What Is The NHS? Flashcards

1
Q

What are the five giants?

A

The committee, led by William Beveridge, identified five major problems which prevents people from bettering themselves

Want (caused by poverty)

Ignorance (caused by lack of education)

Squalor (caused by poor housing)

Idleness (caused by a lack of jobs, or the ability to gain employment)

Disease (caused by inadequate health care provision)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What did William beveridges report suggest?

A

The recommendations were for a system that would be:

Comprehensive: cover all problems relating to poverty, from birth to death

Universal: available to all

Contributory; paid into from wages

Non-means tested: available to all, even If rich or unable to pay

Compulsory: all workers were to contribute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does the NHS act 1946 say?

A

Ensure that services would be available for all people free of charge

From the cradle to the grave

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When was the appointed day of the NHS?

A

July 5th 1948

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the Health and Social care act 2012?

A

Latest of many reorganisations in the NHS

Huge changes in 2013

Many old organisations abolished

Lots of implications for pharmacy which are still ongoing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the NHS principles?

A

Provide a compressive service available to all

Access to NHS services is based on clinical need, not an individuals ability to pay

Aspires to the highest standards of excellence and professionalism

Puts patients at the heart of everything it does

The NHS works across organisational boundaries in partnership with other organisations in the interests of patients, local communities and the wider population

Committed to providing best value for taxpayers money

The NHS is accountable to the public, communities and patients that is serves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Who are the key national bodies?

A

Department of health and social care

NHS England

NHS improvement

Health Education England

Public health England

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the department of health and social cares role within pharmacy?

A

Leading the nations health and care

Sets Logan framework for community pharmacy, including registrations

Secures funding from HM treasury

System steward

Determines NHS reimbursement price of medicines and appliances

Negotiations with pharmacy and NHS representatives

POM to P to GSL (shift of medicines)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the purpose of health education England?

A

Undergraduate training

Foundation training

Post registration training

Career development of NHS professionals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the NHS England mandate?

A

High quality care for all

Measure success

Effectiveness:
Prevention of premature death
Quality of life long term conditions
Helping people recover from illness or injury

Patient experience- improvement in care

Safety: treatment and caring and protection from harm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Name some key local organisations

A

Area teams of NHS England

Clinical support units

Clinical commissioning groups

Health and wellbeing boards

Local professional networks

Primary care contractors

NHS trusts (hospitals)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is secondary care?

A

Accident and emergency

Hospitals (NHS trusts)

General hospital e.g. Medway hospital

Specialist hospital e.g. Maidstone regional cancer unit

Super specialist hospitals (tertiary referral) - RMH-GOSH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What do hospitals do?

A

Accident and emergency

Antenatal and maternity

Cardiology

Neurology

Ear, nose and throat

Oncology

Paediatrics

Gynaecology

Pharmacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What do hospital pharmacists do?

A

Responsible for ensuring safe, appropriate and cost-effective use of medicines

Hospital pharmacists use their specialised knowledge

Supervise the dispensing of medicines

Advise patients about their medicines

Advise other professionals

Go on ward rounds

Undertake research

Answer queries about medicines

Manufacturing of medicines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What roles are contained within primary care?

A

NHS 111

Walk in centres

Clinical commissioning groups

Primary care network

Health and wellbeing boards

Local authorities

Primary care contractors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the clinical commissioning group?

A

Commission most of the hospital and community NHS services in the local area

Commissioning involves deciding what services are needed and ensuring that they are provided

CCG’s are assured by NHS England, which retains responsibility and commissioning

Services CCG’s commission include:
Most planned hospital care

Rehabilitative care

Urgent and emergency care

Most community health services

Mental health and learning disability services

17
Q

What is a primary care network?

A

GP working with the community, mental health, social care, pharmacy, hospital and voluntary services, in their local area in groups of practices known as primary care networks (PCN’s)

PCNs build on existing care services and enable greater provision of proactive, personalised, coordinated and more integrated health and social care for people close to home.

Clinicians describe this as a change from reactively providing appointments to proactively caring for the people and communities they serve

PCN’s cover 30,000 to 50,000 people

Small enough to provide the personal care valued by both people but large enough to have impact and economies of scale

PCN’s are lead by clinical directors who may be a GP< general practice nurse, clinical pharmacist or other clinical profession working in general practice

18
Q

What are the four contractors professions?

A

General practitioners

Dentists

Opticians

Pharmacy contractors (individuals or companies)

19
Q

What is the role of a general practitioner?

A

A general practitioner, or GP, is someone who provides primary care and specialises in family medicine

A general practitioner treats acute and chronic illness, preventative care and health education for all ages and both sexes

20
Q

What are some examples of what opticians do?

A

Eye tests

Eye health

Measure, dispense and fit spectacles and contact lenses

21
Q

What is a pharmacy contractor (community pharmacy)

A

Owned by individuals or companies

Dispense NHS prescriptions

Advise people about minor ailments

Provide other NHS services e.g. MUR, flu vaccinations and waste medicines

Locally commissioner services

Needle exchange

Supervised consumption of medicines

Provides advice on health and prevention of illness

Sell OTC medicines and provide private services

22
Q

How do pharmacists get paid?

A

Pharmacy contractors

NHS (pharmaceutical and local pharmaceutical services) regulations 2013 (as amended)

Community pharmacy contractors:
‘Terms of service’ from the NHS which is a mixture of payments for dispensing and payments for services

Other pharmacists are salaried:
Pharmacists in community pharmacy
Hospital pharmacists
Other NHS pharmacists e.g. GP pharmacists