Introduction to Healthcare

For this essay I will be reflecting on the influences on, how the role of the operating department practitioner (ODP) has developed within the multi-professional healthcare team. I will also be discussing in this text some of the historical, political, legal, social, and cultural influences of the ODP. And I will be reflecting on my personal experience working within the operating department for the first time as a student, using the Gibbs cycle (1988.).

After the serious shortcomings within the Mid-Staffordshire NHS Trust came to light, The Francis Report (Francis, 2013) investigated how the conditions of inexcusable care could prevail within the trust. The Francis Report proposed several extensive changes that could improve the National Health Service (NHS). Garner (2014) informs that these changes include that leaders need to be effective and accountable, staff should be empowered to work in partnership, each trust should aim to improve innovation and quality, whilst putting the patient first. The Department of Health (DH) reflected on the findings and in response to The Francis

described as the worst care that the NHS has seen for many years, and became an issue of public concern when it was

The National Health System began in 1948 with the aim to provide free health care for the English thus removing health access inequities. This essay considers two strengths of the NHS, being free health and locally responsive health care and two weaknesses being the financial burden and unprecedented pressure on health care resources.

In 1928, a national health insurance scheme was proposed but not implemented because it would have required businesses to provide contributions to health insurance for their employees (Evolution of Government Involvement in Health Care, n.d). Another national health insurance scheme was proposed in 1938 but it was also rejected (Evolution of Government Involvement in Health Care, n.d; Hilless & Healy, 2001). The next proposal was the 1945 Pharmaceuticals Benefits Act. This Act was not implemented because the Australian Medical Association challenged it in the High Court of Australia and it was decided that parliament had “exceeded its constitutional power” (Hilless & Healy, 2001). In 1946, under the Hospital Benefits Act, the Commonwealth began to subsidise public hospitals under the condition that patients would not be charged (Evolution of Government Involvement in Health Care, n.d; Hilless & Healy, 2001). This act is similar to the current Medicare system.

The NHS came around in July 5, 1948. The Health Minister Aneurin (also known as Nye) Bevan purely nationalised the existing system across the UK. The groundbreaking change was to make all services freely available to everyone. Half of Scotland’s landmass was already covered by a state-funded health system serving the entire community and directly run from Edinburgh. Additionally, the war years had seen a state-funded hospital building programme in Scotland on a scale unknown in Europe. This was combined into the new NHS. Scotland also had its own individual medical tradition, this is centred on its medical schools rather than private practice. The legislation that empowered the UK to have the NHS is National Health Service Act (1948), this despite opposition from doctors, who maintained on the right to continue treating some patients privately. The NHS ensured that Doctors, hospital, dentists, opticians, ambulances, midwives and health visitors were available, free to everybody. This Reason why we have health services is because it developments a view that health care was a right, not something given unreliably by charity, also two-party’s agreement that the existing services were in a mess and had to be sorted out, it stopped financial difficulties for the voluntary hospitals and After the second world war it ensured the creation of an emergency medical service as part of the war effort

The (NHS) the National Health Service in uk was launched in 1948. (History of the NHS time line 2014). The idea was that good health care should be available to all regardless of wealth.

This essay will examine how the development of the Welfare State and the NHS changed the lives of the people of Britain since its introduction in 1948. To enable me to do so, I will analyse and evaluate the key relevant aspects that happened during that period.

NHS quality improvement programs main purpose is to collect and review data entered in order to recognize the opportunities to improve business operations in healthcare. To bring changes in quality, it is necessary to respond to patient’s ideas and implement them for the better results. The key issues that are to be considered for quality-improvement NHS program, as it moves forward are the needs for the patients, necessity of the funds for quality improvements, needs of the service providers and expectations of the community. Outcomes for people and also change expertise. And to improve business operations in healthcare and also recognize opportunities.

The NHS has grown to become the world’s largest publicly funded health service system since 1948(Nhs.uk, 2015).There are many issues and disputes in NHS. Nowadays,some people believe that the NHS should be abolished or privatized,because it can solve many issues with NHS.This essay agree that the NHS should not be abolished or privatized.

The ideological and social factors concerning the creation of the NHS were part of a post war aspiration as World War II had created a need for needs and recognition of more social needs such as mental health and long term rehabilitation.

The Health and Social Care Act 2012 came into force with crucial principles including new structures and arrangements in health care services to safeguard and strengthen the future of NHS and maintain the modernisation plan. In this Act, many new changes has been made to a number of existing Acts, National Health Services Act (NHS 2006), in order to enable health care system to tackle the existing challenges and also avoid any potential crisis in future. It has also introduced the proper allocation of NHS fund and budget, and improved the integrated care between NHS and social care services to promote patients’ choice in terms of delivering quality care.

The National Health Service (NHS) was planned as a three-tier structure. With the Minister of Health at the top and below were the three tiers designed to interact with each other to suit the needs of the patient. These tiers were voluntary and municipal hospitals supervised by Regional hospital boards, family doctors, dentists, opticians and pharmacists who were self-employed professionals contracted to the NHS to provide services so that patients did not pay directly and local health authorities like community clinics that provided services such as immunisations, maternity care and school medical services controlled by a local authority Medical Health. The NHS in England is undergoing some big changes, most of which took effect on April 1 2013. This included the abolition of primary care trusts (PCTs) and strategic health authorities (SHAs), and the introduction of clinical commissioning groups (CCGs) and Health watch England.

This essay seeks to discuss the factors that facilitate change in health and social care. This can be achieved by assessing the challenges that the major factors of change bring using the Care Quality Commission of the Quality Care Commission for the Royal United Hospital Bath NHS Trust (RUHB). The second task aims to evaluate contemporary changes being inaugurated in the provision of health and social care services. In addition to this, a strategy and criteria will be devised in order to measure these recent changes including how the impact of these changes can be measured and evaluated.

The National Health Service (NHS) was started in 1948 by Aneurin Bevan, the minister of health at the time. It was based on three core principles that still underpin the NHS today. It was set up to ensure that everyone could have access to healthcare, despite their financial circumstances (NHS 2013a). Although the NHS has achieved what it set out to do, it is now in major financial difficulty, with debt that could reach £1bn by the end of 2014 (Campbell 2014).