- 9 updates
Shadow health secretary Andy Burnham has said that the Prime Minister has placed the NHS on a "fast-track to fragmentation and privatisation".
"He has siphoned over £3 billion out of the front-line and blown it on a back-office re-organisation that no-one wanted and for which nobody voted".
“With today’s changes, David Cameron has put profits before patients in the NHS. Doctors will not be in control, but required to offer up the NHS to the lowest bidder.
"That’s why Labour will repeal the Government’s free market and put the right values back at the heart of the NHS.”
The biggest shake up of the NHS in England, since its formation more than 60 years ago, comes into effect today. Daybreak's Cordelia Kretzschmar reports:
Labour has warned that transferring responsibility for tackling problems such as obesity and alcohol from the NHS to local councils - as part of an overhaul of the NHS - could be a "car crash".
Health experts have warned that NHS is "not ready" for the raft of changes implemented under the controversial health reforms - which come into effect today.
Only half of the NHS’s new regional health service bodies will be fully ready to start work when the changes come into effect today.
Just 106 of the 211 Clinical Commissioning Groups (CCGs) are "fully authorised", said NHS England.
The new groups are led by GPs and other clinicians who will take on responsibility for commissioning local hospital, community health and mental health services.
GPs and Labour MPs have warned that NHS reforms due to take effect today will lead to a free-for-all for private providers.
In particular, new guidelines known as Section 75, are causing concern because they say that the award of a new contract without a competition can only happen:
Critics say that in practise the phrasing means that new proposals can virtually never be given the go-ahead without competition from private providers.
- GP-led groups, called clinical commissioning groups (CCGs), will be put in charge of a large chunk of the NHS budget.
- It will be up to them to decide how to spend funds on local services, from hospitals to community-based clinics.
- There are 211 of these groups and they replace the role performed by primary care trusts - at the moment, only half of them are fully up and running.
- Strategic health authorities are also being scrapped - that job will now be done by the NHS Commissioning Board, headed by Sir David Nicholson.
- The board will also be responsible for the budget for specialist services, such as complex surgery and rare cancers, and other areas, such as dentistry.
- Local councils will take charge of public health (obesity, alcohol abuse, diabetes) with a budget of just under £3 billion a year.
The biggest shake up of the National Health Service in England, since its formation more than 60 years ago, comes into effect today.
One of the biggest changes is the move from primary care trusts (PCTs) to clinical commissioning groups (CCGs), which will be led by GPs and other clinicians who will take on responsibility for commissioning care.
The move will see 211 CCGs replace 151 PCTs across England. The CCGs will be supported by health professionals, such as local hospital doctors and nurses.
The teams will decide on which health issues are a priority in their area, and where to send patients for treatment in NHS or private facilities.
They will control around 60 percent of the NHS budget in England but will not be in charge of major services like complex surgery and rare cancers.