NHS reforms in England: managing the transition – Nuffield Trust – 9 March 2011

Posted on March 18, 2011. Filed under: Health Mgmt Policy Planning, Health Policy | Tags: , |

NHS reforms in England: managing the transition – Nuffield Trust – 9 March 2011

Author: Judith Smith & Anita Charlesworth

“The period from 2011 to 2014 is likely to be the most challenging ever faced by the NHS. Primary Care Trusts (PCTs) are required to hold 2 per cent of their allocations with Strategic Health Authorities (SHAs). Allowing for this, the recurrent resources available to PCTs to spend in 2011/12 fall by 2.3 per cent on average in real terms, with a minimum cut of 0.3 per cent and some PCTs facing a reduction of 2.5 per cent. Providers face the challenge of making a 4 per cent overall efficiency saving at the same time as they experience a 1.5 per cent cut to the tariff by which they are paid.

This Nuffield Trust policy response assesses the 2011/12 Operating Framework for the NHS together with guidance on the operation of Payment by Results (PbR) in 2011/12. It sets out the key challenges associated with managing the transition to a reformed NHS, as envisaged in the White Paper: Equity and Excellence: Liberating the NHS, and proposes ways in which the risks associated with transition might be mitigated.”  … continues on the site


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