How is the NHS structured?

This content relates to the following topics:

Updated on 19 October 2017, these NHS organograms explain how providers are regulated and commissioned, and how the money flows.

Download the full slideset: How is the NHS structured?

Department of Health (2017). Annual report and accounts 2016-17. London: Department of Health. Available at: www.gov.uk/government/publications/department-of-health-annual-report-and-accounts-2016-to-2017

National Audit Office (2017). A short guide to the Department of Health and NHS England. London: The Stationery Office. Available at: www.nao.org.uk/report/short-guide-for-health/ 

NHS England (2016). Our 2016/17 business plan. London: NHS England. Available at: www.england.nhs.uk/publication/nhs-england-business-plan-201617/

Comments

Alexandra Lang

Position
Research Fellow,
Organisation
University of Nottingham
Comment date
04 July 2016
Please could you add me to your mailing list regarding any future resources about the structure of the NHS.
Kind Regards
A Lang

Yvonne Salkeld

Position
Head of information governance,
Organisation
Cumbria partnership NHS foundation trust
Comment date
05 August 2016
Can I be added to distribution list please

Sally Spillane

Position
Clinical Scientisit. HSST post in Genomics,
Organisation
CAVUHB
Comment date
22 September 2016
Please could you add me to your mailing list regarding any future resources about the structure of the NHS.

awaters

Position
Digital Communications Assistant,
Organisation
The King's Fund
Comment date
22 September 2016
You can sign up to receive updates by email here: http://www.kingsfund.org.uk/about-us/get-latest-news-kings-fund. You can indicate your areas of interest at the end of the page so that we will send you relevant information. Best wishes, Anna

Gorden Muduma

Position
Market Access Director,
Organisation
Pharmacosmos
Comment date
25 September 2016
I work in Healthcare industry

Rano

Position
Head of Equality and Diversity,
Organisation
Mental health trust
Comment date
20 January 2017
Can I be kept up dated on any new news about the NHS

awaters

Position
Digital Communications Assistant,
Organisation
The King's Fund
Comment date
23 January 2017
Hi Rano, you can sign up to receive updates by email here: http://www.kingsfund.org.uk/about-us/get-latest-news-kings-fund. Best wishes, Anna

Tim Wright

Position
Public Health Portfolio Lead,
Organisation
Durham County Council
Comment date
20 October 2017
Yes, the animation provided a useful overview and was succinct.

A couple of concerns:
* No mention of the role of the Secretary of State for Health. What is his role now following the Health and Social Care Act 2012? Is he still ultimately accountable for the NHS to Parliament?
* The unwritten rules of the game are changing and maybe these need to be aired because clearly there is a lack of transparency about what they could mean. I'm referring to the role of the private sector in healthcare. Yes, it has been embedded in the NHS since 1948. However, what we've seen since 1990, but with an increasing escalation since the 2012 Act, is the marketization of the system. Look no further than what's happening with the estate function, private finance projects, Prop-co let alone the range of clinical and non clinical services being privatised. Accountable Care Organisations are modelled on the US private healthcare system.

Readers may wish to refer to Allyson Pollock's work ahttps://www.allysonpollock.com/ and indeed consider lobbying their MP to support the NHS Reinstatement Bill 2017 http://www.nhsbillnow.org/

John Kapp

Position
director,
Organisation
SECTCo
Comment date
20 October 2017
Very good overview, but it fails to mention how councillors on Health and Wellbeing Boards were supposed to take responsibility for the £70bnpa (average £400 mpa per Local Authority) health budgets are spent on behalf of patients and taxpayers. The Clinical Commissioning Groups still work in silos, and have not been brought under the HWBs, to the detriment of both. The democratic deficit has not been filled, and has left a vacuum, causing the crisis in primary care. GPs are taking early retirement and nobody wants to replace them because they have no treatments other than drugs, which are overprescribed, so do more harm than good, making doctors feel guilty and ashamed. The remedy is for councillors on HWB instructing CCGs to commission more NICE recommended talking therapies which teach patients self care. ('doctor' comes from 'doctare', latin to teach) giving them back self esteem, instead of pill pushers. For details, see papers on section 9 of www.reginaldkapp.org)

Anna Betz

Position
Lead Practitioner & Organisational Change agent,
Organisation
Enlivening Edge
Comment date
25 October 2017

I work both in the NHS in dementia services as well as independently where I collaborate with systemic thinkers and practitioners to develop much needed systemic capabilities. In the NHS I work as a front line practitioner and innovator of new ways of understanding and treating complex health conditions like dementia, depression and other chronic inflammatory conditions . Our present linear mental models are limiting us in what we perceive, identify, prioritize and decide to treat. This falls far short of what else is possible and would be much cheaper and less wasteful in the longterm. I offer to help develop communities of practice where people share practices and develop them also know as communities of learners. What is missing for me in traditional communities of practice is paying attention to 'the community itself and how it learns'. When the 2 aspects of CoPs come together, we have what I would call powerful incubators for real transformation and improvement, both of people as well as organisations. I have just published an interview with Dr.Margaret Hannah who models such change in Scotland as director/leader of Public Health. http://www.enliveningedge.org/organizations/humanising-healthcare-part-…

Anant Suryakant Naik

Position
Proprietor,
Organisation
K. K. Swamy Surgical Works
Comment date
12 November 2017

I need your help in bringing your ideology to my city.

Frank Woolley

Position
Chair PPG BRADSHAW ST,
Organisation
Bradshaw St sURGERY wIGAN
Comment date
22 November 2017

PLEASE ADD ME TO YOUR MAILING LIST. EXCELLENT PRESENTATION AND VERY INFORMATIVE

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