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PPB > 2nd Year > Flashcards

2nd Year Flashcards

1
Q

Is there a nation NHS across the UK?

A

No!

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2
Q

Are there inegrated health board in England?

A

No! Only in Scotland

There are NHS trusts in England

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3
Q

Are there NHS trusts/ commissioning in Scotland?

A

No!

There are inegrated health boards in Scotland

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4
Q

In Scotland, at what point is care free for residents?

A

At the point of need

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5
Q

When was healthcare and health policy devolved?

A

1999

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6
Q

When was the NHS established across the UK?

A

1948

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7
Q

When was Scottish devolution?

A

1999

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8
Q

To what extent is Scottish health care and health policy devolved?

A

Fully devolved

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9
Q

To what extent are NHS trussts and purchaser provider commisionings around in Scotland?

A

They were dismantled

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10
Q

How many NHS boards are in Scotland?

A

14

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11
Q

In Scotland who plans/delivers health services for the local population?

A

NHS board

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12
Q

In Scotland to what extent are services integrated?

A

Intrgrated acute/secondary, primary and community services

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13
Q

Primary/community care is delegated to CHP’s. What are they?

A

Community health partnership

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14
Q

Since when has health and social care been integrated in Scotland?

A

April 2015

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15
Q

In Scotland to what extent do we used a market driven approach in the NHS?

A

Not at all!

Only England use this approach

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16
Q

What is Scottish health spending based on?

A

Barnett formula

17
Q

How much is Scottish health spending per year?

A

£12 billion

18
Q

How much per capita is spent in Scotland?

A

£2, 072

Englad = £1, 926

19
Q

Since 2000, how much had funding increased in Scotland?

A

40%

20
Q

Since 2002, by how much has the NHS workforce grown?

A

14%

21
Q

Since 2000, how has the number of hospitals and hospital beds changed?

A

Decreased

22
Q

What is negotiation?

A

Trying to reach and agreeement
= dealing with the interests of the other side
= often involves conflict and uncertainty

23
Q

What is positional bargaining?

A

⦁ traditional model of negotiation
⦁ each side argues its own position
⦁ tent to get locked into those positions
⦁ make concessions to reach a compromise
⦁ “incentive” bargaining stalls agreement
⦁ results in unsatisfactory agreement for both

24
Q

What is principled negotiation?

A 
⦁	negotiation on the merits 
⦁	potential "win-win" for both sides 
⦁	can result in a much more acceptable result 
⦁	Negotiate with clear obejectives 
⦁	Anticipate the other sides case
25
Q

What are the key elements of principled negotiation?

A 
⦁	don't bargain over positions 
⦁	separate the people from the problem 
⦁	focus on interests not positions 
⦁	invent/ generate multiple options for mutual gain 
⦁	insist on objective criteria

Be soft on people but hard on problems

26
Q

Who manages the mental health services in Grampian?

A

Community health partnerships

27
Q

What is the community health partnership budget?

A

£51 million

28
Q

What are some key features of the evoling model of care?

A 
= Embedded in communities 
= Integrated care
= Preventive care 
= Patient as partner 
= High tech
29
Q

Are the recommendations stand alone?

A

No! They must be considered as a package in order to deliver realignment of activity from acute to CHP that will ensure benefits and efficiency to the whole systems of health care across Grampian

30
Q

What are the recommendations underpinned by?

A

Principles contained within NHS Grampian Health fit and Kerr Report

31
Q

What are the CHP recommendations for older people?

A

Cessation of long stay care and progress development of community based alternatives with Aberdeenshire Council and other partners as per Older People’s strategy

Development of GP acute beds to facilitate rehabilitation

32
Q

What are the CHP recommendations for DTS?

A

Development of DTS (as outlined in C&I) to improve community based access to services for adults to inculde - dermatology, minor surgery, orthopaedics, diabetes, INR testing, ENT, endoscopy, ultrasound, cardiac assessment

33
Q

What are the CHP recommendations for maternity services?

A

⦁ Closure of delivery units at 4 locations (Bandd, Fraserburgh, Huntly and Aboyne)
⦁ Retain Peterhead delivery unit - setting a target for increasing number of deliveries to 175 by 2009
⦁ Enchance existing community-based ante and postnatal care across Aberdeenshire
⦁ Post natal bed provision to be provided within community hospitals

PPB (2 decks)

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