what is the NHS?
National Health Service (NHS) is a state (tax) funded, universal commissioner and major provider of healthcare in UK. It is free at the point of delivery.
how was the NHS formed?
A National Health Service’ white paper in 1944 resulted in the NHS Act 1946
– Aim: to provide a health service free to all people and care for people ‘from cradle to grave’
– First country in world to provide free healthcare
– NHS created on 4th July 1948
was healthcare free before the NHS?
no
who is Aneurin Bevan?
- Health Secretary at the time of conception of the NHS, played key role in seeing the NHS into fruition
- 5 July 1948: Bevan inaugurates the NHS by symbolically receiving the keys to Trafford General from Lancashire County council
how much of taxes if paid to nhs?
£1 in £5
what is SoS?
Secretary of state
what is a commissioner?
A body of elected commissioners serves both the executive and the legislative duties, meaning they enact local ordinances and administer them. They approve budgets, oversee spending and hire county employees.
what is a provider?
NHS Providers is the membership organisation for the NHS acute, ambulance, community and mental health services that treat patients and service users in the NHS
give an example of a commissioner.
clinical commissioning groups (CCGs)
NHS england
local authorites
give examples of providers
private sector
voluntaruy sector
gp and primary care centres
what is NHS england?
– Independent body
– Controls approx. 40% NHS budget (100bn)
– Sets strategies and priorities of the NHS
– Is the commissioner for Primary Care in England (GPs, pharmacists, dentists)
– Plans and buys specialist services
– Negotiating partner for Pharmaceutical Services Negotiating Committee (PSNC)
what are the 7 NHS regional teams?
– London, Midlands, East of England, North East and Yorkshire, North West, South East and South West
what are the regional teams responsible for?
– Responsible for the quality, financial and operational performance of all NHS organisations in their region
– Developing plans for improving health services in their area
– Support the identity and development of sustainability and transformation partnerships and integrated care systems.
what is a clinical commissioning group (CCG)?
- Members consist of GPs practices
* Independent and accountable to the SoS for Health through NHS England
what is the CCG needed for?
• CCG elected Governing body
– Ensures quality, appropriate commissioning – money spent wisely, outcomes improved
– Includes at least one nurse, one hospital doctor and two lay persons
• Commission a range of services
– Planned hospital care
– Emergency and out of hours care
• Have control over prescribing budgets
– Responsible for approximately 2/3 of the total
NHS England budget or £80 billion in 2019/20
how many CCGs are there in england right now?
NHS England budget or £80 billion in 2019/20
• Currently 191 CCGs in England
– covering median population size of 250,000 people
what are commissioning support units? (CSU’s)
– Provide IT, business and management support, accounting services, and information analysis
– Paid for commercial service
– No model structure- can set up as see necessary
what are clinical senates?
– Team of healthcare specialists sharing clinical knowledge to inform service commissioning and design
– Have links with professional bodies and Royal Colleges
– Currently 12 clinical senates in England
what is the local professional networks (LPNs)?
- Provide clinical input to local commissioning decisions
- PN’s are hosted and supported by NHS England’s regional teams.
- Needed as commissioning decisions cover wide area and various professional groups
- Pharmacy LPN support undertaking of Pharmaceutical Needs Assessments
what are Local Pharmaceutical Committee (LPC)?
- Local Pharmaceutical Committees (LPCs) represent all NHS pharmacy contractors in a defined locality.
- LPCs are a recognised body and are consulted on local matters affecting pharmacy contractors.
- Work locally with NHS England Regional Teams, CCGs, Local Authorities and other healthcare professionals to help plan services.
- Negotiates and discusses pharmacy services with commissioners, available to give advice to CP contractors and others wanting to know more about local pharmacy.
how many LPCs are there in england?
around 80
what is the care quality commission? (CQC)
Independent regulator of health and adult social care services in England. Ensure care provided by hospitals, dentists, ambulances, care homes and home care agencies meets the Government standards of quality and safety.
• They register, monitor, inspect and rate care providers
what are regulators?
- Offer support to providers need to give patients consistently safe, high quality, compassionate care within local health systems that are financially sustainable.
- Hold providers to account and intervene if necessary
- Support delivery of the NHS Long Term Plan
what information and support do regulators provide?
– Patient safety (NRLS – reporting of patient safety incidents) – Emergency care – Quality improvement – Patient experience and involvement – Performance and finance – Mental health – Maternity care – Cancer
