NHS Structure

Question 1

Describe the history of the NHS

Answer 1

1948 created 3 core principles: universal, comprehensive, free at point of delivery

Question 2

Describe the health and social care act

Answer 2

2012- give power to primary care by making them commissioners, changed NHS structure, allowed NHS staff to set up own care organisations

Question 3

Who has overall accountability for NHS?

Answer 3

Secretary of State for Health

Question 4

What does DoH do?

Answer 4

Sets national standards, shapes direction of NHS and social care services, sets fees for services

Question 5

What could be the future of the NHS?

Answer 5

Pressures of ageing population, technology and finances
Private sectors mean loss of money and training
More managerial roles for doctors
High Quality Care for All 2008 said all doctors and nurses should be partners and leaders

Question 6

What are the different type of management roles?

Answer 6

Medical director
Clinical director
Consultant
GPs
Chief Executive

Question 7

What does a medical director do?

Answer 7

Only one of them. On board of directors and represents medical staff at management level, lead staff, approve job descriptions

Question 8

What does a clinical director do?

Answer 8

Many of them. Manage a speciality to provide training, implement audits, induction of new doctors, quality improvement, supervise junior doctors

Question 9

What management skills must you have?

Answer 9

Strategic, financial, operational, human resources, communication, know where responsibility lies, systems to help teamwork

Question 10

What are some issues with management?

Answer 10

Hostile relationships between managers and clinicians
Implications for safety and quality of care
Hard to impose authority and challenge power