NHS Trusts
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NHS Trusts
An NHS trust is an organisational unit within the National Health Services of England and Wales, generally serving either a geographical area or a specialised function (such as an ambulance service). In any particular location there may be several trusts involved in the different aspects of providing healthcare to the local population. there were altogether 217 trusts, and they employ around 800,000 of the NHS's 1.2 million staff. History NHS trusts were established under the National Health Service and Community Care Act 1990 and were set up in five waves. Each one was established by a Statutory Instrument. NHS trusts are not trusts in the legal sense but are in effect public sector corporations. Each trust is headed by a board consisting of executive and non-executive directors, and is chaired by a non-executive director. There were about 2,200 non-executives across 470 organisations in the NHS in England in 2015. Non-executive directors are recruited by open advertisement. ...
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National Health Service
The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the "NHS" name ( NHS England, NHS Scotland and NHS Wales). Health and Social Care in Northern Ireland was created separately and is often locally referred to as "the NHS". The four systems were established in 1948 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—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in 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 and certain state ben ...
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High Court Of Justice
The High Court of Justice in London, known properly as His Majesty's High Court of Justice in England, together with the Court of Appeal of England and Wales, Court of Appeal and the Crown Court, are the Courts of England and Wales, Senior Courts of England and Wales. Its name is abbreviated as EWHC (England and Wales High Court) for legal citation purposes. The High Court deals at Court of first instance, first instance with all high value and high importance Civil law (common law), civil law (non-criminal law, criminal) cases; it also has a supervisory jurisdiction over all subordinate courts and tribunals, with a few statutory exceptions, though there are debates as to whether these exceptions are effective. The High Court consists of three divisions: the King's Bench Division, the #Chancery Division, Chancery Division and the #Family Division, Family Division. Their jurisdictions overlap in some cases, and cases started in one division may be transferred by court order to ...
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Sustainability And Transformation Plan
In England, a sustainability and transformation plan (STP) is a non-statutory requirement which promotes integrated provision of healthcare, including purchasing and commissioning, within each geographical area of the National Health Service. The plans were introduced in 2016 but by 2018 had been overtaken by progress towards integrated care systems. Establishment In March 2016, NHS England divided the geographical areas of England into 44 sustainability and transformation plan areas (or footprints) with populations between 300,000 and 3 million, which would implement the Five Year Forward View. These areas were locally agreed between NHS trusts, local authorities and clinical commissioning groups. A leader was appointed for each area, to be responsible for the implementation of the plans which are to be agreed by the component organisations. They were to "work across organisational boundaries to help build a consensus for transformation and the practical steps to deliver it". ...
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Community Health Trust
As part of the English NHS programme of separating the provision of services from commissioning known as Transforming Community Services a number of community health trusts were established when these services were separated from primary care trusts. This was one of a number of options taken. In some places community services were transferred to an existing mental health trust or hospital trust. In South West England there was considerable pressure for staff to establish social enterprises such as Peninsula Community Health to take on these services. Campaigners in Gloucestershire successfully challenged the decision to establish a social enterprise to provide community health services there in 2012. Contracts to run NHS community services are subject to competitive tendering processes under the Health and Social Care Act 2012, so it is not clear whether these organisations will survive. The NHS community health services sector, not including mental health services is said to be ...
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Ambulance Services Trust
An ambulance services trust or ambulance trust is an organisation which provide ambulance services within the National Health Services of England and Wales. There are currently 11 ambulance services trusts in England and Wales. Ambulance services in Scotland are run by the Scottish Ambulance Service and in Northern Ireland by the Northern Ireland Ambulance Service Health and Social Care Trust. The National Ambulance Resilience Unit, which provides support to all the ambulance trusts, was established in summer 2011 and is based in Oldbury, West Midlands. History Following consultation, on 1 July 2006 the number of ambulance trusts fell from 29 to 13. The reduction can be seen as part of a trend dating back to 1974, when English local authorities ceased to be providers of ambulance services. This round of reductions in the number of trusts originated in the June 2005 report "Taking healthcare to the Patient", authored by Peter Bradley, Chief Executive of the London Ambulance Se ...
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Mental Health Trust
A mental health trust provides health and social care services for people with mental health disorders in England. There are 54 mental health trusts. They are commissioned and funded by clinical commissioning groups. Patients usually access the services of mental health trusts through their GP (primary care medical doctor) or via a stay in hospital. Most of the services are for people who live in the region, although there may be specialist services for the whole of the UK or services that accept national referrals. Mental Health Trusts may or may not provide inpatient psychiatric hospital services themselves (they may form part of a general hospital run by a hospital trust). The various trusts work together and with local authorities and voluntary organisations to provide care. Services Services provided by mental health trusts vary but typically include: * Counselling sessions - one-to-one or in a group * Courses - such as on how to deal with stress, anger, and bereavement ...
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Secondary Care
Health care or healthcare is the improvement of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is delivered by health professionals and allied health fields. Medicine, dentistry, pharmacy, midwifery, nursing, optometry, audiology, psychology, occupational therapy, physical therapy, athletic training, and other health professions all constitute health care. It includes work done in providing primary care, secondary care, and tertiary care, as well as in public health. Access to health care may vary across countries, communities, and individuals, influenced by social and economic conditions as well as health policies. Providing health care services means "the timely use of personal health services to achieve the best possible health outcomes". Factors to consider in terms of health care access include financial limitations (such as insurance coverage), ge ...
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Hospital Trust
A hospital trust, also known as an acute trust, is an NHS trust that provides secondary health services within the English National Health Service and, until they were abolished, in NHS Wales. Hospital trusts were commissioned to provide these services by NHS primary care trusts and now by clinical commissioning groups. NHS trusts were established by the National Health Service and Community Care Act 1990 as the first step in setting up an internal market. NHS foundation trusts were regulated by Monitor until 2016, when it was merged with the NHS Trust Development Authority to form NHS Improvement. As of January 2014, there were 59 NHS hospital trusts, out of the total of 97 NHS trusts supervised by the TDA.{{cite web, url=http://www.ntda.nhs.uk/wp-content/uploads/2014/03/winter_report_web-FINAL.pdf , title=Winter Report , publisher=NHS Trust Development Authority , access-date=29 March 2014 See also *List of NHS trusts *List of hospitals in England *List of hospitals in Wales ...
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Monitor (NHS)
Monitor was an executive non-departmental public body of the Department of Health, responsible between 2004 and 2016 for ensuring healthcare provision in NHS England was financially effective. It was the sector regulator for health services in England. Its chief executive was Ian Dalton and it was chaired by Dido Harding. Monitor was merged with the NHS Trust Development Authority to form NHS Improvement on 1 April 2016. History The body was established on 5 January 2004 under the Health and Social Care (Community Health and Standards) Act 2003, and was formally called The Independent Regulator for Foundation Trusts. The legislation made it responsible for authorising, monitoring and regulating NHS foundation trusts. It took on the brand name Monitor from August 2004 The Health and Social Care Act 2012 formally changed the organisation's name to Monitor and gave it additional duties. In addition to assessing NHS trusts for foundation trust status and ensuring that foundation ...
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Simon Stevens (civil Servant)
Simon Laurence Stevens, Baron Stevens of Birmingham, (born 4 August 1966) is a British public policy adviser, former CEO, and independent member of the UK House of Lords. He served as the eighth Chief Executive of the National Health Service in England from 2014 to 2021. He first joined the NHS in 1988, and worked at the Department of Health and 10 Downing Street, as well as internationally, including in Guyana, Malawi, and in the United States. A former member of the Labour Party, Stevens was a councillor in the London Borough of Lambeth from 1998 to 2002. Stevens served as a senior executive at the UnitedHealth Group from 2004 to 2014, an American for-profit managed health care company which offers health care products and insurance services. He was also a Visiting Professor at the London School of Economics from 2004 to 2008. Stevens was appointed as Chief Executive of NHS England after a worldwide competitive search, and served under Prime Ministers David Cameron, Theres ...
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Jeremy Hunt
Jeremy Richard Streynsham Hunt (born 1 November 1966) is a British politician who has served as Chancellor of the Exchequer since 14 October 2022. He previously served in the Cabinet as Secretary of State for Culture, Olympics, Media and Sport from 2010 to 2012, Secretary of State for Health and Social Care from 2012 to 2018 and Foreign Secretary from 2018 to 2019. A member of the Conservative Party, he has been Member of Parliament (MP) for South West Surrey since 2005. The son of a senior officer in the Royal Navy, Hunt was born in Kennington and studied Philosophy, politics and economics at Magdalen College, Oxford, where he was President of the Oxford University Conservative Association. He was first elected to the House of Commons in 2005 and was promoted to the Shadow Cabinet as Shadow Minister for Disabled People and later as Shadow Secretary of State for Culture, Media and Sport. Hunt served in the Coalition Government as Secretary of State for Culture, Olympics, Med ...
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BAME
A number of different systems of classification of ethnicity in the United Kingdom exist. These schemata have been the subject of debate, including about the nature of ethnicity, how or whether it can be categorised, and the relationship between ethnicity, race, and nationality. National statistics History and debate The 1991 UK census was the first to include a question on ethnicity. Field trials had started in 1975 to establish whether a question could be devised that was acceptable to the public and would provide information on race or ethnicity that would be more reliable than questions about an individual's parents' birthplaces. A number of different questions and answer classifications were suggested and tested, culminating in the April 1989 census test. The question used in the later 1991 census was similar to that tested in 1989, and took the same format on the census forms in England, Wales and Scotland. However, the question was not asked in Northern Ireland. The ...
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