Organisation

• More strategic role
• Focus on public health, tackling health inequalities and reforming adult social care

• Provide national leadership on commissioning for quality improvement
• Promote and extend public and patient involvement and choice
• Ensure the development of consortia and hold them to account for outcomes and financial performance
• Commission certain services that aren’t commissioned by consortia, such as the national and regional specialised services
• Commission primary medical services, dentistry, community pharmacy and primary ophthalmic services
• Allocate and account for NHS resources
• Can compel a GP practice to join a consortium
• Provide a framework to support GP consortia in commissioning services
• Support national framework of quality standards, tariffs and national model contracts

• Additional role of developing quality standards

• Every GP practice has to be part of a GP consortia
• Held to account by NHS commissioning board
• Determine healthcare needs, including contributing to wider JSNA
• Determine what services are required to meet these needs and ensuring the appropriate clinical and quality specification of these services
• Enter into and manage contracts with providers
• Monitor and improve the quality of healthcare provided through these contracts
• Provide oversight, with the NHS commissioning board, of healthcare providers’ training and education plans

• Assess the needs of the local population and lead the JSNA
• Promote integration and partnership across areas
• Support joint commissioning and pooled budget arrangements
• Undertake a scrutiny role in relation to major service redesign
• Role of place-based budgets

• Lead the Joint Strategic Needs Assessment
• Support local voice and the exercising of patient choice
• Promote the joined up commissioning of local NHS services, social care and health improvement
• Lead on health improvement and prevention activity
• Role in national public health campaigns
• Jointly appoint Director of Public Health

• Commissioned by Local Authorities
• Same functions as LINks with additional functions:
• Signpost to services
• NHS complaints and advocacy service
• Support patients to exercise choice
• Interest in NHS Constitution
• Visit provider services

• Inspect against quality standards
• Will include HealthWatch England – a new consumer champion

• Manage public health emergencies
• Responsible for vaccination and screening programmes
• Increase emphasis on research, analysis and evaluation
• Jointly appoint local Directors of Public Health
• Allocate funding to Local authorities using an allocation formula