NHS

Question 1

dept for health and social care

Answer 1

overall responsible for NHS
allocates funding
makes gov policy on NHS
inspects via CQC
Accountable to parliament

Question 2

NHS England

Answer 2

allocates budgets to CCGs
commissions and funds opticians + dentists
provides services for rare conditions i.e. cancer
health services for prisons

Question 3

Clinical Commissioning Groups (CCGs)

Answer 3

211 in England
plan and pay for NHS care in an area
every GP practice is a member of a CCG
Has at least one doctor, one nurse and one pleb on its board
They commission hospitals, mental health, community services and ambulances
CAN commission from private providers as long as within NHS budget (PPPs)
They monitor contracts with providers/ asses service

Question 4

GPs (general practicioners)

Answer 4

self-employed- contarcted by CCG
provide primary care
inspected by CQC

Question 5

NHS Trusts

Answer 5

RUN the hospitals, health services and commmunity services
Employ large proportion of NHS workers from cleaners to surgeons
Have contracts with CCGs to provide care

Question 6

NHS improvement

Answer 6

Oversees NHS trusts and private providers
ensures quality of care
intervenes if service is failing

Question 7

HealthWatch England

Answer 7

independent consumer champion with local groups across UK
represents patients to CCGs
recommend investigations for CQC
local groups provide advice to patients
ensure public are consulted on their care i.e. changes to hospitals/ services

Question 8

The NHS can be broadly organised into three groups. They are….

Answer 8

1. Commissioners
2. providers
3. regulators

Question 9

Health and wellbeing boards

Answer 9

representatives from NHS, public health, social care, local councillors, and patients work together to improve health and wellbeing in area
Run by unitary authorities or county councils
more ‘joined up’ approach
boards must be representative

Question 10

HOSCS

Answer 10

Health and overview scrutiny committees
Run by single-tier or county
councillors + representatives from voluntary sector
Scrutinise CCGs and NHS trusts
must be consulted on any local health service changes

Question 11

Why are meetings of commissioners, providers and regulators good sources of news?

Answer 11

They’re all open to the public!

Question 12

CQC

Answer 12

care quality commission
regulates NHS and private providers
inspects and monitors hospitals, care homes, GPs, dentists and local authority adult social care
It can fine, issue public warnings or close down an establishment
annually inspects local NHS hospital trusts

Question 13

NICE

Answer 13

National Institute for Health and Clinical Excellence (NICE)
provides national guidance on promoting good health
Provides guidance on use of new and existing medicines, treatments and procedures
drugs must be approved by NICE before NHS use
guidance on treatment/care of people with rare/specific conditions

Question 14

Councils and health

Answer 14

Since 2013 county and unitary have more of a role in public health I.e.
environmental health dpts-investigates i.e. measles/food poisoning
combatting covid 19
sexual health services
reducing drug/alcohol misuse
informing public about healthy eating/exercise

Question 15

Public health england (PHE)

Answer 15

Agency working for dept. for health and social care
Aim to make public healthier/ reduce health inequalities
Prepare for + respond to public health emergencies i.e. outbreaks/CV-19
Immunisation + screening programmes
single tier or county council responsibility cf ‘councils and health’ card….