Lecture 1.1: NHS Structures and Management Flashcards
When was the NHS created?
1948
What are the 3 Core Principles of the NHS?
- Universal (covering everyone)
- Comprehensive (covering all health needs)
- Free at the point of delivery (available to all based
on need not ability to pay)
Who holds overall accountability for NHS?
Secretary of State for Health and Social Care
What is the Role of the Department of Health? (3)
- Sets national standards
- Shapes direction of NHS and social care services
- Sets ‘national tariff’ (fee for services charged by
service providers, e.g. hospital trusts, to
commissioners, i.e. CCGs)
What is the Role of NHS England?
- Authorises Clinical Commissioning Groups
- Supports, develops and performance-manages
commissioning - Commissions specialist services, primary care, and
some others
What is Clinical Governance?
“A framework through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish”
What is a Clinical Audit?
A process that has been defined as a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change
What Steps are in the Clinical Audit Cycle? (6)
1) Identify problem/issue
2) Set criteria & standards
3) Observe current practice/data collection
4) Comparing performance with standards/criteria
5) Changing practice
6) Re-auditing to make sure practice has improved
What is Duty of Candour?
Every health and care professional must be open and honest with patients and people in their care when something that goes wrong with their treatment or care causes, or has the potential to cause, harm or distress
What is Duty of Collaboration?
Improve communication, save time, reduce duplication of effort, improve working relationships and provide a better experience for people who use health and social care services
What is the Role of a Medical Director?
Overall responsibility for medical quality
