...London: A National Healthcare Perspective Kaye Leonard Pfeiffer University MHA 776 Dr. James Leist Dr. Gwendolan Swain Abstract This paper provides an overall impression of the United Kingdom’s health service, inception of the National Health Service, challenges the NHS faces regarding financial sustainability, providing effective and efficient care, and the move towards more privatization . Comparisons are made between the National Health Service and heathcare in the United States across multiple sectors that include acute care settings, skilled nursing facilities, primary care providers and regualtions governing nursing practice and the challenges faced by both systems. Table of Contents Introduction 4 Background 4 Impression of the NHS 5 Mr. John Smith Director, Civil Eyes Research 7 Mr. Andrew Cheesbrough, CEO Orders of St. John Care Trust 8 Mr. Robert Creighton, Transition Director and Government Advisor on Public Health 9 Dr. Elizabeth Fellows-Smith. Senior Policy Advisor, Mental Health 10 Dr. Rodney Taylor, Former Medial Director NHS Hospital 12 Professor Simon de Lusignan, Primary Care 12 Mr. Bernell Bussue, Director of London Region,Royal College of Nursing 12 Mr. Paul Holdom, CEO The London Clinic 14 Professor Duncan Empy, Group Medical Director of BMI Healthcare 14 Shirley Kramer, Chief Executive Institute of Healthcare Management 16 Strengths and Weaknesses 16 Summary 17 References...
Words: 4846 - Pages: 20
...The NHS: One American’s Perspective Lynn Whitt MHA 776 Dr. Leist December 18, 2013 The National Health Service (NHS) of Great Britain was established in 1948 to create a national health system that would serve all citizens regardless of ability to pay. There were three main objectives established that were critical to the success of the program: (1) equal access to care, (2) provision of preventative and curative care, and (3) services provided at no cost to the patients (Perlman & Fried, 2012). Today, the NHS is still alive and well and is meeting the expectations of the original objectives set forth at its inception. Currently, the NHS is credited as being the single largest publically funded health care system in the world. In 2010, the Commonwealth Fund declared that “in comparison with the healthcare systems of six other countries (Australia, Canada, Germany, Netherlands, New Zealand and USA) the NHS was the second most impressive overall. The NHS was rated as the best system in terms of efficiency, effective care and cost-related problems. It was also ranked second for patient equality and safety” (Perlman & Fried, 2012). This paper will address the author’s impression of the NHS based on research and information collected and reviewed as well as discusses the perceived strengths and weaknesses of the program. As stated previously, the NHS is the world’s largest publically funded health care system. It employs approximately 1.7 million people...
Words: 1634 - Pages: 7
...services to the citizens of the state. National Health Service (NHS) is the name of the public health care body in the United Kingdom. A number of Health care services are provided at the NHS to people suffering from various illnesses. Generally these services are free of cost for the citizens of United Kingdom. The National Health Service in UK is quite efficient in providing healthcare facilities to residents of the nation. The health care services are the major concerns for any nation. It is not an easy task to meet the rising demands of the health care services in the UK. It has been observed that National Health Service has gone through some critical changes in last five years. In order to meet the rising demands in the health care services National Health Service went through a number of improvements in various health care programmes and projects (Parkin 2009). In this paper we will discuss about the change process in National Health Services in UK. Initially, the reasons that triggered the implementation of change process will be discussed. The types of changes happened in the organization will be focused. Differentiation will be done between strategic and operational changes. Focus will be given on change management theories and models. In addition to this the resistance to change among employees and methods to overcome the resistance will also be discussed. In the end of the paper, the technique used by NHS to embed these change will be discussed in detail. Context...
Words: 2442 - Pages: 10
...Health Services 5 3.4Current Environment at National Health Services 6 3.5Market Performance of National Health Services 6 4.Healthcare Industry and Iceberg Theory 6 5.Comparison between Ministry of Health Services in UAE and National Health Services in UK 7 5.1Top-Down 7 5.2Bottom-Up 8 5.3Vision 8 5.4Application of Technology 8 6.Issues faced by Ministry of Health 8 7.Problems faced by National Health Services 8 8.Conclusion 9 9.Bibliography 10 1.Introduction Healthcare is not only an individual matter today; this issue has become a prime concern of government across the globe. A positive health statistics including number of health care facilities like private clinics, hospitals, number of patients attended etc depicts the country’s stage of development along with the strategic planning made to address the issue both for local and national healthcare tourists. A country’s progress as well as development is defined by the promising efforts towards creating a sound mind, physical and mental wellbeing of its citizen. To discuss it further the report is going to discuss the two massive players in the healthcare sector i.e. Ministry of Health Services in UAE and National Health Service in UK. The analysis done in the report will include a brief introduction, strategy outlook, market performance etc of both the healthcare ministry’s...
Words: 2523 - Pages: 11
...Narayana Hrudayalaya Heart Hospital Aryaman Thakker, FSLE IV, 28627 Narayana Hrudayalaya Heart Hospital Aryaman Thakker, FSLE IV, 28627...
Words: 1595 - Pages: 7
...Introduction 1.1 Introduction to the research Problem Healthcare worldwide faces unprecedented challenges in meeting growing demands in presence of constrained resources (Jones 2010). In the United Kingdom healthcare services are delivered by an organization known as the National Health Service (NHS). The NHS is exposed to similar challenges, with broadly static health budgets for the last 5 years. It has been estimated that the NHS in England needs to make annual efficiencies of around 4% per year in order to be able to continue providing the current level of healthcare services and cope with the annual increase in demand (Roberts 2012). The structures and processes for delivery of health care in England have been evolving continuously in...
Words: 1781 - Pages: 8
...Medical Ethics 2420 11/26/13 When it comes to healthcare, it affects people’s lives more than anything else. Great Britain’s healthcare system is tricky. The question I struggle with is do I want government intrusion on all aspect of our lives, including healthcare. I believe everyone has the right to healthcare in this country. It comes with a price. Great Britain represents all that is good and bad with a centralized single-payer health care system. Health care spending is fairly low. Long waitlists for treatments are horrendous, and rationing pervades the system. Patients have the choice of providers with little access to specialists. Under Great Britain’s healthcare everyone is covered. Great Britain has a single-payer system funded by general revenues. With this centralized system, avoiding deficits is difficult. Great Britain’s deficit in 2006 was 700 million pounds despite healthcare spending increases over 43 billion pounds in 5 years. They pay through government taxation that is protected under the National Health Services (NHS). The people who are a part of the NHS bear the benefits while the people who opt out of the NHS will receive the burdens. You can’t defect from enrolling or you’re not covered. That being said, only 11.5% of the people opt out of the NHS. Private health insurance replicates the coverage provided by the NHS, but gives patients access to higher quality care and reduced waiting times. The general mission of Great Britain is to live and...
Words: 1693 - Pages: 7
...Identify one country from the following list whose healthcare system you will compare to the U.S. healthcare system: Great Britain, Japan, Germany, or Switzerland. Great Britain and American Health Care Compared 2. Compare access between the two healthcare systems for children, people who are unemployed, and for people who are retired. Great Britain’s National Health Service (NHS) covers everyone children, unemployed and retired. There is no payment required. Taxes are higher in Great Britain to cover the medical costs. (Palfreman & Reid, 2008) In America programs such as Medicaid and Medicare exist for assistance to those that do not have healthcare insurance or as a secondary. Medicaid is funded federally and state wide for payment of care medically. This aid is offered to the aging adults, destitute, those with disabilities, and particular family groups with dependents meeting specified wage criteria. (Cherry & Jacob, 2014) Medicare is coverage made for those 65 (retirement age) or older, specific persons with disability. Must qualify for either social security benefits or retired from the railroad. There are two plans or parts to Medicaid. (A) will provide coverage during the hospital stay. (B) obligates the covered person to pay a percentage, this plan provides coverage for service from doctors along with medication benefits. (Cherry & Jacob, 2014) 2a. Discuss coverage for medications in the two healthcare systems. American medication coverage. International...
Words: 1245 - Pages: 5
...Task 3 A1. The country that I pick to compare to the U.S. healthcare system is Great Britain. According to the PBS Frontline program, “Sick Around The World”, by T.R. Reid, Great Britain uses a government run National Health Service (NHS), which seems too close to socialism for most Americans. For about half of what the U.S. pays per person for healthcare, the NHS covers all U.K. citizens and has better health statistics. (Palfreman, Reid, 2008). According to the World Health Organization (WHO), the total expenditure on health per capita is $3,311 in the U.K., whereas in the U.S., the total expenditure on health per capita is $9,146. (WHO, n.d.). In the U.K. the NHS’s proposition is that the citizens never have to pay a medical bill, no insurance premium and no co-pay. The British pay for their healthcare out of tax revenue as the government owns the hospitals and the doctors are salary government employees. The British pay much higher taxes than the Americans to cover their healthcare. (Palfreman, Reid, 2008). The U.S. healthcare system is based on a regulated market system as it is regulated by state or federal legislation. The U.S. healthcare is paid for by a combination of public and private sources by third-party private or public insurers and out-of-pocket household payments. Private insurance is responsible for the majority of healthcare coverage in the U.S., with the cost of providing healthcare insurance to the employees that is passed on by the employer...
Words: 1966 - Pages: 8
...Are government cuts to NHS funding affecting how services are received by the older generations in the UK? Introduction: In recent times, this particular topic has raised a lot of interest and the question on most people’s mind is ‘are government cuts to NHS funding affecting how services are received by the older generations in the UK?’ I have researched and found many interesting opinions regarding this topic including ‘The Local Authority of public health’, who believe “It is feared that this cut will not only affect the public health services but will also have a serious knock on effect on NHS healthcare services.” (Bevan, 2015) This is emphasised repeatedly as according to ‘The Department of Health’ “there has been an estimate on the NHS...
Words: 994 - Pages: 4
...a new direction of pathology reporting which is faster and more accessible to healthcare professionals. The company has a great potential for growth and opportunity in the current evolving healthcare setting where digitalisation has become a key priority in the quest to improving healthcare outcomes for patients. Market Overview The importance of technology and information technology (IT) systems in meeting the challenges placed on the health care system is becoming increasingly apparent. The NHS is currently driving a technological revolution with the vision of becoming paperless by 2018. As a result, there is an increase in demand for SME’s like PathWay to contribute to increasing efficiency and working systems in the NHS by providing technological solutions. Our aim is to launch our product one hospital at a time, beginning with UCLH. PathWay will address the problems faced in monitoring patient’s results in a busy healthcare setting. It will improve efficacy and resolve dependability on having to log on at selected terminals to receive patient results. As a result, it will allow healthcare professionals to provide immediate and timely care to patients at risk. This concept will be of great benefit not only to the product users, but also to patients as it improves healthcare outcomes by improving efficiency in the NHS. There is a great potential for growth for PathWay in the market of this NHS technological revolution. Product Overview PathWay is an integrated mobile...
Words: 4039 - Pages: 17
...I will be looking at the effects of acute and chronic illness on society, particularly in Britain, and the differences between public and private healthcare in their treatment of these problems. Great Britain has a relatively high level of public expenditure on healthcare as a percentage of its GDP. In terms of its healthcare structure it is one of the most public systems as it has a National Health Service, thus offering free healthcare to all residents. The system differs greatly from the more market driven and private healthcare structure of the US. Because of the provision of free healthcare, the vast majority of people in Britain use public healthcare as opposed to the expensive private alternative. However, this does not mean that public healthcare in the UK is superior to other countries as the government struggles constantly with the cost of maintaining the NHS. This leads to a number of cost cutting initiatives, rationing and an inability to purchase the most expensive and advanced medical equipment. The British government also suffers with such problems as bed blocking as hospitals are over subscribed with patients, which leads to increased waiting times for ill people. These problems occur far less in private healthcare sector in the UK, which is of a high level, but it is difficult for the majority to afford. An acute illness is one, which begins and progresses rapidly such as a cold or flu. The person is fine one moment and in urgent need of medical help...
Words: 901 - Pages: 4
... was undertaken during my recent clinical practice placement at Holcroft, a twenty four bed mental health residential unit, situated in the North West of England. In addition to providing a summary of the exercise itself, I would also hope to explore the relationship between the clinical audit process and the wider framework for quality improvement in healthcare. The development of regulation and clinical governance systems in the United Kingdom will also be addressed as will the administration of medication as a significant element of nursing practice. Where necessary, use will be made of academic, research and other evidence based material to underscore or augment specific issues or indeed illustrate examples of good clinical practice. The Nursing and Midwifery Council (NMC) standards for conduct, performance and ethics (NMC, 2004) have been diligently applied in the construction of this assignment. Pseudonyms will therefore be used to ensure staff and patient confidentiality, whilst other identifying information will be completely anonymised. Clinical governance, a term first introduced in a government White Paper The New NHS: modern, dependable (Department of Health, 1998) is a notion that has attracted a range of definitions (Nicholls, Cullen, O’Neill and Halligan 2000, Starey, 2001) but can broadly be defined as a comprehensive framework to...
Words: 2747 - Pages: 11
... Date Chairperson, Department of ( ) DEDICATION This work is dedicated to my family members for their enduring support they gave for the whole time I was pursuing this project. ACKNOWLEDGEMENT First, I would like to thank my supervisor .................... who has guided me in writing this project. More particularly my special thanks go to my lecturers for taking me through the whole course. I am also greatly indebted to my fellow students who were with me throughout the course work. OPERATIONAL DEFINITION OF TERMS Class A drugs- drugs deemed by the government to cause the most lethal harm when consumed. They attract heavy jail terms including life in prison. Community care- a term used in healthcare policies to mean looking after people with particular needs in the community. Local strategic partnership- a single non-statutory body, aligned with local authority boundaries that bring together at a local level the different parts of the public sector as well as the private, business and voluntary sectors so that different initiatives and services support each other and work together Policy- this is a guideline set by the government with the aim of achieving specific goals. It outlines the strategies to be utilised in realizing desired objectives and results. Strategy- the methodology or tactics employed to fulfil the mandate and objectives of a...
Words: 17371 - Pages: 70
...do this by exploring what stakeholder engagement is and how it is being used in the healthcare arena to improve care quality and patient experience. The author’s critical analysis will discuss the relationship between organisational values, stakeholder engagement and the delivery of quality patient care, before relating this to his professional practice, prior to drawing and presenting conclusions. The author having worked in the NHS for a number of years as a Commissioning Manager in a non-clinical role has often found it difficult to see the impact that sound organisational values and robust stakeholder engagement can directly have on the delivery of patient quality, experience and care, working through Module 3 has been a truly eye opening experience for the author. Having completed Module 1 and 2 of the EGA course and now coming to the end of Module 3, there have been many opportunities for self-reflection and time to make sense of how and why organisational values, engagement and service delivery are all interlinked. Analysis Engaging Stakeholders to Improve Care & Quality “Stakeholder engagement is the process by which an organisation involves people who may be affected by the decisions it makes or can influence the implementation of its decisions.” The notion of engagement with patients in their care has been a growing focus of health and social care policy. In 2000 the NHS published their plan (Department of Health 2000) which spoke of moulding services around...
Words: 3855 - Pages: 16