Darzi review: At-a-glance
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Some patients with long-term conditions are to pilot personal health budgets
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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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