NHS Organisation And The Medical Profession Flashcards
What are the 3 core principles of the NHS?
Universal (For everyone)
Comprehensive (for everything)
Free at point of delivery
Why can increasing marketisation be a good thing for the NHS?
Increase the competition between hospitals therefore should improve the quality of care
What is the role of the department of health?
Sets national standards
Shapes direction of NHS
Sets national tariffs on services
What is the role of NHS England?
Authorises CCGs
Supports, develops and performance manages commissioning
Commissions specialist services and primary care
What are clinical directorates?
The way a hospital trust is divided on the basis on speciality or group of specialities eg. Radiology, women’s health
Each led by a clinical director
What is the role of a clinical director?
Manage directorate as a whole Continue education/training of staff Design and implement policies Implement clinical audit Management guidelines Induction of new doctors
What is the role of the medical director?
Always a doctor!
Responsible for quality of medical care
Communicates between board and medical staff
Leadership of medical staff
Work in partnership with Human Resources
Approves job descriptions/interview panels etc
Disciplinary processes
What are the guidelines that make an occupation a profession?
Assert exclusive claim over body of knowledge and expertise
Establish control over market and exclusion of competitors
Establish control over professional work practice
Define socialisation
Process by which professionals learn during their education the attitudes and behaviours necessary to assume their role
By watching and copying others
What is the difference between formal and informal curriculum?
Formal: knowledge, tested through exams
Informal: attitudes and beliefs, performed noted but not formally examined
What are the critiques of professions?
Are protected monopolies therefore may act in own interest as no one to challenge them
Claims of virtue are self-serving and strategic
Professions seek to optimise own interests not clients
How often do doctors need revalidating?
Every 5 years
What are the aims of revalidation?
Assure the patients Maintain and improve practice Keeping practice up to date Identify concerns at an early stage Encourage pt feedback Improve clinical governance to standard of pt care
What are the 3 key parts of revalidation?
Participate in annual appraisals
Maintain a portfolio of supporting info
Have a positive recommendation from a responsible officer
