NHS Flashcards

1
Q

When was the NHS first proposed and its purpose?

A

1942 Beveridge report proposed comprehensive health and rehabilitation service.

1946 NHS Act proposed, free at the point of care concept.

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2
Q

When was the NHS created and contemporary prime minister?

A

5th July 1948 (post-war era) NHS was born in its first instance.
Prime minister: Clement Attlee Minister for Health: Aneurin Bevan (Labour)

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3
Q

When the NHS was first created what was its ambition and funding?

A

Ambition: investing in nations health now would reduce expenditure as the cost of health service would fall in future.

Funding: taxation afforded by anyone in employment.

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4
Q

Principles of the NHS (5)

A

Collective Approach: holistic approach to care MDT

Universal Applicability: All core values and principles are applicable to all.

Comprehensive coverage: NHS treats all presenting patients, no one denied care initially.

Equality amongst users: no patient takes undue priority over one another.
Cost free at the point of use: free service to anyone who uses it.

Preserved professional autonomy: completely independent and not influenced by external factors.

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5
Q

NHS Constitution (7) and whats different with this compared to a normal constitution?

A

NHS Constitution: not enforceable by law unlike a true constitution

Comprehensive service available to all.

Access to NHS based on clinical need not income.

NHS aspires to highest standard of excellence and professionalism.

Patient at the heart of NHS actions.

NHS works across organisational boundaries.

NHS committed to providing best value for taxpayers.

NHS accountable to public, communities and patients.

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6
Q

NHS Core values (6) and importance.

A

Working together for patients | Compassion | Respect and Dignity | Improving lives | Commitment to quality of care | Everyone counts.

Collaboratively created

Daily practice in line with medical ethics

Universality should be upheld by all staff

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7
Q

CQC function

A

CQC : Care Quality Commission assess quality of healthcare providers

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8
Q

GMC Function

A

GMC : General Medicine Council provides oversight and guidelines.

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9
Q

NICE Function

A

NICE: National Institute of Health and Care Excellence
provides national guidance and advice to improve health and social care

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10
Q

General NHS structure from DOH to Public Health

A

DOH, PHE, Local Authorities, Public Health

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11
Q

General NHS structure from DOH to Community services

A

DOH, NHS E, (ICSs )CCGs, Hospital services/Mental health/community

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12
Q

General NHS Structure from DOH to primary care

A

DOH, NHS E, ICS, Specialist services, primary care

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13
Q

Royal Colleges function

A

Royal Colleges: regulate and provide training of specialist in the UK.

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14
Q

Function of 999

A

urgent medical emergencies for life threatening situations, categorised A-E and corresponds to ambulance waiting time 7-180 minutes.

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15
Q

Function of 111

A

non-urgent medical emergencies to relieve pressure on 999/A&E, less specialised medics on call to provide advice or referring.

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16
Q

Levels of Healthcare

A

Primary: GP/A&E

Secondary: hospitals

Tertiary: specialist wards. (Shouldice hospital)

Quaternary: experimental/ one off surgeries or further tertiary care.

17
Q

Predisposing causes of burnout:

A

tolerance to workload, temperament, education, exposure to high emotional burden

18
Q

Precipitating causes of burnout:

A

social support, significant personal events, illness, diet/health

19
Q

Perpetuating factors of burnout:

A

workload, coping mechanisms, attitudes to help, poor mental health, financial pressures.

20
Q

Treatment and prevention overlaps:

A

Talking therapies, Remove causes of stress, Relaxation techniques, medication (if extreme).

Personal: exercise, diet, sleep, time/work management skills development.

Institutional: Maximum weekly hours reduction, staff talking therapies, Schwartz rounds.

21
Q

Burnout definition

A

Burnout: emotional, physical and mental exhaustion caused by excessive and prolonged stress.

Can lead to anxiety disorders, can be caused by daily death.

Results from a poor perception of their own ability to meet their demands.