NHS Flashcards
Primary Care
First point of contact
Secondary Care
Hospital care including rehabilitative care, urgent care and emergency & mental health services
NHS Ran: 1 - Plan & Commission
- Department of health
- NHS England
- Clinical Commissioning groups (CCGs)
- Local Authority Health & Wellbeing boards
NHS Ran: 2 - Provide services
- GPs, dentists, opticians (Primary)
- Community healthcare trusts (Primary
- Hospital trusts ( Secondary)
NHS Ran: 3 - Regulation/Licence inspect
- NICE (national institute for health & care excellence)
- Care Quality Commission
- NHS improvements
Foundation trusts
- keep surpluses
- sets own targets
- overseen by NHS improvement
- more freedom than NHS trusts
- not controlled by gov
- not for profit bodies
- treats private patients
Other trusts
Hospitals - acute trusts
= run hospitals/district generals
Mental health
= provides mental illness patients with services
Ambulance
= ambulance services often have private operators
Community nursing
= healthcare in the community, use of health visitors, midwives etc
NHS Funding
80% general taxation
Remaining 20% split:
- Income from NHS land sales
- NI (national insurance) contributions
- prescription charges
- voluntary fundraising schemes
Issues
- lack of finance
- use of private sector providers
- ageing population
- healthcare by postcodes
- staff costs & pay issues
- clinical errors & scandals
Department of Health & Social
Sec of state negotiates with the treasury the funds & distributes to NHS, public health & health education England.
- Legislation & policy determination for England
- Oversees NHS & social care
NHS England
- independent body
- allocates funds to clinical commissioning groups
- monitors performance & oversees CCPs
- purchases some health services
= regional/specialist services
= offender health services
= armed forces
Clinical Commissioning Groups
- plan & purchase most health services for their area
- address health inequalities
- improves health of community
- integrates health & social care
- ensures quality by monitoring the performance of the services provided against the service agreements
Health & Wellbeing Boards
- local authority boards
= county councils & unitary authorities - promotes health & wellbeing of local people
- link & integrate health and social care
- Commission joint health & social care services
- monitor public & private health providers
- oversee public health
Care Quality Commission
- Inspects health & adult social care services
- Registers, licences & inspects providers of health and social care
- Investigates service failures
- Has wide enforcement powers
- Ensures competition
- Improve outcomes for people
- Providing, managing & commissioning services
