Learning Aim B: Lesson 1 Flashcards
The public sector
The public sector organisations that provide H&S care services are financed and directly managed by the government
Funded by taxes and a smaller proportion of funds come from NI contributions. Majority of services are free to service user when they need them
What are the 4 organisations in the public sector within 4 countries
National Health Service (NHS)
Health and Social Care Northern Ireland
NHS Scotland
NHS Wales
Primary Health Care
Provided by GPs, dentists, opticians and pharmacists. Assessed directly by the service user when needed
Secondary Health Care
Includes most hospital services, mental health services and community services. These are normally assessed via the GP, who makes referrals. Members of the public and the emergency services have direct access to the accident and emergency services at hospitals
Tertiary Health Care
Provides specialist and complex services. E.g. specialist spinal injury units or hospice support
NHS Foundation Trusts
In England, hospitals are managed by hospital trusts, most of which are now NHS Foundation Trusts. Foundation trusts was established in 2004. Although their services are largely financed by government, they are independent organisations.
Who manages NHS Foundation Trusts?
They are managed by a board of governors which might include patients, staff, members of the public etc.
What is the aim of the NHS Foundation Trust?
To move decision making from a centralised NHS to local communities, in order to respond to local needs and wishes
Mental Health Foundation Trusts
Mental health services may be provided through GPs, specialist support such as counsellors, psychologists or psychologists.
More specialist support is normally provided by Mental Health Foundation Trusts.
Who manages Mental Health Foundation Trusts?
Managed by community and the members elect governors who have responsibility for the quality and range of care provided
What is included in the Mental Health Foundation Trusts services?
Services provided by MHFT include provision of psychological therapies, the support of psychiatric nurses and very specialist support for people with severe mental health problems
Community Health Foundation Trusts
They work with GPs and LA social services department to provide health and care support
The services provided by Community Health Foundation Trust may include
Adult and community nursing services
Health visiting and school nursing
Physiotherapy and occupational therapy and speech therapy services
Palliative/end of life care
Walk in centres
Specialist services such as managing diabetes, sexual health or contraception services.
What is the aim of Community Health Foundation Trust
Provide care for service users that will enable them to live independently in the community rather than a hospital or residential care
Adult social care work
Adult social care provision is for people over 18 years old who have disabilities, mental health problems, or who are otherwise frail, due to age or other circumstances and who are unable to support themselves without specific and planned assistance
This is the responsibility of local authority social service departments.
The support provided can take many forms:
Care in the service users own home
Day centres to provide care, stimulation and company
Sheltered housing schemes
Residential care for older people, people with
disabilities and people suffering from mental illness
Respite care or short term residential care provided principally to give families caring at home a rest
Training centres for adults with learning difficulties
Children’s services
Children’s services are the responsibility of local authorities.
Aim of Children’s services
Their aim is 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 other care providers (NHS, Education Services).
Support that children services provide
Services to safeguard children who are at risk from abuse or harm, including sexual, physical, emotional harm or neglect
Day care for children under 5 years old
Help for parents and carers with ‘parenting skills’
Practical help in the home
Support of a children’s centre
Arrangements for fostering and adoption
GP practices
GP practices are the first point of access to H/S care provision.
GPs have extensive knowledge of medical conditions and can offer preventative care.
GPs work with local communities. Their role is to make initial diagnoses and to refer individuals to a specialist for further investigation and treatment.
GPs increasingly work as members of multi-disciplinary teams.
They also work closely with other agencies, including educational services, LA social services and the police.
The GP and their team aim to use a holistic approach to care.
GP practices are funded according to their assessed workloads from their patients. This takes into account:
Age of their patients
Gender
Levels of mobility and mortality in area
The number of people who live in residential or nursing homes
Patient turnover
GP practices receive further payments from the NHS for the following:
If they are deemed to give a high quality service
For certain additional services they may provide (flu immunisations)
For seniority, based on GPs length of services
To support the cost of suitable premises and other necessary equipment (computers)
To cover additional costs if the GP practice also dispenses medicines
