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.
The ultimate goal for myself, and the initial reason for studying with the Distance Learning Centre, is to become an Operating Department Practitioner(ODP). The role will involve working within operating theatres inside hospitals to support patients throughout their time during certain operations, or ‘periopertive journey’ (Health Education England, 2014b). I came to the decision to focus on making this my chosen career in November 2012 through word of mouth and a significant amount of research. The profession carries an extensive list of positives and negatives, along with how well it fits my personality and previous experiences; despite never working within the health sector previously.
HEALTH AND SOCIAL CARE ACT 2012 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.
Healthcare plays a crucial part in our lives. Health disparities “phrase references black-white differences as well health disadvantages characteristic of other ethnic groups “of color,” such as Hispanics, Asians, and Native Americans” (Coreil, 2010 p. 167). Many socio-ecological factors that contribute to the existence of health disparities when it comes immunizations. An individual ability to have access to health care, insurance status, income level, provider and patient knowledge have a significant impact on vaccination rates.
• Health and Social Care Act 2008.- This Act established the Care Quality Commission (CQC), whose remit is to protect and promote the right of people using health and social care services in England to quality care and to regulate its provision.
Ill health provides jobs for doctor’s nurses and specialists (P.Trowler, Investigsting Health welfare and Poverty, 1996 p.27) .
The NHS and Community Care Act 1990 The NHS and Community Care Act 1990 states that wherever possible services should be provided in the community or in the home as a large amount of money was being spent on residential and care homes for the elderly. The Local authorities must
This paper received all 4s on the grading rubric. I mention this so you can eval the paper appropriately. I hope it helps.
• Equality is about recognising individual as well as group differences, Health and Social Care Act 2008. This Act established the Care Quality Commission (CQC), whose remit is to protect and promote the right of people using health and social care services in England to quality care and to regulate its provision. CQC took over the roles of the Healthcare Commission, Commission for Social Care Inspection and the Mental Health Act Commission in March 2009.
3. Autonomy, accountability and democratic legitimacy Key reforms Power to commission services will be devolved to GPs working in consortia. National and regional specialised services will be the responsibility of the new NHS Commissioning Board, not GP consortia. GP consortia will have a duty to work in partnership with local authorities, for example in relation to linking up health and social care. The new NHS Commissioning Board will take over current CQC responsibility for assessing NHS commissioners and will hold GP consortia to account. Role of CQC will be strengthened as the quality inspectorate for health and social care. Monitor will become the economic regulator for health and social care from April 2012.
The delivery of health care through Clinical Commissioning Groups (CCG’s) is another strength. CCG’s were created in 2012 following the passing of the Health and Social Care Act, to replace primary care trusts in 2013(NHS England, 2013). Their strength lies in their authority and purpose to provide health care that is responsive to a geographical area and set patient number. They are clinically led, often by local
Dhsspsni.gov.uk. 2014. Northern Ireland - Department of Health, Social Services and Public Safety. [online] Available at: http://www.dhsspsni.gov.uk/ [Accessed: 26 Mar 2014].
Inequalities in Health A lot of characteristics of different social classes have changed over the years as society has changed, and the divisions between different classes are perhaps not as clear as they used to be. But it is just as
· The Behavioural or Cultural Explanation: places emphasis on the individuals and the consequences of their behaviour, when they choose to eat, drink and live healthily the inequalities will be reduced.
In conclusion, the role of OT is to promote personal responsibility for health through the use of purposeful activities that can enhance participation in meaningful occupations. Questionnaires are useful in gathering information to help the OT create a plan for each individual. Health promotion and wellness programs created by OT can help improve overall quality of life.