what is a policy?
a course or principle of action adopted or proposed by an organisation or individual
where does healthcare policy come from?
- government
- NHS
- professional organisations
- any health care organisation
what is a ‘white paper’
an official government report that sets out the governments policy on a matter that is or will come before parliament
POLICIES BEFORE THEY BECOME AND ACT IN LAW
what does equity and excellent from the NHS in July 2010 do?
- puts patients and the public first
- improve health care outcomes
- more autonomous and accountable system
- improved PH
- reforming long term social care
what is autonomy and accountability
gives more freedom to the NHS
what effect does ‘cutting bureaucracy’ have?
more important decisions are made by state officials rather than by elected representatives
reduction in management costs
when was the health and social care bill introduced?
January 2011
when did primary care trusts cease?
April 2013
effect o equity and excellence on pharmacists?
- working with doctors
- integrations into health and wellbeing boards
- expanding role in optimising the use of medicines
- linking social and health care together
what does the community pharmacy contract do?
get paid via performance
incentivise high quality and efficient services
increase efficiency in use of medicines through better informed patients
when was the NHS five year forward view published?
2014
who developed the NHS FYF view?
partner organisations in consultation with patient groups, clinicians and experts
what does the NHS FYF view include?
need for change
prevention- smoking, obesity and alcohol
new models of care- intergration, MCPS
what did the next steps on the NHS FYF view include?
- increase number of pharmacists in GP’s
- encourage GPs to work together to share responsibilities with pharmacists and nurses
- get best value out of medicines and pharmacy
what is the NHS long term plan?
- making sure everyone gets the best start in life
- best care for major health problems- stroke, CHD
- identifying people at risk
- early diagnosis
- supporting people to age well
how do the NHS plan to implement this long term plan?
- new structures: primary care networks
- preventing illness and tackling inequalities
- backing the work force
- making better use of technology
- getting the most out of tax payers money
what is the NHS mandate?
sets the governments objectives
sets direction for the NHS
how often is a mandate published?
annually
NHS 2018-2019 mandate states?
o Through better commissioning, improve local and national health outcomes, and reduce health inequalities
o To help create the safest, highest quality health and care service – 24h service, staff has access to experts at any time of day
o To balance the NHS budget and improve efficiency and productivity – working with other organisations to improve productivity
o To lead a step change in the NHS in preventing ill health and supporting people to live healthier lives e.g. smoking and obesity
o To maintain and improve performance against core standards
o To improve out of hospital care – primary care
o To support research, innovation and growth and to support the Government’s implementation of EU Exit regarding health and care
what does Devo Manc mean?
the NHS gives a set sum to different areas of the UK and they can use it however they want for their specific needs
what are the NHS’s aims for community pharmacy?
- Develop the role of the pharmacy team to provide personalised care
- Play an even stronger role at the heart of more integrated out-of-hospital services
- Provide a greater role in healthy living advice, improving health and reducing health inequalities
- Deliver excellent patient experience which helps people to get the most from their medicines
- Develop a contractual framework that better supports these aims and secures the most efficient possible use of the NHS and taxpayer resources
what is the Murray review?
review of community pharmacy clinical services undertaken by Richard Murray
when was the Murray review published?
December 2016
Murray review recommendations?
o Make more use of e-repeat prescribing
o MURs evolve into full clinical medication reviews
o Minor ailments scheme locally commissioned
o Greater role in care homes
o New ways of working in which groups of pharmacists can provide clinical services
