NHS Structure

Their aims are to aid people who are applicable to use their service. They are non-profit and are Governmental, which means that the Government funds the NHS by using a portion tax-payers’ money.

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.

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

According to (LabourList, 2013) today the NHS is 69 and one fact above all others amazes its critics on the Right: it remains the only health system in the G8 providing decent, comprehensive health cover to a whole population for less than 10% of GDP.

Starting with the organizational structure of the NHS, it is basically an umbrella organization that comprises of four regional branches, in particular, NHS (England), NHS Scotland, Health and Social Care in Northern Ireland and NHS Wales. The financing for all these institutions comes from a universal source, particularly the tax-payer money of residents of UK, although they operate to an extent as self-governing institutions. The treasury allocates money to the department of Health, which in turn allocates money to NHS England (Understanding the new NHS). In other words, the top executives of these four institutions take decisions independently for day to day operations although they abide by broader governing directives applicable to the UK region as a whole. Governance is an important aspect of the operating of the NHS, for without it exploitation by private vested interests is likely to happen. (National Health Service (NHS): A study of its Structure, Funding and Regulation, Strengths and Weaknesses, n.d.)

The Care Quality Commission makes sure that hospitals, care homes, dental and GP surgeries, and all other care services in England provide people with safe, effective, compassionate and high quality care, and they encourage these services to make improvements.

NHS system, a retired person has the same access to healthcare as any other age group in the

working in the care environment we must ensure safe and good practise is provided. We are influenced and have such provides to help us gain knowledge such as national factors such as; codes of practise, national occupational standards, legislations and government initiatives. Working in the care environment it is an legal requirement to have an inspection every now and then, which must meet agreed national standards. If not, to result in the home being shut down. Also, the ways of working are set out in legislation and government papers. Every nursing home will have there own policy and procedures which you are able to read for guidance. Also caring and providing for people it is important we behave in a professional manner.

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 United Kingdom utilizes a national health service. This service is government owned and controlled. Most practitioners are employees of the government and hospitals are government run. Taxes provide nearly 80% of the funding for their health program. The remainders of the cost are covered by employee and employer contributions. Most providers and hospitals are public, although there is a small but growing private sector. The citizens of the United Kingdom pay nothing for visits to their physician or hospital stays. They also can choose which providers they want to visit and have “good access to primary care” (Hohman, 2006). The United Kingdom ranked number 18 in overall healthcare (WHO 2000) while spending only 8.4% of its gross domestic product (Kaiser EDU). In a recent poll, 79% of UK citizens “agreed that the NHS provided them with good service” (Health Science Journal, 2009).

Residents of the UK have the right to receive NHS services without having to pay for them. Currently the only exceptions are prescriptions (in England) and dental treatment, where entitlement is based on age and income.

Socio-cultural - The Office for National Statistics (ONS) state that, since 1964, the population of the UK has grown by over ten million (about half of this growth has occurred since 2001), in addition the average age of a UK citizen has increased by four years. This means that not only does NHS

In 2000, an effort was made by the UK government to resolve certain inequalities that had developed within the NHS by releasing the “NHS Plan of 2000.” This plan greatly increased spending on employee pay, infrastructure, and access to services. Despite almost doubling spending in a ten year period,