Introduction
The influences affecting the NHS today sometime are not evident unless viewed against the changes and trends that have developed since its inception. After the World War II it was an era of simplicity and desperation the general population had housing crisis, food shortage and raw material shortages etc.
Political Influences
On a global political stand point there was a uniting of ideas and governments; what we know today as the United Nations (UN). One of the main ideas which the UN has grown up around is ‘The individual possess rights simply by virtue of being Human’ (The Universal Declaration of human rights); which was adopted by the general assembly in 10th December 1948. This statement is reflect in the core principles
…show more content…
The NHS tried several different approaches to the problem-solving through budgeting and the arrival of waiting lists. Due to an increase of staff and funding and the NHS still in trouble this attracted the spot light of the media and question started to be raised.
Margret Thatcher administration
The Prime Minister Margret Thatcher (PMMT) set in to motion a re-examining of the NHS in 1990 this produced a White Papers ‘Working for patient and caring for people’. The result of this a created the ‘internal market’ [5] which competes for care on a commission basis. This brought about new legislation ‘The National Health Service and Community Care Act’ [5]
How it works: Hospital trust contends to provide care taking the running of hospitals away from the health authority but instead buy care from the trust. The local authority commission care for their local people from their own trust or others. There was a clause called the ‘GP fund holders option’ [5] which allowed some GP to by care for their patients.
At the time this was being created the labour party accused of trying to privatise the NHS. This became a major element in their campaign which took them to power in 1997.
1997 The Tony Blair influence? Labour had gone through internal reforms and now dubbed itself New Labour, one of the key promises of the 1997 election from new labour was to ’scrap internal market and GP fund holding, and to replace competition with collaboration’.
2000
The introduction of PFI
For example David Cameron (DC) controversially changed the outlook of the conservative party and claimed it to be ‘The party of the NHS’. He also believes that state intervention within healthcare s needed and vital, as well as being against any privatisation of the NHS.
The NHS has grown to become the world’s largest publicly funded health service system since 1948(Nhs.uk, 2015).There are many issues and disputes in NHS. Nowadays,some people believe that the NHS should be abolished or privatized,because it can solve many issues with NHS.This essay agree that the NHS should not be abolished or privatized.
Dr Steve Kell said ‘there was no privatisation agenda and that competition should only be used if it was in the best interest of patients’. The NHS would be pointless if it was all about the competing to get patient’s and funds, as it was originally set up to give free and equal health care to everyone regardless of wealth or status. However if its turned into a competition between private care and the NHS , care will not be equal and the values of the NHS will no
Socio-cultural - The Office for National Statistics (ONS) state that, since 1964, the population of the UK has grown by over ten million (about half of this growth has occurred since 2001), in addition the average age of a UK citizen has increased by four years. This means that not only does NHS
After the serious shortcomings within the Mid-Staffordshire NHS Trust came to light, The Francis Report (Francis, 2013) investigated how the conditions of inexcusable care could prevail within the trust. The Francis Report proposed several extensive changes that could improve the National Health Service (NHS). Garner (2014) informs that these changes include that leaders need to be effective and accountable, staff should be empowered to work in partnership, each trust should aim to improve innovation and quality, whilst putting the patient first. The Department of Health (DH) reflected on the findings and in response to The Francis
The NHS came around in July 5, 1948. The Health Minister Aneurin (also known as Nye) Bevan purely nationalised the existing system across the UK. The groundbreaking change was to make all services freely available to everyone. Half of Scotland’s landmass was already covered by a state-funded health system serving the entire community and directly run from Edinburgh. Additionally, the war years had seen a state-funded hospital building programme in Scotland on a scale unknown in Europe. This was combined into the new NHS. Scotland also had its own individual medical tradition, this is centred on its medical schools rather than private practice. The legislation that empowered the UK to have the NHS is National Health Service Act (1948), this despite opposition from doctors, who maintained on the right to continue treating some patients privately. The NHS ensured that Doctors, hospital, dentists, opticians, ambulances, midwives and health visitors were available, free to everybody. This Reason why we have health services is because it developments a view that health care was a right, not something given unreliably by charity, also two-party’s agreement that the existing services were in a mess and had to be sorted out, it stopped financial difficulties for the voluntary hospitals and After the second world war it ensured the creation of an emergency medical service as part of the war effort
This reconvergence has been due to main distinct reasons, the initial shift for England to waiting list targets came due to external pressure from the media due to a focus on this issue during the General Elections of 2001 and 2005. Despite initial diverging from these types of targets, Wales has since implemented these targets, due to experiencing several critical reports criticising the performance of the Welsh NHS. This implementation is shown in the aftermath of the 2005 General Election after UK Labour promised no one would wait 18 weeks from GP referral to treatment. Due to this external pressure, Welsh Labour promised the same, but with a time frame of 26 weeks. This framing of the issue in the media, which prioritised waiting lists times led to the Welsh health policy being compared unfavourably to the English model which had adamantly pursued these targets openly. The unfair nature of being compared on an issue which has been placed on less importance highlights a key problem within the NHS. The problem being that despite divergences from all UK administrations, the UK government is held as the standard-bearer and the ‘norm’ from which all devolved administrations should emulate. This reconvergence around the waiting list targets in England seems to outline that in areas in which a particular interest has been drawn by the British media, as a collective, there has been a convergence with the English
This essay will examine how the development of the Welfare State and the NHS changed the lives of the people of Britain since its introduction in 1948. To enable me to do so, I will analyse and evaluate the key relevant aspects that happened during that period.
The Health and Social Care Act 2012 came into force with crucial principles including new structures and arrangements in health care services to safeguard and strengthen the future of NHS and maintain the modernisation plan. In this Act, many new changes has been made to a number of existing Acts, National Health Services Act (NHS 2006), in order to enable health care system to tackle the existing challenges and also avoid any potential crisis in future. It has also introduced the proper allocation of NHS fund and budget, and improved the integrated care between NHS and social care services to promote patients’ choice in terms of delivering quality care.
The National Health Service (NHS) was planned as a three-tier structure. With the Minister of Health at the top and below were the three tiers designed to interact with each other to suit the needs of the patient. These tiers were voluntary and municipal hospitals supervised by Regional hospital boards, family doctors, dentists, opticians and pharmacists who were self-employed professionals contracted to the NHS to provide services so that patients did not pay directly and local health authorities like community clinics that provided services such as immunisations, maternity care and school medical services controlled by a local authority Medical Health. The NHS in England is undergoing some big changes, most of which took effect on April 1 2013. This included the abolition of primary care trusts (PCTs) and strategic health authorities (SHAs), and the introduction of clinical commissioning groups (CCGs) and Health watch England.
Also, Britain needs to increase the amount of money being channelled into the National Health Service (NHS).This is to improve the existing care services. Britain needs to also follow the lead from other countries like France on how to follow up, properly coordinate and check all the service providers regularly and manage both the public and private social care sectors.
In 2000, an effort was made by the UK government to resolve certain inequalities that had developed within the NHS by releasing the “NHS Plan of 2000.” This plan greatly increased spending on employee pay, infrastructure, and access to services. Despite almost doubling spending in a ten year period,
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
This report will explore how external environmental changes in the market can impact (NHS) the National Health Service in the uk for the next five years.
The National Health System began in 1948 with the aim to provide free health care for the English thus removing health access inequities. This essay considers two strengths of the NHS, being free health and locally responsive health care and two weaknesses being the financial burden and unprecedented pressure on health care resources.