christian care in the context of health reforms opportunities and challenges for the churches
TRANSCRIPT
Christian care in the context of health reforms
Opportunities and Challenges for the Churches
Health and social care reforms
Understanding Challenging Engaging Supporting those involved Opportunities
New NHS StructureNHS
Commissioning Board
Test
Sectors (4)
Clinical Networks Local Area Teams
(20-30)
CCGs(>200)
CommissioningSupport Services
Health & Wellbeing Boards
Local Authorities(Public Health
Role)
ClinicalSenates
Health Education England
LETBs
Health and Academic Science Networks
Deaneries
Clinical Commissioning Groups Not just GPs Not just replacements for PCTs Focus on
secondary and community care commissioning improving quality of primary care
Patient and public engagement Judged by achieving
Financial balance Commissioning Outcomes Framework
Local Authorities
Public health role Social care Health and Wellbeing Board Elected members Financial balance
Commissioning Support Units
Regional support for CCGs Hosted by the National
Commissioning Board until 2015 Independent of NHS post 2015 Potential for multinational take-
over CSU tail wagging the CCG dog?
National Commissioning Board
Mandate from Department of Health
Primary care commissioning Specialist service commissioning Local Area Teams
Other bodies
Care Quality Commission Monitor Healthwatch Senates Foundation Trusts Public Health England Local Education and Training Bodies
Challenging Profit before quality Health inequalities Conflict of interest Continuity of care v fragmentation of care Service redesign Reasonable expectations of a financially
limited NHS Rationing services Patient and public voice Imposition v consensus
Engaging “No decision without me” Lay representatives in CCGs Non-executive directors Foundation Trust membership Healthwatch Attendance at board meetings Taking part in consultations Practice patient participation groups
Engaging (2) Choice
consequences of making choices Understanding data Electronic access to records
safeguarding the vulnerable Offering an ethical perspective
abortion time limits research assisted dying
Supporting those involved
Staff losing jobs or living with uncertainty
Individuals taking on new responsibilities
Patients anxious about services Politicians, officials and managers
making decisions
Opportunities
Voluntary sector working within NHS Providing services
Any qualified provider Premises
Offering space eg AA, CAB, consultation meetings
New buildings working in partnership Patient advocates
Time for Churches to respond
Enabling understanding Challenging injustice Engaging with confidence Pastoral support for those involved Opportunities for mission