NHS Flashcards
How are Foundation Trust’s different to NHS Trusts?
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What is an NHS Trust?
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What is a Foundation Trust?
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What are the roles of the Care Quality Commission?
- Independent Regulator of the NHS
- Set standards
- visit providers of health and social care
4., give inspections, licenses, registrations - Publishes reports that can be viewed by the public
- Investigate serious failings & use its power to enforce changes
When was the NHS formally established ?
Under the National Health Service Act 1946
How is the NHS funded?
80% from general taxation ( income tax, VAT, duties on tobacco & alcohol)
20% from…
. An NHS element to NI contributions
. Charges to patients for drugs (prescriptions)
. Income from land sales & income-generation schemes
. Funds raised from voluntary sources - eg local hospital appeals
What are CCG’s?
GP- led Clinical Commissioning Groups.
CCGs could commission almost all secondary services ( rather than sharing purchasing duties with other local bodies)
& Some Primary services.
This creates conflict should GP’s commission themselves ( Co-commissioning system).
What are the 5 main bidies that the Andrew Lansley tory Health Secretary NHS structure follows?
NHS England
Clinical commissioning groups (CCG’s)
Health & wellbeing boards
NHS trusts
Public Health England
What is NHS England?
A national Quango
Commissions primary care at national and regional levels from GPs, Dentists, pharmacists & some specialist services - maternity, cardiac, A&E units
It convened clinical senate to five medical advice on its commissioning plans & clinical networks to advise on service integration.
What is a clinical commissioning group CCG?
195 groups led by GPs, nurses & other community based health professionals , responsible for commissioning secondary care locally.
What is a Health & wellbeing boards ( HWB) ?
Local forums set up by all the 152 English county councils & unitary authorities.
Bring all commissioners of health & social care in each area to promote integrated approaches to improving health.
Boards include local councillors.
What is an NHS Trust?
The principal secondary care providers.
All acute &/ emergency hospitals or groups of hospitals,
NHS mental health service providers, & ambulance services are NHS trusts.
151 NHS trusts are designated self governing NHS foundation Trusts-
Allowing them ( like CCG’s) to manage their own budgets & recruit their own staff & have greater day to day autonomy
What is public health England?
An executive agency of the DHSC launched to promote healthier lifestyles funding £4bn worth or public health initiatives across England each year.
(Since replaced by the UK Health Security Agency)
What is the UK Health Security Agency?
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