The Health and Social Care Act
Health and Social Care Act 2012
The Health and Social Care Act 2012 is an Act of the Parliament of the United Kingdom. It provides for the most extensive reorganisation of the structure of the National Health Service in England to date. It removed responsibility for the health of citizens from the Secretary of State for Health, which the post had carried since the inception of the NHS in 1948. It abolished NHS primary care trusts and Strategic He…
Parliament of the United Kingdom
The Parliament of the United Kingdom of Great Britain and Northern Ireland, commonly known internationally as the UK Parliament, British Parliament, or Westminster Parliament, and domestically simply as Parliament or Westminster, is the supreme legislative body of the United Kin…
National Health Service
The National Health Service is the publicly funded national healthcare system for England and one of the four National Health Services for each constituent country of the United Kingdom. It is the largest single-payer healthcare system in the world. Primarily funded through the government f…
What changes did the health and Social Care Act 2012 make?
The Health and Social Care Act 2012 made minor changes to the 2008 Act, strengthening the relationship between the CQC and Monitor (the independent regulator of NHS foundation trusts) and the establishment of Healthwatch, the consumer champion for health...
What is the purpose of the health and Social Care Act?
The primary focus of the Health and Social Care Act 2008 was to create a new regulator whose purpose was to provide registration and inspection of health and adult social care services together for the first time, with the aim of ensuring safety and quality of care for service users.
What is the Care Act 2008?
Health and Social Care Act 2008 (Regulated Activities) Regulations 2015 The Care Act represents the most significant reform of social care in more than 60 years, putting service user and stakeholders in control of their care and support.
What was the purpose of the reforms to the NHS?
It provides for the most extensive reorganisation of the structure of the National Health Service in England to date. It removed responsibility for the health of citizens from the Secretary of State for Health, which the post had carried since the inception of the NHS in 1948.
What is the impact of the Health and Social Care Act 2012?
It introduced significant structural changes to the NHS, including the establishment of clinical commissioning groups, replacing the previous primary care trusts. Since the passage of the Act, the NHS has continued to see increasing demand in a challenging economic environment.
What is the aim of health and social care?
The five specific objectives are: Keep people healthy and support sustainable public services. Transform out of hospital care to keep people living healthier for longer in their community. Support the NHS to deliver high-quality, safe and sustainable hospital care and secure the right workforce.
How do I reference the Health and Social Care Act 2012?
Your in-text citation would be: Recent social care legislation (Health and Social Care Act 2012) ... Your reference list entry would be: Health and Social Care Act 2012, c.7.
What is the purpose of the care Act?
The Care Act aims to ensure the wellbeing of people in need of care and support services. It also aims to bring about the personalisation of care services, putting the person at the centre of the process.
How does the Health and Social Care Act 2012 promote safeguarding?
Health and Social Care Act 2012 The main element of this Act for safeguarding vulnerable adults is Regulation 13. This section of the Act is there to protect adults within the health and social care systems from being abused.
Who introduced the Health and Social Care Act 2012?
Andrew LansleyThe Health and Social Care Act 2012 (c 7) is an act of the Parliament of the United Kingdom. It provides for the most extensive reorganisation of the structure of the National Health Service in England to date....Health and Social Care Act 2012.Introduced byAndrew Lansley Secretary of State for HealthDates9 more rows
How does the Health and Social Care Act 2012 relate to communication?
250 of the Health and Social Care Act 2012. What does the Accessible Information Standard say? The Accessible Information Standard says that any organisation that gives NHS care or adult social care has to: Ask people if they have any communication needs or need to be given information in a certain way.
What are the aims of health and social care in the UK?
Our priorities improve healthcare outcomes through a well-supported workforce. improve, protect and level up the nation's health, including through reducing health disparities. improve social care outcomes through an affordable, high quality and sustainable adult social care system.
Is the Health and Social Care Act 2012 in force?
The NHS changed with Health and Social Care Act 2012 bringing in the most wide-ranging reforms of the NHS since it was founded in 1948. On 1 April 2013 the main changes set out in the Act came into force, and most parts of the NHS were affected in some way.
Who does the care Act protect?
The Care Act (2014) puts adult safeguarding on a legal footing. Under The Care Act, an adult at risk is someone over 18 years old who: has care and support needs. is experiencing, or is at risk of, abuse or neglect.
How does the care Act relate to health and social care?
The Care Act 2014 is the law that sets out how adult social care in England should be provided. It requires local authorities to make sure that people who live in their areas: receive services that prevent their care needs from becoming more serious or delay the impact of their needs.
What are the principles of the care Act?
The principles of the Care Act promotes the wellbeing of vulnerable adults. Abused or neglected adults often stay silent during any kind of safeguarding concerns. This usually means that caregivers make all the decisions while the vulnerable adult has little to no involvement.
What are the 3 goals of a healthcare system?
The Triple Aims are: (1) improving the quality of the care provided, (2) improving patient outcomes, and (3) reducing the cost of care [3].
What are the aims objectives and values in care?
To offer consistent, unconditional care, enabling each service user to live in an environment that encourages positive relationships, mutual respect, trust, and consideration for others. To accept and understand each individual service user, at all times maintaining their dignity and self-respect.
What is Health and Social Care GCSE useful for?
The GCSE in Health and Social Care, and Childcare equips learners with knowledge and understanding of the development and care of individuals throughout the lifecycle from conception to later adulthood.
What are the aims of health and social care provision in Canada?
The primary objective of the Canadian healthcare policy, as set out in the 1984 Canada Health Act (CHA), is to "protect, promote and restore the physical and mental well-being of residents of Canada and to facilitate reasonable access to health services without financial or other barriers." The federal government ...
When was the Health and Social Care Act passed?
The Health and Social Care Act 2012 (“the Act”) was given Royal Assent on 27 March 2012 and is quoted as being one of the “biggest reorganisations in the history of the health service”. The Act focuses on restructuring the NHS with the intent to open the system up to competition and promote patient choice while reducing NHS administration costs.
What is the new structure of the NHS?
The new structure abolishes Primary Care Trusts and introduces an independent NHS Board which amongst other tasks will provide commissioning advice and allocate resources. The Act also increases GPs’ powers to commission services on behalf of their patients via new commissioning consortia.
What is state aid?
“State aid” refers to forms of assistance from a public body or publicly funded body given to selected undertakings which has the ability to distort competition. Commissioning consortia should be particularly wary of this where any payments above market rate may be made to healthcare providers.
Do commissioning consortia have to be wary of legal action?
Commissioning consortia will be wary of legal action being taken by private healthcare providers under the procurement rules and this may impact on both the level of services they commission and the time taken. The rules of state aid will also apply to consortia.
What is the Health and Social Care Act 2012?
The Health and Social Care Act 2012 brings in profound changes to the organisation of healthcare in England. These changes are briefly described and their implications for mental health services are explored. They occur as the National Health Service (NHS) and social care are experiencing significant financial cuts, the payment by results regime is being introduced for mental health and the NHS is pursuing the personalisation agenda. Psychiatrists have an opportunity to influence the commissioning of mental health services if they understand the organisational changes and work within the new commissioning structures.
When did the Health and Social Care Bill become law?
All healthcare professionals working in England should be aware of the controversy surrounding the latest Health and Social Care Bill, which became an Act on 27 March 2012 after a very protracted passage through Parliament.
What are the headline changes in healthcare?
The headline changes relate to the management and commissioning of healthcare. The previous structure, which had the Department of Health setting policy and budgets, strategic health authorities responsible for an overview of performance within large geographical areas and primary care trusts engaged in local commissioning, is swept away. The Department of Health will still exist but the centre of gravity will move to the NHS Commissioning Board, which was already in place in shadow form before the Act was passed. The Board, which includes key players from the former Department of Health structures, will oversee the work of a proposed 212 clinical commissioning groups (CCGs). It will have four regions and, it has recently been announced, 27 ‘local area teams’ (LATs) - closely reflecting the 28 strategic health authorities in place between 2002 and 2006. A smaller number of LATs will have a role in commissioning specialised services on behalf of a grouping of LATs - this is relevant to mental health services because of responsibilities the NHS Commissioning Board will have in commissioning highly specialised mental health services and secure services. Some commentators have noted that these massive organisational changes have resulted in a management configuration for the NHS rather similar to previous structures (with a couple of added layers) in a classic case of ‘ Plus ça change (plus c'est la même chose) ’.
What is NHS commissioning support?
The NHS Commissioning Board states that ‘niche commissioning support offers’ may develop ‘providing specialist subject matter expertise for particular services or functions, for example in the areas of mental health, continuing care and safeguarding or health economics and specialist procurement advice’ 5 (p. 11).
Is the NHS pursuing the personalisation agenda?
They occur as the National Health Service (NHS) and social care are experiencing significant financial cuts, the payment by results regime is being introduced for mental health and the NHS is pursuing the personalisation agenda.
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Abstract
The 2012 Health and Social Care Act, introduced by the coalition government, has been seen as fundamentally changing the form and content of publicly funded health care provision in England. The legislation was hugely controversial and widely criticized.
What is the Care Act?
The Care Act represents the most significant reform of social care in more than 60 years, putting service user and stakeholders in control of their care and support. The primary focus of the Health and Social Care Act 2008 was to create a new regulator whose purpose was to provide registration and inspection of health and adult social care services ...
When did the Care Act come into force?
The Care Act 2014 came into force in early 2015, introducing a statutory framework for safeguarding adults in England. This saw the introduction of the Duty of Candour and Fundamental Standards by which all service providers are now inspected against.
What will it take to digitally transform the Adult Care Sector?
In early December, NHSX commissioned Ipsos MORI, the Institute of Public Care and Skills for Care to conduct a review...
What is the CQC?
Thus the Care Quality Commission (CQC) was established, with enhanced powers to regulate primary care services, including hospitals, GP practices, Dental practices and Care Homes. The Health and Social Care Act 2012 made minor changes to the 2008 Act, strengthening the relationship between the CQC and Monitor ...
Overview
Effect of the act
In January 2015 Chris Ham and others from the King's Fund produced a review of the government's health reforms. Their conclusions as far as the act was concerned were that:
• The reforms resulted in greater marketisation of the NHS but claims of mass privatisation are exaggerated
• The reforms resulted in top-down reorganisation of the NHS which was distracting and damaging
Background
The proposals in the act were not discussed during the general election campaign in 2010 and were not contained in the Conservative–Liberal Democrat coalition agreement of 20 May 2010, which declared an intention to "stop the top-down reorganisations of the NHS that have got in the way of patient care". However, within two months a white paper outlined what the Daily Telegraph called the "biggest revolution in the NHS since its foundation". The white paper, Equity and Exce…
Contents
Section 9 establishes the National Health Service Commissioning Board, which is now known as NHS England. The Secretary of State is to publish, annually, a document known as the mandate which specifies the objectives which the Board should seek to achieve. National Health Service (Mandate Requirements) Regulations are published each year to give legal force to the mandate.
Section 10 establishes Clinical Commissioning Groups which are to arrange the provision of healt…
Public reactions
On 19 January 2012 two major unions of healthcare professionals that had previously tried to work with the government on the bill, the Royal College of Nursing and the Royal College of Midwives, decided instead to join with the British Medical Association in "outright opposition" to the bill. On 3 February 2012 the Royal College of General Practitioners also called on the Prime Minist…
See also
• Doctors For the NHS
• Nicholson challenge
• National Health Action Party
• National Health Service Act 2006
External links
• Bill as introduced in the House of Commons
• Bill as introduced in the House of Lords (reflecting changes made after the Listening Exercise)
• Bill progress page on parliament.uk
• BMJ minisite focusing on reforms to the NHS