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Concepts HEHPA > W1 - Structure/organisation of UK HSC > Flashcards

W1 - Structure/organisation of UK HSC Flashcards

1
Q

Name of national bodies within UK HSC system

A
  • DHSC = Gov ministerial department
  • NICE, UKHSA, CQC, OHID = ALBs with devolved power from gov
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2
Q

Role of national bodies in health system

A

National policy development, guidance, health intelligence, regulation and quality improvement

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3
Q

What other organisations play role in regulation?

A

MHRA - regulating and licensing new medicines/devices
HRA - protecting and promoting interests of patients, PH research

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4
Q

What is the main role of NHS England + 2 roles regarding ICBs

A
  • National leadership and direction for NHS organisations
  • Allocate funds to ICBs
  • Produce annual operational planning guidance for ICBs
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5
Q

Role of OHID? (national and subnational)

A

National - improve health and reduce inequalities
Subnational - work with LAs and ICBs for joined up PH approach

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6
Q

Role + level of UKHSA?

A
  • Prevent, prep and respond to infectious disease and environmental
  • Surveillance
  • Local, national and international
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7
Q

2 roles of NICE?

A
  • Standard setting for practitioners, commissioners and managers across system
  • Guide NHS on clinical value and cost effectiveness of medicines, procedures, devices etc
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8
Q

Role of CQC, with care providers?

A
  • Independent quality regulatory for HSC in England
  • Register, monitor, inspect + rate care providers
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9
Q

Which organisations are involved in commissioning services?

A

National + regional = NHS England
Local level = ICSs (formalised 2022 HSC act)

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10
Q

Aspects of ICSs + their roles?

A
  • ICBs = plan and fund local level NHS services
  • ICPs = bring together broad set of system partners to develop HSC strategy for local area
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11
Q

What are the 4 key aims of ICSs?

A
  1. Improve population health + healthcare outcomes
  2. Reduce health inequalities
  3. Enhance productivity and value for money
  4. Allow NHS to support broader social + economic development
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12
Q

Issues with geographies of ICS divisions? Potential aid, formalised?

A

500,000 - 3 million populations = less effective commissioning of specific needs of local populations

  • Place based partnerships = 250-500,000 populations using budget delegated from ICSs
  • Not statutory
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13
Q

Role of Local Authorities, specific role from 2012 onward, budget?

A
  • Deliver public services in local area using annual ringed fence budget from DHSC

2012 -> Employ director of public health = lead and advise on local health issues to reduce inequalities - key partner in ICSs and PBPs

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14
Q

Examples of service providers?

A
  • PCNs, pharmacies, GPs, dentists etc.
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15
Q

What are provider collaboratives + their 3 aims?

A

2022 -> all NHS trusts providing acute and MH services joined
1. Achieve economies of scale
2. Standardise care to reduce inequalities + improve outcomes
3. Share and improve capacity through flexible staff working

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16
Q

Draw out the pyramid for health service provision - what factors increase as you go up?

A

https://www.notion.so/Week-1-4-UK-HC-structure-1035c224bf2a809fa93fdce6fe709ecf?pvs=4#1035c224bf2a808b8776e5b4f4baf642

17
Q

Where does most HSC funding come from? % from patient charges?

A
  • Mostly from taxation and NI contribution
  • Patient charges like prescriptions + dentist contribute 1%
18
Q

DHSC spending in 2022/3, how much spent on day to day items like staff salaries? How much to LAs for ring fenced budget?

A
  • £181.7 billion
  • 95% on day to day items
  • £3 billion to LAs
19
Q

Breakdown of spending in NHS England on ICBs and direct commissioning?

A
  • 2/3 budget allocated to ICBs
  • £30 billion for direct commissioning
20
Q

Prompts for change in organisation of adult social care (3)?

A
  • Yearly increases in support requests
  • Continued retraction in eligibility to receive care = thresholds not changed since 2011
  • Vacancies in workforce
21
Q

Differences with dental care organisation vs PCNs (2) ?

A
  1. No national registration system
  2. Patient charged with increasing amounts based on primary care complexity
22
Q

Issues with dentist services (acceptance, geography, children)

A
  1. 9 in 10 not accepting new adult patients in 2022
  2. Disparities in available NHS dentists
  3. Increases in child dental decay

Concepts HEHPA (8 decks)

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