L03 - Structure of the NHS

Question 1

Describe the structure of the UK health system.

Answer 1

1 - Public pay taxes to government

2 - Government allocates resources to clinical commissioning groups

3 - CCGs fund providers

4 - Providers provide care for the public

Question 2

Which government department is responsible for allocating resources to clinical commissioning groups?

Answer 2

Department of Health and Social Care

Question 3

Where does the majority of NHS funding come from?

Answer 3

General taxation (approx. 98.8% + 1.2% from patient charges)

Question 4

What is the annual NHS budget?

Answer 4

£132 billion

Question 5

What percentage of the UK GDP is spent on healthcare?

Answer 5

9.8%

Question 6

What percentage of prescribed medicine in the UK is skipped due to cost?

Answer 6

2.3%

Question 7

List 4 external pressures on the NHS.

Answer 7

1 - Ageing population

2 - Complexity of multi-morbidities

3 - Rising expectations

4 - Technology

Question 8

How do rising expectations pressure the NHS?

Answer 8

Loss of trust => new ‘medical professionalism’

1 - Loss of self-regulation & increased accountability

2 - Medical leadership – taking (back) control

3 - Better patient engagement – restoring trust

Question 9

List 4 internal pressures on the NHS.

Answer 9

1 - Staffing

2 - Brexit

3 - New models of care

4 - Finances

Question 10

How many staff shortages are there currently in the NHS?

Answer 10

> 100,000

Question 11

What is the top concern of NHS trust finance directors?

Answer 11

Staff morale