Monday 18 November 2013

Understanding the Modern NHS


Insight’s John Dennis tries to make sense of how the modern NHS actually works?

Recently, I was running a training session for people who work in Social Care.  They were aware that Government have a drive to “Integrate” Health and Social Care services.  Like most of us they were wondering when and if this drive would move beyond service integration and into structural merger.

We began to talk about how the NHS now functions in England and they all admitted to being pretty unclear about how their “partner” organisation works.  I tried to explain how the NHS works post the “Lansley” reforms – and frankly failed!  
The more I talked, the less clear they looked.

During a much needed coffee break, I was rather desperately thinking about how to bring some clarity to our discussion. Thankfully, I managed to remember, an excellent short video produced by the Kings Fund, called An alternative guide to the new NHS in England

By the time the course participants had returned from coffee I had logged on to YouTube and was able to play the video.

Well, the day was saved!  After just 7 minutes the group had a pretty good overview of the NHS and were able to work out how the Clinical Commissioning Groups (CCG's) related to NHS England and what the role of Commissioning Support Units are!

So, I take my hat of to the Kings Fund!  It’s a real achievement to bring some semblance of clarity to the workings of the modern NHS.  I wonder if they would like to have a go at how to travel from A to B, by train and do so at the lowest cost and by a reasonable route? 

Perhaps not. That may be a challenge beyond even the Kings Fund!

Meanwhile, if you want to get a better understanding of how the modern NHS works, I suggest you watch the attached clip. 






John Dennis