'Refreshed' mandate to NHS England


12 / 11 / 2013 3.23pm

The NHS Mandate between the government and NHS England sets out the ambitions for the health service.

The refreshed mandate will come into effect from 1 April 2014 and is structured around five main areas, where the government expects NHS England to make improvements.

The main areas are:

  1. preventing people from dying prematurely
  2. enhancing quality of life for people with long-term conditions
  3. helping people to recover from episodes of ill health or following injury
  4. ensuring that people have a positive experience of care
  5. treating and caring for people in a safe environment and protecting them from avoidable harm.

The government wants NHS England to make further progress by taking forward actions:

  • in response to Francis report, into lessons from Mid Staffordshire NHS Foundation Trust
  • in the vulnerable older people’s plan
  • to deliver a service that values mental and physical health equally.

The mandate also reflects the work being taking forward by NHS England to improve integrated care, helping to address the failings seen at Winterbourne View private hospital. NHS England is expected to ensure that Clinical Commissioning Groups (CCGs) work with local authorities to ensure vulnerable people receive safe, appropriate, high quality care.

NHS England will also introduce the ‘friends and family’ test for patients across the country:

  • for all acute hospital inpatients and Accident and Emergency patients (from April 2013)
  • for women who have used maternity services (from October 2013)
  • for general practice and community and mental health services by the end of December 2014
  • for the rest of NHS funded services by the end of March 2015. 

Hospitals with good scores on the ‘friends and family’ test will be financially rewarded.

For full details please download a copy of the refreshed mandate

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