Structure of NHS England:
2022 Health and care act - allows legal power for integrated health systems (ISH)
IHS are split into:
Board - how is funding spent & plans for improving health
Partnerships- bring in local authorities to enable IHS
Provider collaboratives are enabled by NHS trusts
Funded by NHS England set out by department of health and social care
Local authority funds health services
Some issues:
- Waiting lists
- Workforce shortages
- Effects of COVID-19
Hierarchy
Government controls NHS - secretary of state for health and social care
Taxes fund the NHS -
NHS England directly funds:
Primary care, only pharmacy, optometry, and dentistry
Offender/military care
Specialised services
CCGs (funded by NHS England)-
groups of general practices ; gps have power to influence what gets funded
GP, Emergency Services, hospitals, etc
Service Providers:
CQC - inspect healthcare facilities and reposts to DHSC
NHS Long Term Plan 2019:
Next 10 years of NHS:
- Push for integrated care
- Join small GPs into primary care networks
- Digital focus (NHS app, online consultations, etc)
6Cs:
- Care: consistent
- Compassion: based on empathy, respect, dignity
- Competence: those in caring roles must have ability to understand needs & deliver care
effectively
- Communication: involve patient in healthcare choices
- Courage: personal strength & vision to innovate and embrace new ways of working
- Commitment: provide care regardless of challenges
NHS Values:
- Working together for patients: patient-centred care
2022 Health and care act - allows legal power for integrated health systems (ISH)
IHS are split into:
Board - how is funding spent & plans for improving health
Partnerships- bring in local authorities to enable IHS
Provider collaboratives are enabled by NHS trusts
Funded by NHS England set out by department of health and social care
Local authority funds health services
Some issues:
- Waiting lists
- Workforce shortages
- Effects of COVID-19
Hierarchy
Government controls NHS - secretary of state for health and social care
Taxes fund the NHS -
NHS England directly funds:
Primary care, only pharmacy, optometry, and dentistry
Offender/military care
Specialised services
CCGs (funded by NHS England)-
groups of general practices ; gps have power to influence what gets funded
GP, Emergency Services, hospitals, etc
Service Providers:
CQC - inspect healthcare facilities and reposts to DHSC
NHS Long Term Plan 2019:
Next 10 years of NHS:
- Push for integrated care
- Join small GPs into primary care networks
- Digital focus (NHS app, online consultations, etc)
6Cs:
- Care: consistent
- Compassion: based on empathy, respect, dignity
- Competence: those in caring roles must have ability to understand needs & deliver care
effectively
- Communication: involve patient in healthcare choices
- Courage: personal strength & vision to innovate and embrace new ways of working
- Commitment: provide care regardless of challenges
NHS Values:
- Working together for patients: patient-centred care
