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Hospital Trust
A hospital trust, also known as an acute trust, is an NHS trust that provides secondary health services within the English National Health Service and, until they were abolished, in NHS Wales. Hospital trusts were commissioned to provide these services by NHS primary care trusts and now by clinical commissioning groups. NHS trusts were established by the National Health Service and Community Care Act 1990 as the first step in setting up an internal market. NHS foundation trusts were regulated by Monitor until 2016, when it was merged with the NHS Trust Development Authority to form NHS Improvement. As of January 2014, there were 59 NHS hospital trusts, out of the total of 97 NHS trusts supervised by the TDA.{{cite web, url=http://www.ntda.nhs.uk/wp-content/uploads/2014/03/winter_report_web-FINAL.pdf , title=Winter Report , publisher=NHS Trust Development Authority , access-date=29 March 2014 See also *List of NHS trusts *List of hospitals in England *List of hospitals in Wa ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
NHS Trust
An NHS trust is an organisational unit within the National Health Services of England and Wales, generally serving either a geographical area or a specialised function (such as an ambulance service). In any particular location there may be several trusts involved in the different aspects of providing healthcare to the local population. there were altogether 217 trusts, and they employ around 800,000 of the NHS's 1.2 million staff. History NHS trusts were established under the National Health Service and Community Care Act 1990 and were set up in five waves. Each one was established by a Statutory Instrument. NHS trusts are not trusts in the legal sense but are in effect public sector corporations. Each trust is headed by a board consisting of executive and non-executive directors, and is chaired by a non-executive director. There were about 2,200 non-executives across 470 organisations in the NHS in England in 2015. Non-executive directors are recruited by open advertisement. ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Secondary Care
Health care or healthcare is the improvement of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is delivered by health professionals and allied health fields. Medicine, dentistry, pharmacy, midwifery, nursing, optometry, audiology, psychology, occupational therapy, physical therapy, athletic training, and other health professions all constitute health care. It includes work done in providing primary care, secondary care, and tertiary care, as well as in public health. Access to health care may vary across countries, communities, and individuals, influenced by social and economic conditions as well as health policies. Providing health care services means "the timely use of personal health services to achieve the best possible health outcomes". Factors to consider in terms of health care access include financial limitations (such as insurance coverage), ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
National Health Service (England)
The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from general taxation (plus a small amount from National Insurance contributions), and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR). Free healthcare at the point of use comes from the core principles at the founding of the National Health Service. The 1942 Beveridge cross-party report established the principles of the NHS which was implemented by the Labour government in 1948. Labour's Minister f ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
NHS Wales
NHS Wales ( cy, GIG (Gwasanaeth Iechyd Gwladol) Cymru) is the publicly-funded healthcare system in Wales, and one of the four systems which make up the National Health Service in the United Kingdom. NHS Wales was formed as part of the public health system for England and Wales created by the National Health Service Act 1946, with powers over the NHS in Wales coming under the Secretary of State for Wales in 1969. That year, the latter took over much of the responsibility for health services in Wales, being supported in this by the Welsh Office, which had been established in 1964. Following the pre-legislative Welsh devolution referendum of 18 September 1997, Royal Assent was given on 31 July to the Government of Wales Act 1998. This created the National Assembly for Wales, to which overall responsibility for NHS Wales was devolved in 1999. Responsibility, therefore, for NHS Wales was passed to the Welsh Government under devolution in 1999 and has since then been the respon ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
NHS Primary Care Trust
Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers. Until 31 May 2011, they also provided community health services directly. Collectively PCTs were responsible for spending around 80 per cent of the total NHS budget. Primary care trusts were abolished on 31 March 2013 as part of the Health and Social Care Act 2012, with their work taken over by clinical commissioning groups. Establishment In 1997 the incoming Labour Government abolished GP Fundholding. In April 1999 they established 481 primary care groups in England "thereby universalising fundholding while repudiating the concept." Primary and community health services were brought together in a single Primary Care Group controlling a unified budget for delivering health care to and improving the health of communities of about 100,000 people. A P ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Clinical Commissioning Group
Clinical commissioning groups (CCGs) were NHS organisations set up by the Health and Social Care Act 2012 to organise the delivery of NHS services in each of their local areas in England. On 1 July 2022 they were abolished and replaced by Integrated care systems as a result of the Health and Care Act 2022. Establishment The announcement that GPs would take over this commissioning role was made in the 2010 white paper "Equity and Excellence: Liberating the NHS". This was part of the government's stated desire to create a clinically-driven commissioning system that was more sensitive to the needs of patients. The 2010 white paper became law under the Health and Social Care Act 2012 in March 2012. At the end of March 2013 there were 211 CCGs, but a series of mergers had reduced the number to 135 by April 2020. To a certain extent they replaced primary care trusts (PCTs), though some of the staff and responsibilities moved to local authority public health teams when PCTs ceased ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
National Health Service And Community Care Act 1990
The National Health Service and Community Care Act 1990 (c 19) introduced an internal market into the supply of healthcare in the United Kingdom, making the state an 'enabler' rather than a supplier of health and social care provision.Health and Social Care, Mark Walsh et al., Collins, 2006, Contents The Act states that it is a duty for local authorities to assess people for social care and support to ensure that people who need community care services or other types of support get the services they are entitled to. Patients have their needs and circumstances assessed and the results determine whether or not care or social services will be provided. This also ensures that the people giving the care follow a certain set of rules called the care value base. Local authority resources can be taken into account during the assessment process, but if it is deemed that services are required, those services must be provided by law: services cannot be withdrawn at a later date if resources ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Quasi-market
Quasi-markets are markets which can be supervised and organisationally designed that are intended to create greater desire and more efficiency in comparison to conventional delivery systems, while supporting more accessibility, stability and impartiality than traditional markets. Quasi-markets also can be referred to as internal or Planned Market, planned markets.Lewis, Paul. (2017)Quasi-markets: An Overview and Analysis/ref> A market is a form of exchange mechanism of goods and services that is used to align supply and demand commonly by using the act of price adjusting. As such, a market also can be considered a self adjusting financial incentive device that impacts the behaviour of each producers and purchasers so that both parties agree on the terms of an exchange. Quasi-markets are also an exchange system; they aim to comply with the characteristics of competitive markets by attempting to be self-correcting, inducement structures that impact purchasers and producers behaviours. ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
NHS Foundation Trust
A foundation trust is a semi-autonomous organisational unit within the National Health Service in England. They have a degree of independence from the Department of Health and Social Care (and, until the abolition of SHAs in 2013, their local strategic health authority). As of March 2019 there were 151 foundation trusts. Inspiration Alan Milburn's trip in 2001 to the Hospital Universitario Fundación Alcorcón in Spain is thought to have been influential in developing ideas around foundation status. That hospital was built by the Spanish National Health System, but its operational management is contracted out to a private company, and exempt from many of the rules normally imposed on state-owned hospitals, and in particular, that hospital was allowed to negotiate its own contracts with workers. The governance of that hospital includes local government, trade unions, health workers and community groups. History Foundation trusts were announced by Health Secretary Alan Milburn ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Monitor (NHS)
Monitor was an executive non-departmental public body of the Department of Health, responsible between 2004 and 2016 for ensuring healthcare provision in NHS England was financially effective. It was the sector regulator for health services in England. Its chief executive was Ian Dalton and it was chaired by Dido Harding. Monitor was merged with the NHS Trust Development Authority to form NHS Improvement on 1 April 2016. History The body was established on 5 January 2004 under the Health and Social Care (Community Health and Standards) Act 2003, and was formally called The Independent Regulator for Foundation Trusts. The legislation made it responsible for authorising, monitoring and regulating NHS foundation trusts. It took on the brand name Monitor from August 2004 The Health and Social Care Act 2012 formally changed the organisation's name to Monitor and gave it additional duties. In addition to assessing NHS trusts for foundation trust status and ensuring that founda ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
NHS Trust Development Authority
The NHS Trust Development Authority (NHSTDA) was an executive non-departmental public body of the Department of Health. Its formation came as a result of reorganisation of the National Health Service (NHS) in England outlined in the Health and Social Care Act 2012. It is now part of NHS Improvement. Organisation David Flory was its chief executive. He retired in May 2015. The NHSTDA existed to manage the process of NHS trusts becoming foundation trusts and to performance manage those hospital trusts that remained directly accountable to the NHS. In March 2014 it was reported there were 20 trusts which the TDA expected to end 2013-14 in the red. The Authority compiled a categorised list of NHS trusts, segmented into six broad groups, some of which were regarded as unlikely to have a future as independent organisations but refused to publish it. It was announced in June 2015 that the chief executive posts at Monitor and the Authority were to be merged, although there would not be a ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
NHS Improvement
NHS Improvement (NHSI) was a non-departmental body in England, responsible for overseeing the National Health Service's foundation trusts and NHS trusts, as well as independent providers that provide NHS-funded care. It supported providers to give patients consistently safe, high quality, compassionate care within local health systems that are financially sustainable. A previous body – also called NHS Improvement – was set up in April 2008 to drive clinical service improvement, but was merged into NHS Improving Quality in 2013 following the Health and Social Care Act reforms. From 1 April 2016, NHS Improvement was the operational name for an organisation that brought together Monitor, NHS Trust Development Authority, Patient Safety (from NHS England), National Reporting and Learning System, Advancing Change Team and Intensive Support Teams. In 2018 it became clear that the organisation, while maintaining its statutory independence, was for practical reasons to be merg ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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