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In November 2019 NHS England announced a change in financial rules which will permit networks to meet management costs of the charities and other organisations which supply social prescriber link workers. [12] The NHS Confederation has established a Primary Care Network which is intended to be a voice for the sector. [13]
The NHS budget is largely in the hands of a new body, NHS England. NHS England commissions specialist services and primary care. Acute services and community care are commissioned by local clinical commissioning groups (CCGs) led by GPs. From April 2021 all CCGs have become part of Integrated Care Systems. [citation needed]
The NHS is funded by general taxation and National Insurance contributions, plus around 1% of funding from patient charges for some services. [42] In 2022/3, £181.7 billion was spent by the Department of Health and Social Care on services in England. More than 94% of spend was on salaries and medicines. [42]
The NHS uses General Practitioners (GPs) to provide primary healthcare and to make referrals to further services as necessary. Hospitals then provide more specialist services, including care for patients with psychiatric illnesses, as well as direct access to Accident and Emergency (A&E) departments.
Capita relies on other organisations to provide some services. In May 2018, the National Audit Office reported that failings by Capita and other organisations had hit primary care services and, potentially, put patients at risk. They recommended that NHS England should consider taking some or all of the work back in-house. [1]
A primary care trust could commission community health centres. Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers.
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