NHS England is responsible for commissioning high quality primary care services for the population of England. NHS England’s commissioning policy is to move towards more place based, clinically led commissioning and is sharing or delegating commissioning of primary medical care services to integrated care boards. In addition to commissioning primary care services. NHS England has […]
Dr Mike Prentice is Medical Director for NHS England in the North. In May this year, he chaired an event for the region, to kick-start the development of the North’s response to the Mental Health Taskforce Report. This is the first in a series of regular blogs to give an update on developments in relation […]
NHS England and EHI Intelligence have today announced the launch of the Clinical Digital Maturity Index (CDMI), a benchmarking tool that enables NHS hospitals to better understand how investing in, then effectively using information technology can improve patient safety and outcomes, reduce bureaucracy, and deliver efficiencies. The levels of digital capability in the NHS is […]
The agenda and meeting papers for the NHS England Board meeting on 31 March 2016.
NHS England is giving greater priority and scrutiny to mental health services than ever before. Our role is to support clinical commissioning groups (CCGs) to rapidly improve provision, to achieve the best outcomes for the people who need these services. The Five Year Forward View set out a clear commitment to driving towards a more […]
NHS England’s business plan priorities are brought to life by the voices of patients and staff describing the outcomes they want from NHS care. The film sets out how NHS England and CCGs can commission high quality care that is built around patients and puts them first.
Today (31 March) we published our Business Plan for 2016/17 which builds on three guiding principles which will shape our work in the year ahead: Constancy of purpose and priorities Coherent national support for locally led improvement Solve today’s issues by accelerating tomorrow’s solutions There is strong continuity in our 10 business plan priorities for […]
Part 1 of the supporting documentation refers to the ‘Plan’ aspect of the Plan, Do, Check, Act (PDCA) cycle. Here is where an organisation establishes the Business Continuity Management System (BCMS) by developing a policy, as well as using documentation and templates. This section also allows organisations to embed Business Continuity into their culture.
This guidance should be used by all NHS trusts and foundation trusts considering transactions involving the creation of subsidiaries or material changes to existing subsidiaries. This guidance replaces the guidance published in 2018. Where trusts have started but not yet completed a transaction process under previous guidance, we will discuss the applicability of this updated guidance on a case-by-case basis.
The guidance strikes a balance between assuring us and respecting NHS freedoms and the ability of the NHS to innovate. With the NHS facing a period of significant change, trusts are increasingly looking at innovative ways of managing their financial and operational delivery and many are considering subsidiaries to do this.
This guidance clarifies the required approval process before trusts can implement plans for subsidiaries; it does not affect their legal ability to develop such plans.
This updated guidance:
All reportable subsidiary transactions require a trust-approved business case to be submitted detailing the nature of the proposal and its inherent risks.
Each business case will be reviewed by an NHS England panel to determine whether a transaction is deemed material or significant. This determines if further review is required, the level of which will be based on the proposal’s inherent risks.
Trusts are encouraged to engage with their NHS England regional team as early as possible to discuss potential subsidiary transactions. This gives our regional teams the opportunity to advise trusts on their specific proposals and draw on specialist support from central teams as appropriate.
Please contact england.subsidiaries.incomegeneration@nhs.net for more information.
In 2023/24 the NHS has three key tasks. The immediate priority is to recover our core services and productivity. Second, as we recover, we need to make progress in delivering the key ambitions in the NHS Long Term Plan. Third, we need to continue transforming the NHS for the future.
This business plan sets out NHS England’s work in leading and supporting the NHS to respond to these three key tasks, as well as a fourth task in creating a new organisation following the legal merger of NHS England with NHS Digital on 1 February 2023, and Health Education England on 1 April 2023.