MODULE 1 - THE NHS AND GENERAL PRACTICE Flashcards
What are the 3 original principles of the NHS and what do they mean?
The NHS was launched in 1948 by health minister Aneurin Bevan, and was founded based on 3 core principles
1) Meet the health needs of everyone
- enables everyone to get help with any health problems they had. This meant that people with different health problems could all access healthcare through the same system
2) Free at the point of delivery
- Free for people to enter and to access healthcare. This meant it was possible to see a doctor or other healthcare professional for free and be directed to other services that the patient needed
3) Based on clinical need, not the ability to pay
- people would get all the care that they need for their health problems. As people have different health problems, this meant the amount of money spent on one patients care may be much more than that spent on anothers. In the NHS the cost of a patients care compared to others doesn’t affect the care they will receive. Instead, care is based completely on the needs of the patient
What are the new 7 principles of the NHS?
1) The NHS provides a comprehensive service, available to all
2) Access to NHS services is based on clinical need, not an individuals ability to pay
3) The NHS aspires to the highest standards of excellence and professionalism
4) The patient will be at the heart of everything the NHS does
5) The NHS works across organisational boundaries
6) The NHS is committed to providing best value for taxpayers’ money
7) The NHS is accountable to the public, communities and patients that it serves
What are the 6 key NHS values
- Working together for patients
- Respect and dignity
- Commitment to quality of care
- Compassion
- Improving lives
- Everyone counts
How is the NHS paid for?
The NHS is government-funded.
This is different from private healthcare, which normally requires health insurance or direct full payment.
Everyone who pays taxes contributes to the runnign of the NHS
What is primary care?
Community-based care for patients making their first approach to health services regarding a health problem. E.g. GP surgeries, sexual health clinics, dentists and opticians
90% of all meetings with patients happen in primary care
but only approximately 7% of the NHS budget is spent on it!
What is secondary care?
The provision of higher - level care in a centre with multiple specialist staff and resources, such as a hospital. Secondary care services cannot normally be accessed without a referral from primary care or via emergency admission.
This costs a lot more money to run than primary care, and takes up around 70% of the NHS budget
What is tertiary care?
Very high level care provided at a specialist centre often focusing on only one discipline, such as a hospice or a neurorehabilitation centre.
patients can normally access these services through referral from primary or secondary care.