NHS in England: New Structure and Accountabilities (Nuffield Trust / House of Commons)


This online slide-show, from the Nuffield Trust, offers a concise visual summary of the main reforms to management, accountability and funding structures in the NHS as a result of the Health and Social Care Act 2012.

The slides compare the old and new structures in overview, also showing briefly any transitional arrangements at the national and local level. Other slides compare old and new arrangements for funding, regulation and monitoring, advice and performance management, and patient and public participation. New arrangements for medical education and training are outlined by the final slide.

Full Text Link


The new NHS in England: structure and accountabilities. London: Nuffield Trust, July 2012.

June 2020 Update

An updated overview of the funding and accountability relationships within this NHS in England:

Full Text Link


Parkin, E. Harker, R. [and] Powell, T. (2020). The structure of the NHS in England. London: House of Commons Library, June 2nd 2020. House of Commons briefing paper, No.CBP 07206.

About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
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1 Response to NHS in England: New Structure and Accountabilities (Nuffield Trust / House of Commons)

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