NHS Flashcards
16th-19th century
state funded healthcare existed for around 400 years in England
poor, infirm and the old received care from the religious orders
Poor law
this law provided help to poor individuals in their home or at the poorhouses poor house aid was called indoor relief and outdoor relief was the latter. this was the main source of care until the 19th century this had changed into workhouses as this was seen as too beneovelent.
workhouses
orphans the elderly and the poor were suppose to be separated annexes were placed to help the sick , untrained volunteers help
20 th century
there was a greater understanding in communicable diseases this encourage more sanitary and health based practices,.
charity and voluntary hospitals
dealt with disease illness, not long term
medical care
was found with private practices
local authorities provided
maternity, infectious diseases, elderly and mentally ill hospitals
main kind of treatment
bed rest
a 1/4 of beds were provided
in voluntary hospitals
some hospitals are linked with
unis
people were often
charged and hospitals went bankrupted
mentally ill individuals
they were sent away to insitutes not for there own benefit but due to the system. their conditions often detoriated
elderly
many end up in public assistance institutions . the old workhouses feared by everyone
1911 lloyd george
set up free access to gp to only men that are poor - it was the panel system were a panel of doctors were able to see the man
friendly society
gave GP as little money
why did the NHS developed
healthcare is a right
financial difficulties of charity hospitals
the war- all types of hospitals were registered and funded and ran centrally to prepare for war causualities
what year was the NHS was formed
1948 by the helps of Bevan
NHS principles
free on point of delivery
meets the needs of everyone
clinical needs not the ability to pay
what is not free in NHS
people need to pay for prescription in England and wales
dental services
optional services
what does the ul use
the gp gateway model , the patient needs to go to the gp before going to any specialist unless in a e
primary care
first point of care - GP this should be assecible and deals with caring for people rather than the treatment of diseases the professionals have a wide range of knowledge about social, mental and physical problem
what is important in gp
doctor-patient relationships
they provide the management of long term diseases and treatment of common diseases and presentation of diseases
secondary care
specialist e.g urologist
tertiary care
super specialist this includes surgeons
pros of the model
less time spent on patients that may not need specialist care,
but patient may need to wait longer
