There are four known health service provisions know in the England; these are statutory, voluntary, informal and private provision. Statutory healthcare sector provides formal care, which is funded by the government through the taxes people pay. These services are free in some health care sectors such as the opticians, GP and dentist. The public sector includes the NHS, which provides free healthcare service to all UK citizens. Voluntary care provision, both local and national, is provided through charities. Local volunteers can make a huge difference in reducing the amount of money that health authority has to pay in care costs and be able to change the lives of the sick or elderly. Voluntary organisations can work alongside statutory organisations, supporting the services they have to offer. This type of care can cost volunteers, e.g. transport. Private care sector provision is centred …show more content…
on self-employed practitioners and small businesses that provide some form of care, which people will have to pay for such as such as private clinics. Informal care provision is a career that can involves family and friends or neighbours, in providing care to someone else without receiving payment for the care being provided.
Social services
Social services are the second largest service within the local government. Social care is a provision of social work and personal care to protect the vulnerable, support independent living and provide improved life outcomes for children, young people and adults in need of their support due to an illness, disability or old age. This provision applies to people of all ages; it also provides support to families or carers of people who receive social care. The local authorities are responsible in providing social care service to people who requires it.
NHS/ Strategic health authorities
The National Health Service role in the UK is to provide people standard healthcare based on their needs, rather than paying for the services, it is funded by taxes so that everyone has access to all health services provided through the NHS such as GPs and dental services. Strategic health service is part of the structure of the NHS in England. They are responsible in developing and reconstructing the health services in England, also they make sure quality and the national priorities are combined into local plans.
Primary Care Trusts
The Primary Care Trust was part of the NHS in England from 2001 to 2013. They consist of health services such as GPs, community nurses, mental health services, NHS direct and walk-in centres, dentist, pharmacists, opticians, patient transport (e.g. ambulance), local community hospitals, screening and health promotion programmes. The primary care trust are mostly administrative bodies that are responsible for the unification of health and social care and ensuring that local health organisations co-operate with local authorities. It is expected that the Primary Care Trust receive seventy-five per cent of the NHS budget to provide effective health and social care. They are also responsible for making sure that the services available meets up to peoples demand in the local community and ensuring that they are able to have access to those services.
Primary healthcare
This healthcare enables people in the community in making an initial approach to a medical practitioner or clinic for advice or treatment. Within the NHS services the main source of primary healthcare is the GP. The goal is to provide a simple accessible route to care, no matter the patient’s problem. Primary healthcare is based on caring for people than focusing on specific diseases. This means that professionals who work in primary care are generalist, handling a broad range of physical, psychological and social problems rather than specialising in a particular disease area.
NHS Trust
The NHS Trust is a division within the NHS in providing goods and services for the purposes of the health service. It acts as a healthcare provider and provides hospital, community services as well as other aspects of patient care such as patient transport facilities. They also act as administrator when sub-contracting patient care services to other healthcare services.
Secondary healthcare
This is a healthcare service provided by medical specialists and other professionals that do not have first contact with the patients, for example, cardiologists, urologists and dermatologist. Secondary healthcare services are usually based in a hospital or clinic rather than it being in the community and patients are normally referred to a secondary healthcare service by a primary healthcare provider such as a GP.
Integrated care
Integrated care is a very popular in healthcare reforms and new organisational arrangements, which focuses on more co-ordinated and integrated forms of care provision.
Integrated care reflects a concern to improve patient experience and achieve greater resources and value from health delivery systems. Integrated care aims to focus on the fragmentation in patient services and ensure better co-ordinated and sufficient care.
Mental health trust
The mental health trust are run by the NHS organisation as well as voluntary sector organisations like charities, and private companies that are paid or commissioned by the clinical commissioning group. This trust provides health and social care services to those who have mental health disorders in England. There are 60 mental health trusts in England. Patients normally access the services of mental health trusts through their GP or a stay in hospital. The trust works alongside other trust as well as the local authorities and voluntary organisation to provide care.
The Children’s
Trust
The children’s trust in England is a leading charity for children with brain injury. The Children’s Trust runs a range of specialist care, education and therapy services to children and young people across the UK. This trust enables children and young people, with brain injury, to be independent even though they will provide care throughout the whole process. Their aim is to improve the lives of young children by providing better services.
How different settings provide for different needs
Hospital wards: Hospitals are run by the NHS trust, providing high-quality healthcare which the money is spent efficiently. Treatments in the NHS are free apart from emergency care; hospital treatment can be arranged by the GP, dentist or optician. If a patient needs to go to a hospital to see a specialist, it is possible that the patient preferences may be considered when choosing a hospital when be referred.
Day care units: Day care services are provided to support elderly people who are able to live at home but will need additional help. Patients are normally referred by their GP, Community Nurse or District Nurse. Day care patients are assessed by the medical team to identify their needs and interest. The day care unit is also provided to help maintain and improve the social life skills and their daily activities.
Access to health services
Referral: This can be also known as self-referral, which is when a patient refers themselves to a health service such as a GP. They also refer themselves to a private health service outside the NHS provision an example could be physiotherapy.
Assessment: This is when a patient and a health professional have a discussion about the care and support the individual should have. This can be known as assessment of need. An example could be a doctor discussing with a patient about what type of care and support should be given to them, and what would be the right approach in treating the patient.
Barriers to access: There may be some barriers to access in terms of the assessment of need; this includes the specific needs of an individual. Individual preferences may cause as a barrier to access, for example a patient may request for a female staff instead of a male staff this could be because they feel much comfortable around female than male. This could cause a problem because there may be short of female staff available at that point of time. Financial could also be a barrier to access because even though the NHS if a free healthcare service in some cases it isn’t, for example cosmetic surgery, is not funded by the NHS which means that you will have to pay for their service. A barrier to access can also be geographical, which means that some individuals with a specific need may not have access to treat it in the location there in. This means that they will have to either go outside the country or within that area they live in to receive the treatment they require. Lastly, there are social and cultural barriers to access; this is when a person with a different cultural background, may find it hard to communicate when discussing with a health professional about their treatment. However, in order to avoid this it would be best if there was a translator available so they will be able to know what kind of treatment they are going to be taking.
National Service Frameworks
The National Service Frameworks are long-term strategies, set up by the government, in improving and developing specific areas of care. They set national standards and significant goals within a set time frame. The National Service Frameworks priority areas are coronary heart disease, cancer, diabetes, mental health, older people, renal, long-term conditions, paediatric intensive care, and children, young people and maternity services.
The National Service Frameworks for coronary disease helps the NHS organisations to focus on treatments that have been clinically proven to be effective, provide formal standards of care and promoting networking across health communities. In terms of diabetes, the National Service Frameworks helps people maintain their insulin intake, making sure there are dedicated nurses on hospital wards to decrease the length of stay in hospital and to cut the number of complications and to also create a diabetic clinic so that there are skilled specialist and service available for diabetic individuals.
National Service Frameworks for cancer is to provide quality treatment available at the highest standard. The National Service Framework for mental health is to eliminate discrimination against individuals with mental health problems and to make the service accessible to anyone who may have a mental health problem. The National Service Framework for children, young people and maternity is to promote good physical, mental and emotional health by improving their health lifestyle. Also to focus on providing an early assessment of a child and their family’s needs. The National Service Framework for older people will guarantee that older people are to be treated with respect, also encourage them to have a healthy lifestyle and gain independence.