The health and care system in April 2013 [infographic]

Update 17 September 2012: The graphic on this page has been developed and expanded – see updated graphic of health and care system from April 2013

The health and care system is changing in order to meet new challenges. New organisations, and changes to existing roles, are being developed over the course of this year, and the new health and care system will be up and running by April 2013.

What will the system look like?

This diagram gives a developing overview of the health and care system from April 2013:

Health and care system April 2013

Managing the transition

The new health and care system will be up and running by April 2013. The vital services patients value will continue as usual during the period of transition.

New organisations, and changes to existing roles, are being developed in parallel over the course of this year to ensure there is no disruption or drop in standards of care. The Government is working with local government and the health and care sector to make improvements to services and implement the reforms.

As the new system takes shape, the needs of the patients and communities we serve will be at the heart of all we do.

In NHS, Public health, Social care | Tagged , , , , , , ,

25 Responses to The health and care system in April 2013 [infographic]

  1. Rod Whiteley says:

    I like this a lot. And the PDF will print as a large poster, too. Nicely done!

  2. Cath Lovatt says:

    A picture paints a thousand words – corny, but in this case a really helpful graphic to explain an incredibly complex system.

    • Danny Brown says:

      VERY good summary. Its been complex for to long now and i feel that the key area to all this, is how will it improve the service provided to patients!

      I guess that is what the critical success factor will be.

      Liked your comment though.


  3. Tina says:

    Doesn’t show how they link up at all. Does illustrate the various (fragmented) parts though.

  4. Gaby Charing says:

    Nice pic. A pity you’ve got the name of NICE wrong.

    • Web editor says:

      Hi Gaby

      Under the Health and Social Care Act, NICE’s role will be extended to social care. The Act also re-names NICE as the National Institute for Health and Care Excellence.


    • John Chater says:

      Name of NICE is correct, as it will change from April 2013.

  5. Tess says:

    Where are the patient support groups?

  6. anon says:

    No CSS organisations?
    Safeguarding Children & Adults will now be even more confused for people!
    No local area teams for the NHS CB
    No clear linkages – helpful and not all at the same time. Perhaps something only a government department could achieve

  7. Zoe Perry says:

    No mention of CSS organisations??


  8. Jamie says:

    Where are Pharmacy and Optical services?

  9. Christopher Stagg says:

    Are you able to tell us how much this pretty picture has cost tax payers and whether it was created in house or by yet another consultancy?

    I notice that CSS’ are not mentioned anywhere, just like they were not mentioned in the health and social care bill….


  10. Jane says:

    Is the voluntary sector to be included at some stage?

  11. John Chater says:

    Should you not include Government in the outer circle?

    Other than that, very neat.

  12. Web editor@DH says:

    Thanks for the questions and suggestions on which bodies are not yet mentioned in the diagram.

    The diagram is intended to give a developing overview of how the health and care system will look and will continue to be developed and added to as the system takes shape.


  13. Sandra says:

    Please can you specify what is included in “Public Health Services”? Thank you

  14. Nick H says:

    Very pretty and useful, but incomplete as has been pointed out by other commentators. Can you advise when the missing bodies will be added? especially as to include GP Surgeries and dentists and not pharmacies and opticians is at best disrespectful to those front-line healthcare professionals supporting the NHS and patient care.

  15. NAB says:

    Ambulance services? –

    Paramedics (yet again) the forgotten providers of so much, linking to so many, developing pathways.

    Not just a fast taxi !

  16. pat says:

    Helpful diagram which does its best to explain the complexities of the new system – but it is still incomplete. There are some notable ommissions, for example, where are the pharamcies, opticians, private providers, Clinical Senates, Local Professional Networks, Commissioning Support Services, Local offices of the NCB and PHE, Ambulance services, NHS Choices/NHS Direct?.

    The colour coding also seems somewhat confusing as Local Authorities [LAs] and PHE (which are coloured purple to indicate their role is to “improve public health”) will also commission some services, deliver others and carry out health protection/ emergency prepardness and planning – i.e. they will do much more than just “improve public health”? I note that Local Authorities are listed twice and given two different roles – which is confusing as it doesn’t give the full picture of their whole role or legal duties (safeguarding, health protection etc)

    LAs also have a lead role in healh and well-being boards, but the Board is situated elsewhere in the diagram, is disconnected from the Local Authority and only aligned to the CCG/NCB – yet the Board’s key role is to promote “integration” – could your diagram be re-jigged to better reflect that closer “integration” please?

    It is good to see that someone is attempting to make sense of the new arrangements though.

  17. Hamish Kemp says:

    And Learning disability service are exactly where?
    Unfortunately yet again exclude does this say a whole lot about the DoH attitude to this group

  18. Ian Collacott says:

    Perhaps I’m simply too dim to appreciate the complexities of this gleamingly obtuse poster. Without lines of accountability and relationships clearly indicated, what does it mean? This might as well have been created by Jackson Pollock for all the management value it has. Was taxpayers money spent on this?

  19. Alex says:

    It would seem, as several have commented, that there are services missing and there are no real indications as to how the various services link together. The real test is whether the care and effectiveness of health delivery improves, but that will not be known for a year or two at least to give a valid comparison (immediate comparisons will not be valid). What would be interesting is to see an equivalent diagram of where we are now (including ALL the services for both the now and proposed) and see whether we are just increasing complexity, in which case delivering improved service will probably not be realised.

  20. Jane says:

    Just to reiterate the earlier comment about the complete lack of charitable/voluntary sector provision in the diagram and especially from our perspective Hospices.
    Not an easy task but needed more perseverance to ensure it was a complete reflection of the system.

  21. Amanda Grindall says:

    I see that the NHS Leadership Academy is not represented

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