In addition to strategic oversight of the NHS, NHS England is responsible for direct ordering certain services. These include specialized services, such as neonatal services and treatments for rare cancers, as well as basic care, including family doctors, pharmacists, dentists and opticians, although these responsibilities are increasingly shared with THE GCCs (see below). NHS England also makes use of some public health services, such as vaccination and screening programmes, as well as healthcare for people in prisons and safe units and some services for the armed forces. In addition to direct commissioning, NHS England is responsible for ensuring the quality of CCG commissioning through an annual evaluation process. Results of an evaluation of collaborative approaches to sexual health, reproductive health and HIV. When they were created in 2013, there were 211 CGCs, but over time the number has changed and continues to change, as described in the section on joint commissioning below. Violence against women, domestic abuse and sexual violence: a collaborative subcontractor box for services in Wales – Social Care. NHS England has recently put forward plans to give local systems (and not just Commissioners) greater scrutiny over the use of the budget for specialised commissioning in their field. During 2019/20, new rules will be developed, under which Partnerships for Sustainable Development and Transformation (STPs) and Integrated Supply Systems (ICSS) (learn more below) will have an advisory role in the planning of specialized services.
Local areas may ask for more responsibility, although there is no uniform template and proposals are approved on a case-by-case basis. Greater Manchester is an example of an area that has taken on greater responsibility in appointing a number of specialist services. Commissioning is the process of planning, purchasing and monitoring health and care services. In this regard, we take a closer look at the commissioning process, the organizations involved and how it is evolving. The current system is based on the agreements of the Health and Social Care Act 2012, which aimed to put family physicians at the forefront of the commissioning process. Although the structures put in place by the law have been maintained since its entry into force in 2013, the way in which commissioning is carried out in practice has since evolved – and continues to do so… . .