How the NHS is structured Flashcards
what is the cost per prescription a patient pays?
£9
what is the charge for a prescription prepayment certificate
3 months
12 months
3 months = £29
12 months = £104
where do pharmacies and GPs submit prescriptions to?
NHS business services authority (NHSBSA)
who reimburses pharmacies?
NHSBSA
who reimburses GPs?
clinical commissioning groups (CCGs)
what portion of the NHS budget is the CCG responsible for?
60%
what is commissioning?
assessing and appraising healthcare needs of a population, designing specific services and monitoring quality
what is a patient access scheme?
enables expensive drugs to be bought at a discount.
this is an agreement between pharmacy companies and NICE
(the discount is a secret)
what is the purpose of NICE?
responsible for issuing guidelines on drug use
what is the purpose of the MHRA?
they are responsible for licensing drugs in the UK. (for use)
what was included in the health and social care act 2012?
increasing competition between services (in order to save money)
cutting red tape
keeping governments out of day-to-day running of NHS
what is the heirachy of evidence from top to bottom?
national guidelines hospital guidelines systematic reviews randomised controlled trials other research studies