Overall, the NHS has changed from focusing on a nationally operated health structure, to being much more focussed on local health needs in the community. Health services will now be commissioned and provided in each local area depending on the particular needs and health issues that are most common in that area.
Clinical Commissioning Groups (CCGs)
CCGs have replaced all primary care trusts and now commission health care services for people living in their area. CCGs are made up of GP practices, other health professionals and at least two lay members.
Health and Wellbeing Boards
There is a Health and Wellbeing Board in every local authority area. Their main duty is to create the Joint Strategic Needs Assessment and to bring together health and social care services so they work better for people who use them.
Healthwatch England is the new independent consumer champion for health and social care in England. It is responsible for collecting views and concerns from local Healthwatch and reporting this at a national level.
Local Healthwatch is where the public can go to share their views and concerns about their experience of local health and social care services.
NHS England is the new national body oversees all the different elements of the NHS. It allocates funding to CCGs, develops national guidelines and commissions specialised services (such as secure hospitals).
National Institute for Health and Care Excellence
Still referred to as NICE, it continues its function of licensing medication in the UK and will now also be encouraging new ways of working in health and social care.
Care Quality Commission (CQC)
All healthcare providers must be licensed by the CQC and Monitor. CQC will make sure that all service providers are meeting certain quality standards, and it will intervene and investigate if a provider is failing to provide a good service.
Joint Strategic Needs Assessment (JSNA)
The JSNA is a local assessment which gives the CCGs information about which health care services are needed and what should be commissioned in the local area so that local needs are met. JSNAs will be created by every local Health and Wellbeing Board.
Public Health England
Public Health England is the new national body in charge of public health in England. Every local authority will have a Director of Public Health responsible for making sure there is good overall public health in their local area.