P2: Outline the overall structure of health service provision in the UK
![Authors Avatar]()
by
jbkezza21 (student)
Jessica Bascombe
Unit 18: Working In The Health Sector
P2: Outline the overall structure of health service provision in Home County
Within the health care there are 3 key elements that are in the provision there are:
* Statutory
* Voluntary
* Private
Statutory: Care provision is based on general and regional hospitals and also primary care trusts in community statutory provisions would include general hospitals and the local general practitioners for people living within that community. Statutory provision care is care that is provided by the state hence reason why it is called statutory provision.
Voluntary: Consists of national and local charities national charities are charities that are funded and supported by a mass amount of people in the nation and can be worldwide, they include providers such as Mencap which support individuals with disabilities and their families living in the UK with advice and a variety of other services that help them in improving their life. A local charity in a smaller scale and will help health care services in local areas such as a hospice.
Private: Is a health service that is paid for directly from the patient at the time of their services there are many private and independent dentistry practices that now only offer their services on a private base and patients have to pay for the treatment they receive. Also individuals are in need of having a specialist operation such a hip replacement may cause to have it done by a private sector such as the BMI Hospital
Social Services: Are organizations that assist individuals in need there are many different types of services that they perform and can range from helping domestic violence victims to financially in need individuals. Every area has their own social service organizations, which they offer their services in a local authority were, as administrated nationally social services look after the health and well being of the population and this includes:
* People with disabilities
* Families and children
* People with physiological difficulties and disorder
* People with financial problem
* People with housing difficulties including homeless individuals
* Older people that may need help with daily activities promoting them to stay at home
Social services are also available and work with other services and organizations and individual may use such as:
* Hospital patients such as young children could be referred to social services if the doctor or nurse has concerns of their safety
* Health care centers
* Educational environment especially for children
* Community centers and groups
* Advice centers such as citizens advice bureaus
* Police and police environments
Not only do social services ...
This is a preview of the whole essay
* Older people that may need help with daily activities promoting them to stay at home
Social services are also available and work with other services and organizations and individual may use such as:
* Hospital patients such as young children could be referred to social services if the doctor or nurse has concerns of their safety
* Health care centers
* Educational environment especially for children
* Community centers and groups
* Advice centers such as citizens advice bureaus
* Police and police environments
Not only do social services work with organizations they are also available in some cases within peoples own home when appropriate, social services, care services are also managed by local councils but can also work with local NHS providers also. In addition councils from all different areas work together to manage social services on a wider scale to refer individuals to the right services at the right time.
The commission for inspection monitors and inspects the all social care providers in England and reports comments and acts on their standards, they have 5 main priorities in which they focus there inspection on and these are:
* Making sure that care is centered on peoples needs and protects their rights
* Championing joined up care
* Promoting high quality care
* Acting swiftly to eliminate poor quality care
* Regulating effectively in partnership
Also this service allows the public to research on their website for their reports on the each care home or services they have inspected on, this gives the general public a choice within the quality of the social care services they uses or whether the social care services they are using currently are adhering to the care standard.
National Health Services (NHS): Are responsible for all health services in England and Wales and have a policy that good health care should be available for all citizens regardless of the wealth status, they are funded centrally from national taxation which make almost all its services free with the expectations of charges for some prescriptions and optical and dental services, the NHS is managed by the strategic health authorities which was created by the government in 2002.
Strategic Health Authorities (SHA’s): Are possible for:
* Developing plans for improving health services in their local area
* Making sure local health services are of a high quality and are performing well
* Increasing the capacity of local health services so they can provide more services
* Making sure national priorities e.g.: programs for improving cancer services are integrated into local health services plans
They can provide an important link between the department of health and the NHS before July 2006 there were originally 28 SHA’s but this number was reduced on that date to just 10
Acute Trusts: Hospitals are managed by acute trusts, acute trusts are responsible overseeing hospitals they provide a high quality healthcare and that the money that it is an opportunity to them is spent responsibly and sufficiently, they also decide how a hospital will develop so that service improve. Acute trusts employ a large part of the NHS workforce including nurse, doctors, pharmacists, midwifes and health visitors they also employ individuals doing jobs related to medicine such as physiotherapists, radiographers, podiatrists, speech and language therapist, counselors, occupational therapists, psychologist and healthcare scientist. There is many other non-medical staff employed by acute trusts including receptionist, porter, cleaners, specialist in information technology, managers, engineers, caterers and domestic and security staff. This is all so the hospital is continuing its high quality of services some acute trusts are regional or national centers for more specialized care others are linked to universities and help to train and provide health professionals, acute trusts can also provide services in the community e.g.: through health centers, clinics or in individuals homes.
Ambulance Trusts: Provide an emergency care services that cater to individuals that need rapid response regarding their health condition and in some cases threaten their lives not cases they also provide transportation for patients that need to go to the hospital for medical reasons.
Care Trusts: Are created when the integration of local authority and NHs bodies come together to give users, patients and carers more effective and appropriate services, care trusts are set up when it is clear they will result in clear service improvements for users not to resolve structural and operational issues. They can offer a range of services including social car, mental health services and primary care services.
Mental Health Trusts: Can be provided to a patient through their GP other primary care services or through more specialists care, mental health care service consists services such as counselors, psychological therapies, community and family support and general health screenings e.g.: individuals experiencing bereavement, depression, stress or anxiety can get help from primary care or informal community support if they need more involved support they can be referred for specialist care.
Special Health Authorizes: Are health authorizes that provide a health service to the whole of England not just to a local community the National Blood Authority is an example of a special health authority others include:
* Patient safety agency
* National treatment agency
* NHS business services authority
* NHS professionals special health authority
* The health and social care information centre
* The NHS institute for innovation and improvement
They have been set up to provide a nationals service to the NHS or the public under section 11 of the NHS Act 1977 they are independent but can be subject to ministerial direction in the same way as other NHS bodies.
Secondary Health Care: Is the care a patient receive after that have been seen already by an in most cases this would be their GP opticians or dentists but can also include hospitals and day-care centers to which has then refers them to another service as they cannot adhere to their need sufficiently. Booked appointment times and their speed up the service they are using accident and emergencies are now centralized at major hospitals with the country and can provide a 24 hour service, this increases the reliability of the services that the patients use. Also now some treatment centers offer minor surgery and diagnostics which also takes pressure off major hospitals catering to A and E service and major operations.
Integrated Care: Is when both health and social care services work together to ensure individuals get the right treatment and care that they need, working in line with the communities set out in the January 2006 White Paper, our health, our care, our say, frontline organizations will be able to deliver integrated community services that help individuals to remain in control and live independent lives. Integrated care includes nurses running acre services for diabetes or heart failure patients outside a hospital setting or cross organizational services for drugs users who have a range of other difficulties in their lives such as housing and education. Clinical staffs use their professional judgment to decide what health treatment or social care support is needed.
Children’s Trusts: Involve all professionals that are working together for the benefit of the child to get a wide overview of the child’s needs their aim is to overcome professional barriers reduce duplications and improve all services the common assessment framework is to share information across services such as schools, social workers, doctors, community nurses and any other service the child may use and make sure they are all aware of what is being done to the child to help them. Not only is this listening to the views of children and young people also a priority of children’s trusts.
National Service Framework (NSF): Provide approaches how to tackle the agenda of improving standards and quality across healthcare sectors, NSF’s are implemented in partnership with social care and other organizations. They have duties which:
* Set national standards and define service models for a service or care group
* Put in place programmers to support implementation
* Establish performance measures against which progress within agreed time scales would be measured
by
jbkezza21 (student)
