1 / 26

The NHS - its organisation and structure

The NHS - its organisation and structure. NHS. History Organisation Finance Staff. NHS - History. 1802 - Act introduced to limit the employment of children to under 12 hours per day 1806 - First steam powered loom 1834 - Poor law amendments - Poor houses & infirmaries

Jimmy
Download Presentation

The NHS - its organisation and structure

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. The NHS - its organisation and structure

  2. NHS • History • Organisation • Finance • Staff

  3. NHS - History 1802 - Act introduced to limit the employment of children to under 12 hours per day 1806 - First steam powered loom 1834 - Poor law amendments - Poor houses & infirmaries 1842 - First anaesthetic 1848 - Cholera kills 70,000 1853 - Smallpox vaccination made compulsory 1858 - Medical Act - minimal qualifications laid down 1860 - Florence Nightingale sets up training school for nurses 1862 - Pasteur - demonstrates link between bacteria & disease 1867 - Lister - introduced antiseptic surgery  surgical mortality reduce by 2/3

  4. NHS - History 1875 - Public Health Act allowed local authorities to perform slum clearance 1876 - Koch identifies bacteria 1880 - education to age 10 made compulsory 1904 - Interdepartmental committee on physical deterioration 1911 - National Health Insurance Act + Census introducing social classes 1919 - Ministry of Health established 1928 - Universal adult suffrage 1929 - Marriage act increased minimum age from 12 (girls) & 14 (boys) to 16 1932 - Sulphonamide (antibiotic) discovered

  5. NHS - History 1941 - National Insurance Act - compensation for industrial diseases & injuries 1948 - National Health Service Act + National Assistance Act 1952 - Polio vaccine 1960s - Benzodiazepines developed 1962 - Smoking & Health published 1964 - Congenital anomalies reported nationally 1968 - Legalisation of abortion 1979 - Thatcher 1981 - First AIDS cases reported

  6. NHS - History Hospitals pre-WW2 • Voluntary hospitals - charge fees (means tested) • Poor sick care provided often by workhouse infirmaries • 1929 - Local authorities could take over poor law infirmaries - place under Health dept • Fever hospitals - to protect public • Lunatic asylums - under County Council - 140,000 patients

  7. NHS - History Beveridge report on social insurance: named the 5 giants: disease, ignorance, squalor, idleness and want Focused government to attend to NHS, social security, housing, education & policy of full employment

  8. NHS - History Mental Health 1807 - Recommends County asylums 1847 - County asylums compulsory 1930 - 89 asylums average size 1200 beds Built in rural areas 1940s - declared insane by Judicial Committee - hence run like a prison, high walls, locked doors, self-sufficient Treatments: - psychosurgery, ECT, insulin induced fits, hysterectomy, physical confinements Gross overcrowding

  9. NHS - History 1954 - peak at 140,000 patients Sudden turn-around: penicillin & phenothiazines, old asylums needed rebuilding, patient rights, growth of welfare state Result: community care policy 1959 - Mental Health Act - doctors control entry & exit 1962- Hospital plan - falling asylum bed numbers 1983 - Mental Health Act -

  10. NHS Organisation NHS Aims: • To provide medical care free at point of use • To rich and poor alike • in accordance with medical need 2 beliefs: • Those who need care will come forward • Those who provide care know what is required and how to provide it

  11. NHS Organisation Constant change 5 phases: 1948 - 74: Administrative 1974 - 82: Planning 1982 - 90: Managed 1990 - 97: Market 1997 - : The New NHS!!

  12. NHS Organisation 1) Administrative phase • Persistence of inequalities - social, geographical, by patient category

  13. NHS Organisation 2) Planning phase • Themes of effectiveness, efficiency and equity appeared • Managed by consensus • RAWP BUT: • bureaucratic & unresponsive

  14. NHS Organisation 3) Management phase • Griffiths report - need for good general mgt + financial accountability of clinicians • Stronger lines of accountability

  15. NHS Organisation 4) Market Phase • Thatcher’s belief in free markets efficiency • Purchaser - Provider split • Fundholding BUT: • no market-place • decreased choice • increased bureaucracy • decreased equity

  16. NHS Organisation

  17. NHS Organisation

  18. NHS Organisation Current ideas • Partnership working - “joined up thinking” • Inequalities & Our Healthier Nation • Devolving decision making to GPs - “closer to the patient”

  19. NHS Finance

  20. NHS Finance

  21. NHS Finance

  22. NHS Finance

  23. NHS Staff

  24. NHS Staff

  25. NHS Staff

  26. NHS Staff

More Related