Titre : | Transforming our health care system: ten priorities for commissioners. |
Titre original: | Transformation de notre système de santé : dix priorités pour les commissioners. |
Auteurs : | C. NAYLOR ; C. IMISON ; R. ADDICOTT ; et al. ; The King's Fund. Londres. GBR ; King's Fund Hospital Centre. (K.F.H.C.). Londres. GBR |
Type de document : | Ouvrage |
Editeur : | Londres : King's Fund Institute, 2013 |
Format : | 18p., tabl. |
Langues: | Anglais |
Catégories : |
[BDSP5] CANDES > DISEASE MANAGEMENT [BDSP5] Economie santé > Coût santé > Coût maladie [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Evaluation > Performance [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Organisation > Planification > Choix priorité [BDSP5] Géographie politique > Monde > Europe > Iles Britanniques > Royaume Uni [BDSP5] Information sanitaire > Besoin santé [BDSP5] Pathologie > Maladie chronique [BDSP5] Politique santé > Prévention santé [BDSP5] Politique santé > Prévention santé > Prévention primaire [BDSP5] Politique santé > Prévention santé > Prévention secondaire [BDSP5] Pratique médicale [BDSP5] Protection sociale > Sécurité sociale > Prestation sociale > Non recours [BDSP5] Protection sociale > Système santé [BDSP5] Protection sociale > Système santé > NHS [BDSP5] Santé mentale [BDSP5] Santé physique [BDSP5] Soins > Qualité soins [BDSP5] Soins > Soins infirmiers > Processus soins > Organisation soins [BDSP5] Soins > Soins longue durée [BDSP5] Soins > Soins palliatifs [BDSP5] Système soins > Filière soins > Soins ambulatoires [BDSP5] Système soins > Financement soins [BDSP5] Système soins > Santé communautaire > Soins santé primaire |
Résumé : | As of 1 April 2013, clinical commissioning groups (CCGs) are responsible for the majority of the NHS budget ? more than £65 billion of public money. At the same time, public health budgets of £2.7 billion are transferring to local authorities, while NHS England (formerly the NHS Commissioning Board), through its 27 area teams, takes responsibility for commissioning primary care (£13 billion) and specialised services (£12 billion). It is hoped that the new health and wellbeing boards, convened by local authorities, will play a key role in co-ordinating the activities of these different groups of commissioners, while commissioning support units ? also new ? will provide a range of services to clinical commissioning groups and NHS England to help them to perform their functions effectively. The new commissioning landscape is summarised in the figure below. Collectively, the task of this new set of commissioners is to deliver a sustainable health care system in the face of one of the most challenging financial and organisational environments the NHS has ever experienced. The task is especially daunting in the context of a population in which the burden of disease is growing and medical advances offer increasing opportunities to treat disease, but at a cost. The result, if nothing else changes in the NHS, will be significant unmet need and threats to the quality of care. |
En ligne : | http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/10PrioritiesFinal2.pdf |