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Current issues and challenges of healthcare in the United Kingdom
Health system care challenges in United Kingdom
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EXECUTIVE SUMMARY The political landscape in the United Kingdom has changed regarding the need to create an overhaul in healthcare to provide greater efficiency for its citizens since its inception in 1948. In order to truly to create a system of national healthcare that is available at no cost at point of service for all citizens then it should be uniform to all. At the current time, that could not be said. In 2000, the Prime Minister proposed to increase the funding for the NHS so improvements in care are at the forefront of the mission through addressing the following (www.dhgov.uk). • Partnerships; • Performance professions and the wider NHS workforce; • Patient care; • Prevention The public health system, facing drastic reform is outlined in the coalition’s White Paper “Healthy Lives (www.dhgov.uk).” Though controversial, and contested, these cuts are what the NHS is determined to undergo to reform healthcare in the UK. Through increasing the funding it would be the government’s mission to utilize the resources to achieve benefits for patients, utilize integrated tools for clinical and administrative care, and meet public demands by the following: • Reducing integration costs; • Lowering operation costs; • Reducing clinical risks; • Increasing the scope for innovation; • Improving communications OBJECTIVES A national health care system is one that is available for all regardless of wealth with three guiding principles (NHS, 2009): • Meets everyone’s needs; • No cost to anyone at the point of service; • Provides Services based on clinical needs, not ability to pay. PRINCIPLES These principles were the guiding force of the NHS from its inception under the direction of Labour government, minister of health, Aneurin Bevan fo... ... middle of paper ... ...es. PARTNERSHIPS NHS England has collaboration and partnerships with organizations to make improvements to their medical facilities and facilitate and improve outcomes. They also have partnerships due to the requirements and mandates that are financially required of them. It is with their successful partnerships that a positive opinion of the NHS is determined a business worthy to have external stakeholders and a competent organization (Grant & Douglas, 2014). It has become essential in to provide training to the workforce in a competitive market. This is obtainable through partnership, where utilizing an partnering organization to aid in teaching a large workforce how to become equipped with skills necessary to continue to support patients in an ever changing technologically advanced climate, grow and fully realize their own potential (McBride & Mustchin, 2007).
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
‘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 Open University (2010) K101 An introduction to health and social care, Unit 2, ‘Illness, Health and Care’, Milton Keynes, The Open University.
Implementing the use of Electronic Health Records (HER) would lead to accurate payments during new procedures, fewer rejected and improper claims, improved disease management and better understanding of health conditions and heath care outcomes (Jaynelle, 2009). Another implication would be the staffing of the community hospital. This would imply an increase in expenses. If the facility were to forego one of the two crucial matters, then staffing of the facility would suffer. A reduction in staff members would lead to a decrease in expenditure but negatively affect nurse-to-patient ratio. The Government is proposing for staffing ratios to be legislated, which will have a positive impact on the nurse but the Panton-Fuller health facility will now have to be prepared for a financing uncertainty (Jaynelle, 2009).
...e crucial change needed in health services delivery, with the aim of transforming the current deteriorated system into a true “health care” system. (ANA, 2010)
The Australian health care system comprises both the public and the private health sub-sectors. The health care system concerns itself with the financing, formulation, implementation, evaluation, and reforming of health services. The main sources of f...
Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also
As I began watching Reinventing Healthcare-A Fred Friendly Seminar (2008), I thought to myself, “man, things have changed since 2008.” And as the discussion progressed, I started to become irritated by how little had changed. The issues discussed were far-reaching, and the necessity for urgent change was a repeated theme. And yet, eight years later, health care has made changes, but many of its crucial problems still exist.
Davis, C; Finlay, L; & Bullman, A. (2000) ‘Changing Practice in Health and Social Care, London: Open University Press
The NHS was founded on similar principles as Canada- universal, free to a point, equitable and paid by central funding (Grosios et al, 2010). Over the years, the NHS has seen numerous organizational and political changes, but still remains universal and offers care to people who need it and are not able to pay for it. The NHS is funded by national insurance contributions and taxes. The healthcare policy and healthcare delivery is a responsibility of the central government in England, whereas in Wales, Scotland and Northern Island it is the responsibility of the local governments. In the UK, the NHS is composed of two major sections- one which deals with policy, strategy and management and other section that deals with medical care; this department is further subdivided into community care, pharmacy, dentistry and general medical practice. In Britain there are many barriers in seeking specialty care; one has to see a general practitioner first, who is a gate keeper and decides on where and who gets specialty care. It can often take years to bypass this gatekeeper because there are very few specialists in the country. In the past two decades, there has been a major shift in funding moving away from central government to local counties. The UK healthcare center is facing cutbacks in funding and complaints of long waits to see surgeons and specialists is common.
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
... the elderly of Irish society it is also evident that there are issues over medical cards, problems with waiting lists, private consultations fees and shortages of beds as well as a general deterioration of quality of services on offer at care home facilities. Problems in the healthcare system provide incentives that favour the treatment of private patients over public patients. Such differences have effectively consolidated the two-tiered system. Recommendations to eliminate health care inequalities would be to introduce the government's proposal of the universal social health insurance scheme. For this to be achieved citizen engagement is important to abolish the current range of inequalities embedded in the Irish Healthcare system. The principle of equity could then potentially be enhanced and thus create a more equal society not based on money but based on need.
- Organisation and Management of Health Care, April 2002, Version 2.0 , Main Contributor: Katie Enock, Public Health Specialist, Harrow Primary Care Trust www.healthknowledge.org.uk
Heath, I. (2005), ‘Who needs health care- the well or the sick?’ in British Medical Journal, 330: 954-956.