The Royal Commission on the National Health Service was a Royal commission set up by the Wilson government in 1975. It was to consider the "best use and management of the financial and manpower resources of the NHS".
The Royal Commission reported in June 1979, by which time the government had changed. It recommended, among other things, that the administration of the Health Service should be simplified by eliminating, in most cases, a tier of management, a recommendation which appealed to Patrick Jenkin the new Secretary of State for Social Services. [1] Area Health Authorities were abolished in 1982 and replaced by district health authorities under the Health Services Act 1980.
The idea that responsibility for the delivery of health services should be transferred from the Department of Health and Social Security to the Regional Health Authorities was less welcome. [2]
The members of the Royal Commission were:
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.
The National Institute for Health and Care Excellence (NICE) is an executive non-departmental public body, in England, of the Department of Health and Social Care, that publishes guidelines in four areas:
Sir Ian James Carruthers is a British healthcare and academic administrator who was senior director for the National Health Service (NHS). Having first joined the NHS in 1969 as an administrator at Garlands Hospital, Carlisle, he rose through a career which included six months as the interim Chief Executive of the NHS in England during 2006. He has been the Chancellor of the University of the West of England since 2011.
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.
Sir Alexander Walter Merrison FRS was a British physicist. He was a professor in experimental physics at Liverpool University and the first director of the new Daresbury Nuclear Physics Laboratory. He later became vice-chancellor of University of Bristol.
Regional health authorities (RHAs) were National Health Service (NHS) organisations set up in 1974 by the National Health Service Reorganisation Act 1973 to replace regional hospital boards and to manage a lower tier of area health authorities (AHAs) in England. AHAs were created for Wales but not RHAs. Separate legislation was passed for Scotland. In 1996, the regional health authorities were abolished and replaced by eight regional offices of the NHS Executive as a result of the Health Authorities Act 1995.
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.
The National Health Service Reorganisation Act 1973 is an Act of the Parliament of the United Kingdom. The purpose of the act was to reorganise the National Health Service in England and Wales. Separate legislation was passed a year earlier for Scotland. This was the first time the NHS had been reorganised in the UK since it was established in 1948. The next major reorganisations would be the Health Services Act 1980 and the Health Authorities Act 1995 which repealed the 1973 Act.
Clinical commissioning groups (CCGs) were National Health Service (NHS) organisations set up by the Health and Social Care Act 2012 to replace strategic health authorities and primary care trusts 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.
Queen's Birthday Honours are announced on or around the date of the Queen's Official Birthday in the United Kingdom and some Commonwealth countries. The dates vary, both from year to year and from country to country. All are published in supplements to the London Gazette and many are conferred by the monarch some time after the date of the announcement, particularly for those service people on active duty.
The 1993 Queen's Birthday honours were appointments by some of the 16 Commonwealth realms to various orders and honours to recognise and reward good works by citizens of those countries. The Birthday Honours are awarded as part of the Queen's birthday celebrations and were announced on 11 June 1993 for the United Kingdom, the Bahamas, Solomon Islands, Saint Lucia, Grenada, Papua New Guinea, and New Zealand and the Cook Islands. The list for Australia was announced separately on 14 June.
NHS England, formerly the NHS Commissioning Board, is an executive non-departmental public body of the Department of Health and Social Care. It oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the National Health Service in England as set out in the Health and Social Care Act 2012. It directly commissions NHS general practitioners, dentists, optometrists and some specialist services. The Secretary of State publishes annually a document known as the NHS mandate which specifies the objectives which the Board should seek to achieve. National Health Service Regulations are published each year to give legal force to the mandate.
Area health authorities (AHAs) were 90 National Health Service (NHS) administrative organisations set up in England and Wales in 1974 by the National Health Service Reorganisation Act 1973. Separate legislation was passed for Scotland. In England, they were responsible to an upper tier of regional health authorities (RHAs). In 1982, the AHAs were abolished and replaced by 192 smaller district health authorities but the RHAs remained. Both the district and regional health authorities were then themselves abolished in 1996 as a result of the Health Authorities Act 1995.
Sir Anthony Herbert Everington, known as Sam Everington, is a GP at a health centre within the Bromley by Bow Centre, in Tower Hamlets, an area of East London.
Healthcare in London, which consumes about a fifth of the NHS budget in England, is in many respects distinct from that in the rest of the United Kingdom, or England.
Healthcare in Dorset was primarily the responsibility of Dorset Clinical Commissioning Group until July 2022. Dorset County Council is leading in the development of an electronic health record, to be called the Dorset Care Record, provided by Orion Health. It is intended to enable all health and social care providers to share records.
Healthcare in Cornwall was until July 2022 the responsibility of Kernow clinical commissioning group, until it got replaced by Integrated care system, as a result of the Health and Care Act 2022. As far as the NHS is concerned, Cornwall includes the Isles of Scilly.
The "Greater Manchester Model" of NHS health care was a system uniquely devolved within England, by way of close integration with the Greater Manchester Combined Authority and local authorities, led by the Mayor of Greater Manchester. In July 2022 the Greater Manchester integrated care system took over responsibility for health and social care in the conurbation. The financial plan for 2022–23 had an initial shortage of £187 million.
NHS Improvement (NHSI) was a non-departmental body in England, responsible for overseeing the National Health Service's foundation trusts and NHS trusts, as well as independent providers that provide NHS-funded care. It supported providers to give patients consistently safe, high quality, compassionate care within local health systems that are financially sustainable.
The 2022 Queen's Birthday Honours are appointments by some of the 15 Commonwealth realms of Queen Elizabeth II to various orders and honours to reward and highlight good works by citizens of those countries. The Birthday Honours are awarded as part of the Queen's Official Birthday celebrations during the month of June. They were announced on 1 June 2022, in anticipation of the Queen's Platinum Jubilee. They were the last honours granted by the Queen before her death on 8 September 2022.