The Health and Social Care Board was, until 2022, an organisation responsible for the commissioning of health services for the people of Northern Ireland.
The Health and Social Care (Reform) Act (Northern Ireland) 2009 [1] followed the Review of Public Administration in 2007 and led to a reorganisation of health and social care delivery in Northern Ireland. Prior to enactment of this legislation, healthcare delivery in Northern Ireland was provided by 4 health boards, 11 community and social services trusts and 7 hospital trusts. This Act [1] established the Health and Social Care Board and five Health and Social Care Trusts which were responsible for the delivery of primary, secondary and community health care.
The responsibilities of the Health and Social Care board were to work in partnership with Northern Ireland's Public Health Agency to commission services, allocate resources and improve services for all people of Northern Ireland. Its commissioning is supported by five local commissioning groups that are geographically linked to five health and social care trusts. [2] The Board was also directly responsible for community health care provided by general practitioners, dentists, opticians and community pharmacists. It reported directly to the Department of Health.
Transforming Your Care was a review of health and social care commissioned in 2011 by then Health Minister Edwin Poots and published in December 2011. [3] The Health and Social Care Board was responsible for 72 of 99 recommendations [4] made in the report.
In March 2016, then health minister Simon Hamilton announced that the Health and Social Care Board would be abolished [5] and that commissioning responsibilities would be transferred directly to the Department of Health. His decision was met with criticism from both politicians and health professionals. [6] The functions of the board were transferred to the Department of Health on 1 April 2022.
Local government in Wales is primarily undertaken by the twenty-two principal councils. The councils are unitary authorities, meaning they are responsible for providing local government services within their principal area, including education, social work, environmental protection, and most highway maintenance. The principal areas are divided into communities, most of which have an elected community council. The services provided by community councils vary, but they will typically maintain public spaces and facilities. Local councils in Wales are elected; the most recent local elections in Wales took place in 2022, and the next are due to take place in 2027.
The Home Office (HO), also known as the Home Department, is a ministerial department of the Government of the United Kingdom. It is responsible for immigration, security, and law and order. As such, it is responsible for policing in England and Wales, fire and rescue services in England, Border Force, visas and immigration, and the Security Service (MI5). It is also in charge of government policy on security-related issues such as drugs, counterterrorism, and immigration. It was formerly responsible for His Majesty's Prison Service and the National Probation Service, but these have been transferred to the Ministry of Justice.
The Secretary of State for Health and Social Care, also referred to as the Health Secretary, is a secretary of state in the Government of the United Kingdom, responsible for the work of the Department of Health and Social Care. The incumbent is a member of the Cabinet of the United Kingdom.
The Department of Health and Social Care (DHSC) is a ministerial department of the Government of the United Kingdom. It is responsible for government policy on health and adult social care matters in England, along with a few elements of the same matters which are not otherwise devolved to the Scottish Government, Welsh Government or Northern Ireland Executive. It oversees the English National Health Service (NHS). The department is led by the Secretary of State for Health and Social Care with three ministers of state and three parliamentary under-secretaries of state.
Local government in Northern Ireland is divided among 11 districts. Councils in Northern Ireland do not carry out the same range of functions as those in the rest of the United Kingdom; for example they have no responsibility for education, road-building or housing. Their functions include planning, waste and recycling services, leisure and community services, building control and local economic and cultural development. The collection of rates is handled centrally by the Land and Property Services agency of the Northern Ireland Executive.
A county council is the elected administrative body governing an area known as a county. This term has slightly different meanings in different countries.
An NHS trust is an organisational unit within the National Health Services of England and Wales, generally serving either a geographical area or a specialised function. In any particular location there may be several trusts involved in the different aspects of providing healthcare to the local population. As of April 2020 there were altogether 217 trusts, and they employ around 800,000 of the NHS's 1.2 million staff.
Strategic health authorities (SHA) were part of the structure of the National Health Service in England between 2002 and 2013. Each SHA was responsible for managing performance, enacting directives and implementing health policy as required by the Department of Health at a regional level.
Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers. Until 31 May 2011, they also provided community health services directly. Collectively PCTs were responsible for spending around 80 per cent of the total NHS budget. Primary care trusts were abolished on 31 March 2013 as part of the Health and Social Care Act 2012, with their work taken over by clinical commissioning groups.
NHS Wales is the publicly-funded healthcare system in Wales, and one of the four systems which make up the National Health Service in the United Kingdom.
NHS Scotland, sometimes styled NHSScotland, is the publicly–funded healthcare system in Scotland and one of the four systems that make up the National Health Service in the United Kingdom. It operates 14 territorial NHS boards across Scotland, supported by seven special non-geographic health boards, and Public Health Scotland.
Health and Social Care (HSC) is the publicly funded healthcare system in Northern Ireland. Although having been created separately to the National Health Service (NHS), it is nonetheless considered a part of the overall national health service in the United Kingdom. The Northern Ireland Executive through its Department of Health is responsible for its funding, while the Public Health Agency is the executive agency responsible for the provision of public health and social care services across Northern Ireland. It is free of charge to all citizens of Northern Ireland and the rest of the United Kingdom.
The Department for Communities is a devolved Northern Ireland government department in the Northern Ireland Executive. The minister with overall responsibility for the department is the Minister for Communities. The department was previously created in May 2016 following the Fresh Start Agreement and the dissolution of several departments, such as the Department for Social Development, the Department of the Environment, the Department of Culture, Arts and Leisure and the Department for Employment and Learning from which several functions have amalgamated.
The Department of Health is a devolved Northern Irish government department in the Northern Ireland Executive. The minister with overall responsibility for the department is the Minister of Health.
Regional health authorities (RHAs) are Manitoba's independent governing bodies for healthcare delivery and regulation. RHAs are overseen by their respective boards, who have responsibility for the mandate, resources, and performance of the health authority, responding directly to the provincial Minister of Health.
New Zealand has a unitary system of government in which the authority of the central government defines sub-national entities. Local government in New Zealand has only the powers conferred upon it by the New Zealand Parliament. Under the Local Government Act 2002, local authorities are responsible for enabling democratic local decision-making and promoting the social, economic, environmental, and cultural well-being of their communities, as well as more specific functions for which they have delegated authority.
The Health and Social Care Act 2012 is an act of the Parliament of the United Kingdom. It provided for the most extensive reorganisation of the structure of the National Health Service in England to date. It removed responsibility for the health of citizens from the Secretary of State for Health, which the post had carried since the inception of the NHS in 1948. It abolished primary care trusts (PCTs) and strategic health authorities (SHAs) and transferred between £60 billion and £80 billion of "commissioning", or healthcare funds, from the abolished PCTs to several hundred clinical commissioning groups, partly run by the general practitioners (GPs) in England. A new executive agency of the Department of Health, Public Health England, was established under the act on 1 April 2013.
Clinical commissioning groups (CCGs) were National Health Service (NHS) organisations set up by the Health and Social Care Act 2012 to organise the delivery of NHS services in each of their local areas in England. On 1 July 2022 they were abolished, and replaced by Integrated care systems as a result of the Health and Care Act 2022.
Healthcare in Northumberland was the responsibility of the Northumberland, Newcastle Gateshead, and North Tyneside clinical commissioning groups from 2013 to 2022 before being replaced by integrated care systems.