Session 7 - structure and management of NHS Flashcards Preview

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Flashcards in Session 7 - structure and management of NHS Deck (8)
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1
Q

Give a brief history of NHS

A
  • Founded in 1948 as part of welfare state
  • 3 core prinicples in the beginning -> universal, comprehensive and free at the point of delivery
  • initially ran by DoH
  • Increasing roles for managers
  • Increasing marketisation for provision
2
Q

What role do CCGs have in commisioning services within NHS england?

A
  • They commission services for secondary and community healthcare
  • Control 65% of NHS budget and trusts make money by CCGs commissioning services from them
  • Can also give money to private sectors
3
Q

Who commissions services for primary care?

A

-NHS england

4
Q

How does the commissioning of services in NHS England differ from the rest of the UK

A

-Commissioned by CCGs as opposed to trusts in the rest of the UK

5
Q

Who has overall accountability for NHS England?

A

-Secretary of state for health

6
Q

What policies have been put in place to make it easier for doctors to take roles in management? What roles are these?

A

-High Quality care for All 2008 gace clinicians the opportunity to be a ‘partner’ or ‘leader’
Partners manage finite resources
Leaders work to change systems to benefit patients
-Liberating the NHS 2010 provided management roles in resource allocation, decision making and contract management

7
Q

What is the role of a medical director?

A
  • Overall responsibility for medical quality
  • Responsibility for care in hospitals
  • Communicate between board and staff
8
Q

What is the role of clinical director?

A
  • Overall responsibility for faculty
  • Provide continual education and training
  • Design/implement policies regarding jr doctor hours, supervision etc
  • Implement clinical audits