Week 1: NHS Flashcards
How is NHS Scotland made up? (briefly)
The NHS currently employs approximately 140,000 staff who work across
14 territorial NHS Boards,
seven Special NHS Boards and
one public health body.
It has a chief executive and a board or administrators
What do the 14 territorial NHS boards do?
Local Area/Regional NHS Health Boards are responsible for the protection and the improvement of their population’s health and for the delivery of frontline healthcare services.
There are 14 in total.
What do the seven special NHS boards do?
NHS Education for Scotland
Quality Education for a Healthier Scotland.
NHS Health Scotland
Promoting ways to improve the health of the population and reduce health inequalities.
NHS National Waiting Times Centre
Ensuring prompt access to first-class treatment.
As a national resource for NHSScotland, the Golden Jubilee National Hospital (Clydebank) is:
home to regional and national heart and lung services;
a major centre for orthopaedics;
the flagship hospital for reducing waiting times in key elective specialties
This section is the place to find out about our services in detail.
NHS24
Providing health advice and information
Scottish Ambulance Service
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Responding to almost 600,000 accident and emergency calls and taking 1.6 million patients to and from hospital each year.
The State Hospitals Board for Scotland
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Providing assessment, treatment and care in conditions of special security for individuals with a mental disorder whom because of their dangerous, violent or criminal propensities, cannot be cared for in any other setting.
NHS National Services Scotland
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Supplying essential services including health protection, blood transfusion and information
What does the one public health body do?
Public Health Scotland is Scotland’s lead national agency for improving and protecting the health and wellbeing of all of Scotland’s people.
Its focus is on increasing healthy life expectancy and reducing premature mortality. To do this, it uses intelligence and a place based approach to lead and deliver Scotland’s public health priorities.
How is the NHS fairing in Scotland?
NHS Scotland is ‘continuing to decline’ according to a study in 2018
The health service in Scotland could face a £1.8bn shortfall in less than five years if it is not reformed, the public spending watchdog (Audit Scotland )has said.
What are the Local Delivery Plan Standards?
These are the targets we always read/hear about in the news. These figures are used by the government or the opposition depending on whether it’s good news or bad news.
They are: A&E waiting times CAMHS (Child & Adolescent Mental Health) waiting times Cancer waiting times Clostridium Difficile infections Dementia post-diagnostic support Drug and alcohol treatment GP access
Eight key national waiting time standards - what are they?
ONLY TWO WERE MET IN 2018
18 weeks referral to treatment
A&E attendees seen within 4 hours
CAMHS Patients seen within 18 weeks
Day case or inpatients who waited less than 12 weeks for treatment
Drug and alcohol patients seen within 3 weeks
outpatients waiting less than 12 weeks following the first referral
patients starting cancer treatment within 31 days (DECISION TO TREATMENT)
patients starting cancer treatment within 62 days (REFERRAL TO TREATMENT)
What issues is NHS scotland facing?
Bed blocking – ageing population has created a surge in elderly hospital patients who cannot be discharged as local council and others cannot keep pace with demand for adult social care
The complexities of navigating the health and social care environment especially for many elderly patients – e.g. the combined and often complex social care and medical needs require integrated action across a variety of institutions and providers including welfare benefits system
Cost and funding pressures ranging from NHS funding, relatively protected but not keeping pace with demand, high cost of good quality residential care – pressurised by ongoing austerity
GP recruitment – problems in some rural areas in particular
Staff shortages in some areas leading to increased cost of providing agency staff – especially in nursing
Brexit – fear of staff loss due to uncertainty over EU national’s residency rights post-Brexit
Work intensification (sometimes due to staff shortages), allied to public sector pay restraint leading to evidence of stress and demoralisation amongst staff. (see next slide)
What is the sickness absence rate?
In 2018/19, NHSScotland had a sickness absence rate of 5.39 per cent, 1.39% above its target (of 4%).
Health and Social care partnerships?
Health and Social Care Partnerships, (HSCPs) are the organisations formed as part of the integration of services provided by Health Boards and Councils in Scotland.
All Partnerships are responsible for adult social care, adult primary health care and unscheduled adult hospital care.
What services are available for the elderly?
Regional health boards work with local authorities to roll out the social care service
Personal care provided by the local council is free for people 65 or over.
They’ll get this regardless of income, capital assets, or marital or civil partner status.
If the care the person assessed as needing doesn’t fall into the categories of personal care, they may be charged for it. This may be for things like housework, shopping and making beds.
Community and social care task
Services for elderly people could include:
assess the needs of elderly people needing support and ensure provision of the services required
- arrange residential accommodation for those in poor health,
domiciliary care workers
meals on wheels
luncheon clubs and day care centres (activities)
adaptions to the home
transport services
Health care improvement scotland
Has responsibility for inspecting NHS provision in Scotland.
It can issue recommendations and instructions to improve (e.g. on cleaning and hygiene procedures, patient management processes, waiting times etc.).
It conducts routine inspections and also responds to specific issues or problems referred to it by Scot Gov.
Supports NHS boards and health and social care providers to involve patients and the public in the development of services. (http://www.healthcareimprovementscotland.org/about_us.aspx)
This slide is important for NCTJ
Pigeon droppings Queen Elizabeth university hospital case study?
Queen Elizabeth University Hospital, Glasgow
In January 2019, Healthcare Improvement Scotland carried out an unannounced inspection of the Queen Elizabeth University Hospital, including the Institute of Neurosciences and the Royal Hospital for Children. The focus of the inspection was infection control, specifically considering the following standards:
• leadership in the prevention and control of infection
• infection prevention and control policies, procedures and guidance
• decontamination.
The inspection report published in March 2019 included 14 requirements and one recommendation.
Nine of these were classed as urgent and had to be implemented within one week. The board developed an improvement plan to address the inspection findings.
What is the Scottish Medicines Consortium?
The Scottish Medicines Consortium (SMC) provides advice to NHS Scotland about the value for patients of every newly licensed medicine.
It is part of Healthcare Improvement Scotland, the national healthcare improvement organisation for Scotland.
It reviews new medicines that have received a licence from the Medicines and Healthcare products Regulatory Agency (MHRA – the licensing body for the UK) or the European Medicines Agency (EMA – the licensing body for the European Union).
It also reviews new formulations of, and new ways to use, established medicines.
Before a medicine can be prescribed routinely in Scotland, it has to be accepted for use by SMC.
It also carries out horizon scanning to ensure NHS boards are aware of new medicines expected to come to market over the next financial year.
