The UK National Health System has evolved tremendously and have become one of the largest systems in the world. According to Boyle (2008), NHS was first proposed in parliament in 1942 in the legacy of Aneurin Bevan. It was founded on the principle of universality, equity and free point of care that was funded by the central government. However, over the decades, the system has not been working very well. For instance, some people go to the hospital or get hospitalized unnecessarily for too long. In some cases, important part of care would be missing. This implies that the patients do not get the services as they need, which increases the risk of harm. In addition, the healthcare providers may miss opportunities that will help better the patients, meaning that the taxpayer’s money is not put into use effectively (Grosios, Gaham & Burbidge, 2010). In 2010, UK government outlined its plan to reform the NHS in white paper Act 2010 “Equity and Excellence: Liberating NHS.” This legislation emphasized that the primary purpose of NHS is to enhance the outcomes of healthcare services for all people. According to Grosios et al. (2010), this entailed delivering safer and more effective care that provide better patients experiences. In 2012, the government set out the ‘Mandate to NHS England’ which entailed mainly ensuring that …show more content…
This system gives the mandate to the NHS clinical commissioning groups to monitor the wellbeing board’s health and social services provided. The main aim is to improve the services delivered. The white paper Act 2010- Equity and Excellence: Liberating the NHS has enabled the government to set the standards needed to develop an electronic database that would be used to assess peoples care and their treatment needs. More legal framework are outlined in the Care Act that was published in 2014 (Gov. UK.,
The history of the NHS from being chaotic to having an organised st ructure. The structure of the NHS is divided into local authority and social service, hospital services and general practitioners including specialist care. When the NHS was developed, there was no prediction of how much all the services would cost to run. The government introduced the first service charges for dentures in 1951and prescription and spectacle’s in 1952 this could have been due to everyone needing medical care at the same time. This also suggests that individuals health improved, likely to live longer and would need more services in the future which the government realised would be unrealistic to achieve. Even then, as it is currently, it remains difficult
This was followed up by changes in the department of health where people were to be given more choice over what services they needed. The National service framework further increased the need for individualised services that related to a person’s needs rather than fitting into existing services. The care standards act 2000 developed the need to develop individualised service provision for people and for services to adapt to these needs. Person centred care was then incorporated into many policies to promote independence and the rights and choices of
‘Since its launch in 1948, the NHS has grown to become the world’s largest publicly funded health service. NHS employs more than 1.7m people and deals on average with 1m patients every 36 hours. It is also one of the most efficient, most egalitarian and most comprehensive. Even though NHS services in England, Wales, Scotland and Northern Ireland are managed separately and each might have some system differences, they remain similar in most respects and belong to a single, unified system. The NHS core principle is that good healthcare should be available to all, regardless of wealth.’ (NHS, 2010) Success of NHS depends on how well the organisation balance quality and customer (patient) satisfaction with adequate financing and long-range goals. Health care organisations such as NHS must deal with government oversight, managed care, new technologies, and increasing pharmaceutical prices.
The changes to health policy and the re-organisation of the NHS in recent years which has led to improve integrated governance, has all developed as a result of the catastrophic failings that occurred in Mid-Staffordshire healthcare Trust. The Secretary of State for health, Andrew Lansley, announced a full public inquiry to parliament on the 9th June 2009 into the role of the commissioning, supervisory and regulatory bodies in the monitoring of Mid-Staffordshire Foundation Trust (Midstaff inquiry online, 2013). This inquiry was led by Robert Francis QC, who proposed recommendations to ensure that similar events do not repeat in future. The Francis report made 290 recommendations which included improved support for compassionate, caring and committed care, as well as stronger healthcare leadership (Health Foundation Online, 2014).
The users of London NHS hospital are more concerned with having quality service from the hospital. In case of an emergency they prefer to check in and register and get treated as soon as possible and get treated for emergency with much care. And according to the case study it means that the patient survey was positive.
Public Expectations: In Health and Social Care, the public expects employees/workers to be caring, respectful towards the patients protected characteristics which means avoiding conflicts such as discrimination and inequality treatments. They should be able to protect personal information of the patients by following the 'Data protection and Confidentiality Act 1998'. They are expected to give good supportive advice towards their patients and employees to improve the quality of work and welfare benefits. They expect higher standards of care, detailed information about their treatment, communication and involvement in decisions making activities and also access to the latest treatments (Thekingsfund,
The NHS was then finalised during 1948, the main role of the NHS was to reduce health inequalities throughout Britain, so that everyone could be treated the same way, whatever their finance stability, job status and location. They believed that this programme should have reduced inequalities throughout Britain. It was created by Aneurin Bevan and Edwin Chadwick but it was successful until the Prime Minister at the time who was Margaret Thatcher accepted the Bill through Parliament. The NHS included the Public Health Acts such as maternal and child welfare, availability for beds in hospitals and General Doctors in local areas. The NHS also included things such as Vaccinations and Immunisations and social work skills such as home helps and also
The NHS change model has been selected for this quality improvement. The NHS change model consists of eight dimensions, which are described as a useful tool to enhance change. This model has been identified as being effective in health care organisations, encouraging the use of teamwork to implement systematic improvements.
The United Kingdom has had the centralized health care system for many years and they spend half the costs in health care than the United States, they are organized and have many resources available to their patients to help with their healthcare system. The Obama administration has the right idea for healthcare, but the cumbersome process to transition to this type of healthcare is going to take time. If the United States could be able to organize their foundation in such a matter as the United Kingdom has and find a way to shift costs to general taxation, then they could focus on organizing patients and healthcare providers and services to start pulling towards the end goal.
“Homelessness can be the cause as well as the result of poor health” (Wise, Emily, Debrody, Corey &ump; Paniucki, Heather, 1999, p.445). This is a reoccurring theme that has existed within the homeless population for decades. While programs to help reduce this constant circle are being put in place all over the country to provide medical services for the homeless to be able to go to, many are still finding that health care needs for individuals as well as homeless communities are not being met. Many studies have been completed that study both the opinion on healthcare by those who have access to sufficient health care and homeless people’s perceptions on health care administration. While many companies are working to provide more personal health care systems, it appears that the larger problem is with a lack of people know about the health care systems that are in place to help them. Companies are trying to advertise more often to inform homeless people that there is health care out there for them.
D1: I have decided to look at a 6 year old going through bereavement. Bereavement means to lose an individual very close to you. When children go through bereavement they are most likely to feel sad and upset about the person’s death. Children at a young age may not understand when a family member dies. Children may not understand bereavement. For example a 6 year old’s father been in a car crash and has died from that incident. Death is unpredictable and children can’t be prepared for a death of a family member as no one knows when someone is going to die or not. Unfortunately every child can experience bereavement even when a pet dies. It is important that we are aware that effects on the child so we can support them in the aftermath.
Leadership, Character, Service, Citizenship. When I think of the NHS, leadership, character, community, and role modeling are all things that come to mind. Being a part of the National Honor Society will help me do just that. I have worked hard for outstanding grades, citizenship, and becoming a leader and role model for other classmates.
In general, access to healthcare describes how easily an individual can receive appropriate medical services. These include measures of access health insurance coverage, ability to see a physician and obtain needed medical attention, ease of obtaining after-hours care, and short waiting times for doctor appointments. Throughout the entire world, better healthcare access correlates to better health status and lower hospitalization rates as the whole. The United States has always tried to reach equality and justice in politics. This also applies to healthcare accessibility. The United States has gone through many reforms and reconstruction to better increase the accessibility for everyone nationally, but there are still multiple setbacks in the way of a more readily available healthcare system.
The objective of this project shall identify the extent to which the principle of equity underpins government strategy in contemporary Irish health policy. In order to examine this principle, the essay will focus on the health services for older people. Such services are an important topic to address in modern day Irish society because the population of those aged over 65 is set to increase considerably which will cause particular economic and social implications for healthcare services in the future. Initially the paper shall provide a foundation of historical developments that have emerged within the Irish Healthcare system and highlight social policy implementations that have occurred. Following this, the paper will go on to discuss 'equity' with emphasis placed on the importance of effective policy measures to safeguard the equity and fair treatment of the elderly within the Irish healthcare system. Inference shall be made to the medical card scheme, hospital bed waiting lists, services for elderly people and the equity issues involving public and private healthcare. It shall also examine government policy papers in terms of how the two-tiered health system shows evidence of inequality that goes against the code of equity sought out by the `Quality and Fairness' (2001) report. Finally this essay will finish with a conclusion of the overall discussion.
Health care has always been an interesting topic all over the world. Voltaire once said, “The art of medicine consists of amusing the patient while nature cures the disease.” It may seem like health care that nothing gets accomplished in different health care systems, but ultimately many trying to cures diseases and improve health care systems.