Transcript Christian care in the context of health reforms

Christian care in the context of
health reforms
Opportunities and Challenges for
the Churches
Health and social care reforms
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Understanding
Challenging
Engaging
Supporting those involved
Opportunities
New NHS Structure
NHS
Commissioning
Board
Health Education
England
Test
LETBs
Deaneries
Clinical
Senates
Clinical
Networks
Health and Academic
Science Networks
Sectors
(4)
Local Area Teams
(20-30)
Commissioning
Support
Services
Local Authorities
(Public Health
Role)
Health &
Wellbeing Boards
CCGs
(>200)
Clinical Commissioning Groups
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Not just GPs
Not just replacements for PCTs
Focus on
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secondary and community care commissioning
improving quality of primary care
Patient and public engagement
Judged by achieving
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Financial balance
Commissioning Outcomes Framework
Local Authorities
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Public health role
Social care
Health and Wellbeing Board
Elected members
Financial balance
Commissioning Support Units
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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
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Mandate from Department of Health
Primary care commissioning
Specialist service commissioning
Local Area Teams
Other bodies
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Care Quality Commission
Monitor
Healthwatch
Senates
Foundation Trusts
Public Health England
Local Education and Training Bodies
Challenging
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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
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“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)
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Choice
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Understanding data
Electronic access to records
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consequences of making choices
safeguarding the vulnerable
Offering an ethical perspective
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abortion time limits
research
assisted dying
Supporting those involved
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Staff losing jobs or living with
uncertainty
Individuals taking on new
responsibilities
Patients anxious about services
Politicians, officials and managers
making decisions
Opportunities
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Voluntary sector working within NHS
Providing services
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Premises
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Any qualified provider
Offering space eg AA, CAB, consultation
meetings
New buildings working in partnership
Patient advocates
Time for Churches to respond
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Enabling understanding
Challenging injustice
Engaging with confidence
Pastoral support for those involved
Opportunities for mission