Presentation is loading. Please wait.

Presentation is loading. Please wait.

The NHS - its organisation and structure

Similar presentations

Presentation on theme: "The NHS - its organisation and structure"— Presentation transcript:

1 The NHS - its organisation and structure

2 NHS History Organisation Finance Staff

3 NHS - History Act introduced to limit the employment of children to under 12 hours per day First steam powered loom Poor law amendments - Poor houses & infirmaries First anaesthetic Cholera kills 70,000 Smallpox vaccination made compulsory Medical Act - minimal qualifications laid down Florence Nightingale sets up training school for nurses Pasteur - demonstrates link between bacteria & disease Lister - introduced antiseptic surgery  surgical mortality reduce by 2/3

4 NHS - History Public Health Act allowed local authorities to perform slum clearance Koch identifies bacteria education to age 10 made compulsory Interdepartmental committee on physical deterioration National Health Insurance Act + Census introducing social classes Ministry of Health established Universal adult suffrage Marriage act increased minimum age from 12 (girls) & 14 (boys) to 16 Sulphonamide (antibiotic) discovered

5 NHS - History National Insurance Act - compensation for industrial diseases & injuries National Health Service Act + National Assistance Act Polio vaccine 1960s - Benzodiazepines developed Smoking & Health published Congenital anomalies reported nationally Legalisation of abortion Thatcher First AIDS cases reported

6 NHS - History Hospitals pre-WW2
Voluntary hospitals - charge fees (means tested) Poor sick care provided often by workhouse infirmaries Local authorities could take over poor law infirmaries - place under Health dept Fever hospitals - to protect public Lunatic asylums - under County Council - 140,000 patients

7 NHS - History Beveridge report on social insurance: named the 5 giants: disease, ignorance, squalor, idleness and want Focused government to attend to NHS, social security, housing, education & policy of full employment

8 NHS - History Mental Health 1807 - Recommends County asylums
County asylums compulsory asylums average size 1200 beds Built in rural areas 1940s - declared insane by Judicial Committee - hence run like a prison, high walls, locked doors, self-sufficient Treatments: - psychosurgery, ECT, insulin induced fits, hysterectomy, physical confinements Gross overcrowding

9 NHS - History 1954 - peak at 140,000 patients
Sudden turn-around: penicillin & phenothiazines, old asylums needed rebuilding, patient rights, growth of welfare state Result: community care policy Mental Health Act - doctors control entry & exit 1962- Hospital plan - falling asylum bed numbers Mental Health Act -

10 NHS Organisation NHS Aims:
To provide medical care free at point of use To rich and poor alike 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

11 NHS Organisation Constant change 5 phases: : Administrative : Planning : Managed : Market : The New NHS!!

12 1) Administrative phase
NHS Organisation 1) Administrative phase Persistence of inequalities - social, geographical, by patient category

13 bureaucratic & unresponsive
NHS Organisation 2) Planning phase Themes of effectiveness, efficiency and equity appeared Managed by consensus RAWP BUT: bureaucratic & unresponsive

14 NHS Organisation 3) Management phase
Griffiths report - need for good general mgt + financial accountability of clinicians Stronger lines of accountability

15 NHS Organisation 4) Market Phase
Thatcher’s belief in free markets efficiency Purchaser - Provider split Fundholding BUT: no market-place decreased choice increased bureaucracy decreased equity

16 NHS Organisation

17 NHS Organisation

18 NHS Organisation Current ideas Partnership working - “joined up thinking” Inequalities & Our Healthier Nation Devolving decision making to GPs - “closer to the patient”

19 NHS Finance

20 NHS Finance

21 NHS Finance

22 NHS Finance

23 NHS Staff

24 NHS Staff

25 NHS Staff

26 NHS Staff

Download ppt "The NHS - its organisation and structure"

Similar presentations

Ads by Google