1. NHS Landscape in England Leela Barham RCN Policy Advisor 28 th June 2013 Presentation for GUNA

2. Key new agencies and organisations  NHS England – provides leadership and commissions primary and specialist care  Clinical commissioning groups (CCGs) commission the majority of local health services  Public health responsibility given to local authorities, with Public Health England - taking a national leadership role  Health and Wellbeing Boards - bringing together people from commissioning, health care, social care and public health to develop Joint Strategic Needs Assessments and Joint Health and Wellbeing Strategies  Healthwatch – the independent ‘consumer champion’, replacing the patient representative bodies Local Involvement Networks (LINks)

3. Sexual health  Now a responsibility for Local Authorities: “comprehensive sexual health services (including testing and treatment for sexually transmitted infections, contraception outside of the GP contract and sexual health promotion and disease prevention)” DH, Public Health in Local Government: Commissioning Responsibilities, December 2011Public Health in Local Government: Commissioning Responsibilities

4. Some stay the same  Care Quality Commission  Monitor – but now wider remit as sector regulator of all providers of NHS services*  NICE – but now wider remit covering social care  Health and Social Care Information Centre * Excludes those delivering <£10million worth of NHS services

5. New health and care system Source: DH, The Health and Care System Explained, March 2013The Health and Care System Explained

6. The role of nursing in commissioning  NHS England has a Chief Nursing Officer with responsibility for quality assurance and patient experience. Each of the organisation’s regional and local offices also has a chief nurse  Each CCG must have at least one nurse on their governing body  Public Health England has a professional lead for nursing who is also Director of Public Health Nursing at the Department of Health

7. Care and Support Bill 2012 Changes to health care education:  Responsibility for health education and training moving from SHAs and Medical Education England to new bodies - Health Education England (HEE) and local education and training boards (LETBs)  HEE will provide national leadership for education, training and workforce development  LETBs will bring together health care and public health providers, the professions, local government, and the research sector to plan and commission education in the local area

8. How’s the change going?  Depends on who you ask!  How is it for you?

9. Questions?

10. More information  The Navigating the new NHS section of the RCN website has briefings, fact sheets and an archive of our work on the reforms: www.rcn.org.uk/nhsreform  If you have any concerns about the reforms and how they affect you and your patients, please let us know so we can take them forward on your behalf. Contact us via policycontacts@rcn.org.uk  The RCN has produced a resource on clinical governance to help members sustain and improve high standards of patient care: www.rcn.org.uk/development/practice/clinical_governance  If you are an RCN member and you are being directly affected by the reforms, you can access advice and support from RCN Direct on 0345 772 6100.