7 The national dimension

Leading on quality

Research and Development

National Service Frameworks

Calman Hine Cancer Report

Clinical and cost-effectiveness

National Institute for clinical Excellence

Commission for Health Improvment

Professional self-regulation

Leading on performance

Commissioning specialist services

Rebuilding public confidence

Milestones

a one-nation NHS

Key themes

•national leadership to support local development

•new National Institute for Clinical Excellence

•new Commission for Health Improvement

7.1 The White Paper aims to renew the NHS as a one-nation health service offering fairness and consistency to the population as a whole. At the same time, the proposals in the White Paper ensure that the NHS delivers a personal service which is sensitive and responsive to the needs of individual patients. The Department of Health, and within it the NHS Executive, have key roles in helping to achieve an appropriate balance between national consistency and local responsiveness.

7.2 The development of new roles and responsibilities for Health Authorities, Primary Care Groups and NHS Trusts will help the NHS meet these objectives. But it is the job of the Department of Health and the NHS Executive with its Regional Offices to provide leadership and support to enable changes to take place across the NHS. They will give national drive to improved quality and improved performance in all parts of the health service.

7.3 The Department of Health will integrate policy on public health, social care and the NHS so that there is a clear national framework within which similar service development can take place locally. The NHS Executive will develop and implement policy for the NHS.The Government will continue to ensure the costs of the Department of Health and NHS Executive are subject to the same rigour as management costs within the NHS itself. As fewer and larger Health Authorities emerge alongside the development of Primary Care Groups, the role of NHS Executive Regional Offices will need to be kept under review.

Book Title: The New NHS White Paper