7. NHS Structure and Management Flashcards
When was the NHS created?
1948
What were the principals of the NHS when it was created?
Universal (covering everyone), comprehensive (covering all health needs), free at point of delivery.
What is the duty of the Secretary of State for Health?
Provide health services, overall accountability.
Who is the NHS initially run by?
Department of Health.
How did the Health and Social Care Act 2012 change the structure of the NHS?
Devolves power to GPs and primary care.
What is the role of the Department of Health?
Sets national standards, shapes direction of NHS and social care services, sets national tariff.
What is the national tariff?
Fee for services charged by service providers.
What does the National Commissioning Board do?
Authorises CCGs - supports, develops, and performance-manages commissioning.
What are clinical commissioning groups?
Bring together GPs, nurses, specialists, public health, patients, the public and others to commission secondary and community healthcare services. Account for national guidance.
What is the direction of money flow in the NHS?
Commissioning board and clinical commissioning groups to care providers through the commissioning process.
What is a medical director?
One doctor in the trust with overall responsibility for medical quality who sits on trust’s board of directors.
What are the roles of the medical director?
Sits on board of directors, communicates between board and medical staff, work in partnership with human resources/personnel functions, approves job descriptions, interview panels, equal opportunities, clinical policy and standards lead.
What is a clinical director?
Person with overall responsibility for directorate who provides continuing medical education and other training.
What are the roles of the clinical director?
Provide education and training, design and implement directories policies on junior doctor hours of work/supervision/tasks/responsibility, implement clinical audit, induction of new doctors.
What is a consultant?
Doctor with responsibility for team.
