Health and care explained - August 2019: how the system works and how it is changing

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This event was designed for anyone working in the NHS, public, private, academic and third sector who would like to gain a greater understanding of how the health and care system currently works and how it is changing. 



Presentation slides are available from The King's Fund events app, which you can download on to your smartphone or tablet.

Instructions on how to download the presentations onto your desktop device are given below:

  1. Click here to access the desktop version of The King’s Fund Events app.
  2. Scroll to the programme section and click the session you're interested in.
  3. Scroll to the bottom of the session (past the speakers).
  4. Select the presentation you're interested in by choosing 'Download Link'. 

Questions from the event

We received a lot of brilliant questions from our Health and care explained audience. We’ve answered some of the questions here that we weren’t able to get to on the day. Please scroll down to view them.

If you have further questions you’d like answered, please get in contact with our Information and Knowledge Services team here

There is a guide to the different roles of STPs and ICSs from NHS Providers here. For more information about the role of ICSs, see our long read that explains why they have been developed, and what they aim to achieve.   

The King’s Fund publication, A vision for population health, explains that population health covers a broader concept than public health or population health management: ‘Population health is an approach that aims to improve physical and mental health outcomes, promote wellbeing and reduce health inequalities across an entire population. There is no single accepted definition of population health. We see it as a broad overarching concept, encompassing but going beyond the NHS, public health and population health management. Crucially, it focuses on the wider determinants of health and the role of people and communities.’ 

Our long read, What does improving population health really mean, looks at the terminology, too.

Foundation trusts are a different legal form of organisation to trusts. You can find more details on the differences here.

The British Dental Association website has a section on the history of NHS dental services that looks at charges here. The People’s History of the NHS also looks at charges in their humorous take on English teeth. For something a bit more serious, there is this section of this 2008 Commons Health Committee report General dental services 1948-2006.

There are lots of things being done to improve prevention in general practice, including the introduction of social prescribing, which connects people to resources in their community that can support their health and wellbeing. There is currently a review of vaccinations and immunisations, which aims to improve uptake. The prevention of cardiovascular disease is another key area, and is one of seven service specifications that primary care networks will have to deliver.

The long-term plan highlights four approaches to pooling budgets that have been successful in some parts of the country. These are: 

  • voluntary budget pooling between a council and clinical commissioning group (CCG) for some or all of their responsibilities
  • a shared individual service user budget consisting of personal health and social care budgets
  • the Salford model where the local authority asked the NHS to oversee a pooled budget for all adult health and care services with a joint commissioning team 
  • a model where a CCG and local authority asked the chief executive of NHS England to appoint the council chief executive or director of adult social care as the CCG accountable officer.