Waiting lists play a key role in the perception and experience of NHS healthcare within the United Kingdom, and are also a central feature of funded healthcare systems in other countries (Bosch, 1998; Derrett et al., 1999). Waiting lists have remained problematic throughout the last 50 years despite numerous political attempts to address the issue (Frankel, 1993). They function partly as a rationing tool to manage the differences between supply and demand (Gravelle et al., 2003), and may indicate that rationing is indeed a required response to overall discrepancies between supply and demand in a public system which is free at the point of access (Frankel, 2000). More recently, the emphasis of policy has moved from waiting lists to waiting times as it is recognised that patients are more concerned about how promptly they are seen as opposed to their order ranking (Hamblin et al., 1999). Since the publication of the NHS Plan in 2000, the principle response to this issue within in physical healthcare provision has been the introduction of maximum waiting time targets against which performance …show more content…
In No Health Without Mental Health (2011) and Closing the Gap (2014), the government outlined its commitment to achieving parity of esteem for mental health, prolonged waiting times to accessing services and then treatment being an obvious gap in parity. As a result, in October 2014, the Department of Health and NHS England jointly published Improving access to mental health services by 2020, which outlined a set of mental health access and waiting time standards to be adopted nationwide. An ambition has been set out which includes ensuring that 75% of people referred to the Improving Access to Psychological Therapies (IAPT) services being treated within 6 weeks of referral, and 95% being treated within 18 weeks of
One of the biggest obstacles to successful management of the NHS, and also to any analysis of its current well being, remains the significant lack of any valid information as to what the NHS does, how much it costs and where the money is spent. Indeed, it is perhaps surprising that 'the 1990 changes' were conceived and implemented as fast as they were, given the lack of information that was available in 1988. (Ham, 1996) Attempts were made at the start to ensure that hospitals began from a 'level playing field' so that they were in fair competition with one another, but the sometimes 10 fold differences in the early quoted costs for identical services in different hospitals had as much to do with differing costs of maintaining buildings
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.
This highlights the importance of the chosen service improvement, not only for individuals with mental health issues but for those at risk of developing mental illness and the NHS as a whole. These recommendations are present in No Health without Mental Health: A Guide for General Practice (DoH, 2012, online), The NHS Outcomes Framework 2012/13 (DoH, 2011, online), and numerous others.
The National health services (NHS) provides a comprehensive healthcare services across the entire nation. It is considered to be UK’s proudest institution, and is envied by many other countries because of its free of cost health delivery to its population. Nevertheless, it is often seen as a ‘political football’ as it affects all of us in some way and hence everyone carry an opinion about it (Cass, 2006). Factors such as government policies, funding, number of service users, taxation etc all make up small parts of this large complex organisation. Therefore, any imbalances within one sector can pose a substantial risk on the overall NHS (Wheeler & Grice, 2000). This essay will discuss whether the NHS aim of reducing the nations need
It has been widely accepted that rationing of the National Health Service (NHS) is paramount to maintaining and balancing public resources. In a utopian world it would be possible to provide every patient with every medical treatment that they would require, however this is not possible and therefore rationing has to be applied by local health authorities. Simply, there are not enough resources and medical staff available to keep up with the ever evolving demands of the public, and once more, these medical resources can’t at times tend to the needs of the medical advancements made every day. Some equipment and medicines are extremely costly and the NHS struggles to balance public budgets in the face of such advancements. One survey of a primary care trust in the NHS found that the panel that made that decision about funding new treatments was faced with applications that would have
The implications and effects on patients waiting long hours to be seen in the ED are immense. In a recent study done over five years in Ontario hospitals showed the risk of adverse events and even deaths increased with the length of stay in the ED (Science Daily, 2011). When EDs become overcrowded the quality of care changes and declines; which is extremely dangerous. Authors of the study calculated that if ED length of stay was cut by only an hour that 150 fewer Ontarians would die each year (Science Daily, 2011). Wait times can also negatively affect patients financially, untreated medical conditions can lead to reduced productivity and inability to work leading to increased financial strains (Fraser Institute, 2014). As well as delayed access to care can result in more complex interventions needed. Therefore an initiative is needed to provide patients with timely, efficient care when accessing
Today’s changes to the NHS have been called the most radical in the whole of the 60 years that it’s been in existence. In today’s NHS charities and private firms are now involved much more widely, in areas such as mental health and end of life care. Although they do have a much smaller role in hospital setting than they used to have. One of the biggest changes is that doctors now have budgets from which they buy healthcare, it could be from NHS trusts or private sectors, the new scheme is called GP
It is an honor to be considered for NHS. To me NHS is a place where gifted individuals can continue to grow as people and polish their talents. As a past NJHS member, I would like to find myself in NHS.
Problem Statement: The World Health Association defines ‘good’ health as: “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.” However, in the United States, access to care and funding for mental health care are grossly neglected and underfunded in comparison to other aspects of health care.
This simple image depicts the direction not only the NHS is heading, but the entire world. This direction is toward a more technologically advanced future, with increased efficiency and reliability throughout. The NHS is one of the largest organisations in the UK and boasts the highest employment rate of people within the IT sector. This leads to the question of what these IT personnel are doing and what technology they are bringing to the NHS to improve productivity. It is evident through campaigns such as the one in the previous image that the NHS is attempting to modernise alongside technology but what technology is truly used isn’t largely public knowledge, this is where this report attempts to bridge the gap, allowing the public greater knowledge to the inner workings of the NHS. This report also allows for the NHS to understand what technologies are working well within the organisation alongside those which aren’t working so well, so they are able to work with this for future improvements.
Addressing barriers at an individual level will require an emphasis on educating the public on mental health issues. To address systemic barriers that exist at the macro-level, the following policy interventions have been advanced to deal with the treatment gap problem: (i) implementing a ‘life course’ perspective with prime attention to early detection and treatment, (ii) developing mental health literacy programs and campaigns, and (iii) delivering comprehensive, integrated, and responsive mental health and social care services in community-based settings. Each of these are discussed
A strong case can be made for investing in mental health, whether to enhance individual and world wellbeing, improve life span, or even to enable people living with mental illnesses to have a better quality of life. Mental health problems account for a quarter of all ill health yet they receive less than 6% of all health research funding, people with these health conditions usually experience poor access to help services and lower quality care than those with physical health problems. Addressing mental and physical health needs together would be more cost effective for the NHS and would benefit the increasing numbers of people dealing with untreated mental illness.
Lengthy time wait can result in an individual becoming more sick, due to the lack of attention they are receiving. In the province of Alberta, a women says “her life is wasting away after a series of miss communication.” Its been almost 10 years, and she still hasn’t received her treatment. As a country viewed as one of the best countries in terms of healthcare, the government fails to provide the citizens with proper care. However, analyzing Canadian wait time from a decade ago to the present day, Canada is ranked number 11 on the lowest wait time according to First minister accord. Canada advance to the top of the ranking by improving on some steps, such as diagnosing problems fast. By diagnosing the problem first, health care worker are able to aid patients to get the best and most efficient health services. Also, the main foundation to a a shorter wait time is the a strong and cooperative staff. With a great staff that are communicating, its easier to get through many patients in a day. (https://secure.cihi.ca/free_products/HCIC2012-FullReport-ENweb.pdf) If majority of our taxes is contributing into healthcare, we should be provided with fast and efficient service. Another alteration with having a lengthy wait is it affects individual who are in need of a
Lifestyle choices such as smoking, drinking alcohol, poor diet and lack of physical exercise have many diseases associated with them. In 2006-07, patients with these diseases cost the NHS a combined total of £18.4bn (Scarborough et al. 2011). If the NHS limited treatment to these groups of people, it would be able to invest this money into other areas of need. This could lead to improved facilities for people who become ill through no fault of their own.
As can be seen in Table 1 below, the resources causing the long wait times are those that are over utilized, or those that show capacity utilizations greater than 100 percent. The only over utilized resource are the Physicians, who are being over utilized by 21 percent. The other major resources are still underutilized.