Theme 5- organisation of health services Flashcards
1
Q
The NHS was founded on three core principles
A
- Universality- that it meet the needs of everyone
- Free at the point of delivery
- Equitable- that it be based on clinical need, not ability
2
Q
Structure of the NHS in 1948
A
Minister of health:
- Hospitals
- GPs, dentists, opticians, pharmacies
- Local authority health services
3
Q
What is the internal market? Who is the purchaser? Who is the provider?
A
- Introduction of the Internal Market- White paper called Working for Patients –this introduced the internal market into the NHS and created the NHS as we know it today – with a split between commissioners who purchase services and providers. The idea was that creating an internal market would increase efficiency
- Purchaser provider split
- GP fund holding - purchasing
- NHS Trusts to become providers
- Emphasis on competition (ie the market)
4
Q
What do CCG’s do? What was created as well as the CCGs?
A
- Creation of Clinical Commissioning Groups (CCGs)- GP led that decide what care they want to buy using their budgets
- Creation of NHS England
5
Q
What is the five year forward view about?
A
- Shift to integration not competition
- More coordinated service for patients
- The 5YFV outlined 7 different new models of care, which are new ways of providers from different parts of the NHS working together to provide a more coordinated service for patients
6
Q
What is the long term plan?
A
- Prioritises prevention, population health and health inequalities
- Prioritises cancer, cardiovascular disease, maternity and neonatal health, mental health, stroke, diabetes and respiratory care
- More funding for primary and community care
- Measures aimed at reducing pressures on A&E departments
7
Q
What are the trends ongoing?
A
- Number of available consultant-led beds in England has halved over the past 30 years- Medical advances that mean patients don’t have to stay in hospital for as long and a shift in policy towards providing treatment and care outside hospital have contributed towards the reduction
- Funding to support healthcare has been raised
- Demand for A&E services is rapidly rising
- The number of patients referred for an outpatient appointment
- Change in estimated demand for GP consultations since 2010- due to rising multimorbidity
8
Q
Why is their a shift ftom hospitals to community?
A
- Aging population and rising multimorbidity
- Increasing GP appointments
- Number of GPs not kept pace with the growing demand
- NHS Long Term Plan committed to increased spending on primary and community care faster than the overall NHS budget
9
Q
What is healthcare?
A
- Centrally organised by the government
- Free at the point of access
10
Q
What is social care?
A
Organised by local authorities
How much you pay depends on your finances (not free for most)
11
Q
Is social care free?
A
- Social care isn’t free for everyone and how much you contribute to your care will depend on your financial situation
- Most publicly funded social care in England is only available to people with the highest needs and lowest assets.
