Main Legislative Changes

PCTs and SHAs will be abolished

Health and Wellbeing Boards will be established to improve integration between NHS and LA services

CCGs will take over commissioning from PCTs and will work with the new NHS Commissioning Board

Monitor will be established to regulate providers of NHS services in the interests of patients and prevent anti-competitive behaviour

The voice of patients will be strengthened through HealthWatch, and local HealthWatch organisations

Public Health England will lead on public health at the national level, and LAs will do so at a local level

Key Amendments

New duties to promote integrated care have been placed on key bodies including the NHS Commissioning Board, Monitor, and CCGs

CCGs will take on their new responsibilities when they have been authorised to do so

Several changes have been made to widen clinical involvement in commissioning, with CCG governance arrangements also strengthened and a requirement added for them to publish a members’ register of interests to meet concerns about conflicts of interest

Monitor will not now “promote competition”

Amendments have been made to rule out competition on price and additional  safeguards have been added to reduce the emphasis on competition

The Secretary of State retains ministerial accountability to parliament for the provision of the health service

There is an emphasis on the need to promote research within the NHS and strengthen requirements to promote education and training