Session 7 - structure and management of NHS

Question 1

Give a brief history of NHS

Answer 1

• Founded in 1948 as part of welfare state
• 3 core prinicples in the beginning -> universal, comprehensive and free at the point of delivery
• initially ran by DoH
• Increasing roles for managers
• Increasing marketisation for provision

Question 2

What role do CCGs have in commisioning services within NHS england?

Answer 2

• They commission services for secondary and community healthcare
• Control 65% of NHS budget and trusts make money by CCGs commissioning services from them
• Can also give money to private sectors

Question 3

Who commissions services for primary care?

Answer 3

-NHS england

Question 4

How does the commissioning of services in NHS England differ from the rest of the UK

Answer 4

-Commissioned by CCGs as opposed to trusts in the rest of the UK

Question 5

Who has overall accountability for NHS England?

Answer 5

-Secretary of state for health

Question 6

What policies have been put in place to make it easier for doctors to take roles in management? What roles are these?

Answer 6

-High Quality care for All 2008 gace clinicians the opportunity to be a ‘partner’ or ‘leader’
Partners manage finite resources
Leaders work to change systems to benefit patients
-Liberating the NHS 2010 provided management roles in resource allocation, decision making and contract management

Question 7

What is the role of a medical director?

Answer 7

• Overall responsibility for medical quality
• Responsibility for care in hospitals
• Communicate between board and staff

Question 8

What is the role of clinical director?

Answer 8

• Overall responsibility for faculty
• Provide continual education and training
• Design/implement policies regarding jr doctor hours, supervision etc
• Implement clinical audits