Private Providers Of NHS Services
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Private Providers Of NHS Services
The private provision of NHS services has been considered a controversial topic since the early 1990s. Keep Our NHS Public, NHS Support Federation and other groups have campaigned against the threat of privatisation, largely in England. The 1997 Labour Party manifesto made a specific commitment to end the Conservatives’ internal market in health care, but in government they retained the split between purchasers and providers of healthcare. In 2000 the Labour Government agreed ''A Concordat with the Private and Voluntary Health Care Provider Sector'' with the Independent Healthcare Association. The intention was to increase capacity, particularly in elective care, where private provision was used to bring down waiting lists, in critical care, and in intermediate care facilities. This was followed, in April 2002,by the introduction of prospective payment with nationally set prices for acute, elective activity under ‘payment by results’. Under patient choice, patients could op ...
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National Health Service
The National Health Service (NHS) is the term for the publicly funded health care, 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 ...
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Family Practitioner Committee
Family practitioner committees were established by the National Health Service Re-organisation Act 1973. They replaced local executive councils, which had been established in 1948 to manage primary care. Executive councils were direct descendants of the insurance committees established by section 59 of the National Insurance Act 1911 but with additional responsibility for NHS dentistry and NHS optician services. Their role was essentially neutral and routine. They played little part in developing the services they administered. There were 138 executive councils in England and Wales and 25 in Scotland. The role of the council was to maintain GPs’ lists of patients and to receive practitioners’ claims for payment. It was headed by an administrator with managerial control only over the staff, not the practitioners. Each family practitioner committee had thirty members, eleven of which were appointed by the area health authority with which it was coterminous. Eight were appo ...
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Claire Murdoch
Claire Louise Murdoch is the Chief Executive of the Central and North West London NHS Foundation Trust and national director for mental health, NHS England. She was rated by the Health Service Journal as the seventeenth most influential person in the English NHS in 2016. She was the inaugural Chair of the Cavendish Square Group of the 10 London NHS trusts responsible for mental health services, succeeded by John Brouder, Chief Executive of North East London NHS Foundation Trust (NELFT) in 2018. She was involved in the development of a rating system for Clinical Commissioning Groups performance in mental health during 2016. She has particularly supported moves to ensure mentally ill people, especially children and adolescents are treated nearer their homes. She was appointed a Commander of the Order of the British Empire (CBE) in the 2019 New Year Honours for services to the NHS. Her sister Alison Reynolds received the British Empire Medal (BEM) in the 2018 New Year Honours ...
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Deinstitutionalisation
Deinstitutionalisation (or deinstitutionalization) is the process of replacing long-stay psychiatric hospitals with less isolated community mental health services for those diagnosed with a mental disorder or developmental disability. In the 1950s and 1960s, it led to the closure of many psychiatric hospitals, as patients were increasingly cared for at home, in halfway houses, group homes, and clinics, in regular hospitals, or not at all. Deinstitutionalisation works in two ways. The first focuses on reducing the population size of mental institutions by releasing patients, shortening stays, and reducing both admissions and readmission rates. The second focuses on reforming psychiatric care to reduce (or avoid encouraging) feelings of dependency, hopelessness and other behaviors that make it hard for patients to adjust to a life outside of care. The modern deinstitutionalisation movement was made possible by the discovery of psychiatric medication, psychiatric drugs in the mid-20 ...
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John Lister (academic)
John Lister is a Senior Lecturer (associate professor) in Journalism, and Health Journalism at the Coventry University Department of Media and Communication. Lister is the author of two books on international health reform: ''Health Policy Reform: Driving the Wrong Way?'' and ''Global Health vs. Private Profit''. He writes about Private Finance Initiative in the NHS. Dr. Lister has worked in print journalism since 1974, and has also been involved in public relations and investigative research on health policy in the UK and worldwide. He is the executive director and founder of London Health Emergency, a pro-NHS public interest group, and has focused on investigative health journalism since 1984 conducting research and consulting for local authorities and campaign groups across England and internationally and for trade unions at the local and regional level. He edited the 1988 book ''Cutting the Lifeline: The Fight For the NHS'', and is one of the founders of the national campai ...
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Care Quality Commission
The Care Quality Commission (CQC) is an executive non-departmental public body of the Department of Health and Social Care of the United Kingdom. It was established in 2009 to regulate and inspect health and social care providers in England. It was formed from three predecessor organisations: * the Healthcare Commission * the Commission for Social Care Inspection * the Mental Health Act Commission The CQC's stated role is to make sure that hospitals, care homes, dental and general practices and other care services in England provide people with safe, effective and high-quality care, and to encourage those providers to improve. It carries out this role through checks during the registration process which all new care services must complete, as well as through inspections and monitoring of a range of data sources that can indicate problems with services. Part of the commission's remit is protecting the interests of people whose rights have been restricted under the Mental Healt ...
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Patient Choice
Patient choice is a concept introduced into the NHS in England. Most patients are supposed to be able to choose the clinician whom they want to provide them with healthcare and that money to pay for the service should follow their choice. Before the advent of the internal market, in principle, a GP could refer a patient to any specialist in the UK. When contracts were introduced in 1990 these were called extracontractual referrals. From 1999 the concept of Out of Area Treatments was developed. These referrals were not necessarily related to choice made by a patient. Specialised treatments were not, and are not, available in every area. The regulations provide that a patient can choose to be seen by any NHS trust, public body, commercial organisation or third sector body, provided it holds a “commissioning contract” either with NHS England or a Clinical Commissioning Group when they are referred by their GP, community dentist or optometrist for treatment that is not identif ...
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Independent Healthcare Providers Network
The Independent Healthcare Providers Network (IHPN), formerly known as the NHS Partners Network, is a representative body for independent sector healthcare providers in the United Kingdom. The body was formed in 2005 to provide a voice for private health companies, and was initially made up of organisations involved in the government's Independent Sector Treatment Centre programme. It was formerly part of the NHS Confederation, an independent membership body for organisations in the National Health Service, but became an independent entity in 2020. The members of the IHPN are independent healthcare providers including large hospital groups, diagnostics providers, third-sector organisations and providers of primary, community and dental care. They include not-for-profit providers. Organisation Following a vote at the 2007 NHS Confederation Annual Conference, the network became part of the NHS Confederation. Since Autumn 2008 its membership has expanded to include independent s ...
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Ramsay Health Care UK
Ramsay Health Care UK is a healthcare company based in the United Kingdom. It was founded by Australian businessman Paul Ramsay, who established its parent company: Ramsay Health Care, in Sydney, Australia, in 1964 and has grown to become a global hospital group operating 151 hospitals and day surgery facilities across Australia, the United Kingdom, France, Indonesia and Malaysia. In 2007, Capio was acquired by Ramsay Health Care. It was the first purchase abroad for the company and beat a number of other rivals. At the time, Capio was the fourth largest private hospitals operator in the UK. In 2017 turnover fell 4.8% compared to 2016, down to £208 million, and this was blamed on "NHS demand management strategies". The company is more dependent on NHS work, largely through the Choose and Book system, than other private healthcare providers in the UK. In June 2018 it wrote down the value of some of its sites because NHS demand management strategies were having a significant ne ...
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Business Rates In England
Business rates in England, or non-domestic rates, are a tax on the occupation of non-domestic property (National Non-Domestic Rates; NNDR). Rates (tax), Rates are a property tax with ancient roots that was formerly used to fund local services that was formalised with the Vagabonds Act 1572 and superseded by the Poor Relief Act 1601. The Local Government Finance Act 1988 (c. 41) introduced business rates in England and Wales from 1990, repealing its immediate predecessor, the General Rate Act 1967. The act also introduced business rates in Scotland but as an amendment to the existing system, which had evolved separately to that in the rest of Great Britain. Since the establishment in 1997 of a Welsh Assembly able to pass legislation, the English and Welsh systems have been able to diverge. In 2015, Business rates in Wales, business rates for Wales were devolved. The Local Government Finance Act 1988, with follow-up legislation, provided a fresh administrative framework for assess ...
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Registered Charities In England And Wales
The Charity Commission for England and Wales is a non-ministerial department of His Majesty's Government that regulates registered charities in England and Wales and maintains the Central Register of Charities. Its counterparts in Scotland and Northern Ireland are the Office of the Scottish Charity Regulator and the Charity Commission for Northern Ireland. The commission has four sites in London, Taunton, Liverpool and Newport. Its website lists the latest annual reports submitted by charities in England and Wales. During the financial year 20222023, the Commission regulated £88billion of charity income and £85billion of charity spend. Charity status Definition To establish a charity, an organisation must first find at least three trustees who will be responsible for the general control and management of the administration of the charity. The organisation needs to have a charitable purpose that helps the public. Afterwards, the administration must select an official n ...
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COVID-19 Pandemic In England
The COVID-19 pandemic was first confirmed to have spread to England with two cases among Chinese nationals staying in a hotel in York on 31 January 2020. The two main public bodies responsible for health in England were NHS England and Public Health England (PHE). NHS England oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the NHS in England, while PHE's mission is "to protect and improve the nation's health and to address inequalities". As of 14 September 2021, there have been 6,237,505 total cases and 117,955 deaths in England. In January 2021, it was estimated around 22% of people in England have had COVID-19. Healthcare in Scotland, Wales and Northern Ireland is administered by the Devolution, devolved governments, but there is no devolved government for England and so healthcare is the direct responsibility of the Government of the United Kingdom, UK Government. As a result of each country having different policies and priorit ...
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