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Business Case for the Health and Care Modernisation Transition Programme

The health and care transition programme was established by the Department of Health (DH) in September 2010 to co-ordinate the implementation of the Health and Care reforms outlined in the White paper, “Equity and Excellence: Liberating the NHS”. The programme provided a governance framework to co-ordinate a number of distinct programmes of work across the health and care system to deliver the Government's vision to reshape healthcare so that it is more patient-centred, led by health professionals and focused on delivering world-class health outcomes. The reforms affected around 45,000 staff and more than 400 organisations across the NHS, local government, public health, DH and its arm’s length bodies (ALBs).

The health and care reforms came into operation on 1 April. They reshaped the NHS so that it is more patient-centred, led by health professionals and focused on delivering world-class health outcomes. The abolition of SHAs and PCTs, and the establishment of CCGs, puts commissioning in the hands of GPs and local clinicians. New, more autonomous Arm’s Length Bodies are empowered to deliver services according to national priorities. Local government has an important new role in addressing local community health needs. Local authorities are also working with the NHS to deliver integrated health and care services. The new system provides a stronger voice for people and communities, empowering patients and local communities by ensuring services are responsive to their needs.
This business case reflects the original proposals as captured in the Health and Social Care Bill 2011, updated to include the changes introduced in response to the report of the NHS Future Forum. The costs and benefits outlined in the business case reflect those included in the revised Impact Assessment for the Bill published in September 2011.

In May 2012, the Department published a Transition Scheme for Publication. In this it made a commitment to publish the business case once the transition programme closed in April 2013.

As the transition programme has now closed, this business case is being published to fulfil that commitment. What follows, therefore, is the case for change and the costs and benefits of reform as they were assessed in 2011. Parliament has also been given an up-to-date assessment of the costs and benefits of the reforms, alongside the Department’s annual report and accounts for 2012-13.