Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Quality improvement in the nhs essays
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Quality improvement in the nhs essays
The National health services (NHS) provides a comprehensive healthcare services across the entire nation. It is considered to be UK’s proudest institution, and is envied by many other countries because of its free of cost health delivery to its population. Nevertheless, it is often seen as a ‘political football’ as it affects all of us in some way and hence everyone carry an opinion about it (Cass, 2006). Factors such as government policies, funding, number of service users, taxation etc all make up small parts of this large complex organisation. Therefore, any imbalances within one sector can pose a substantial risk on the overall NHS (Wheeler & Grice, 2000). This essay will discuss whether the NHS aim of reducing the nations need for provision of health was achieved or not, taking into account different health models. The concept of NHS came into power from 5th July 1948. Although, Bevan who had this ideology of ‘welfare state’ was successful in architecting NHS. In fact, the need for such a consolidation of service provision was initially identified in 1919 by the Dawson Committee report (Christopher, 2004). The state in which healthcare system operated before1948 was incomprehensive, full of inequality and even lacked in providing minimum adequate standards to the general public. The people living in poverty and on Low income (working class) were affected the most; whereas, rich families were able to afford the healthcare services adequately. The health insurance was provided under the National Insurance Act 191, but was only available to the workers, whereas, their dependants (wife and children’s) were excluded. Therefore, every time they used the services they were required to pay for it. Thus, because most... ... middle of paper ... ...are immense, as it has only finite resources to use, but needs its services to be clinically effective as well as able to meet the needs of individual’s, their choice of preferences and be value for money. To accomplish this NHS will need to harness more securely its investment in surveillance, analysis and budgets, and therefore establishing a framework that would than serve and provide a better health outcome to the entire nation. Lastly, UK spends about half of what is spent by the US (about 14 % of GDP) on its healthcare, yet in US out of 250 million over 30 million citizens are still without health care provision. Thus, despite such a massive expenditure by US government, failure to provide basic health care to millions of its citizen is not overcome, however, that is certainly not the case in UK (Bilton, et al., 2002; Christopher, 2004; Smith I. , 2007).
Though, Professor Armstrong makes very good connections between health care policy reforms and its impact on women, all of these connections are eclipsed by the values encompassed within the Canada Health Act of 1984. Health care to this day is provided on the basis of need rather than financial means, and is accessible to all that require it. Professor Armstrong’s argument is hinged upon the scope of services provided under the public health insurance system, and the subsequent affect of these reforms on women as the main beneficiaries of these services and as workers in these industries. However, these reforms were made to balance the economy, and the downsizing and cutbacks were necessary steps to be taken with respect to this agenda. Moreover, as aforementioned the access to medical services ultimately comes down to need, and the reforms to date are not conducive to an intentional subordination of female interests in the realm of health care. Therefore, I find Professor Armstrong’s critique on Canada’s public health insurance system to be relatively redundant because the universal access to care encompassed within the Canada Health Act transcends the conditional proponents of her arguments of inequality. In other words, I believe she is
The original ethos behind the NHS was the belief that, through the provision of universal and complete health care, free at the point of provision, the NHS would eliminate significant disease and thereby work itself out of a job. Clearly a naive view by today's standards, this ethic remains one of the problems of the NHS today: the electorate still believes that there is intrinsic value in a universal and complete NHS, although no-one can agree on exactly what constitutes 'complete' health care, and none can say what the actual benefit of attempting to provide this (rather than rationed care)...
The history of the NHS from being chaotic to having an organised st ructure. The structure of the NHS is divided into local authority and social service, hospital services and general practitioners including specialist care. When the NHS was developed, there was no prediction of how much all the services would cost to run. The government introduced the first service charges for dentures in 1951and prescription and spectacle’s in 1952 this could have been due to everyone needing medical care at the same time. This also suggests that individuals health improved, likely to live longer and would need more services in the future which the government realised would be unrealistic to achieve. Even then, as it is currently, it remains difficult
The facts bear out the conclusion that the way healthcare in this country is distributed is flawed. It causes us to lose money, productivity, and unjustly leaves too many people struggling for what Thomas Jefferson realized was fundamental. Among industrialized countries, America holds the unique position of not having any form of universal health care. This should lead Americans to ask why the health of its citizens is “less equal” than the health of a European.
In this essay I will analyse the origins of Community Care and what benefits emerged when the NHS Community Care Act 1990 was established. Later on, I will explain and critically evaluate the effects of privatisation in social care and health.
The NHS was then finalised during 1948, the main role of the NHS was to reduce health inequalities throughout Britain, so that everyone could be treated the same way, whatever their finance stability, job status and location. They believed that this programme should have reduced inequalities throughout Britain. It was created by Aneurin Bevan and Edwin Chadwick but it was successful until the Prime Minister at the time who was Margaret Thatcher accepted the Bill through Parliament. The NHS included the Public Health Acts such as maternal and child welfare, availability for beds in hospitals and General Doctors in local areas. The NHS also included things such as Vaccinations and Immunisations and social work skills such as home helps and also
One of the five key principles of care practice is to ‘Support people in having a voice and being heard,’ (K101, Unit 4, p.183). The key principles are linked to the National Occupational Standards for ‘Health and Social Care’. They are a means of establishing and maintaining good care practice. Relationships based on trust and respect should be developed between care receivers and care givers, thus promoting confidence whilst discussing personal matters without fear of reprisal and discrimination.
Despite the established health care facilities in the United States, most citizens do not have access to proper medical care. We must appreciate from the very onset that a healthy and strong nation must have a proper health care system. Such a health system should be available and affordable to all. The cost of health services is high. In fact, the ...
National health systems are assessed by the extent to which expenditure and actions in public health and medical care contributes to the crucial social goals of improving health, increasing access to quality healthcare, reducing health disparities, protecting citizens from penury due to medical e...
Employee health benefit plans flourished in the 1940’s and 1950’s. Unions bargained for better benefits, which included tax-free, employer-paid health insurance. When war hit between 1939 and 1945, government froze wages which led to an increase of group health care. Since employers were unable to attract employees with higher wages, employers decided to improve their benefits package by adding health care coverage. Gove...
The NHS was founded on similar principles as Canada- universal, free to a point, equitable and paid by central funding (Grosios et al, 2010). Over the years, the NHS has seen numerous organizational and political changes, but still remains universal and offers care to people who need it and are not able to pay for it. The NHS is funded by national insurance contributions and taxes. The healthcare policy and healthcare delivery is a responsibility of the central government in England, whereas in Wales, Scotland and Northern Island it is the responsibility of the local governments. In the UK, the NHS is composed of two major sections- one which deals with policy, strategy and management and other section that deals with medical care; this department is further subdivided into community care, pharmacy, dentistry and general medical practice. In Britain there are many barriers in seeking specialty care; one has to see a general practitioner first, who is a gate keeper and decides on where and who gets specialty care. It can often take years to bypass this gatekeeper because there are very few specialists in the country. In the past two decades, there has been a major shift in funding moving away from central government to local counties. The UK healthcare center is facing cutbacks in funding and complaints of long waits to see surgeons and specialists is common.
The Australian health care system comprises both the public and the private health sub-sectors. The health care system concerns itself with the financing, formulation, implementation, evaluation, and reforming of health services. The main sources of f...
The Indian Health Service (IHS) is a healthcare program within the Department of Health and Human Services. (Agency Overview n.d.) It provides federal health services to eligible American Indians and Alaska Natives at IHS facilities. (Agency Overview n.d.) Services that IHS provide include medical, dental and vision, ancillary services, such as laboratory and pharmacy, specialty care which include services provided by the physician or specialist. (Agency Overview n.d.) The factors that affect the type of health care depend on the community needs, level of funds and whether treatment is medically necessary (Marx n.d.) American Indians and Alaska Natives can receive direct care at hospitals, health centers and they may be federally or tribally operated. (Marx n.d.) If a direct care facility is unable to provided services the individual will be referred to a public or private provider. (Marx n.d.) IHS is located on or near Indian reservations and services are provided by Indian Tribes, Urban Indian organizations or IHS. IHS is responsible for providing medical and public health services to members of federally recognized Indian tribes and Alaska natives.(Agency Overview) In order for a tribe to be recognized it needs to meet specific criteria from that state which also includes land and rights that are accepted as well (Agency Overview). IHS has a mission to educate the Indian people about physical, mental, social and spiritual health (Agency Overview). American Indian and Alaska Natives preside over their members and lands (Definition of Indian Health Service Definition 2012). The United States continue to work with Indian Tribes on a one on one basis focusing on issues about tribal government and other rights (Definit...
- Organisation and Management of Health Care, April 2002, Version 2.0 , Main Contributor: Katie Enock, Public Health Specialist, Harrow Primary Care Trust www.healthknowledge.org.uk
The objective of this project shall identify the extent to which the principle of equity underpins government strategy in contemporary Irish health policy. In order to examine this principle, the essay will focus on the health services for older people. Such services are an important topic to address in modern day Irish society because the population of those aged over 65 is set to increase considerably which will cause particular economic and social implications for healthcare services in the future. Initially the paper shall provide a foundation of historical developments that have emerged within the Irish Healthcare system and highlight social policy implementations that have occurred. Following this, the paper will go on to discuss 'equity' with emphasis placed on the importance of effective policy measures to safeguard the equity and fair treatment of the elderly within the Irish healthcare system. Inference shall be made to the medical card scheme, hospital bed waiting lists, services for elderly people and the equity issues involving public and private healthcare. It shall also examine government policy papers in terms of how the two-tiered health system shows evidence of inequality that goes against the code of equity sought out by the `Quality and Fairness' (2001) report. Finally this essay will finish with a conclusion of the overall discussion.