Christian care in the context of health reforms

Opportunities and Challenges for the Churches

Health and social care reforms

Understanding Challenging Engaging Supporting those involved Opportunities

New NHS StructureNHS

Commissioning Board

Test

Sectors (4)

Clinical Networks Local Area Teams

(20-30)

CCGs(>200)

CommissioningSupport Services

Health & Wellbeing Boards

Local Authorities(Public Health

Role)

ClinicalSenates

Health Education England

LETBs

Health and Academic Science Networks

Deaneries

Clinical Commissioning Groups Not just GPs Not just replacements for PCTs Focus on

secondary and community care commissioning improving quality of primary care

Patient and public engagement Judged by achieving

Financial balance Commissioning Outcomes Framework

Local Authorities

Public health role Social care Health and Wellbeing Board Elected members Financial balance

Commissioning Support Units

Regional support for CCGs Hosted by the National

Commissioning Board until 2015 Independent of NHS post 2015 Potential for multinational take-

over CSU tail wagging the CCG dog?

National Commissioning Board

Mandate from Department of Health

Primary care commissioning Specialist service commissioning Local Area Teams

Other bodies

Care Quality Commission Monitor Healthwatch Senates Foundation Trusts Public Health England Local Education and Training Bodies

Challenging Profit before quality Health inequalities Conflict of interest Continuity of care v fragmentation of care Service redesign Reasonable expectations of a financially

limited NHS Rationing services Patient and public voice Imposition v consensus

Engaging “No decision without me” Lay representatives in CCGs Non-executive directors Foundation Trust membership Healthwatch Attendance at board meetings Taking part in consultations Practice patient participation groups

Engaging (2) Choice

consequences of making choices Understanding data Electronic access to records

safeguarding the vulnerable Offering an ethical perspective

abortion time limits research assisted dying

Supporting those involved

Staff losing jobs or living with uncertainty

Individuals taking on new responsibilities

Patients anxious about services Politicians, officials and managers

making decisions

Opportunities

Voluntary sector working within NHS Providing services

Any qualified provider Premises

Offering space eg AA, CAB, consultation meetings

New buildings working in partnership Patient advocates

Time for Churches to respond

Enabling understanding Challenging injustice Engaging with confidence Pastoral support for those involved Opportunities for mission