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quality improvement in the nhs essays
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The National health services (NHS) provides a comprehensive healthcare services across the entire nation. It is considered to be UK’s proudest institution, and is envied by many other countries because of its free of cost health delivery to its population. Nevertheless, it is often seen as a ‘political football’ as it affects all of us in some way and hence everyone carry an opinion about it (Cass, 2006). Factors such as government policies, funding, number of service users, taxation etc all make up small parts of this large complex organisation. Therefore, any imbalances within one sector can pose a substantial risk on the overall NHS (Wheeler & Grice, 2000). This essay will discuss whether the NHS aim of reducing the nations need for provision of health was achieved or not, taking into account different health models.
The concept of NHS came into power from 5th July 1948. Although, Bevan who had this ideology of ‘welfare state’ was successful in architecting NHS. In fact, the need for such a consolidation of service provision was initially identified in 1919 by the Dawson Committee report (Christopher, 2004). The state in which healthcare system operated before1948 was incomprehensive, full of inequality and even lacked in providing minimum adequate standards to the general public. The people living in poverty and on Low income (working class) were affected the most; whereas, rich families were able to afford the healthcare services adequately. The health insurance was provided under the National Insurance Act 191, but was only available to the workers, whereas, their dependants (wife and children’s) were excluded. Therefore, every time they used the services they were required to pay for it. Thus, because most...
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...are immense, as it has only finite resources to use, but needs its services to be clinically effective as well as able to meet the needs of individual’s, their choice of preferences and be value for money. To accomplish this NHS will need to harness more securely its investment in surveillance, analysis and budgets, and therefore establishing a framework that would than serve and provide a better health outcome to the entire nation. Lastly, UK spends about half of what is spent by the US (about 14 % of GDP) on its healthcare, yet in US out of 250 million over 30 million citizens are still without health care provision. Thus, despite such a massive expenditure by US government, failure to provide basic health care to millions of its citizen is not overcome, however, that is certainly not the case in UK (Bilton, et al., 2002; Christopher, 2004; Smith I. , 2007).
This essay will attempt to assess the impact of the 1942 Beveridge Report on the post 1945 UK welfare state. A welfare state is essentially ‘policy intervention through the state [to provide] forms of support and protection’ for all its citizens. (Alcock: 1998: 4) This means that the state will fund or provide provisions for services which are of need to its citizens. This is funded through citizens who pay taxes or National Insurance when they have active work, which in turn helps out the vulnerable members within a society. This concept is in essence designed to maintain the welfare of citizens from birth to the grave.
The NHS began in 1948 as a result of an act of Parliament in 1946, under the guidance of Aneurin Bevan, then a Minister of the incumbent Labour Government, and in response to the Beveridge Report on The Welfare State of 1942. Most hospitals in the UK had previously been operated as non-profit making concerns. About two-thirds of them had been run by Local Authorities (the bodies also responsible for local Fire Services, Schools, Roads etc), with about one third of them run independently as Voluntary Hospitals. With the NHS act, these were all compulsorily acquired and subsequently administered by the State, and all treatments became universally available at no cost at the point of provision, the whole being centrally funded by taxation. From 1948 onwards all hospital doctors, hospital nurses and all other hospital staff became salaried employees of the State.
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
The system has been fraught by delays in receiving treatment, a backdrop of layered bureaucracy, and lack of advanced technology. Currently, the UK system has a limitation on the use of experimental treatment which deprives people of their rights as citizens. Regulating cost and price points will serve as a disincentive for companies in the healthcare sector from coming up with new technologies to better health
I agree with Heath’s argument that a two-tier health care system is effective as long as it does not undermine the integrity of the public insurance mechanism. The main argument against the two-tier health care system is that doctors will turn away from the public sector to pursue a higher income within a private practice. The concern arises that this will cause a scarcity of doctors within the public sector. I believe this argument is invalid and will discuss throughout this paper why the two-tier system improves upon health care systems in many ways.
In this essay I will analyse the origins of Community Care and what benefits emerged when the NHS Community Care Act 1990 was established. Later on, I will explain and critically evaluate the effects of privatisation in social care and health.
Newman, Alex. “Examining Healthcare: A Look Around the Globe at Nationalized Systems.” The New American. 15 Sep. 2008: 10. eLibrary. Web. 04 Nov. 2013.
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
National health systems are assessed by the extent to which expenditure and actions in public health and medical care contributes to the crucial social goals of improving health, increasing access to quality healthcare, reducing health disparities, protecting citizens from penury due to medical e...
Healthcare systems are put in place so that they can meet and satisfy the healthcare needs of a people within a geographical area. They have the mandate to deliver healthcare services to the intended group or population and ensure fair...
An issue that is widely discussed and debated concerning the United States’ economy is our health care system. The health care system in the United States is not public, meaning that the states does not offer free or affordable health care service. In Canada, France and Great Britain, for example, the government funds health care through taxes. The United States, on the other hand, opted for another direction and passed the burden of health care spending on individual consumers as well as employers and insurers. In July 2006, the issue was transparency: should the American people know the price of the health care service they use and the results doctors and hospitals achieve? The Wall Street Journal article revealed that “U.S. hospitals, most of them nonprofit, charged un-insured patients prices that vastly exceeded those they charged their insured patients. Driving their un-insured patients into bankruptcy." (p. B1) The most expensive health care system in the world is that of America. I will talk about the health insurance in U.S., the health care in other countries, Jeremy Bentham and John Stuart Mill, and my solution to this problem.
One of the five key principles of care practice is to ‘Support people in having a voice and being heard,’ (K101, Unit 4, p.183). The key principles are linked to the National Occupational Standards for ‘Health and Social Care’. They are a means of establishing and maintaining good care practice. Relationships based on trust and respect should be developed between care receivers and care givers, thus promoting confidence whilst discussing personal matters without fear of reprisal and discrimination.
Care in the 19th century was significantly different to how it is now. The industrial Revolution was a time of change in the provision of care. In 1845 a new Poor Law for Scotland was passed which meant the responsibilities for the provision of medical care fell to the Parish Boards. “The provision of care, however, was still minimal, was often provided by voluntary, charitable associations, or by Parish Boards, where there was a continuing stigma associated with the need for help”, (Miller,
The facts bear out the conclusion that the way healthcare in this country is distributed is flawed. It causes us to lose money, productivity, and unjustly leaves too many people struggling for what Thomas Jefferson realized was fundamental. Among industrialized countries, America holds the unique position of not having any form of universal health care. This should lead Americans to ask why the health of its citizens is “less equal” than the health of a European.
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.