The changing NHS

Working for change

The changing NHS

The NHS is going through a period of major change and significant pressure. We have been following the developments closely.

We aim to provide you with the latest information on what's happening when and where and we will continue influence implementation where we can.

There is a lot to keep abreast of and some of the structural changes are complex.

To help you keep on top, we have broken down the transition into key areas which you can access below or from the left navigation panel.

You can also read our series of briefing notes 'Understanding the reforms'.

NHS watch

NHS Watch brings you key data, information, news and analysis to help you keep abreast of the changes and the impact they are having on the service, patients and the profession.

Stay informed

Influencing policy

The BMA works hard to shape healthcare policy for the better.

See how we shape policy

The new NHS structure

On 1 April 2013, the Health and Social Care Act 2012 will come into force, bringing with it many new structures and arrangements for the NHS in England.

We have produced an interactive diagram to show the structure of the new organisations and their responsibilites.

See how the NHS structure has changed

Commissioning

The Health and Social Care Act radically changes how care is commissioned.

Clinical Commissioning Groups replace primary care trusts and strategic health authorities. The Act created NHS England (formerly the NHS Commissioning Board), an independent board to oversee the running of the NHS and commissioning primary care and some specialist services.

Competition and choice

The Health and Social Care Act and the government's 'Any Qualified Provider' policy, cemented the role of competition and patient choice in the English NHS.

Quality and regulation

Quality within the NHS is regulated several ways.

Monitor's role has been advanced, GPs and primary medical services had to register with the Care Quality Commission by April 2013.

Performance is measured by the NHS Outcomes Framework and quality accounts.

Education and training reforms

The Department of Health in 2012, proposed a top down reorganisation to the way medical education and training is structured and delivered.

This included the establishment of a new single national multi-professional body, Health Education England (HEE).

Reconfiguration and integration

Across the UK, there are moves to shift services out of hospitals and provide them in community settings.

Service redesign, however difficult, is a necessary process for the NHS.

NHS funding

The 'challenge' for the NHS is to find £20bn in savings by 2015 to cope with increased demand.

Meanwhile the service has to get to grips with payment by results, improving quality, delivering innovation and increasing productivity.