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Emergency Medical Services In The United Kingdom
Emergency medical services in the United Kingdom provide emergency care to people with acute illness or injury and are predominantly provided free at the point of use by the four National Health Services (NHS) of England, Scotland, Wales, and Northern Ireland. Emergency care including ambulance and emergency department treatment is free to everyone including overseas visitors but ongoing care including admission to hospital as an inpatient is chargeable unless meeting criteria for NHS care free at the point of delivery. The NHS commissions most emergency medical services through the 14 NHS organisations with ambulance responsibility across the UK (11 in England, one each in the other three countries). As with other emergency services, the public normally access emergency medical services through one of the valid emergency telephone numbers (either 999 or 111). In addition to ambulance services provided by NHS organisations, there are also some private and volunteer emergen ...
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NHS Ambulance Rushing London SW10
The National Health Service (NHS) is the term for the publicly funded healthcare systems of the United Kingdom: the National Health Service (England), NHS Scotland, NHS Wales, and Health and Social Care (Northern Ireland) which was created separately and is often referred to locally as "the NHS". The original three systems were established in 1948 (NHS Wales/GIG Cymru was founded in 1969) as part of major social reforms following the Second World War. The founding principles were that services should be comprehensive, universal and free at the point of delivery. Each service provides a comprehensive range of health services, provided without charge for residents of the United Kingdom apart from dental treatment and optical care. In England, NHS patients have to pay prescription charges; some, such as those aged over 60, or those on certain state benefits, are exempt. Taken together, the four services in 2015–16 employed around 1.6 million people with a combined budget of � ...
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Paramedic
A paramedic is a healthcare professional trained in the medical model, whose main role has historically been to respond to emergency calls for medical help outside of a hospital. Paramedics work as part of the emergency medical services (EMS), most often in ambulances. They also have roles in emergency medicine, primary care, transfer medicine and remote/offshore medicine. The scope of practice of a paramedic varies between countries, but generally includes autonomous decision making around the emergency care of patients. Not all ambulance personnel are paramedics, although the term is sometimes used informally to refer to any ambulance personnel. In some English-speaking countries, there is an official distinction between paramedics and emergency medical technicians (or emergency care assistants), in which paramedics have additional educational requirements and scope of practice. Functions and duties The paramedic role is closely related to other healthcare positions, ...
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Clinical Commissioning Group
Clinical commissioning groups (CCGs) were National Health Service (England), National Health Service (NHS) organisations set up by the Health and Social Care Act 2012 to replace Strategic health authority, strategic health authorities and NHS primary care trust, primary care trusts 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 2 ...
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Health And Social Care Act 2012
The Health and Social Care Act 2012 (c. 7) is an Act of Parliament (UK), act of the Parliament of the United Kingdom. It provided for the most extensive reorganisation of the structure of the National Health Service (England), National Health Service in England to date.''BMJ'', 2011; 342:d408Dr Lansley's Monster It removed responsibility for the health of citizens from the Secretary of State for Health and Social Care, Secretary of State for Health, which the post had carried since the inception of the NHS in 1948. It abolished primary care trusts (PCTs) and strategic health authority, strategic health authorities (SHAs) and transferred between £60 billion and £80 billion of "commissioning", or healthcare funds, from the abolished PCTs to several hundred clinical commissioning groups, partly run by the general practitioners (GPs) in England. A new executive agency of the Department of Health (United Kingdom), Department of Health, Public Health England, was established under the ...
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NHS Foundation Trust
An NHS foundation trust is a semi-autonomous organisational unit within the National Health Service (England), 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 Outsourcing, 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 trus ...
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NHS Ambulance Services
National Health Service ambulance services provide free at the point of use emergency medical care to any person requiring treatment, regardless of immigration or visitor status, within the United Kingdom. These services are provided by National Health Services of England, Scotland, Wales and Northern Ireland. The current system comprises 14 NHS organisations: 11 ambulance services trusts cover the separate regions of England and; individual nationwide services cover Scotland, Wales and Northern Ireland respectively. NHS ambulance services are classed as an emergency service, the public normally access emergency medical services through one of the valid emergency telephone numbers (either 999 or 112). Additionally, some ambulance services are considering trialing a 999 video calling service, in order to be able to visually assess patients whilst crews are en route. The work of ambulance services included responsibility for patient transport, but in England this is now often ...
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Regional Health Authority (UK)
Regional health authorities (RHAs) were National Health Service (NHS) organisations set up in 1974 by the National Health Service Reorganisation Act 1973 to replace regional hospital boards and to manage a lower tier of area health authorities (AHAs) in England. AHAs were created for Wales but not RHAs. Separate legislation was passed for Scotland. In 1996, the regional health authorities were abolished and replaced by eight regional offices of the NHS Executive as a result of the Health Authorities Act 1995. History In July 1968, the Minister of Health, Kenneth Robinson, published a green paper, ''Administrative structure of the medical and related services in England and Wales''. It proposed creating about 50 single-tier area boards taking responsibility for all health functions in each local government area. It triggered years of debate about the relationship between the NHS, local authorities, and health and social care. In September 1968, the separate ministries of h ...
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National Health Service Reorganisation Act 1973
The National Health Service Reorganisation Act 1973 (c. 32) is an Act of the Parliament of the United Kingdom. The purpose of the act was to reorganise the National Health Service in England and Wales. Separate legislation was passed a year earlier for Scotland. This was the first time the NHS had been reorganised in the UK since it was established in 1948. The next major reorganisations would be the Health Services Act 1980 and the Health Authorities Act 1995 which repealed the 1973 Act. It created a two-tier system of area health authorities (AHAs) which answered to regional health authorities (RHAs). It also created family practitioner committees, community health councils and a Health Service Commissioner for England and for Wales. Background In July 1968, the Minister of Health, Kenneth Robinson, published a green paper, ''Administrative structure of the medical and related services in England and Wales''. It proposed creating about 50 single-tier area boards taki ...
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St John Ambulance
St John Ambulance is an affiliated movement of charitable organisations in mostly Commonwealth of Nations, Commonwealth countries which provide first aid education and consumables and emergency medical services. St John organisations are primarily staffed by volunteer, volunteer members and funded through their commercial endeavours, government contracts or donations. The associations are supported by the Order of Saint John (chartered 1888), International Secretariat of the Order of St John (based in London) and its national priories. History The first such organisation to be founded was the St John Ambulance Association, which was founded on 10 July 1877 in England to teach first aid in large railway centres and mining districts.''The Difference – newsletter from St John Ambulance'', (Nov 2014) p4 "A Brief History of St John Ambulance" Its first uniformed first-aiders were founded in June 1887 as the St John Ambulance Brigade.M Durrant (1948) ''American Journal of Nursing'' ...
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British Red Cross
The British Red Cross Society () is the United Kingdom body of the worldwide neutral and impartial humanitarian network the International Red Cross and Red Crescent Movement. The society was formed in 1870, and is a registered charity with 10,500 volunteers and 3,500 staff. At the heart of their work is providing help to people in crisis, both in the UK and overseas. The Red Cross is committed to helping people without discrimination, regardless of their ethnic origin, nationality, political beliefs or religion. Queen Elizabeth II was the patron of the society until her death in 2022, and was replaced by her successor King Charles III, who previously served as president between 2003 and 2024. In the year ending December 2023, the charity's income was £331million, which included £32M from government contracts and £34M from government grants. Total expenditure was £323M, of which £246M (76%) of its income delivering its charitable activities. Guiding ethos The mission ...
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National Health Service Act 1946
The National Health Service Act 1946 ( 9 & 10 Geo. 6. c. 81) came into effect on 5 July 1948 and created the National Health Service in England and Wales thus being the first implementation of the Beveridge model. Though the title 'National Health Service' implies a single health service for the United Kingdom, in reality one NHS was created for England and Wales accountable to the Secretary of State for Health, with a separate NHS created for Scotland accountable to the Secretary of State for Scotland by the passage of the National Health Service (Scotland) Act 1947 ( 10 & 11 Geo. 6. c. 27). Similar health services in Northern Ireland were created by the Northern Ireland Parliament through the Health Services Act (Northern Ireland) 1948 (c. 3 (N.I.)). The whole act was replaced by the National Health Service Act 1977 (c. 49), which itself is now superseded by the National Health Service Act 2006 and the Health and Social Care Act 2012. Provisions According to section 1( ...
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Patient Transport
Patient transport is a service that transfers patients to and from medical facilities in non-emergency situations. In emergency situations, patients are transported by the emergency medical services. Non-emergency patient transport is sometimes run by the same agency. It is typically provided to a patient who needs to be transferred to a facility that can provide a higher or more specialised level of care, though emergency services may be summoned if this is urgent. It may also be used to transfer patients from a specialised facility to a local hospital or nursing home when they no longer require this specialised care, such as following successful cardiac catheterisation due to a heart attack. Some countries also offer the service to patients who cannot make their own way to or from the hospital. United States Patient transport services are provided in the United States to convey patients to hospitals. The vehicles used are not usually (although there are exceptions) equipp ...
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