Shaun (14 April 2015). 1748:NHS Business Services Authority 1417: 1341: 1319: 1297: 1274: 1252: 1227: 1201: 1173: 1148: 1122: 1096: 1074: 1052: 1030: 1008: 986: 964: 942: 920: 894: 868: 846: 823: 797: 775: 753: 731: 709: 687: 303: 167:Health and Social Care Act 2012 1912:2011 establishments in England 665: 643: 621: 595: 565: 543: 455: 432: 169:. It directly commissions NHS 1: 1851:Commission on Human Medicines 1455:Clinical commissioning groups 1016:"Digital Maturity Assessment" 996:. Digital Health. 9 July 2015 579:. NHS England. Archived from 448: 439:clinical commissioning groups 256:clinical commissioning groups 1673:Minister of State for Health 1498:hospital trusts/acute trusts 856:. Full Fact. 13 January 2017 609:. NHS England. 26 March 2013 155:non-departmental public body 7: 1876:NHS Counter Fraud Authority 1460:Health and wellbeing boards 385:Individual Funding Requests 10: 1933: 307: 193: 189: 15: 1863: 1838: 1807: 1784:Health Research Authority 1771: 1735: 1724: 1716:UK Health Security Agency 1701: 1658: 1602: 1567: 1545:Chief Operating Officer: 1526: 1483: 1447: 1425: 1062:. Wired. 8 September 2018 525:commissioningboard.nhs.uk 378:Specialised commissioning 287:Response to 2020 pandemic 121: 111: 85: 74: 66: 55: 47: 42: 33: 1753:NHS Blood and Transplant 1743:Health Education England 1590:Chief Scientific Officer 1470:Local HealthWatch groups 1285:. Health Service Journal 930:. Pulse. 27 October 2014 741:. OnMedica. 28 July 2017 310:General medical services 254:, local authorities and 210:special health authority 1779:Care Quality Commission 1508:community health trusts 974:. City AM. 23 June 2015 427:integrated care systems 389:integrated care systems 151:NHS Commissioning Board 1794:Human Tissue Authority 1535:Lord Prior of Brampton 1465:Integrated care system 907:Health Service Journal 334:Information technology 241:Five Year Forward View 205: 86:Public body executives 1703:UK executive agencies 1581:Chief Nursing Officer 1475:NHS Property Services 463:"Spending Round 2019" 363:Palantir Technologies 203: 171:general practitioners 1568:Professional leaders 1518:mental health trusts 1440:Maple Street, London 402:in the treatment of 293:coronavirus pandemic 43:Public body overview 1815:NHS Pay Review Body 1182:(11 January 2023). 1135:www.theregister.com 30: 1808:England advisories 1736:England executives 1493:List of NHS trusts 1215:. 28 February 2023 1160:www.england.nhs.uk 1110:. 21 December 2020 404:tuberous sclerosis 355:NHS Long Term Plan 206: 165:as set out in the 153:, is an executive 28: 1884: 1883: 1859: 1858: 1618: 1617: 1539:Chief Executive: 1513:foundation trusts 811:. 6 December 2018 235:System management 144: 143: 112:Parent department 1924: 1733: 1732: 1726:Non-departmental 1645: 1638: 1631: 1622: 1621: 1608: 1607: 1541:Amanda Pritchard 1503:ambulance trusts 1412: 1405: 1398: 1389: 1388: 1384: 1379: 1378: 1376:Official website 1361: 1360: 1358: 1356: 1345: 1339: 1338: 1336: 1334: 1323: 1317: 1316: 1314: 1312: 1301: 1295: 1294: 1292: 1290: 1278: 1272: 1271: 1269: 1267: 1256: 1250: 1249: 1247: 1245: 1231: 1225: 1224: 1222: 1220: 1205: 1199: 1198: 1196: 1194: 1177: 1171: 1170: 1168: 1166: 1152: 1146: 1145: 1143: 1141: 1129:Clark, Lindsay. 1126: 1120: 1119: 1117: 1115: 1100: 1094: 1093: 1091: 1089: 1078: 1072: 1071: 1069: 1067: 1056: 1050: 1049: 1047: 1045: 1034: 1028: 1027: 1025: 1023: 1012: 1006: 1005: 1003: 1001: 990: 984: 983: 981: 979: 968: 962: 961: 959: 957: 946: 940: 939: 937: 935: 924: 918: 917: 915: 913: 898: 892: 891: 889: 887: 872: 866: 865: 863: 861: 850: 844: 843: 841: 839: 834:. 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Retrieved 466: 457: 436: 424: 408: 397: 381: 372: 360: 352: 348:Matt Hancock 342:In 2018 the 341: 337: 324: 316: 313: 304:Primary care 290: 281: 272: 264: 260: 245: 238: 218: 207: 181: 174: 150: 146: 145: 56:Headquarters 48:Jurisdiction 25: 1758:NHS England 1419:NHS England 1088:11 February 1066:8 September 956:15 December 809:NHS England 789:28 February 745:3 September 473:20 November 433:Arbitration 176:NHS mandate 147:NHS England 29:NHS England 1891:Categories 1533:Chairman: 1485:NHS trusts 1022:1 November 934:2 November 657:24 October 573:"About us" 521:"About us" 449:References 443:NHS trusts 411:narcolepsy 400:Everolimus 308:See also: 252:NHS Trusts 81:(2020–21) 420:Pandemrix 320:Leigh Day 67:Employees 62:, England 1611:Category 1594:Sue Hill 1585:Ruth May 1289:20 April 1244:21 April 1219:21 April 1193:21 April 1165:21 April 1140:21 April 1114:21 April 912:25 March 886:21 April 815:21 April 701:11 March 613:11 April 129:.england 1333:25 July 1266:30 June 1044:19 June 1000:11 July 978:26 June 767:25 July 723:8 April 679:28 July 587:25 July 535:25 July 391:. The 344:NHS app 212:of the 190:History 157:of the 122:Website 95:, Chair 51:England 880:GOV.UK 860:12 May 838:12 May 557:27 May 467:GOV.UK 327:Capita 295:, the 1864:Other 1355:1 May 1311:4 May 413:with 70:6,500 60:Leeds 1357:2015 1335:2022 1313:2016 1291:2015 1268:2022 1246:2023 1221:2023 1195:2023 1167:2023 1142:2023 1116:2023 1090:2019 1068:2018 1046:2016 1024:2016 1002:2015 980:2015 958:2014 936:2014 914:2020 888:2020 862:2017 840:2017 817:2020 791:2016 769:2022 747:2017 725:2016 703:2016 681:2021 659:2014 637:2014 615:2012 589:2022 559:2018 537:2022 504:2023 475:2020 441:and 353:The 219:Sir 131:.nhs 1188:htn 370:. 214:NHS 133:.uk 127:www 1893:: 1592:: 1583:: 1237:. 1211:. 1186:. 1158:. 1133:. 1106:. 905:. 878:. 807:. 605:. 575:. 523:. 512:^ 494:. 483:^ 465:. 445:. 101:, 1644:e 1637:t 1630:v 1411:e 1404:t 1397:v 1359:. 1337:. 1315:. 1293:. 1270:. 1248:. 1223:. 1197:. 1169:. 1144:. 1118:. 1092:. 1070:. 1048:. 1026:. 1004:. 982:. 960:. 938:. 916:. 890:. 864:. 842:. 819:. 793:. 771:. 749:. 727:. 705:. 683:. 661:. 639:. 617:. 591:. 561:. 539:. 506:. 477:. 20:.

Index

National Health Service (England)

Leeds
Richard Meddings
Amanda Pritchard
Chief Executive
Department of Health and Social Care
www.england.nhs.uk
Edit this at Wikidata
non-departmental public body
Department of Health and Social Care
National Health Service in England
Health and Social Care Act 2012
general practitioners
NHS mandate
NHS Improvement
History of the National Health Service (England)

special health authority
NHS
David Nicholson
Simon Stevens
Amanda Pritchard
Five Year Forward View
sustainability and transformation plan
NHS Trusts
clinical commissioning groups
coronavirus pandemic
Secretary of State for Health and Social Care
General medical services

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