1. Implications of the Health Service White Papers Robert Mackie Interim Chief Executive NHS Walsall

2. Context Transforming Community Services “Equity and Excellence” – Liberating the NHS July 2010 “Healthy lives, Healthy people White Paper” November 2010 NHS Operating Framework for England 2011/12

3. New Landscape SHAs & PCTs abolished GP Commissioning - responsible c.£80bn of current budget NCB – responsible for £20bn, influencing £80bn Public Health England PHE and LAs – responsible for c. 4% of budget External Regulators Care Quality Commission Monitor PCT Clustering & the creation of interim SpHAs Same Names New Remits

4. “Old Architecture Timelines” SHAs - Abolished April 2012 PCTs - Abolished April 2013 PCTs - Cluster by June 2011 TCS - Commissioner : Provider split by April 2011

5. GP Commissioning PCTs / Clusters to facilitate development Shadow GPC arrangements April 2011 Authorised April 2012 Allocated budgets April 2013 Walsall Progress

6. Public Health White Paper consultation closes Feb 2011 - Shadow Arrangements 2011/12 Public Health England - live April 2012 Local Authority - shadow allocations for HI Autumn 2011 - shadow arrangements 2012/13 - live April 2013

7. National Commissioning Board CE designate appointed October 2011 Shadow Board in place Go live April 2012

8. Implications Completes the Commissioner/Provider split Significant structural change & transitional risk Putting GPs at the heart of commissioning Emphasis on partnership working Allocations will be recast by April 2013