NHS structure Flashcards

1
Q

how is the NHS funded?

A

state- tax

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2
Q

how were hospitals founded before the NHS

A

FOUNDED BY PROFESSIONAL MEN, BUSINESS MEN AND PHILANTHROPISTS

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3
Q

when and how did the NHS come to be?

A

1944, white paper which resulted in the NHS act 1946

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4
Q

how did the hospitals agree to run after the NHS formation?

A

agreed to provide service for free and would get money from the government

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5
Q

who is Aneurin Bevan

A

health secretary at the time of NHS formation.

played a key role in the NHS formation

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6
Q

how much money from taxes is spent by the government on health?

A

£1 in every £5

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7
Q

is the legislation between England, Scotland, Wales and Ireland the same

A

no.

responsibility for Scotland, Wales and NI lies with devolved administration

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8
Q

who is responsible for policy for public health and health and social care?

A

ministers/ politicians

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9
Q

what’s the DoH?

A

department of health

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10
Q

is the NHS the commissioners or the providers?

A

both

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11
Q

examples of commissioners?

A

NHS
clinical commissioning groups
local authorities

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12
Q

examples of providers?

A
private
voluntary 
GPs 
primary care 
NHS trusts
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13
Q

who funds primary care and specialised services such as cancers, prisons, national vaccination schemes?

A

NHS England

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14
Q

how much of the NHS budget does NHS England control?

A

40%

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15
Q

what does NHS England do?

A

sets strategies and priorities of the NHS

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16
Q

Who is a negotiating partner for Pharmaceutical services negotiating committee (PSNC)

A

NHS England

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17
Q

who are the 7 Regional NHS terms in England?

A

London, midlands, east of England, north east, Yorkshire, NW, SE and SW

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18
Q

What are each of these teams responsible for?

A

the quality, financial and operational performance of all NHS organisations in their region
developing plans for improving services in their area

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19
Q

what are clinical commissioning groups made up of?

A

GP practices

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20
Q

what is the CCGs made up of?

A

at least 1 nurse, 1 hospital doctor and two lay persons

21
Q

how are these CCG people chosen?

A

elected governing body

22
Q

what does the CCG do?

A

ensures quality, appropriate commissioning.
commission a range of services- each GP practice is part of the CCG and they pay for the hospital- E.G. if you break a leg and go to the hospital the CCG pick up the bill for your care and any emergencies

23
Q

how much of the total NHS England budget do the CCG control?

A

2/3

24
Q

how many CCGs in England?

A

191

25
Q

what are commissioning support units?

A

provide IT, business and management support, accounting services and information analysis
help with contracts etc

26
Q

how are commissioning support units paid for?

A

GPs put money aside

27
Q

do CSU’s have a model structure?

A

no- can set up as necessary

28
Q

what are clinical senates made up of?

A

team of healthcare specialists sharing clinical knowledge to inform service commissioning and design

29
Q

how many senates in England?

A

12

30
Q

what are local professional networks?

A

provide clinical input to local commissioning decisions

31
Q

who has a LPN?

A

Each area

32
Q

how many LPNs does each locality have?

A

3- pharmacy, dentistry and optometry

33
Q

why are LPNs needed?

A

as commissioning decisions cover wide areas and a range of professional groups

34
Q

who support the undertaking of pharmaceutical needs assessments?

A

pharmacy LPN

35
Q

what are local pharmaceutical committees? what do they do?

A

recognised body and are consulted on local matters affecting pharmacy contractors

36
Q

how many local pharmaceutical committees are in England?

A

80

37
Q

what do the care quality commissions do?

A

independent regulator of health and adult social care services in England. ensure care provided by hospitals, dentists, ambulances, care homes and home care agencies meets the government standards of quality and safety

38
Q

how do care quality commissions do this?

A

they register, monitor, inspect and rate care providers

39
Q

what is NHS improvement now combined with?

A

NHS England

40
Q

what does NHS improvement do?

A
  • hold providers to account and intervene if necessary
  • support delivery of NHS long term plan
  • provides information in lots of health areas
41
Q

what’s Healthwatch England?

A

independent national champion for people who use health and social care services.
find out what people want and helps give them the support they need

42
Q

how many health watch teams in England?

A

each area has its own local team

43
Q

what makes sustainability and transformation partnerships (STPs) integrated care systems?

A

NHS providers and commissioner choose to take on collective responsibility for resources and population health

44
Q

by April 2021 what much every STP become?

A

and integrated care system

45
Q

what is a STP?

A

NHS ORGANISATIONS AND LOCAL COUNCILS THAT HAVE DEVELOPED SHARED IDEAS TO IMPROVE HEALTH AND CARE- WORKING IN 44 AREAS ACROSS ENGLAND

46
Q

what are primary care networks based on?

A

GP registered lists

47
Q

what do primary care networks do?

A

focus on what the local population needs

48
Q

what do PCN’s include?

A

GP practices, pharmacy, community, mental health and acute trusts, social care and the voluntary sector

49
Q

what does the NHS long term plan say that PCNs are an essential building block of?

A

every integrated care system