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Skye's ESA 4 > HaDSoc 7.1 NHS organisation. > Flashcards

HaDSoc 7.1 NHS organisation. Flashcards

1
Q

When was the NHS founded?

A

1948

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2
Q

What were the core principles of the NHS?

A
  • universal (covers everyone)
  • comprehensive (Covers all healthcare needs)
  • free at the point of delivery
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3
Q

Why was the initial NHS overspending?

A

-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.

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4
Q

What changes were made to the NHS in around the 50s/60s?

A

Changes in what constitutes a health ‘NEED’.

dentists, opticians, prescriptions etc no longer included in the free healthcare

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5
Q

What is the role of commisioning in the NHS?

A
  • 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
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6
Q

Do all commisioners get the same amount of money?

A

No, it’s adjusted based on the populations needs, eg if lower socioeconomic status will get more, if more elderly people etc.

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7
Q

What is the health and social care act (2012)?

A
  • gives power to GPs and other primary care.
  • shakes up the NHS
  • increases market use, NHS staff can set up own organisations.
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8
Q

What is the role of the secretary of state?

A

‘accountable for healthcare

responsible for promoting care (used to be responsible for providing care)

in charge of NHS

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9
Q

What is the role of the department of health?

A
  • sets the national standards
  • shapes direction of NHS services
  • sets the national tarriff for commissioners.
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10
Q

What is the role of NHS England?

A
  • authorises CCGs
  • helps support and develop commissioning
  • commissions primary care, special services etc.
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11
Q

Who is part of the CCGs?

A
  • GPs
  • nurses
  • patients
  • public health
  • public
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12
Q

What do CCGs commission?

A

Secondary and community health services.

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13
Q

Who is in charge of public health?

A

Local authorities (Who get money from NHS England)

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14
Q

Who commissions primary care and specialist services

A

NHS England

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15
Q

In commissioning, where does the money go to?

A

NHS trusts (and other providers, eg private sector)

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16
Q

Where do NHS hospital trusts get their money?

A
  • Mostly from CCgs and NHS England

- undergraduate and postgraduate training

17
Q

Which other organisations are involved in the NHS?

A
  • Monitor
  • Care Quality commissionars
  • NICE
  • public health england
  • commissioning support uints
  • health watch
  • health and wellbeing boards.
18
Q

Whats the role of care quality commissioners?

A

to look at the quality of care provided to patients.

19
Q

What is the role of nice?

A

To set guidelines on the quality standards and commissioning guidance.

20
Q

What is the role of health watch?

A

-national and local bodies which support the patient and public involvement.

21
Q

What is the role of public health england?

A

To help lead public health

mainly done now by local authorities

22
Q

What is the role of commissioning support units?

A

To offer advice to commissioners of specialist area and analysis (so statistics) to help CCGs to make their decisions.

23
Q

What questions are there for the future which the NHS may have to face?

A
  • 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?
24
Q

What is a clinical ‘partner’?

A

someone who takes responsibility for the management of finite resources.

25
Q

What is a clinical ‘leader’?

A

Someone who works with other clinicians to change systems, where the patients will benefit.

26
Q

What is a Medical director?

A

A Doctor who has overall resposiblity for medical quality within a trust.

27
Q

What is a clinical director?

A

A Clinician who is repsonsible overall for a directorate.

28
Q

What is a directorate?

A

like a faculty at a university, a sector of a trust.

Eg radiology, cardiology.

29
Q

What is a consultant?

A

A clinician who is responsible for a team

30
Q

What is the role of a clinical director?

A
  • to manage clinical directorate.
  • provide continuing educations
  • impliment policies on junior doctors hours of work, responsibilities etc.
  • impliment clinical audit
  • develop guidelines and protocols for clinical prodedures.
  • induction of new doctors.
31
Q

What is the role of the medical directorate?

A
  • responsible for quality of care in the hospital
  • communicates between board and medical staff
  • helps impliment change
  • approves job descriptions, interview panel,
  • disciplinery process’
  • key link between senior management and medical staff
  • overview of medical staffs role in organisation
32
Q

What management skills should all doctors have?

A

-financial
-human resources
-strategic
-operational
-

33
Q

What is strategic management skill?

A

to be able to analyse plan and make decisions

34
Q

What is the financial management role?

A

to be able to manage a budget and set priorities

35
Q

What is the management role human resources?

A

to be able to manage people and teams. Requires good communication

36
Q

What is the operational management role?

A

to be able to run things and execute plans. (Get things done)

37
Q

What is some of the GMC’s guidance on managing teams?

A
  • each member should know thier, and other peoples roles and responsibilities.
  • systems should be in place to aid collaboration between team members
  • systems should be in place to monitor, review and improve the quality of the team
  • teams should be clear about their objectives, and supported.

Skye's ESA 4 (48 decks)

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