What Are the Important Factors Influencing the Nhs in Modern Britain?

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

For example David Cameron (DC) controversially changed the outlook of the conservative party and claimed it to be ‘The party of the NHS’. He also believes that state intervention within healthcare s needed and vital, as well as being against any privatisation of the NHS.

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.

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.

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 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 secretary of Health, Andrew Lansley in July 2010 published his plans for NHS reform in the White Paper including Equity and Excellence: liberating the NHS. In January 2011, when the Act was published in the draft form, it came to face considerable criticism. Then, later on in spring time, the Bill was temporarily paused and put on ‘listening exercise’, led by a panel of experts in the NHS Future Forum headed by Professor Steve Field to review the proposal and for recommendations. The government evaluated its 63 years history of services and analysed it was the biggest shift in power and accountability it had ever seen. After substantial revision, it was returned to the House of Commons where considerable changes were made following the NHS ‘listening exercise’, the Lords emphasised an

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.

Also, Britain needs to increase the amount of money being channelled into the National Health Service (NHS).This is to improve the existing care services. Britain needs to also follow the lead from other countries like France on how to follow up, properly coordinate and check all the service providers regularly and manage both the public and private social care sectors.

This reconvergence has been due to main distinct reasons, the initial shift for England to waiting list targets came due to external pressure from the media due to a focus on this issue during the General Elections of 2001 and 2005. Despite initial diverging from these types of targets, Wales has since implemented these targets, due to experiencing several critical reports criticising the performance of the Welsh NHS. This implementation is shown in the aftermath of the 2005 General Election after UK Labour promised no one would wait 18 weeks from GP referral to treatment. Due to this external pressure, Welsh Labour promised the same, but with a time frame of 26 weeks. This framing of the issue in the media, which prioritised waiting lists times led to the Welsh health policy being compared unfavourably to the English model which had adamantly pursued these targets openly. The unfair nature of being compared on an issue which has been placed on less importance highlights a key problem within the NHS. The problem being that despite divergences from all UK administrations, the UK government is held as the standard-bearer and the ‘norm’ from which all devolved administrations should emulate. This reconvergence around the waiting list targets in England seems to outline that in areas in which a particular interest has been drawn by the British media, as a collective, there has been a convergence with the English

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