Презентация - NHS


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The NHS

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The NHS (The National Health Service) – the free treatment for the people living in Great Britain and emergency medical service for the visitors

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NHS aims:
To provide medical care free at point of use To help rich and poor alike To help 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”

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The main principle:

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Voluntary hospitals - charge fees 1929 – the appearance of Local Health Authorities Fever hospitals – the protection of public Lunatic asylums - under County Council – 140,000 patients
The NHS - History
Voluntary hospitals - charge fees 1929 – the appearance of Local Health Authorities Fever hospitals – the protection of public Lunatic asylums - under County Council – 140,000 patients

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The NHS - History
1948 – The creation of the National Health Service in England and Wales (Aneurin Bevan)
the Minister for Health (1945 – 1951)

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The NHS – the world's first government organization providing universal free health care services

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The stuff

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Foundation Doctor – a two-year, general postgraduate medical training programme (the bridge between medical school and specialist/general practice training)

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Specialty Registrar –a training grade as a part of a structured training experience. The ability to get the independent practice in a hospital specialty or working as a general practitioner (minimum six years)

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GP (General Practitioner) – a family doctor, internist. His appointment – chronic illnesses, preventive care and health education to patients

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Consultant – the title of a senior hospital-based physician or surgeon with all of his specialist training and been placed on the specialist register in chosen speciality

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The NHS Medical Career Grades The NHS Medical Career Grades The NHS Medical Career Grades The NHS Medical Career Grades The NHS Medical Career Grades
Year 1: Foundation Doctor (2 years) Foundation Doctor (2 years)
Year 2: Foundation Doctor (2 years) Foundation Doctor (2 years)
Year 3: Specialty Registrar In hospital practice (minimum six years) Specialty Registrar in general practice: (three years)
Year 4: Specialty Registrar In hospital practice (minimum six years) Specialty Registrar in general practice: (three years)
Year 5: Specialty Registrar In hospital practice (minimum six years) Specialty Registrar in general practice: (three years)
Years 6-8: Specialty Registrar In hospital practice (minimum six years) General practitioner total time in training: 5 years
Year 9: Year 9: Consultant total time in training: minimum 8 years General practitioner total time in training: 5 years

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1. The USA 14 500
2. Switzerland 7 800
3. Great Britain 7 000
4. Netherlands 6 300
5. France 6 000
23. Russia 586
The average monthly salary for doctors

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Organization
Three main parts

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Economic Factors
Revenues 83% NHS funding from taxes 13% from employer-employee contributions 4% User fees Expenditures NHS accounts for 88% of health expenditures Private Insurance (SI) 4% of expenditures ~3/4 of NHS budget goes to workforce salaries 1/10th of NHS budget goes for drugs

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Interesting Facts

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Private Insurance
10% of Britons (patients access to higher quality care, and reduced waiting times)

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Physician Compensation
2004 - negotiation lower salaries for doctors in exchange for reduced work hours (because of low compensation, there is a significant shortage of specialists).

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Physician Choice
Very little physician choice - patients waiting more than six months for treatment will be offered a choice of four different treatment providers.

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Waiting Times
Waiting lists - a huge problem in Great Britain. 750,000 are on waiting lists for hospital admission; 40% of cancer patients are never able to see an oncologist.

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Benefits Covered
Rationing Refusal -Terminally ill patients - Smokers or the obese

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Thank you!