HaDSoc Session 7 Flashcards Preview

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Flashcards in HaDSoc Session 7 Deck (28)
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1
Q

What were the 3 core principles of the NHS?

A

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

2
Q

How has the NHS changed over time?

A

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

3
Q

What are commissioners?

A

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

4
Q

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

A

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

5
Q

Describe the current NHS structure.

A

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
Q

Who holds overall accountability for the NHS?

A

Secretary of State for Health

7
Q

How do NHS hospital trusts earn most income?

A

Through comissioning and provision of training

8
Q

What is a foundation trust?

A

High performance trust that has higher financial and managerial autonomy

9
Q

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

A

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

10
Q

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

A

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

11
Q

Who authorises and manages commissioning?

A

NHS England

12
Q

What additional organisations are involved in the NHS?

A

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

13
Q

What are clinical senates?

A

Body that gives hospital specialist advice to CCGs

14
Q

What is the purpose of healthwatch?

A

National and local facilitation of pt and public involvement

15
Q

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

A

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

16
Q

What responsibilities does a dr who is a ‘partner’ have?

A

Management of finite resources

17
Q

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

A

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

18
Q

What is a medical director?

A

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

19
Q

What jobs does being a medical director involve?

A

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

20
Q

What key link does a medical director provide?

A

Between senior management and medics

21
Q

What is a clinical director?

A

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

22
Q

What jobs might being a clinical director involve?

A

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

23
Q

Who does a consultant have responsibility for?

A

Team they work with

24
Q

What role can a GP take in management?

A

Practice principal or partner

25
Q

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

A

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

26
Q

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

A

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

27
Q

When was the NHS created?

A

In 1948 as part of the welfare state

28
Q

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

A

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