The NHS Mandate

The NHS Mandate

Every year, the government sets out a list of objectives the NHS is expected to achieve in the coming 12 months. This list of goals is called a ‘mandate’. The current mandate states that by March 2019, the NHS should have made improvements in seven key areas:

Through better commissioning, improve local and national health outcomes, and reduce health inequalities

  • Maintain the CCG improvement and assessment framework
  • Demonstrate improvements against the NHS Outcomes Framework
  • Work with CCGs to reduce inequalities in access, quality of care and outcomes at a local level
  • Ensure commissioning focuses on measurable reductions in health service access inequality

Help create the safest, highest quality health and care service

  • Provide the same standards of care, seven days a week, for people who need urgent and emergency hospital care
  • Become the world’s largest learning organisation with a culture that uses all sources of insight to improve services and quality of care
  • Identify violence and abuse early and support victims to get their lives back sooner
  • Meet the needs of each individual where people’s experience of their care is seen as an integral part of overall quality, particularly for maternity services and people with long term conditions
  • Improve early diagnosis, services and outcomes for cancer patients

To balance the NHS budget and improve efficiency and productivity

  • Ensure overall financial balance and support local areas to develop credible, financially balanced operational plans, which build on, and align with, STPs
  • Ensure aggregate spending by commissioners does not exceed mandate funding and that appropriate contingency funding is maintained
  • Ensure commissioners work collaboratively with local authorities to make the most efficient and effective use of health and social care funding
  • Determine pricing arrangements that are affordable for commissioners and allow providers to meet their financial duties

To lead a step change in the NHS in preventing ill health and supporting people to live healthier lives

  • Help people to live healthier lives by tackling obesity and preventable illness, in particular child obesity and diabetes
  • Improve the quality of care and support for people with dementia

To maintain and improve performance against core standards

  • Improve and, where possible, maintain access to timely, quality services for all patients

To improve out-of-hospital care

  • Ensure everyone has easier and more convenient access to planned GP services, including appointments in the evenings and at weekends
  • Integrate health and social care across the country by 2020, including through the Better Care Fund
  • Reduce the health gap between people with mental health problems, learning disabilities and autism through improving prevention, early intervention and access to integrated services.
  • A system-wide transformation in children and young people’s mental health, with a greater focus on prevention and early intervention, as well as improvements to perinatal mental health
  • Support the delivery of the Five Year Forward View Implementation Plan.

To support research, innovation and growth and to support the Government’s implementation of EU Exit in regards to health and care

  • Promote and support participation in research funded both by commercial and non-commercial organisations
  • Work with the life sciences sector and Government as it develops a life sciences strategy
  • Make better use of digital services and technology to transform patients’ and their carers’ access to and use of health and care, including online access to their personal health records
  • Support the Government to effectively prepare the health sector for day one readiness on withdrawal from the EU.

Learn more about the current NHS mandate.