These services are all provided at different rates. Some services are constantly provided such as A&E. Some are provided weekly or monthly, for example scheduled appointments with their GP or stopping smoking group councilors. Some services, Walk in clinics are provided whenever the service is needed.
A sector is where an organisation fits into a category to determine how the services are provided. The NHS is part of the statuary and public sector. The part of the NHS that fits into the public sector is provided by receiving money directly from the government through taxation. The NHS being part of the public sector also means that everyone who is in the U.K or a U.K citizen is entitled to free health care. The reason why the NHS is part of the statuary sector is because this service is run by the government and is require but they are not always willing to fund it.
The NHS is funded by the government. This works by taxation, income tax, VAT and corporation tax are the main sources of the funds used. The NHS also acquires money from National Insurance, prescriptions, dental treatments and other forms of revenue.
Funds are allocated by Her Majesties Treasury to the Department of health. The Department of health distributes the funding via a ‘capitation’ system; a fixed amount for each section. The capitation system works by basing their figures on a formula that considers population, deprivation, age and many other factors
National Framework
The NHS fits into the Primary care trust on the national framework. As a result it is the responsibility of the NHS to purchase all of their local population’s health care. This is done from three types of organisation.
- Primary care trust
- Secondary care trust
- Tertiary care trust
The NHS also receives funding from charitable, monetary donations. These are often from individuals or from charities but they have to be registered with the charity commissioner and administered by trustees. Any donations are stored and used separately to government funding and is often used to build specialist wings to hospitals, specialist clinics in the community and generally make the NHS a nicer organisation.
Job Roles in the NHS
This section of my coursework, I am going to focus on two workers in the NHS. I have Chosen two people in the NHS with different jobs. The first is going to be a theatre sister and the second a midwife.
Theatre Sister:
Typical Day:
- Doing operations
- Organising the equipment
- Sending for the porters to bring the patients
- Ordering supplies from the supply unit
This jobs works in shifts so there are no fixed hours and you may be called in at anytime
Qualities needed:
- Understanding
- Empathy
- Patience
- Good communications
- Motherly skills
These skills are gained thought life.
Skills needed:
speaking, service orientation, social perceptiveness, reading comprehension, oral comprehension, judgment and decision making, medicine knowledge, biology, customer and personal service, chemistry, problem sensitivity, and critical thinking.
These skills are gained by life and through education. For example Biology can be learnt by taking courses at school, college, sixth form or university.
Ways of getting this job:
Midwife:
A midwife is a Medical person who helps to assure the safe delivery of babies.
Typical Day:
- Delivering Babies
- Looking after mothers
- Looking after babies
This jobs works in shifts so there are no fixed hours
Qualities needed:
- Able to deal with chaos
- Calm yet authoritive
- Able to work well under pressure
- Good communication
- Not squeamish
- understanding
Skills needed:
- To be a midwife, you should:
- be able to relate well to people of all ages and backgrounds
- be able to build up trust with women and their families
- be able to help mothers feel confident and in control
- have effective communication skills
- have a genuine desire to help people
- enjoy working in a team but also on your own initiative
- have maturity, compassion and sensitivity
- be able to remain calm under pressure
- be able to explain processes to people who have no medical knowledge
- Respect the mother’s wishes about how and where to have her baby unless it is dangerous to do so.
You get these skills through everyday life. But they can be very hard to gain. You either have them or you don’t.
The way my client go this job:
Care Base Value
A value is a belief or opinion that people have. They are usually passed on thought families or published by the media E.g. you should always say please and thank you or that people who wear hoddies will mug you and steal from shops. These are all Stereotypes
Stereotyping is when you make assumptions about someone, this often forms prejudice towards people and makes people discriminate other people. Discrimination is when you physically act out prejudice and Prejudice is when you let your stereotypes affect how you feel or act towards a person.
Care base values are put in place so that people do not discriminate against others. Everybody stereotypes to an extent but a good care person tries their hardest not to let their stereotypes become prejudices or to discriminate against people and get in the way other their work.
In contradiction to this, there is discrimination and prejudice in the world outside of health and social care. To help stop this from happening, confidentiality rules are put into place. Doctors and Nurses have to take an oath to promise to provide the same standard of care to everyone regardless of previous history.
Confidentiality rules are put in place so that information about a client can not be disclosed to anybody else. These rules are there because certain things may embarrass them or be very difficult for a person and they just don’t want people to know their business.
Several rules and regulations have been put into place so confidentiality can be enforced. One of these rules is called the Data protection act. This means anyone who holds the data of another person they have to swear to use it correctly and not to share it.
Ways that these rules are enforced can be through:
- Contracts
- Shredding unneeded files
- Password protection on electronic files
- Being in a room alone when taking phone calls
- Locking filing cabinets with restricted access to the keys.
Meeting the clients Needs
*Name changed for confidentiality reasons.
Client 1:
My first client is a 15 year old boy named Jake*. He lives at home with his two brothers, mother and father. My client has broken his ankle and ruptured the ligaments in his ankle. Jake* did this in a snowball fight. His fracture is a stable fracture which means that it will be able to bear his weight, but not be able to rotate (move). Jake* has to wear an inflatable split for 8 weeks. He is spending most of his recovery time at home.
Jake’s* needs are mainly physical, but there is some intellectual, emotional and social needs. He needs:
- To exercise as much as possibly.
- To use his damaged leg as much as possible.
- To catch up on any work he may miss while he is recovering
- To cared for by his family and friends to feel loved and cared for.
- To be visited by his family and friends so he doesn’t get lonely.
Jake* was taken into A&E by his mother. Here he received care and was sent to the x-ray department for an x-ray and diagnosis after he was fitted with a back slab. The next day Jake* had an appointment with the plastering unit where he was fitted with his inflatable splint.
Afterwards Jake* is advised to see a physiotherapist to help him regain as much use of his ankle as he can.
Client 2:
My Second Client is a 52 year old man. Dean* Lives by himself in a 1 bedroom flat. He has one daughter. Dean’s* wife walked out on him 15 years ago when his daughter was 7. From this point on his life became a spiralling abyss of nothing and he turned to drink. Many times he has passed out due to alcohol poisoning and has been rushed to hospital to have his stomach pumped. His pancreas has just given in and he has been rushed to hospital
Dean’s* needs are again mainly physical.
- To stop him from harming any staff while he is under the influence of alcohol
- To remove all traces of alcohol as quickly as possible
- To help him feel better after he ‘comes down’
- To help him be intellectually stimulated while in the hospital
- For staff to talk and be friendly to him so he feels wanted and appreciated and to help lift his spirits.
Dean* has been taken into A&E the first services is received is from the ambulance staff. After Dean* is seen by a Doctor he is taken to a ward where he will be left to rest and all traces of alcohol to leave his blood steam. After this he will be taken to the A2 operating theatres to have his pancreas removed. Here he will receive services from surgeons, ODA’s theatre sisters and other staff.
After Dean* has recovered he will receive counselling mainly for the loss of his organ, but also for his alcohol problem. Dean* will have to be on medication for the rest of his life and have to use synthetic insulin.
Barriers to access and evaluation of this service:
Jake* gained access to this service by self referral. Nobody referred him to this service. He knew about it because he lives nearby the hospital and his mother works there. He did not need an ambulance and his mother drove him to A&E
Dean* was referred to the hospital by paramedics. This is a professional referral. This is because he was assessed by paramedics and they came to the conclusion that he needed further help.
By needing to go to hospital there are some obstacles they may have affect on the care that my clients may receive. For example Jake* may have had difficulty getting to the hospital. If his mother didn’t drive he would have had to rely on an ambulance or public transport. For his physiotherapy treatments If Jake’s* mother didn’t drive he would have to rely on public transport to get himself to the hospital because you can not call an ambulance to pick you up from home to take you to an out patients appointment. I suggest that the hospital should provide a taxi service that is cheap or free to people who can not afford to pay for it.
Dean* does not like going to or being in hospital. He tries to avoid going to hospital as much as possible, but this had affected his health in a bad way. By procrastinating going for check-ups and seeking medical help when needed is health has deteriorated radically. I suggest that the hospital enforce some kind of monitoring to ensure Dean* attends all appointments to help improve his health as much as possible. Such as a pick up service.
In conclusion I have learned that the NHS helps and provides care in many different ways for everyone in the United Kingdom. I have also discovered how it affects people who use the service.
Bibliography
Websites:
/
People:
Sister Sharon Palin
Genette Henarsey
Dr. Erick Chemla
Books & Class Notes:
Heineman GCSE Health and Social Care or Edexcel, Double Award
Unit 1: Booklet 1
Booklet 2
Booklet 3
Booklet 4
Booklet 5
