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5 Structures Necessary and Organisation of Services 5.1 Regional Framework 5.2 Partnerships 5.3 Responsibilities of Primary, Secondary and Tertiary Care 5.4 Local Management 5.5 Information Technology and Audit 5.6 Human Resources 5.6.1 NHS Workforce Planning Reforms 5.6.2 Future Staffing Requirements 5.7 Finance 5.8 Organisation of Services 5.8.1 Managed Clinical Networks and Shared Resources 5.8.2 Infrastructure of Renal Centres 5.8.3 The Private Finance Initiative (PFI) and Private Provision of Renal Services In order to deliver the Standards detailed in Section 4, planning of renal services and the determination of Service Level Agreements must be elevated to a higher level than the single Health Authority. This section describes how the new NHS structures, particularly Renal Specialised Commissioning Groups, can interface with consortia of Health Authorities and the new Primary Care Groups/Trusts to create a framework which will ensure that the objectives are deliverable. This section also describes the new thinking which will be necessary on the configuration of renal facilities in order to ensure that there is equity of provision and adequate rates of expansion of Consultant Nephrologists and other Professional Groups. The 7 National Service Standards detailed in Section 4 can only be met if the necessary infrastructure is in place to support the delivery of treatment and care.  |