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    Make Decisions: NPA Discussion - NHS White Paper. 28 Jul 2010

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    Idrees Mohammed
    The white paper sets out the UK government's plans to reform the NHS. It aims to give more power to patients by increasing choice and control over their healthcare. It will devolve power from national to local levels, with groups of GPs given responsibility for commissioning care. Providers will have more freedom but also greater accountability. The goal is to streamline the NHS with fewer layers of bureaucracy and reduce management costs so more funding goes to frontline services. Commenters welcome more choice for patients and the focus on improving health outcomes, but some express concern about ensuring continued investment during the transition period.

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    Make Decisions: NPA Discussion - NHS White Paper. 28 Jul 2010

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    Idrees Mohammed
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    The white paper sets out the UK government's plans to reform the NHS. It aims to give more power to patients by increasing choice and control over their healthcare. It will devolve power from national to local levels, with groups of GPs given responsibility for commissioning care. Providers will have more freedom but also greater accountability. The goal is to streamline the NHS with fewer layers of bureaucracy and reduce management costs so more funding goes to frontline services. Commenters welcome more choice for patients and the focus on improving health outcomes, but some express concern about ensuring continued investment during the transition period.

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    The white paper sets out the UK government's plans to reform the NHS. It aims to give more power to patients by increasing choice and control over their healthcare. It will devolve power from national to local levels, with groups of GPs given responsibility for commissioning care. Providers will have more freedom but also greater accountability. The goal is to streamline the NHS with fewer layers of bureaucracy and reduce management costs so more funding goes to frontline services. Commenters welcome more choice for patients and the focus on improving health outcomes, but some express concern about ensuring continued investment during the transition period.

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    Download as doc, pdf, or txt
    40 views4 pages

    Make Decisions: NPA Discussion - NHS White Paper. 28 Jul 2010

    Uploaded by

    Idrees Mohammed
    The white paper sets out the UK government's plans to reform the NHS. It aims to give more power to patients by increasing choice and control over their healthcare. It will devolve power from national to local levels, with groups of GPs given responsibility for commissioning care. Providers will have more freedom but also greater accountability. The goal is to streamline the NHS with fewer layers of bureaucracy and reduce management costs so more funding goes to frontline services. Commenters welcome more choice for patients and the focus on improving health outcomes, but some express concern about ensuring continued investment during the transition period.

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    A white paper (or "whitepaper") is an authoritative report or guide that is often oriented toward a particular issue or problem.

    White papers are used to educate readers and help peoplemake decisions, and are often requested and used in politics, policy, business, and technical fields White papers are issued by the government and lay out policy, or proposed action, on a topic of current concern. Although a white paper may on occasion be a consultation as to the details of new legislation, it does signify a clear intention on the part of a government to pass new law

    NPA Discussion NHS White paper. 28 Jul 2010


    NPA Chairman, Ian Facer, comments on items discussed at this months NPA Board meeting (26-27 July 2010): The Board considered in detail the recently published Liberating the NHS white paper, which sets out changes to commissioning arrangements in England. The white paper presents many challenges, but there is also a significant opportunity to grow pharmacys role in achieving value for money medicines use and in public health. Furthermore, the new NHS Commissioning Board should be a vehicle to move pharmacy services forward in a less piecemeal fashion that has been the case under local, PCT-led arrangements. I have already told the Health Secretary that GP commissioning can only make best use of NHS resources and be truly transformative if it is characterised by accountability and genuine partnership with other front-line professionals, including community pharmacists. Our immediate concern is that the period between now and the settling in of new commissioning arrangements must be one of progress in the NHS, not regression, with continued investment in the NHS front-line. Community pharmacy offers the potential for swift and sure progress towards better health outcomes, and pharmacy service development need not be put on hold until new commissioning structures bed down. Early moves on a national concordance scheme and minor ailments could bring about tangible benefits in every community. Pharmacy Minister Earl Howe has agreed to meet the NPA shortly and we hope to inject more urgency into policy development for community pharmacy so that our sectors potential is not overlooked in these critical early days of the new administration.

    Liberating the NHS


    Secretary of State for Health Andrew Lansley set out the Government's ambitious plans to reform the NHS during this Parliament and for the long-term on 12th July 2010. The White Paper Equity and Excellence: Liberating the NHS' details how power will be devolved from Whitehall to patients and professionals. Professionals will be free to focus on improving health outcomes so that these are amongst the best in the world. Improving the quality of care will become the main purpose of the NHS. Patients will get more choice and control, backed by an information revolution, so that services are more responsive to patients and designed around them, rather than patients having to fit around services. The principle will be "no decisions about me without me". Under the new plans, patients will be able to choose which GP practice they register with, regardless of where they live, and choose between consultant-led teams. More comprehensive and transparent information, such as patients' own ratings, will help them make these choices together with healthcare professionals. Groups of GPs will be given freedom and responsibility for commissioning care for their local communities. Providers of services will have new freedoms and they will be more accountable. There will be greater competition in the NHS and greater cooperation. Services will be more joined up, supported by a new role for Local Authorities to support integration across health and social care. As a result of the changes, the NHS will be streamlined with fewer layers of bureaucracy. Strategic Health Authorities and Primary Care Trusts will be phased out. Management costs will be reduced so that as much resource as possible supports frontline services. The reforms build on changes started under the previous Government.

    Comment on the White Paper


    Andrew Lansley said: 'People voted for change and the Coalition Agreement set out a bold and exciting vision for the future of the NHS - a vision based on the principles of freedom, fairness and responsibility. 'The NHS is our priority. That is why the Coalition Government has committed to increases in NHS resources in real terms each year of this Parliament. The sick must not pay for the debt crisis left by the previous administration. But the NHS is a priority for reform too. Investment has not been matched by reform. So we will reform the NHS to use those resources far more effectively for the benefit of patients. 'The Government's ambition is for health outcomes - and quality services - that are among the best in the world. We have in our sights a unique combination of equity and excellence. 'With patients empowered to share in decisions about their care, with professionals free to tailor services around their patients and with a relentless focus on continuously improving

    results, I am confident that together we can deliver the efficiency and the improvement in quality that is required to make the NHS a truly world class service.' PSNC Chief Executive Sue Sharpe said: "We are confident that the White Paper makes provision for the continued development of high quality community pharmacy services. We especially welcome its recognition of an "important and expanding role" for pharmacy; both in helping patients make better use of medicines and in supporting better health. "We are pleased that pharmacy will retain a national framework, and that commissioning of pharmacy services will be the responsibility of the new NHS commissioning board. The development of community pharmacy services has for too long been held back by the vagaries of patchy PCT commissioning, and this process of reform represents an opportunity to find a better, more cohesive way of ensuring all communities can benefit from high quality pharmacy services. The decision to give Local Authorities control over the commissioning of public health services is also good news for pharmacy; pharmacies are well-placed to build links with local councils, and are ideally positioned to help them cost effectively improve the health and well-being of the communities they serve.

    1. Putting patients and the public first 1.1 Shared decision-making 1.2 An NHS information revolution 1.3 Patient and public voice 2. Improving healthcare outcome 2.1 The NHS Outcomes Framework 2.2 Developing and implementing quality standard 2.3 Incentives for quality improvement 3. Autonomy, accountability and democratic legitimacy 3.1 GP commissioning consortia 3.2 NHS Commissioning Board 3.3 Local democratic legitimacy 3.4 Economic regulation and quality inspection 4. Cutting bureaucracy and improving efficiency 5. Making it happen The White Papers proposal

    For pharmacy regulation The General Pharmaceutical Council has replaced the Royal Pharmaceutical Society of Great Britain as the regulator for pharmacists, pharmacy technicians and pharmacy premises in England, Scotland and Wales.

    For pharmacy leadership body The Royal Pharmaceutical Society, is now the dedicated professional

    leadership body for pharmacy, providing leadership and support to


    Medicines management can be defined as as a system of processes and behaviours that determines how medicines are used by the NHS and patients.(Modernising Medicines Management. A guide to achieving benefits for patients, professionals and the NHS. National Prescribing Centre, 2001). Good medicines management means that patients receive better, safer and more convenient care. It leads to better use of professional time and enables practitioners to focus their skills where they are most appropriate. Effective medicines management also frees up resources which means that NHS money can be used where it is most effective. Good medicines management benefits everyone.

    n in England, Scotland and Wales.

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