What Is The Role Of The Nhs In Health And Social Care

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Essay: Organisation of healthcare- Introduction: Organisation of healthcare in the UK is primarily managed by the National Health Service (NHS), which was operationalised on the 5th of July 1948, by the then Minister of Health, Aneurin Bevan (1). It was founded under the following four principles: universality, equality, free at the point of delivery, and paid for via central funding (i.e., by taxes and national insurance contributions) (1). The latter point has been criticised by many, but the NHS, continues to this day, to be a publicly funded service that universally cares for people based on their need rather than on their ability to pay (1). This essay delves into the organisation of healthcare, highlighting the importance of each stage …show more content…

The organisations at the national level include NHS England and NHS improvement, and Care Quality Commission’s (CQC); NHS England and NHS improvement were separate boards, however merged together in 2019, in a bid to provide national direction on standards of best practice, quality of data etc. CQC’s main roles are to register care provider’s and monitor their services to protect their users (3). Organisations at the regional level include NHS England and NHS Improvement Regional Teams. They are responsible for funding and resource allocation, policy implementation, performance monitoring etc. 3. What is the difference between a '' and a ''? The local level, however, is made up of commissioners (e.g., Clinical Commissioning Groups i.e., CCG’S, and non-NHS local authorities), providers (e.g., NHS trusts i.e., acute, community, mental health, and other providers of NHS-funded care i.e., GP’s, voluntary sector, social enterprises, private etc. and Primary Care Networks (PCN’s) (3). These local organisations are also then organised in two sectors: sustainability and transformation partnerships/integrated care systems (STP’s/ICS’s), which include commissioners, providers, and PCN’s, and Integrated Care Partnerships (ICP’s), which include providers and PCN’s …show more content…

It is mainly funded by the allocation from NHS England (as mentioned above), and local authority contributions. There are also two ways this funding can be allocated: via assessment, where local health bodies conduct assessments in order to prioritise health needs within the community, and commissioning services, where funds are then allocated to several healthcare providers e.g., hospitals, clinics etc. based on these said priorities (5,6). Hence, the three key responsibilities of the allocation of the local funding of the NHS are service delivery, integration of services, and performance monitoring (6). Evaluation of effectiveness of recent NHS reorganisations: Since the creation of Britain’s NHS in 1948, it has undergone various structural and management reforms, aimed at improving efficiency, patient care, and service delivery, beginning in 1962 (7). These include integration of services, financial efficiency, workforce management, and digital transformation, to name but a

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