Learning aim B - B1 - roles of organisations in providing services Flashcards
what is the public sector?
organisations that provide health and social care services that are funded by the government
give an example of a public sector organisation
the NHS - it is primarily funded by taxation and a smaller amount from national insurance contributions. the majority of services are free to use as and when needed
what are the four organisations that make up the NHS?
- National Health Service england
- health and social care in northern ireland
- NHS scotland
- NHS wales
what is primary health care?
provided by GP’s, dentists, opticians and pharmacists. they are normally accessed directly by the service user when needed
what is secondary health care?
hospitals, mental health services, community health services. normally accessed via the GP who makes a referral to a consultant/ specialist
what is tertiary health care?
provides specialist, normally complex services such as spinal injury units or hospice support. referred to by health professionals who have identified the need
what are NHS foundation trusts?
they manage hospitals in england, and were established in 2004. They are largely funded by the government, and are managed by a board of governors (patients, staff, members of the public, members of partner organisations).
what is the aim of NHS foundation trusts?
to move decision making from a centralised NHS to local communities, to better respond to local needs and wishes
what are the advantages of NHS foundation trusts?
- shorter waiting lists for services
- can meet most needs of individuals
- frees up beds in hospitals due to reduction of unnecessary admissions
what are the disadvantages of NHS foundation trusts?
- may be busy and overwhelming
- get referred to multiple different places - moved around a lot, lack of consistent care and support
- long waiting times
who is adult social care provision for?
People over 18 years old who have disabilities, mental health problems or are otherwise frail due to age or other circumstances, and are unable to support themselves without specific and planned assistance
what support can adult social cares services provide?
- care in the service users home such as cooking, cleaning, washing etc
- day centres to provide care, stimulation and company
- sheltered housing schemes
- residential care
- respite care
- training centres
how can care in the service users home or sheltered accomodation empower service users?
- allows them to become more independent in the future
- living properly - own environment, control over their time
- gives them choice and freedom
- adapt their environment - lower work tops, ramps, widen doors etc
how can day care centres and training centres support service users?
- can give out medication
- can support with doing tasks such as cooking, and can teach individual ways they can adapt activities to make things easier with their condition
- socialisation with other people similar to them, develop social skills, feel less isolated in their situation
- can recommend other services they can access - help general physical wellbeing and their mental health
how can respite care and day centres support informal carers and families of service users?
- can give them a break and allow them to do things for themself -> to improve their own health and wellbeing, and improve their own situation
- allow them to provide the best possible care for their family member - can give advice, include them in a care plan and keep them up to date with any changes in their condition
who is responsible for childrens services?
local authorities
what is the aim of children’s services?
to support and protect vulnerable children and young people, their families and also young carers. the local council’s children’s departments are required to work in close collaboration with any other care providers especially the NHS and education services.
What services can children’s services provide?
- services to safeguard children who are at risk from abuse of significant harm
- day care for children under 5 and after school support for older children
- help for parents and carers with ‘parenting skills’
- practical help in the home
- support of a children’s centre
- arrangements of fostering and adoption
what is the role of a GP?
they are often the first point of access to health and care provision. They have extensive knowledge of medical conditions including a wide range of disorders, and they also provide preventative healthcare. Their role is to make initial diagnoses and to refer individuals to a specialist for further investigation and treatment if necessary
where do GP’s work?
they work in local communities
what services may a GP work closely with?
- education services
- local authority social services
- police
how are GP’s funded?
from the central government according to their assessed workload from their patients taking into account:
- age of patients
- their gender
- levels or morbidity and mortality in the area
- number of people who live in residential/ nursing homes
- patient turnover
what do GP services receive further payments for?
- if they are deemed to give a high quality service
- for additional services such as flu immunisations
- for seniority, based on the length of their career
- to support the cost of suitable premises and equipment such as computers
- to cover additional costs if they for instance dispense medicines
why would people living in residential and nursing homes generate more work for a GP practice?
- weaker immune systems
- complexity of needs
- medication
- GP may need to travel to them rather than the other way round
why would the NHS allocate more funding to a GP practice if they offered additional services like flu vaccines?
- these generally cost more
- it covers the staff and training needed to provide these services
- they will have more people going to the surgery for these
what is a disadvantage of GP surgeries taking on more responsibility?
it makes it harder to get appointments, meaning some people may not get treatment when needed
define the term ‘commissioning’
-planning the service specification such as what the service consists of
- agreeing service procurement - the process of obtaining necessary services
- monitoring delivery - continuous assessment such as checking that the services provided meet the needs of all service users
what is the voluntary sector?
It is often known as charities, these vary in size, history and the services they provide.
