Summary
Summary History and structure of the NHS
- Institution
- University Of East Anglia
Pharmacy - foundation in pharmacy practice Summary notes including bullet points, key diagrams/images
[Show more]
Seller
Follow
Content preview
Structure and History of the NHS1950-2012
NHS budget £400 million during 1950s:
Efficiency savings, cuts in fees to contractors (GPS, pharmacists and dentists)
and implemented health service charges (dental, eye and medicines)
NHS budget £103.2 billion during 2010/11:
Efficiency savings, cuts in fees to contractors and competition
NHS Difficulties
Services not coordinated
Hospitals and doctors more prevalent in nicer parts of the country
Increase in expenditure greater than inflation: new medicines, new technologies,
more professionals, living longer and greater expectations
Impact of NHS on Pharmacy
Increase in prescriptions: 1948-13.6 millions and 2009/10 813.3 million
Massive reduction in OTC sales
Greater reliance on NHS funding
Disappearing pharmacists-moving from counter to dispensary
The Problem
GPS and hospitals had no real responsibility for their expenditure
No incentive to reduce expenditure
Internal Market 1991
Give GPs budget for routine hospital admissions and medicines
Incentive being proportion of savings used in practical development
Result hospitals compared savings to other hospitals and GPs setting service and
efficiency quality contracts with hospitals
Impact: increased admissions cost that counterbalance efficiency savings
Structure of the New NHS
Patients and public shouldn’t notice any changes
Organisational change: clinicians in charge of budget not managers, clinical
commissioning, GPs purchase services from NHS hospitals and private providers
and money saved is spent on practices
Increased Competition and Quality?
GPs and hospital have quality targets
National service framework- minimum standard of care
National Institute for Health and Care Excellence (NICE): review medicines and
other interventions, provide evidence based guidance, identifies which
medicines can be prescribed on the NHS and if NICE recommend a treatment the
patient cannot be denied it
New NHS Bodies
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller alexd1. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £2.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62555 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now