Framework, taking account of ``value added''. Yellow organisations will be
meeting all or most national core standards, but will not be in the top 25% of
Performance Assessment Framework performance.'Green light organisations will be rewarded with greater autonomy and national
recognition and they could even have the ability to take over persistent failure red
light organisations.
These NHS organisations will need to be supported by good human resource
management to produce a quality workforce with ongoing education, training,
individual job plans, competency and skills analysis and lifelong learning.
11.9.5 NHS Plan[8]
The ambitious and far-reaching reform in the guise of the NHS Plan proposes to
deal with issues such as:
. investment in NHS facilities and staff;
. changes for patients, including greater choice and protection;
. cutting patient waiting times, improving health and reducing inequality;
. changes for NHS doctors, including new consultant contracts and new quality
based contracts for GPs;
. new responsibilities and changes for NHS nurses, midwives, therapists and
other NHS staff;
. changed NHS systems.
There are proposed structural changes with some new organisational bodies
which will include:
. NHS Modernisation Agency
. National Independent Reconfiguration Panel
. National Performance Fund
. The NHS Leadership Centre
. NHS Appointments Commission
. National Clinical Assessment Authority
. NHSplus: National Agency
. Patient Advocacy and Liaison Service 9Pals)
. UK Council of Health Regulators
. Patients' Forums
. Citizens Council 9NICE)
Some of these new organisations and groups will inevitably make an impact on
clinical risk and health litigation management policies and procedures. A new and
more effective complaints system looks likely to be introduced making it more
independent and responsive to patients. Patients will have a firmer and an official
platform from which to voice opinions and concerns. The initiatives should give
patients more of a say in what happens, locally and nationally. Patients will have
direct responsibility on every NHS Trust board, elected by the patients' forum. The
forum will be supported by Pals and will have the right to visit and inspect any
Clinical Governance 235