Презентация - NHS

The NHS

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

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”

The main principle:

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

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

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

The stuff

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

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)

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

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

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

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

Organization
Three main parts

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

Interesting Facts

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

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).

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

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.

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

Thank you!