Flashcards in HaDSoc Session 7 Deck (28):
What were the 3 core principles of the NHS?
Universal, comprehensive and free at the point of delivery so based on need
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
What are commissioners?
People who choose between care providers on the basis of pt's needs, cost and quality
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
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
Who holds overall accountability for the NHS?
Secretary of State for Health
How do NHS hospital trusts earn most income?
Through comissioning and provision of training
What is a foundation trust?
High performance trust that has higher financial and managerial autonomy
Who is responsible for ~65% of NHS budget flow?
240 CCGs made up of GPs, nurses, public health, pts and public
What does the DoH do in the structure of the NHS?
Sets national standards, shapes direction of services and sets national tariff
Who authorises and manages commissioning?
What additional organisations are involved in the NHS?
Monitor, CQC, NICE, health and wellbeing boards, PHE etc
What are clinical senates?
Body that gives hospital specialist advice to CCGs
What is the purpose of healthwatch?
National and local facilitation of pt and public involvement
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
What responsibilities does a dr who is a 'partner' have?
Management of finite resources
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
What is a medical director?
Person responsible for all staff and overall medical quality, most senior role in secondary care
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
What key link does a medical director provide?
Between senior management and medics
What is a clinical director?
Person with overall responsibility for directorate, clinical director (Dr) who works with lead nurse and general manager for specialty
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
Who does a consultant have responsibility for?
Team they work with
What role can a GP take in management?
Practice principal or partner
Which management roles are not usually filled by Dr's?
Middle managerial e.g. Chief exec, general manager etc
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
When was the NHS created?
In 1948 as part of the welfare state