intro Flashcards
How did people receive healthcare before 1900?
Healthcare was only available for those who could afford it. People who could not afford it had to depend on charities, poor law welfare and workhouses. There was an unregulated private sector at the time.
2)When was the National Insurance Act set up, and who did it benefit? (2 marks) how did payment for the GP work?
- It meant that there was a compulsory health insurance system set up for manual and low-income workers only via work. GP were paid through capitation fees, meaning for every person that signed up, the GP will get a fee. This act only covered GP and TB care, not hospital care.
When was the NHS established?
1948
When was the Royal College of General Practitioners founded (1 mark) and what was its impact in health care? (1 mark)
It was founded in 1952 due to the Collings report (1950) which indicated a rise in demand on GP and how they were struggling as more and more people were seeking healthcare.
It was an academic body to improve standards, and there was a development in education and research.
when was primary care act set up? who was the campaign by?
- Campaign by RCGP (royal college of general practictioners). Legislation by parliament.
Vocational training became a requirement for GP principals
who was not included in the national insurance act in 1911?
women, children and elderly
what were the main events in the 1950s?
1952- NHS charges one shilling for prescriptions
1954 - smoking and cancer link established
1958 - polio and diptheria vaccination
1959 - mental health act establised
when was the family doctor charter established? What was involved?
- The Redbook. Capitation payments continued. Rising costs and disparity of payments. New national payment system.
When was the worlds first IVF baby born?
When was CT scanning?
1978.
1972
list what was involved in 1990s primary care changes
internal market GP fundholding NHS Trusts NHS Direct (became 111) 1997 New GP contracts 1999 PCGs (primary care groups) and PCTSs (primary care trusts).
List NHS changes post 2000
2000- NHS plan 2004 - New GP contract 2007 - NHS Choices website 2009 - CQC (care quality commission) 2012 - Health and Social Care Act 2014 – NHS 111 telephone 2014 – ‘My NHS’ access to data for patients 2014 – Five year forward view 2017 - NHS 111 online pilot 2019 - Updated GP Contract
What were the key changes to primary care access due to covid-19 impact?
- GUIDANCE FROM NHS ENGLAND FOR REMOTE TOTAL TRIAGE
• MOST PATIENTS BOOKED FOR INITIAL TELEPHONE ASSESSMENT
WITH GP OR NURSE. SOME NOW DIRECT FACE TO FACE IF
CLINICALLY INDICATED OR PATIENT REQUEST
• TELEPHONE, VIDEO OR FACE TO FACE CONSULTATIONS AS
REQUIRED
• HOME VISITS CONTINUE
• REFERRAL TO OTHER TEAM MEMBERS: PHYSIOTHERAPIST,
PHARMACIST, HCA, SECONDARY CARE
name 3 factors outlined by QOF that influence diabetes prevalance
age
obesity
ethnicity
some struggles faced by GPs?
Clinical errors
• Staying beyond 7pm
• Staff problems / dealing with conflict
• Lack of resources e.g. social care/social services
• Complaints which are ‘undeserving’
• Absence of services: youth mental health
• Patients not accepting of services which would be
beneficial
• Disjointed services
• Secondary care dumping work
What is primary care?
first point of contact for most of the public when regardinf general health advice or treatment, can make or break their experience of care and shape the direction of their diagnosis, managment & treatment. Tends to not be urgent or life threatening. It is the concept of the well being of patients rather than the illness itself.
