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The NHS Constitution for England is a document that sets out objectives of the National Health Service, rights and responsibilities of the various parties involved in health care, (staff, trust board, patients' rights and responsibilities) and the guiding principles which govern the service. [1]
To become 'providers' in the internal market, health organisations became NHS trusts, competing with each other. Community care ensures that people in need of long-term care are now able to live either in their own home, with adequate support, or in a residential home setting. It established GP Fundholding.
Jane Frances Cummings CBE is a former Chief Nursing Officer for England, formerly at the Department of Health and subsequently at NHS England.. In November 2013 she was interviewed about the demand for safe staffing levels in NHS hospitals and told ITV Daybreak: "The most important thing to do is to use evidence to determine what the staffing levels should be.
An NHS trust is an organisational unit within the National Health Services of England and Wales, generally serving either a geographical area or a specialised function (such as an ambulance service). In any particular location there may be several trusts involved in the different aspects of providing healthcare to the local population.
The Health and Care Act 2022 put these systems on a statutory basis, each with an approved constitution. On 1 July 2022, a total of 42 ICSs became statutory. There are more than 70 performance metrics by which they are judged, grouped into six "oversight themes": quality, access and outcomes, preventing ill health and reducing inequalities, leadership, people, and finances.
Special health authorities were set to provide a national service to the NHS or the public, under section 11 of the National Health Service Act 1977. [4] [5] [6] Prior to the repeal of the whole of the 1977 Act by the NHS (Consequential Provisions) Act 2006, special health authorities included both infrastructure support organisations and national/specialist treatment providers such as the ...
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Trust Boards had no statutory duty to ensure a particular level of quality. Maintaining and improving the quality of care was understood to be the responsibility of the relevant clinical professions. In 1999, Trust Boards assumed a legal responsibility for quality of care that is equal in measure to their other statutory duties.