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National Health Service United Kingdom
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Many healthcare policies in the UK are formulated by the National Health Service (NHS). The NHS does not constrain paramedics to offer specific treatments or certain pathways of care, but allows them to use their clinical judgment and experience or utilise the discretion of a doctor. In an attempt to create an effective approach in the delivery of healthcare to residents of the UK, it is important to take care of health professionals and their medical field profession. However, supporting the professionalisation of paramedic practice should not be regarded as a wholly good thing. This is because there are some other pressing policy issues that concern other stakeholders at the hospital level.
Pursuing professionalisation of paramedic practice arguably goes against the general ethics of UK society since it is regarded as sign of selfishness on the side of health professionals (Campbell, 2013). Other issues within the health sector which are in need of more attention include: the administration and their role in planning, decision making, staff motivation, healthcare development, patient monitoring, providing a home-like experience for patients, continuous change in patient’s care, and overcoming obstacles towards change. These issues should be the ones occupying the minds of paramedics throughout the UK since their welfare is taken care of by councils such as the Health & Care Professions Council and Pre-Hospital Emergency Care Council among others. There are few laws that seek to regulate health profession, leaving almost all issues to self-regulation by respective health professional councils as discussed later in this paper.
The paramedical field, as a self-regulated field, does not need additional professionalisation since...
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..., L. (2011). Coastal and marine ecosystem services valuation for policy and management: Managed realignment case studies in England. Ocean and Coastal Management, 54(3), pp. 212-224.
• Marmot, M., and Bell, R. (2012). Fair society, healthy lives. Public Health, 126, pp. S4-S10
• McLeod, M., Ahmed, Z., Barber, N., and Franklin, B. D. (2014). A national survey of inpatient medication systems in English NHS hospitals. BMC health services research, 14(1), p93.
• Murray, S. A., Kendall, M., Boyd, K., and Sheikh, A. (2012). Illness trajectories and palliative care. International Perspectives on Public Health and Palliative Care, 30.
• Pollitt, C., Harrison, S., Dowswell, G., Jerak-Zuiderent, S., and Bal, R. (2010). Performance regimes in healthcare: institutions, critical junctures and the logic of escalation in England and the Netherlands. Evaluation, 16(1), pp. 13-29.
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On the morning of May 17th, 2005, Nola Walker was involved in a two-car collision. Police and Ambulance were dispatched and arrive on scene at the intersection of Kenny and Fernley Street. Ambulance conducted various assessments on Ms. Walker which revealed no major injuries and normal vital signs. Mrs walker denied further medical investigation and denied hospital treatment. Later on, Queensland police conducted a roadside breath test that returned a positive reading, police then escorted Ms. Walker to the cairns police station. Ms. Walker was found to be unconscious, without a pulse and not breathing. An ambulance was called but attempts to revive her failed (Coroner’s Inquest, Walker 2007). The standard of Legal and ethical obligation appeared by paramedics required for this situation are flawed and require further examination to conclude whether commitments of autonomy, beneficence, non-maleficence and justice were accomplished.
The result of the Francis Report means that the NHS is at a turning point in how all Health Care is delivered, as suggested by NHS employers “28 of Robert Francis' QC's recommendations are for changes to nursing regulation or delivery”.
Papanicolas, I. & Smith, P. (2013). Health system performance comparison an agenda for policy, information and research. Maidenhead: Open University Press.
Public Expectations: In Health and Social Care, the public expects employees/workers to be caring, respectful towards the patients protected characteristics which means avoiding conflicts such as discrimination and inequality treatments. They should be able to protect personal information of the patients by following the 'Data protection and Confidentiality Act 1998'. They are expected to give good supportive advice towards their patients and employees to improve the quality of work and welfare benefits. They expect higher standards of care, detailed information about their treatment, communication and involvement in decisions making activities and also access to the latest treatments (Thekingsfund,
The first journal article is about advance care planning (ACP) in palliative care. This is of interest due to several clinical experiences and the realization that many families either ignore the patient’s request for end of life (EOL) care or who have no idea of how to plan for EOL care. By reading the research and understanding the methods used, this will allow for insight into how to implement palliative care into clinical practice across different sites. The authors of this original research are Jeanine Blackford PhD, RN, senior lecturer at La Trobe University in Australia, and Annette Street PhD, associate dean of research and professor of cancer and palliative care studies. According to Blackford & Street (2011), this research is important as there are many countries that “report a low percentage of people who have completed an advance care plan” (p. 2022), and ACP is needed upon admission to facilities that offer palliative care.
National Health Service (NHS) is the provider of healthcare to all citizens in England. At present many centres in the England are developing and conducting programmes to promote a multi-professional approach to working (Barr, 2002; Whittington, 2003). The NHS is steered by sequences of policies that are outlined by the Department of Health from time to time and has set up care trust which are partnerships with the NHS and the local council.
There was inappropriate staffing in the Emergency Room which was a factor in the event. There was one registered nurse (RN) and one licensed practical nurse (LPN) on duty at the time of the incident. Additional staff was available and not called in. The Emergency Nurses Association holds the position there should be two registered nurses whose responsibility is to prov...
The demand of a constantly developing health service has required each professional to become highly specialised within their own field. Despite the focus for all professionals being on the delivery high quality care (Darzi, 2008); no one profession is able to deliver a complete, tailored package. This illustrates the importance of using inter-professional collaboration in delivering health care. Patient centric care is further highlighted in policies, emphasising the concept that treating the illness alone whilst ignoring sociological and psychological requirements on an individual is no longer acceptable. Kenny (2002) states that at the core of healthcare is an agreement amongst all the health professionals enabling them to evolve as the patient health requirements become more challenging but there are hurdles for these coalitions to be effective: for example the variation in culture of health divisions and hierarchy of roles. Here Hall (2005) illustrates this point by stating that physicians ignore the mundane problems of patients, and if they feel undervalued they do not fully participate with a multidisciplinary team.
Regardless of where you work physiotherapists have to maintain effective practice throughout clinical governance frameworks such as, personal centred care, audits and risk management (NHS Fife 2010). Physiotherapists work in a referral system throughout the care settings, referrals can be from all other professionals such as, doctors, occupational therapists and nurses. Physiotherapists must involve nursing staff, patients and carers in decisions about the care, treatment or other services that need to be provided. Physiotherapists must ensure to encourage and help patients, where appropriate, to ensure they maintain their own health and wellbeing, also support so they can make informed decisions. Physiotherapists will come across ethical dilemmas within the clinical practice such as, patients challenging their treatment, differences of opinions from other professionals, patients or carers. Physiotherapist must remain professional at all times insuring their own personal experiences, values or beliefs do not affect their clinical
Healthy People 2020 is a program for the promotion of health and the prevention of diseases, launched by the Department of Health and Human Services in December 2010. According to healthypeople.gov, this program has four overarching goals which are first to achieve healthy, longer lives free of preventable diseases, injuries, and premature deaths; to achieve health fairness, eliminate differences, and improve all groups’ health; also to produce social and physical environments that encourage good health; and last but not least to promote life’s quality, healthy development, and healthy behaviors through all life stages. This program has a vision of a community where people live long, healthy lives. Healthy People 2020 offers a comprehensive
...an, P., Egerter, S., & Williams, D. R. (2011). The social determinants of health: coming
This essay will examine the following statement in relation to reforms proposed in the Health and Social Care Bill 2011 “Funding and delivering high quality health and social care services is problematic to all governments irrespective of political persuasions” I will provide an overview of the bill and investigate through critical analysis recommendations in the Bill for clinically-led commissioning. This will enable me to illustrate the problems in delivering a high quality care service that is needed by the changing society and the challenges this causes policy makers who uphold the ideology of the NHS.
A Bunch C, Woolnough B, Hope T. (2001). Clinical Ethics Support in the UK: A review of the current position and likely development. The Nuffield Trust, London: p. 22.
The Codes of Practice is issues to all registered nurses, midwives and health visitors. The Council i...
These changes in legislation run alongside the new set of values known as ‘The 6 C’s’ bought out by NHS England, nurses as well as all other NHS employees are expected to abide by these. The 6 C’s were put in place to ensure that anyone providing care within the NHS did so with the following aspects, Courage, Care, Competence, Compassion, Commitment and good Communication. This was in attempt to ensure that the quality of care given by the NHS was of a high and professional standard; which in turn would improve the National Health Service’s current reputation. It is thought that this would be achieved by strictly abiding by these values (Stephenson,