Session 7 - NHS Structures And Management Flashcards
What were the main changes that featured in the health and social care act?
GPs now act as commissioners as well as others in primary care.
Structure of the NHS as changed
Increased the use of markets so that NHS employees could set up their own care organisations.
Describe the structure of the NHS:
Secretary of State for Health
NHS England - gives money to GPs, dentists, specialist services (otherwise GPs giving money to themselves and couldn’t be objective)
Four regional hubs
50 local offices of the board
240 CCGs - give money to secondary care, e.g. Hospitals, mental care units, community care services.
What is the job if the department of health?
Set national standards
Shapes direction of NHS and social care services
Set national tariff
What is the ‘national tariff’?
The amount of money that is paid by the government to providers for a procedure. It is the same no matter what provider.
What is the advantage of the national tariff?
Providers compete which each other over quality not price. This forces providers to improve their services so that they are chosen by the CCG.
What is the role of a clinical director?
Oversees a directorate - a speciality or groups of specialities e.g women’s health, cardiology
Role includes:
- provide continuing medical training and education
- Design and implement policies on junior doctors hours of work, supervision, tasks and responsibilities.
- induction of doctors
- implement clinical audit
- develop management guidelines and protocols for clinical procedures
What is the role of a medical director?
Responsible for the quality of care provided by the doctors
Is a link between the senior management and the medical staff.
Leadership of medial staff
Is involved in disciplinary offences
Involved in hiring, pay awards
Leads on clinical policy and standards
What is commisioning?
Commissioners act as customers and buy services in the aim of increasing competition and driving up the quality of healthcare services. They also act on behalf of the patients and decide what services are required.
