NHS Policy

Question 1

where does the Health Care Policy come from?

Answer 1

 Government
 NHS England
 Professional organisations
 Any healthcare organisations

Question 2

what is a policy?

Answer 2

a course or principle of action adopted or propsed by an organisation or individual

Question 3

what is a white paper?

Answer 3

an official government report which sets out the government’s policy on a matter that is or will come before Parliament.

Question 4

what are the five key priotities set out for health and social care focus?

Answer 4

	Put patients and the public first
	Improve healthcare outcomes
	A more autonomous and accountable system
	Improved public health
	Reforming long-term social care

Question 5

when was the health and social care bill introduced?

Answer 5

19 January 2011

Question 6

whats the impact of the excellence and equity on pharmacists?

Answer 6

• Working with doctors and other HPs
• Integration into Health and Wellbeing Boards and Local Professional Networks
• Important and expanding role in optimising the use of medicines & supporting better health

Question 7

whats the impact of the excellence and equity on community pharmacy contract?

Answer 7

• Based on payment by performance
• Incentivise high quality and efficient services
• Increase effectiveness and efficiency in use of medicines

Question 8

what are the identified key improvements for NHS five year forward view?

Answer 8

– Increasing no. of clinical pharmacists working in GP practices
– Encourage GP practices to work together as hubs to share community nursing and clinical pharmacy teams and share responsibility
– Work more closely with community pharmacists to make full use of skills
– Get best value out of medicines and pharmacy

Question 9

what are the objectives of NHS long term plan?

Answer 9

– Making sure everyone gets the best start in life
– Delivering world-class care for major health problems
– Supporting people to age well

Question 10

how do they plan on achieving the long term plan/

Answer 10

1. Doing thing differently e.g. new structures PCNs and ICSs
2. Preventing illness and tackling inequalities
3. Backing the workforce e.g. numbers, training, retention
4. Making better use of data and digital technology
5. Getting the most out of taxpayers’ investment in the NHS

Question 11

what is the NHS mandate?

Answer 11

• The mandate to NHS England sets the Government’s objectives and any requirements for NHS England.
• The mandate sets the direction for the NHS, and helps ensure the NHS is accountable to Parliament and the public.
• Every year, the Secretary of State must publish a mandate to ensure that NHS England’s objectives remain up to date

Question 12

why is NHS England is legally required to seek to achieve these objectives?

Answer 12

1. Through better commissioning, improve local and national health outcomes, and reduce health inequalities
2. To help create the safest, highest quality health and care service.
3. To balance the NHS budget and improve efficiency and productivity
4. To lead a step change in the NHS in preventing ill health and supporting people to live healthier lives
5. To maintain and improve performance against core standards.
6. To improve out-of-hospital care
7. To support research, innovation and growth and to support the Government’s implementation of EU exit in regards to health and care

Question 13

what is devo Manchester?

Answer 13

• involves ‘the transfer of responsibilities, accountabilities and resources from a public authority (e.g. government department or NHS England) to a combined or local authority’ following an order from the Secretary of State, as set out in the Devolution Bill.

Question 14

what are the key findings of RPS

Answer 14

• Need to secure the future of community pharmacy
• NHS needs to adapt to needs of patients with LTCs and preventable illness- what role can pharmacists play?
• Some development of services throughout the country but progress slow and delivery patchy
• Underutilisation of pharmacists – potential oversupply 11,000-19,000 by 2040
• Advantages of location and opening hours therefore can play major role in out of hours primary and urgent care
• Pharmacy is marginalised
• Lack of public awareness of pharmacy
• Urgent need for outward-looking local and national leadership to work with commissioners & shift service provision from supply to provision of patient care

Question 15

what are NHS England’s aims for community pharmacy?

Answer 15

– develop the role of the pharmacy team to provide personalised care
– play an even stronger role at the heart of more integrated out-of-hospital services.
– provide a greater role in healthy living advice, improving health and reducing health inequalities
– deliver excellent patient experience which helps people to get the most from their medicines.

Question 16

what are the recommendations from Murrary Review?

Answer 16

– Make more use of e-repeat prescribing
– MURs evolve into full clinical medication reviews
– Minor ailments scheme locally commissioned
– Greater role in care homes
– New ways of working in which groups of pharmacists can provide clinical services

Question 17

whats the future of pharmacy?

Answer 17

• Clinical pharmacists working in teams in primary care-integrating NHS pharmacy and medicines optimisation into STPs and ICS
• Greater involvement in care homes- clinical pharmacist prescribers, pharmacy tech support
• Workforce and education- postgraduate certificates, prescribing qualification, care home training and leadership training