Flashcards in HaDSoc 7.1 NHS organisation. Deck (37)
When was the NHS founded?
What were the core principles of the NHS?
-universal (covers everyone)
-comprehensive (Covers all healthcare needs)
-free at the point of delivery
Why was the initial NHS overspending?
-people who had had health problems but left them becuase they didnt want to pay for treatment, or didnt see them serious enough, now began coming forward and wanting healthcare.
This meant there was a lot more need for healthcare than originally thought.
What changes were made to the NHS in around the 50s/60s?
Changes in what constitutes a health 'NEED'.
dentists, opticians, prescriptions etc no longer included in the free healthcare
What is the role of commisioning in the NHS?
-act as the customers, chosing which care to provide to patients. (control flow of money)
-look at different health trusts and decide which one to put money into (based on quality, guidelines etc).
-aims to improve quality of healthcare
Do all commisioners get the same amount of money?
No, it's adjusted based on the populations needs, eg if lower socioeconomic status will get more, if more elderly people etc.
What is the health and social care act (2012)?
-gives power to GPs and other primary care.
-shakes up the NHS
-increases market use, NHS staff can set up own organisations.
What is the role of the secretary of state?
'accountable for healthcare
responsible for promoting care (used to be responsible for providing care)
in charge of NHS
What is the role of the department of health?
-sets the national standards
-shapes direction of NHS services
-sets the national tarriff for commissioners.
What is the role of NHS England?
-helps support and develop commissioning
-commissions primary care, special services etc.
Who is part of the CCGs?
What do CCGs commission?
Secondary and community health services.
Who is in charge of public health?
Local authorities (Who get money from NHS England)
Who commissions primary care and specialist services
In commissioning, where does the money go to?
NHS trusts (and other providers, eg private sector)
Where do NHS hospital trusts get their money?
-Mostly from CCgs and NHS England
-undergraduate and postgraduate training
Which other organisations are involved in the NHS?
-Care Quality commissionars
-public health england
-commissioning support uints
-health and wellbeing boards.
Whats the role of care quality commissioners?
to look at the quality of care provided to patients.
What is the role of nice?
To set guidelines on the quality standards and commissioning guidance.
What is the role of health watch?
-national and local bodies which support the patient and public involvement.
What is the role of public health england?
To help lead public health
(mainly done now by local authorities)
What is the role of commissioning support units?
To offer advice to commissioners of specialist area and analysis (so statistics) to help CCGs to make their decisions.
What questions are there for the future which the NHS may have to face?
-pressures are going to change eg aging populations, more disease, new technology, how will the NHS deal?
-how far can the NHS serve it's original mission?
-what are the implications of involving the private sector? Are they only in it for profit? Do they help to improve the quality of NHS trusts?
-Are GPs and primary care the best people to be commissioning?
What is a clinical 'partner'?
someone who takes responsibility for the management of finite resources.
What is a clinical 'leader'?
Someone who works with other clinicians to change systems, where the patients will benefit.
What is a Medical director?
A Doctor who has overall resposiblity for medical quality within a trust.
What is a clinical director?
A Clinician who is repsonsible overall for a directorate.
What is a directorate?
like a faculty at a university, a sector of a trust.
Eg radiology, cardiology.
What is a consultant?
A clinician who is responsible for a team