HaDSoc Session 7 Flashcards Preview

Semester 4 > HaDSoc Session 7 > Flashcards

Flashcards in HaDSoc Session 7 Deck (28):
1

What were the 3 core principles of the NHS?

Universal, comprehensive and free at the point of delivery so based on need

2

How has the NHS changed over time?

Changes to what constitutes a health need due to funding, increased role for managers, increased marketisation of provision

3

What are commissioners?

People who choose between care providers on the basis of pt's needs, cost and quality

4

What was the result of the Health and Social Care act (2012)?

Devolved power to primary care, increased use of markets, allowed for social enterprises

5

Describe the current NHS structure.

Secretary of State for health --> NHS England --> 4 regional hubs/GPs, dentists and specialist services --> 50 local offices of the board --> 240 CCGs --> hospitals, mental health services and community services

6

Who holds overall accountability for the NHS?

Secretary of State for Health

7

How do NHS hospital trusts earn most income?

Through comissioning and provision of training

8

What is a foundation trust?

High performance trust that has higher financial and managerial autonomy

9

Who is responsible for ~65% of NHS budget flow?

240 CCGs made up of GPs, nurses, public health, pts and public

10

What does the DoH do in the structure of the NHS?

Sets national standards, shapes direction of services and sets national tariff

11

Who authorises and manages commissioning?

NHS England

12

What additional organisations are involved in the NHS?

Monitor, CQC, NICE, health and wellbeing boards, PHE etc

13

What are clinical senates?

Body that gives hospital specialist advice to CCGs

14

What is the purpose of healthwatch?

National and local facilitation of pt and public involvement

15

What are the advantages and disadvantages of involving the private sector in the NHS?

A: drives quality.
D: loss of training, loss of profiterable service for reinvestment

16

What responsibilities does a dr who is a 'partner' have?

Management of finite resources

17

What does a dr who works as a 'leader' have to do?

Work with others to bring about system changes beneficial to pts including resource allocation, decision making and contract management

18

What is a medical director?

Person responsible for all staff and overall medical quality, most senior role in secondary care

19

What jobs does being a medical director involve?

Approve job descriptions, discretionary pay rewards, interview panels, disciplinary processes, sit on Board of Directors, lead clinical policy and standards

20

What key link does a medical director provide?

Between senior management and medics

21

What is a clinical director?

Person with overall responsibility for directorate, clinical director (Dr) who works with lead nurse and general manager for specialty

22

What jobs might being a clinical director involve?

Education and training provision, clinical audit, management guideline and protocol development, induction of new Dr's, sort junior Dr hours etc

23

Who does a consultant have responsibility for?

Team they work with

24

What role can a GP take in management?

Practice principal or partner

25

Which management roles are not usually filled by Dr's?

Middle managerial e.g. Chief exec, general manager etc

26

What skills are needed by Dr's for management roles?

Strategic: analyse, plan and make decisions. Financial: set priorities and manage budget. Operational: run things and execute plans. HR: manage people and teams

27

When was the NHS created?

In 1948 as part of the welfare state

28

What are the problems associated with clinical and non-clinical managers?

Medical culture can be hostile leading to imposing authority, treading on toes and changing power relationships (e.g. Club culture)