Decision details
NATIONAL HEALTH SERVICE ORGANISATIONAL CHANGE
Decision Maker: Cabinet
Decision status: Recommendations Approved
Is Key decision?: No
Is subject to call in?: No
Purpose:
To receive information on proposed organisational changes to the local Health Service as a result of a DoH paper on “Commissioning a Patient-Led NHS” and to respond to the Strategic Health Authority (SHA) Consultation.
Decision:
THAT (a) Cabinet agrees to state the case strongly for the retention of a Herefordshire sovereign NHS body commissioning service for the Herefordshire public; and
(b) Cabinet comments on a draft response to consultation by the Strategic health Authority on the implications for local services.
Reasons for the decision:
On 27th July, 2005, the Department of Health published “Commissioning a Patient Led NHS” setting out a framework for improving commissioning of services alongside improvements in health and service delivery. The main factors in the guidance are:
- PCTs of the future will concentrate on commissioning and improving public health
- PCTs will not directly provide services (this may be allowed only in the most exceptional circumstances)
- GP practice-based commissioning will be fully developed
- A reduction in the number of SHAs, Ambulance Trusts and PCTs
- Most NHS Trusts will become Foundation Trusts
- An expectation that PCT boundaries will match those of Local Authorities
- Delivery of at least 15% reduction in management and administrative costs.
Alternative options considered:
N/A
Wards Affected: (All Wards);
Publication date: 20/09/2005
Date of decision: 15/09/2005