Contents
Forewords 6
NHS Confederation 8
Introduction: one system – four structures 9
01 The new structure of the NHS in England
Parliament 12 Department of Health 15 Other government departments 17 Arm’s-length bodies 17 NHS Commissioning Board 18 Clinical commissioning groups 20 Health and wellbeing boards 22 Foundation trusts 23 Independent providers 25 Managing the transition 30
02 Commissioning
The basics 34 Clinical commissioning groups’ role 35 NHS Commissioning Board’s role 38 Health and wellbeing boards’ role 39 Commissioning and competition 42 Public health 45
03 Providing services
Primary care 60 Community health services 69 Integrated care 72 Secondary care 77 Urgent and emergency care 84 Maternity services 91 Mental health 92 Care for special groups 99