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Local authorities will now be responsible for all areas of public health, including increasing physical activity and tackling obesity levels


health into local systems and services, acknowledging the importance of local issues and the social determinants of health (eg housing, education, financial security and the built environment). Te changes are also driven by a need


for the NHS to find £20bn of efficiency savings by the end of 2013/2014, as well as ongoing cost efficiency opportunities within a national health system that’s


pressured by rising levels of chronic conditions and an ageing population with complex social care needs.


• Primary Care Trusts (PCTs) are replaced by Clinical Commissioning


of the local HealthWatch (see below) organisation in that area, and a representative of each local commissioning group. HWBs can expand their membership to include a wider range of


expertise and have a statutory duty to involve local people. Boards will bring together CCGs and local authorities to develop a shared understanding of the health and wellbeing needs of the community. Tey will undertake the Joint Strategic Needs Assessment (JSNA) and develop a Joint Health and Wellbeing Strategy (JHWS) on how these needs can be addressed, thereby driving local commissioning of healthcare, social care and public health. Other services impacting health, such as housing provision, will also be addressed. HWBs will influence investment decisions right across the


local authority, with the goal of enhancing health and wellbeing. Crucially, they will push to ensure public health is always considered when local authorities, GP consortia and the NHS make decisions.


HealthWatch England HealthWatch will be a national independent body that enables the collective views of the people who use NHS and adult social


April 2013 © Cybertrek 2013


All change Te key changes that came into place on 1 April 2013 include:


Groups (CCGs), giving greater control


• Local authorities will now be responsible for all areas of public health, including


to GPs in the commissioning of primary, secondary and social care.


tobacco control, locally-led nutrition initiatives, public mental health services, increasing levels of physical activity in local populations and decreasing inactivity, managing chronic conditions and obesity levels, and initiatives on workplace health.


care services to influence national policy, advice and guidance. It will advise the NHSCB, local authorities, Monitor (the economic regulator) and the Secretary of State for Health. It will also have the power to recommend that action is taken by the Care Quality Commission (see below) when there are concerns about health and social care services.


Care Quality Commission (CQC) Te role of the CQC will be strengthened as an effective quality inspectorate by giving it a clearer focus on the essential levels of safety and quality of providers.


NHS Foundation Trusts Te Act requires “all trusts to become foundation trusts (or become part of a foundation trust)” as soon as is feasible, with a clear target of April 2014. Tis means semi-independence of Whitehall control with, for example, the freedom to earn money by treating certain numbers of private patients. Around half of the hospitals in England already have that status.


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