The Primary Care Trusts and Strategic Health Authorities (Waiting Times) Directions 2010 (8th March 2010)These Directions come into force 1st April 2010.
Directions
The Local Pharmaceutical Services (Essential Small Pharmacies) (Amendment) Directions 2010 (1st February 2010)These Directions come into force today (1st February 2010)
Directions
Directions to NHS bodies concerning the cost of telephone calls 2009 (22nd December 2009)These Directions came into force on 21st December 2009.
Directions The NHS operating framework for England for 2010/11 (16th December 2009)The operating framework for the NHS for 2010/11 sets out the priorities for the NHS for the year ahead to enable them to begin their planning.
For the third year in a row, the national priorities in the operating framework remain the same, providing important stability. The five priorities continue to be:
- improving cleanliness and reducing healthcare associated infections;
- improving access through achievement of the 18-week referral to treatment pledge and improving access (including at evenings and weekends) to GP services;
- keeping adults and children well, improving their health and reducing health inequalities;
- improving patient experience, staff satisfaction, and engagement; and
- preparing to respond in a state of emergency such as an outbreak of pandemic flu, learning from our experience of swine flu.
Framework NHS 2010-2015: from good to great. Preventative, people-centred, productive (10th December 2009)Secretary of State Andy Burnham introduces a five-year plan to reshape the NHS to meet the challenge of delivering high quality health care in a tough financial environment. The report describes practical measures to meet the demands of an aging population and the increased prevalence of lifestyle diseases. The vision is for an NHS that is organised around patients whether at home, in a community setting or in hospital. There will be a renewed focus on prevention with the ambition of delivering cost-effective high quality care across the service.
Command Paper The Human Factor (November 2009)The National Health Service needs to save £15 billion to £20 billion over the next few years.
This paper argues that these savings could be achieved through radical patient-centred service redesign and more effective approaches to public behaviour change. However, these approaches are difficult to develop within the existing health service.
Paper Conservative Draft Manifesto 2010. Chapter One: Our reform plan for the NHS (4th January 2009)The Conservative party have set out their plans for healthcare if they win the election. Some of the main points are:
- NHS providers to become Foundation Trusts
- Patients to be in charge of own health records with ability to choose which providers they share them with
- GPs' to hold patients' budgets and commission are on their behalf
- Link GPs' pay to quality of results they deliver
- Create an independent NHS board to allocate resources to different parts of the country
- Turn the Department of Health into a Department of Public Health
- Provide separate public health funding to local authorities
Document
SHA process for PCTs to be listed in the Electronic Prescription Service (EPS) Authorisation Directions 2008 as amended (2nd December 2009)This letter and supporting documents have been issued to set out the process that all SHAs will need to follow to request Secretary of State directions, to enable PCTs to authorise their primary medical services contractors or any practice established by the PCT to use Release 2 of the Electronic Transmission of Prescriptions (ETP) service.
Information
Directions about reports on consultation with regard to commissioning decisions and relevant decisions 2009 (13th November 2009)These Directions are issued under sections 17A and 24A, and section 8, of the NHS Act 2006, and trigger the duty on primary care trusts and strategic health authorities to produce reports each year on consultation in relation to commissioning decisions, with effect from April 2010. The first reports will cover the period April 2009 to March 2010 and will be produced before the end of September 2010.
Directions
The Primary Medical Services (Directed Enhanced Services - Pandemic Influenza (H1N1 Vaccination Scheme) and Statement of Financial Entitlements (Amendment) (No. 6) Directions 2009 (29th October 2009)These Directions come into force from 30 October and require PCTs to offer to enter into a Directed Enhanced Service with their existing primary medical care contractors who hold a list of registered patients, by 13 November, to deliver the H1N1 vaccine to patients in the priority groups identified in the CMO letter of 13 August 2009. The attached brief note provides further contextual details. Guidance will be available on the NHS Employers website.
Directions
Alternative Provider Medical Services Directions 2009 (12th October 2009)These Directions, which may be cited as the Alternative Provider Medical Services Directions 2009, are given to Primary Care Trusts in England and shall come into force on 17th September 2009.
Directions
The Primary Care Trust Medical Services Directions 2009 (8th October 2009)These Directions, which may be cited as the Primary Care Trust Medical Services Directions 2009, are given to Primary Care Trusts in England; and came into force on 17th September 2009.
Directions
The National Health Service (Nursing Care in Residential Accommodation) (Amendment) (England) Directions 2009 (29th September 2009)These Directions come into force on 1st October 2009 and apply to every Primary Care Trust.
Directions The Delayed Discharges (Continuing Care) Directions 2009 (29th September 2009)These Directions come into force on 1st October 2009 and apply to every English NHS trust and Primary Care Trust.
Directions The NHS Continuing Healthcare (Responsibilities) Directions 2009 (29th September 2009)These Directions come into force on 1st October 2009 and apply to every Strategic Health Authority, Primary Care Trust and social services authority in England.
Directions
The current and future state of NHS Finances. Results of an independent survey of Finance Directors in PCTs conducted by KPMG and Dr Foster Intelligence (published 30 July 2009 new to website 17th September 2009)The overwhelming majority of PCT finance directors (84%) say they are not well enough prepared to identify substantial efficiency savings within the NHS, a survey by KPMG and Dr. Foster Intelligence has found.
The NHS has embarked on a self declared efficiency agenda and aims to identify savings between £15 and 20 billion over the next three years. However, the survey among PCT finance directors seems to suggest that most of them are not ready to take on the challenge. The survey also reveals that almost half of all finance directors feel that NHS frontline staff is aware of the efficiency challenge but limited in their understanding of its impact on budgets.
Report Auditors' Local Evaluation (ALE) 2007/08 (24th September 2009)The summary results for NHS trusts and primary care trusts are now available from the Auditors' Local Evaluation 2007/08 briefing.
Results
The Statement of Financial Entitlements (Amendment) (No. 5) Directions 2009 (25th September 2009)The Statement of Financial Entitlements (Amendment) (No. 5) Directions 2009 were signed on 22nd September 2009 and come into force on the 1st October 2009. These amending directions make three changes to the dispensing provisions in the General Medical Services Statement of Financial Entitlements (SFE) published in April 2005.Directions
Directions to the National Patient Safety Agency (24th July 2009)These directions are given to the National Patient Safety Agency. They deal with implementing a number of measures to improve the safety of NHS patients.
Directions
Strategic Health Authorities and GP Registrar (Amendment) Directions 2009 (14th July 2009)Directions on the payment of allowances to GP trainers.
Directions
The Statement of Financial Entitlements (Amendment) (No 3) Directions 2009 (3rd April 2009)These directions are the first in a series of three changes to be made to the Statement of Financial Entitlements published in April 2005 and are effective from 1st April 2009.
Directions Guidance on managing variations to PFI schemes (25th March 2009)The Department of Health have published two guidance notes on managing variations to PFI schemes. The first is concerned primarily with the business case process, the second complements this with the technical and practical issues.
Guidance
Vaccination Programme Directions 2009 (1st April 2009)These directions relate to the new right, established in the NHS Constitution, to receive vaccinations recommended by the Joint Committee on vaccination and Immunisation under an NHS provided national immunisation programme.
Directions PL CMO (2009)1, PL CNO (2009)1, PL CPHO (2009)1: the influenza immunisation programme 2009/10 (6th April 2009)This 16 page letter from the Chief Medical Office, the Chief Nursing Officer and the Chief Pharmaceutical Officer contains details of the annual influenza immunisation campaign and the poultry worker immunisation programme.
Letter
The General Ophthalmic Services Contracts (Payments) (No 4) Directions 2009, Directions under the National Health Service Act 1977 Schedule 12, paragraph 2 (1) and the National Health Service (Optical Charges and Payments) Regulations 1997, regulation 2 (1), and Directions under the National Health Service and Community Care Act 1990 Schedule 2 Paragraph 6 (2) (31st March 2009)These Directions are made in respect of increases to NHS sight test fees and optical voucher values from 1st April 2009.
Directions
PCT decision making processes on medicines (20th January 2009)Draft Directions have been drawn up to underpin the guiding principles for processes supporting local decision making about medicines. The Directions will come into force on 1 April 2009.Draft Directions
The NHS Constitution: Government response to consultation (21st January 2009)This document sets out the Government's response to the draft Constitution, which ran from 30 June 2008 until 17th October 2008.
Government ResponseThe NHS Constitution for England (21st January 2009)Subject to Parliamentary approval, all NHS bodies and private and third-sector providers supplying NHS services in England will be required by law to take account of the Constitution in their decisions and actions. The Government will have a legal duty to renew the Constitution every 10 years.
Constitution
Impact AssessmentThe statement of NHS accountability for England (21st January 2009)The Constitution commits the Government to providing a statement of NHS accountability. This document accompanies the NHS Constitution, and provides a summary of the structure and functions of the NHS.
DocumentThe Handbook to the NHS Constitution for England (21st January 2009)This Handbook will give NHS staff and patients all the information they need about the NHS Constitution in one place.
HandbookThe Primary Care Trusts (Choice of Secondary Care Provider) Directions 2009 (21st January 2009)These Directions give effect to the right of choice outlined in the NHS Constitution.
DirectionsImplementation of the right to choice and information set out in the NHS Constitution (13th January 2009)This document provides guidance for primary care trusts (PCTs) on the duties placed on them in the Primary Care Trust (Choice of Secondary Care Provider) Directions 2009.
Document
General Ophthalmic Services: payments to persons suspended from general ophthalmic services performers lists (15th January 2009)The attached determination is to help primary care trusts calculate how much should be paid to persons suspended from ophthalmic performers lists.
GuidanceGeneral Ophthalmic Services: increases to NHS sight test fee for the period 1 April 2008 and 31 July 2008 (20th January 2009)Letter announcing the increase in fee for the NHS sight test and domicilliary sight testing allowances.
LetterThe General Ophthalmic Services Contracts (Payments) (No 3) Directions 2009 (21st January 2009)The Secretary of State for Health, in exercise of powers conferred by section 120 of the National Health Service Act 2006(a), having consulted bodies appearing to him to be representative of persons to whose remuneration they relate, gives the following Directions.
Directions