Page last updated at 15:28 GMT, Monday, 30 June 2008 16:28 UK

Darzi review: At-a-glance

Nurse
Some patients with long-term conditions are to pilot personal health budgets
Health minister Lord Darzi has set out his plans for the next 10 years of the NHS in England.

Here are the main points of his review.

  • Patients' views on the quality of care they receive will affect funding for hospitals and GPs
  • Information on the quality of an NHS body's service will be published on the web and on clinical "dashboards" in hospitals and GP surgeries
  • All providers of NHS care will have to publish quality accounts each year
  • All patients with long-term conditions will have personal care plans
  • Five thousand of those with long-term conditions will pilot personal care budgets
  • An NHS draft constitution, out for consultation, sets out rights and responsibilities of NHS patients, staff and providers
  • One right will be to access to any appropriate drugs approved by the National Institute for health and Clinical Excellence (NICE)
  • NICE's appraisals of new drugs and treatments will also be speeded up so they take a maximum of six months rather than two years
  • Other rights include to seek treatment in the rest of Europe if faced with an "undue delay" in England
  • Lord Darzi says patients should have the right to choose which GP practice they go to, and to express a preference for a certain doctor
  • GP funding will change, with the removal of the minimum income guarantee which acts as a disincentive for practices to take on new patients, with payments linked more closely to improved access and quality of care
  • There will be more freedom for individual GP practices to commission care themselves
  • Preventing people getting ill, by giving them more help to improve their diet or quit smoking, will be given more emphasis
  • The government has also announced a review of doctors' postgraduate training, focussing on the first two years following graduation from medical school



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