NHS Flashcards
(17 cards)
How are Foundation Trust’s different to NHS Trusts?
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What is an NHS Trust?
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What is a Foundation Hospital Trust?
more independent than usual NHS hospital trusts. They can hire and fire staff compared to NHS trust hospitals. They can borrow money without external approval.
Royal Bournemouth hospital is a Foundation Trust.
What are the roles of the Care Quality Commission?
- Independent Regulator of the NHS
- Set standards
- visit providers of health and social care
4., give inspections, licenses, registrations - Publishes reports that can be viewed by the public
- Investigate serious failings & use its power to enforce changes
CQC covers adult care homes,doctors services, GPs, anything NHS.
When was the NHS formally established ?
Under the National Health Service Act 1946
How is the NHS funded?
80% from general taxation ( income tax, VAT, duties on tobacco & alcohol)
20% from…
. An NHS element to NI contributions
. Charges to patients for drugs (prescriptions)
. Income from land sales & income-generation schemes
. Funds raised from voluntary sources - eg local hospital appeals
What are CCG’s?
GP- led Clinical Commissioning Groups.
CCGs could commission almost all secondary services ( rather than sharing purchasing duties with other local bodies)
& Some Primary services.
This creates conflict should GP’s commission themselves ( Co-commissioning system).
What are the 5 main bidies that the Andrew Lansley tory Health Secretary NHS structure follows?
NHS England
Clinical commissioning groups (CCG’s)
Health & wellbeing boards
NHS trusts
Public Health England
What is NHS England?
A national Quango
Commissions primary care at national and regional levels from GPs, Dentists, pharmacists & some specialist services - maternity, cardiac, A&E units
It convened clinical senate to five medical advice on its commissioning plans & clinical networks to advise on service integration.
What is a clinical commissioning group CCG?
195 groups led by GPs, nurses & other community based health professionals , responsible for commissioning secondary care locally.
What is a Health & wellbeing boards ( HWB) ?
Local forums set up by all the 152 English county councils & unitary authorities.
Bring all commissioners of health & social care in each area to promote integrated approaches to improving health.
Boards include local councillors.
What is an NHS Trust?
The principal secondary care providers.
All acute &/ emergency hospitals or groups of hospitals,
NHS mental health service providers, & ambulance services are NHS trusts.
151 NHS trusts are designated self governing NHS foundation Trusts-
Allowing them ( like CCG’s) to manage their own budgets & recruit their own staff & have greater day to day autonomy
What is public health England?
An executive agency of the DHSC launched to promote healthier lifestyles funding £4bn worth or public health initiatives across England each year.
(Since replaced by the UK Health Security Agency)
What is the UK Health Security Agency?
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What is a hospital trust?
