NHS 2.0 40-60 Flashcards
In england , hospitals act as
independant businesses. the desicion on what healthcare providers are allowed to provide is controlled by the CCG. Some hospitals may do hip surgeries others may not
2013 Legislation
allow external charities or private companies to provide health care treatment if it is going to benefit the patient this is commissioning
CCG are
a group of GPs this mean that they cannot commission Gp services. they cannot commission services that are global scaled such as lung transplant surgery.
they may not have skills
only regional or national
what is primary care and specialist services commissioned by
The NHS england
block contract
hospitals were paid a fixed amount each year. if extra money was needed then it was given if money was leftover it was given away.
problem with block payment
less competition, less effiiecent to save money and work effectively
payment by result
a tariff was set for each procedure nationally and would be paid for each activity / job that was performed. some hospital made losses other made profit
problem with paid by result
less quality of cvare
what was done to solve the problem
have target deadline s
punishments for poor quality of care
patients having a choice of hospitals to attend
increased competition
what else was done to solve the problem to improve the quality of care
enhanced standard to care reward schemes, this was called the CQUIN the QOF was a scheme for GP. hospitals were also given higher tariffs as an reward
The role of private care in the providing of care
BUPA , AXA PPP
If an individual wants quicker healthcare then they can receive healthcare from external companies, e.g, surgeries
doctors in private care may be doctors from the NHS also
External non NHS
private companies that have been offically commisioned by the nhs to do treatments
no extra cost to patients
privatisation of the NHS
companies are for-profit, may favor profit over care and the NHS has always been not for profit.
private companies cherry pick what jobs they may do and leave expensive had profitless jobs to the NHS
fragmentation of care patients may need to travel long distances to be seen/ different places
patient data will be harder to access as no central databases
Wales
in october 2009 wales converted their system as a single system that are responsible to providing healthcare services within a geological region
General Medical council
All doctors in the UK must be registered with the GMC before practicing
fosters good medical practices that doctors need to adhere
promote high standard of medical education
deals with doctors that are unfit to practices
