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Society and Health > Structure and Organisation of the NHS > Flashcards

Structure and Organisation of the NHS Flashcards

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Sociology 101 flashcards
1
Q

True or false: NHS 111 is a type of primary care

A

True

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2
Q

True or false: Ambulances are a type of secondary care

A

True

You are referred via the EOC

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3
Q

True or false: A and E departments are primary care providers

A

False

A and E counts as secondary care

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4
Q

In 2007, Lord Darzi led a review of the NHS. What was this review called and what did it lead to?

A

The NHS Next Stage Review ‘Our NHS, Our Future’

Led to ‘High Quality Care for All’ report

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5
Q

What was laid out in the ‘High Quality Care for All’ Report?

A

10 year plan to provide highest quality of care and services for patients in England

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6
Q

The NHS Constitution came about because of which report?

A

‘High Quality Care for All’ (2008)

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7
Q

Which report describes a system for workforce planning, education and training?

A

‘High Quality Care for All’ (2008)

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8
Q

True or false: The aim of the Health and Social Care Act (2008) was to modernise and integrate health and social care

A

True

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9
Q

What were the four main policy areas of the Health and Social Care Act (2008)?

A
  1. CQC
  2. Professional regulation
  3. Public Health Protection Measures
  4. Health in Pregnancy grant
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10
Q

From January 2010, all providers and commissioners of NHS care have a legal obligation to regard which document in their decisions?

A

NHS Constitution

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11
Q

True or false: The government has a legal duty to review the NHS constitution every 7 years

A

False

The government has legal duty to review the Constitution every 10 years

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12
Q

What does the NHS constitution set out?

A
  1. Rights of patients, public and staff
  2. Pledges which the NHS is committed to achieve
  3. Responsibilities of patients, public and staff
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13
Q

What are the 7 guiding principles of the NHS (as set out in the NHS Constitution)?

A
  1. Comprehensive service, available to all
  2. Access based on clinical need, not ability to pay
  3. Highest standards of excellence and professionalism
  4. Patient at the heart of everything
  5. Working across organisational boundaries in the interests of patients, communities and wider population
  6. Value for taxpayers money
  7. Accountability to public and service users
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14
Q

What are the NHS Values?

A
  1. Working together
  2. Respect and dignity
  3. Quality of care
  4. Compassion
  5. Improving lives
  6. Everyone counts
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15
Q

What are the 6 C’s?

A 
Care
Compassion
Competence
Communication
Courage
Commitment
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16
Q

60% of the NHS budget is spent on what?

A

Staff wages

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17
Q

NHS England manages approximately much of the total budget?

A

£100Bn

Total budget is £124.7Bn

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18
Q

What were the challenges identified in 2010?

A

Rising demand and treatment costs

Need for improved standards

State of public finances

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19
Q

What promises were made by the coalition government in 2010?

Equity and excellence: liberating the NHS

A
  1. Putting patients first
  2. Improving healthcare outcomes
  3. Autonomy, accountability and democratic legitimacy
  4. Cutting bureaucracy and improving efficiency
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20
Q

What does the 2010 promise “putting patients and public first” mean?

(Equity and excellence: Liberating the NHS)

A

Shared decision-making - “no decision about me, without me”

Access to necessary info

Choice of care provider, practice and treatment

Rate hospitals

Support for carers

“Health Watch England” (part of CQC)

Equality

21
Q

Health Watch England is a part of which organisation? When was it founded?

A

Care Quality Commission

Born 2010

22
Q

What does the 2010 promise “improving healthcare outcomes” mean?

(Equity and excellence: Liberating the NHS)

A

↓ mortality

↓ morbidity

↑ safety and patient experience

Evidence-based outcome measures, not process targets

Transparency

Follow NICE quality standards

Money to follow patient

Providers paid on performance

23
Q

What does the 2010 promise “autonomy, accountability and democratic legitimacy” mean?

(Equity and excellence: Liberating the NHS)

A

Empower professionals and providers

Devolution of powers - CCGs

Independent commissioning board - NHS England. Allocates resources, lead on improvement and outcomes

Foundation trusts - ↑ power

All trusts to become FT

Monitor (NHS Improvements) becomes economic regulator for healthcare

↑ role of CQC

24
Q

What does the 2010 promise “cutting bureaucracy and improving efficiency” mean?

(Equity and excellence: Liberating the NHS)

A

↑ efficiency gains - release £20bn by 2015 to reinvest in care

Cut management costs by 45% to ↑ resources in front-line care

↓ NHS bodies and role of DoH in NHS

25
Q

What changes occurred in NHS structure post-2010?

A

↓ role of DoH

Primary Care Trusts gone, CCG’s arrived

Strategic Health Authorities gone, NHS Trust Development Authority arrived

All NHS Trusts to become FTs, or part of one

CCG’s replace PCT’s - every GP practise required to join one

New DoH executive agency: Public Health England

Health and Social Care Act 2012

26
Q

Which commissioning groups make up the ‘Health and Wellbeing Board’?

A

CCG’s

Healthwatch Local

Local Authorities

27
Q

Which commissioning organisation oversees primary care, specialist services, offender healthcare and armed forces healthcare?

A

NHS England

28
Q

Which commissioning organisation immediately oversees secondary care, community services, mental health services and rehab services?

A

CCG’s

29
Q

Which commissioning organisation oversees immunisations and screening in young children?

A

Public Health England

30
Q

Which organisations are responsible for data and evidence?

A

NICE

Health and Social Care Information Centre

31
Q

Which organisations are responsible for monitoring and regulation?

A

Trust Development Authority

Healthwatch England

Monitor

CQC

32
Q

who has overall responsibility for the work of the DoH?

A

Secretary of state for Health and Social Care

33
Q

Which organisation oversees the operation of CCGs?

A

NHS England

34
Q

Which organisation allocates resources to CCG’s?

A

NHS England

35
Q

Which organisation commissions primary care and specialist services?

A

NHS England

36
Q

Which organisation provides national leadership for improving health outcomes and driving up quality of care?

A

NHS England

37
Q

True or false: Private providers can become commissioned providers for the NHS

A

True

CCGs can commission any service provider that meets NHS standards and costs.

Providers are usually NHS Trusts/FTs but can include private providers

38
Q

What is the role of the Chief Medical Officer?

A

Governments principal medical and scientific adviser

Professional lead for doctors in England, as well as all directors of public health in local government

39
Q

What is the role of the National Medical Director?

A

Clinical policy and strategy

Promote focus on clinical outcomes

Enhancing clinical leadership

Promoting innovation

40
Q

What is the role of the Chief Nursing Officer?

A

Professional lead for nurses and midwives in England

Oversees quality improvements in patient safety and experience

41
Q

What are the concerns about the post-2010 changes?

A

Speed of reforms

GP’s involved in CCGs have less time for patients so may need more GPs. GPs also require more training

Loss of trust in GPs as they control funds

Reforms only save £1bn, needs £20bn

42
Q

What policy changes were made after the 2015 change of government?

A

Policies remained basically the same

43
Q

What are today’s 4 key challenges for the NHS?

A
  1. 7 day working
  2. Junior doctor contracts
  3. The NHS Mandate
  4. 5 Year Forward View
44
Q

NHS England is legally bound to seek to achieve the objective and comply with the requirements of the __?__

A

NHS Mandate

45
Q

How regularly is the NHS Mandate produced?

A

Annually

46
Q

What are the 7 objectives set out in the 2017-18 NHS Mandate?

A
  1. Better commissioning to ↑ health outcomes, ↓ inequalities
  2. Create the safest, highest quality service (including 7-day service, culture of learning, focus on cancer outcomes)
  3. Balance the budget
  4. Preventing ill health and encouraging healthy living (obesity and diabetes, dementia)
  5. Improve/maintain performance
  6. Improve out-of-hospital care (GP, mental health, social care)
  7. Support research, innovation and growth
47
Q

__?__ were introduced in 2015 as part of the NHS Five Year Forward View. 50 were chosen and tasked to develop new care models and potentially redesign the health and care system

A

Vanguards

48
Q

What are STPs?

A

Sustainability and Transformation Plans

  • Result of NHS Five Year Forward View
  • Ensure health and social services are built around needs of local population

Society and Health (14 decks)

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