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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 only free to UK residents and a charge may be made to those not entitled to free NHS care. 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 112). In addition to ambulance services provided by NHS organisations, there are also some private and volunteer emergency medical services arrangements in place in the UK, the use of private or volunteer ambulances at p ...
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Paramedic
A paramedic is a registered healthcare professional who works autonomously across a range of health and care settings and may specialise in clinical practice, as well as in education, leadership, and research. Not all ambulance personnel are paramedics. 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. Duties and functions The paramedic role is closely related to other healthcare positions, especially the emergency medical technician, with paramedics often being at a higher grade with more responsibility and autonomy following substantially greater education and training. The primary role of a paramedic is to stabilize people with life-threatening injuries and transport these patients to a higher level of care (typically an emergency department). Due to the nature of their job, paramedics wo ...
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Isle Of Wight NHS Trust
The Isle of Wight NHS Trust is an NHS trust which provides physical health, mental health and ambulance services for the Isle of Wight. The trust is unique in being the only integrated acute, community, mental health and ambulance health care provider in England. It runs St Mary's Hospital and the Isle of Wight Ambulance Service. History The trust was established on 1 April 2012 following the separation of the provider and commissioning functions of the Isle of Wight Primary Care Trust. Hampshire and the Isle of Wight formed a sustainability and transformation plan area in March 2016 with Richard Samuel, the Chief Officer of Fareham and Gosport and South Eastern Hampshire clinical commissioning groups (CCG) as its leader Melloney Poole, chair of Portsmouth Hospitals University NHS Trust, also chaired this trust from October 2020. There are plans for a single acute service across the island and Portsmouth. In 2021, it was announced that the Ambulance Service will follow ...
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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 ...
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Health And Social Care Act 2012
The Health and Social Care Act 2012c 7 is an act of the Parliament of the United Kingdom. It provided for the most extensive reorganisation of the structure of the 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, which the post had carried since the inception of the NHS in 1948. It abolished primary care trusts (PCTs) and 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, Public Health England, was established under the act on 1 April 2013. The proposals are primarily the result of policies of the then Secretary of State for Health, Andrew Lansley. Writing in the ''BMJ'', Clive Peedell (co- ...
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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 Milbu ...
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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 essential 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 cov ...
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Regional Health Authority (UK)
:This article is about regional health authorities in the United Kingdom. For Norwegian authorities see ''Regional health authority (Norway)''. Fourteen regional health authorities were established in England by the National Health Service Reorganisation Act 1973 in 1974, replacing the English regional hospital boards. This reorganisation was planned by the Conservative government of Edward Heath, but survived the February 1974 United Kingdom general election, General Election 1974. The new Labour government published a paper on ''Democracy in the NHS'' in May 1974 that added local government representatives to the new RHAs and increased their proportion on each area health authority to a third. They were responsible for strategy, the building programme, staffing matters and the allocation of resources to their 90 subordinate area health authorities. In 1996 the fourteen regional health authorities were abolished by the Health Authorities Act 1995 and replaced by eight regional of ...
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National Health Service Reorganisation Act 1973
The National Health Service Reorganisation Act 1973 is an Act of the Parliament of the United Kingdom. The purpose of the Act was to reorganise the National Health Service. This was the first time the service had been reorganised since it was established in 1948. The Act also established the posts of Health Service Commissioner for England and Wales. Separate legislation was passed establishing the post in Scotland. The provisions of the Act relating to the Health Service Commissioners have largely been replaced by the Health Service Commissioners Act 1993. The National Health Service had been excluded from the remit of the Parliamentary Commissioner for Administration when the Parliamentary Commissioner Act 1967 became law. The impetus for the establishment of a Health Ombudsman arose from growing dissatisfaction with the quality of service in the NHS through the 1960s. This was encapsulated by scandals about the care provided to the elderly and mentally ill at Ely Hospit ...
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St John Ambulance
St John Ambulance is the name of a number of affiliated organisations in different countries which teach and provide first aid and emergency medical services, and are primarily staffed by volunteers. The associations are overseen by the international Order of St John and its priories (national branches). History The first such organisation to be founded was the St John Ambulance Association, which was founded in 1877 in England.''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 1887 as the St John Ambulance Brigade.M Durrant (1948) ''American Journal of Nursing'' 48 (12) pp763–765 "St. John Ambulance Brigade" These two have since been merged into a single association. St John Ambulance now have over 40 national organisations, many of which are affiliated with Johanniter International, and over 500,000 volunteers worldwide. The Order of St John owns the brand name in ...
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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 more than 17,200 volunteers and 3,400 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 on 8 September 2022. In the year ending December 2019, the charity's income was £244.9million, which included £68.7M from government contracts and grants. It spent £197.5M (80%) of its income delivering its charitable activities. Guiding ethos The mission of the British Red Cross is to mobilise the power of humanity so that individuals and communities can prepare for, deal with and recov ...
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National Health Service Act 1946
The National Health Service Act 1946c 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. Similar health services in Northern Ireland were created by the Northern Ireland Parliament through the Health Services Act (Northern Ireland) 1948. The whole Act was replaced by the National Health Service Act 1977, which itself is now superseded by the National Health Service Act 2006 and the Health and Social Care Act 2012. Provisions According to s 1(1), The Act provided for the establishment of a Central Health Services Co ...
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