Healthcare reform in the NHS England

Healthwatch, was to be created.4 5 H E A L T H C A R E. R E F O R M. I N. T H E. N H S. E N G L A N D M O R E. L E S S O N S. F O R. O N T A R I O Underpinning the legislation were the Conservatives’ election The initial agreement between the Conservatives and the manifesto on healthcare and the pivotal role played by MP Liberal Democrats that formed the basis of their coalition Andrew Lansley, th [...] Lansley •. put more detailed NHS performance data online argued that the bulk of the changes were simply an extension •. improve cancer and stroke survival rates of the market-style policies introduced in the Thatcher •. enable patients to rate hospitals and doctors years and a continuation of the commissioning reforms of •. give patients the power to choose any healthcare provider. [...] The details of the final legislation, its implementation, and In the summer of 2011, the government announced an comparisons with Ontario are the focus of the rest of this unprecedented pause in the legislative process and committed paper. [...] The most significant changes in the final act, compared to the original bill, focused on: •. stronger accountability mechanisms and governance for the new commissioning bodies •. a reaffirmed role of the Secretary of State for Health in overseeing the provision of health services in England and being held accountable for them (this had been removed in the earlier drafts, leading to fears that the [...] The act delineates three systems of care: •. Public Health – to be managed by the newly created Public Health England through local public health departments that moved from the NHS to local government Overview of health and social care structures in the Health and Social Care Act 2012 Figure 1. ATphre iol r2ga0n1iz3ation of health and social care in England, 2012 Ministers and the Department of H