Describe the overall structure of health services provisions in the UK

Describe the overall structure of health services provisions in home country. (P2)

Within the health care sector there are three key elements that are in the provision. These are:

Statutory

Voluntary

Private

Statutory care provision is based on general and regional hospitals and also primary care trusts. In a community statutory provisions would include a large general hospital and the local general practitioners for people living within that community. Statutory provision care was care that was provided by the state, hence reason why it is called statutory provision.

Voluntary provision 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 world wide. They include providers such as Mencap witch support people with disabilities and their families living in the U.K with advice and a variety of other service’s that help them in improving their life. A local charity in on a smaller scale and will help health care services in local areas such as a hospice.

A private provision 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 practises that now only offer their services on a private base and patients have to pay for the treatments they receive. Also people they are in need of having a specialist operation such as a hip replacement may choose to have it done by a private sector such as the BMI hospital.

Social services

Social services are organizations that assist people in need. There are many different types of services that they perform and can range from helping domestic violence victims to financially in need people. Every area has their own social service organizations which they offer their services in a local area and are administrated by the local authority were as health services are administrated nationally.

Social services look after the health and wellbeing of the population and this includes:-

People with disabilities
Families and children
People with physiological difficulties and disorders
People with financial problems
People with housing difficulties including homeless people
Older people they may need help with daily activates promoting them to stay at home.

Social services are also available and work with other services and organisations an individual may use such as:-

Hospitals- patients such as young children could be referred to social services if the doctor or nurse has concerns of their safety.
health care centres
educational environment, especially for children
community centres and groups
advice centres such as citizens advice bureau’s
police and police environments

Not only do social service work with other organisations 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. Also councils from all different areas work together to manage social services on a wider scale, to refer people 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 five main priorities in which they ...

This is a preview of the whole essay

The commission for inspection monitors and inspects the all social care providers in England and reports, comments and acts on their standards. They have five main priorities in which they focus there inspections on and these are:-

Making sure that care is centered on people's needs and protects their rights:
Championing joined-up care
Acting swiftly to eliminate poor quality care:
Promoting high quality care
Regulating effectively, in partnership

Also this service allow the public to research on their website for their reports on the each care home or services they have inspected on. This give the general public a choice within the quality of the social care services they uses or weather the social care service they are using currently are adhering to the care standard.

National health services (NHS)

The national health services 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 form national taxation which make almost all its services free with the exceptions 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 (SHAs)

Strategic health authorities are respectable 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 (for example, programs for improving cancer services) are integrated into local health service plans

They also provide an important link between the department of health and the NHS.

Before July the first 2006 there were originally 28 SHAs but this number was reduces on that date to just 10.

Acute trusts

Hospitals are managed by acute trusts. Acute trusts are responsible overseeing that hospitals provide a high quality healthcare and that the money that it is oppointes to then is spent responsibly and sufficiently. They also decide how a hospital will develop, so that services improve.

Acute trusts employ a large part of the NHS workforce, including nurses, doctors, pharmacists, midwives and health visitors. They also employ people doing jobs related to medicine, such as physiotherapists, radiographers, podiatrists, speech and language therapists, counselors, occupational therapists, psychologists and healthcare scientists.

There are many other non-medical staff employed by acute trusts, including receptionists, porters, cleaners, specialists in information technology, managers, engineers, caterers and domestic and security staff. This is all so the hospital in continuing its high quality of services.

Some acute trusts are regional or national centers for more specialized care. Others are liked to universities and help to train and provide health professionals.

Acute trusts can also provide services in the community, for example through health centers, clinics or in people's homes.

Ambulance trusts

Ambulance trusts provide an emergency care service that cater to people that need a rapid response regarding their health condition an in some cases threatening their lives. No only do they cater to emergency situation in some cases they also provide transportation for patients that need to get to a hospital for medical reasons.

Care trusts

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 service including social care, mental health services and primary care services.

Mental health trusts

Mental health services can be provided to a patient through their GP, other primary care services or through more specialist care. Mental health care service consists of services such as counseling, psychological therapies, community and family support, and general health screenings. For example, people 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 authorities

Special health authorities are health authorities 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 center
The NHS institute for innovation and improvement

They have been set up to provide a national 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

Secondary health care is a the care a patients receive after that have been seen already by an in most cases this would be their GP, optician or dentists but can also include hospitals and day care centres to witch has then refers them to another service as they cannot adhere to their need sufficiently.

Booked appointments will also give patients the choice of appointment times and their for speed up the service they are using. Accident and emergencies are now centralised 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 centres offer minor surgery and diagnostics which also takes pressure off major hospital catering to A&E service and major operations.

Integrated care

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 commitments 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 people to remain in control and live independent lives.

Integrated care includes nurses running care services for diabetes or heart failure patients outside a hospital setting, or cross-organizational services for drug 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 trust

Children’s trusts involve all professional that are working and involved with children working together for the benefit of the child to get a wide overview of the Childs needs. Their aim is to overcome professional barriers, reduce duplications, and improve all services. The common assessment frame work is to share information across services such as schools, social workers, doctors, community nurses and any other service the chid may use and make sure they are all aware of what is being done to the child to help them. No only this listening to the views of children and young people is also a priority of children’s trusts.

Health settings

Access to helath services

National service frameworks

National Service Frameworks (NSF) provide a system that approaches how to tackle the agenda of improving standards and quality across health care sectors. NSFs are implemented in partnership with social care and other organisations. They have duties which:

set national standards and define service models for a service or care group;

put in place programmes to support implementation;

establish performance measures against which progress within agreed timescales would be measured.

Coronary heart disease

Reducing heart disease in the population
Preventing CHD in high risk patients
Heart attack and other acute coronary syndromes
Stable angina
Revascularisation
Heart failure
Cardiac rehabilitation

Cancer paediatric intensive care

Mental health

Older people

Rooting out age discrimination
Person centred care
Intermediate care
General hospital care
Stroke
Falls
Mental health in older people
Promoting and active healthy life in older age

Diabetes

Prevention of type 2 diabetes
Identification of people with diabetes
Empowering people with diabetes
Clinical care of adults with diabetes
Clinical care of children and young people with diabetes
Management of diabetic emergencies
Care of people with diabetes during admission to hospital
Diabetes and pregnancy
Detection and management of long-term complications

Long-term conditions

As the total percent of people with long term conditions are greater then any other service users that use health care then another patients with 52 percent attending GP appointments, 65 percent of out patient appointments and 69 percent of the primary and acute care budget this is an area of the heal provision that is widely focused on. Health services aim to provide a good service which includes helping them remain independent using deferent methods, help them to understand their conditions so that they can feel in control and understand the impact that it may have on their lives. Also they aim to appoints personalised care to their patient covering each individuals needs physically and mentally. Support is their pain key approach.

Renal