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National Health Service And Community Care Act 1990
The National Health Service and Community Care Act 1990 (c 19) introduced an internal market into the supply of healthcare in the United Kingdom, making the state an 'enabler' rather than a supplier of health and social care provision.Health and Social Care, Mark Walsh et al., Collins, 2006, Contents The Act states that it is a duty for local authorities to assess people for social care and support to ensure that people who need community care services or other types of support get the services they are entitled to. Patients have their needs and circumstances assessed and the results determine whether or not care or social services will be provided. This also ensures that the people giving the care follow a certain set of rules called the care value base. Local authority resources can be taken into account during the assessment process, but if it is deemed that services are required, those services must be provided by law: services cannot be withdrawn at a later date if resources ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
NHS Internal Market
The NHS internal market was established by the National Health Service and Community Care Act 1990, to separate the roles of purchasers and providers within the National Health Service in the United Kingdom. Previously, healthcare was provided by regional health authorities which were given a budget to run hospitals and community health services (but not general practice) in their area. The Health and Social Care Act 2012 was intended to open up the internal market to external competition. The 2019 NHS Long Term Plan called for the establishment of integrated care systems across England by 2021, effectively ending the internal market. Establishment Although the Thatcher government was slow to reform the NHS, following the 1983 Griffiths report, from 1988 it began to apply the principles of New Public Management vigorously across the welfare state. The plan was to decentralize decision making and introduce competition, with the state becoming a purchaser, rather than a provider, o ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Local Authority
Local government is a generic term for the lowest tiers of public administration within a particular sovereign state. This particular usage of the word government refers specifically to a level of administration that is both geographically-localised and has limited powers. While in some countries, "government" is normally reserved purely for a national administration (government) (which may be known as a central government or federal government), the term local government is always used specifically in contrast to national government – as well as, in many cases, the activities of sub-national, first-level administrative divisions (which are generally known by names such as cantons, provinces, states, oblasts, or regions). Local governments generally act only within powers specifically delegated to them by law and/or directives of a higher level of government. In Federation, federal states, local government generally comprises a third or fourth tier of government, whereas in un ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Care In The Community
Care in the Community (also called "Community Care" or "Domiciliary Care") is a British policy of deinstitutionalisation, treating and caring for physically and mentally disabled people in their homes rather than in an institution. Institutional care was the target of widespread criticism during the 1960s and 1970s,Report of the Committee of Inquiry ''Socialist Health Association'', Retrieved 28 February 2010 but it was not until 1983 that the government of adopted a new policy of care after the Audit Commission published a report called 'Making a ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Local Authority
Local government is a generic term for the lowest tiers of public administration within a particular sovereign state. This particular usage of the word government refers specifically to a level of administration that is both geographically-localised and has limited powers. While in some countries, "government" is normally reserved purely for a national administration (government) (which may be known as a central government or federal government), the term local government is always used specifically in contrast to national government – as well as, in many cases, the activities of sub-national, first-level administrative divisions (which are generally known by names such as cantons, provinces, states, oblasts, or regions). Local governments generally act only within powers specifically delegated to them by law and/or directives of a higher level of government. In Federation, federal states, local government generally comprises a third or fourth tier of government, whereas in un ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
GP Fundholding
GP Fundholding was created in 1991 as part of the quasi-market created in the National Health Service by the Thatcher Government's National Health Service and Community Care Act 1990. Individual general practices were given control over some of the budgets for hospital care for their patients. This enabled them to change hospital practices by, in some cases, getting hospital consultants to run sessions outside hospital. The Audit Commission claimed in 1993 that the pendulum had swung too far in favour of GPs who wished to pursue their own interests as there was no mechanism to get them to support national objectives. Some of the first wave of fundholders ended the year with surpluses in excess of £100,000. Five had surpluses of £200,000. On the other hand, the Sheffield Far Lane Medical Centre was stripped of fundholding status after running up a £100,000 deficit and placing a block on the referral of patients with non-urgent conditions. The Commission wanted to see commission ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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 appoi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
NHS Trust
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. ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Care Act 2014
The Care Act 2014 is an Act of the Parliament of the United Kingdom that received royal assent on 14 May 2014, after being introduced on 9 May 2013. The main purpose of the act was to overhaul the existing 60-year-old legislation regarding social care in England. The Care Act 2014 sets out in one place, local authorities’ duties in relation to assessing people’s needs and their eligibility for publicly funded care and support. The Act received the consensus of the three main political parties in the UK during its passage through parliament. The Act was implemented following substantial public consultation but was criticised for some of the funding reforms included within the Act. The Act was unusual in respect of being one of the few Acts to have started its progress in the House of Lords rather than the House of Commons. The Care Act is a lengthy act (129 clauses in the main part of the Act) addressing many issues: from a review of the public consultation 107 recommendatio ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Care Programme Approach
Care Programme Approach (CPA) in the United Kingdom is a system of delivering community mental health services to individuals diagnosed with a mental illness. It was introduced in England in 1991 and by 1996 become a key component of the mental health system in England. The approach requires that health and social services assess need, provided a written care plan, allocate a care coordinator, and then regularly review the plan with key stakeholders, in keeping with the National Health Service and Community Care Act 1990. History and impact In 1999 the approach was simplified to standard and enhanced levels, the term ''key worker'' was changed to ''care coordinator'', and there was an emphasis on risk management, employment and leisure, and the needs of the carer. There is some criticism that the approach has changed the role of staff away from implementing clinical interventions into administrative tasks, that the policy is carried out inconsistently, and has not been well a ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
National Health Service Act 1977
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 bene ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
National Health Service Act 2006
The National Health Service Act 2006c 41 is an Act of the Parliament of the United Kingdom. It sets out the structure of the National Health Service in England. It was altered and completely renumbered by the Health and Social Care Act 2012c 7. Contents Sections 1(1) and (2) replace the corresponding provisions in section 1(1) of the National Health Service Act 1977. Section 1(3) replaces section 1(2) of that Act.Table of Origins, p. 1 See also *UK public service law * National Health Service (England), the national healthcare system overhauled by the bill. ;Legislation *National Health Service and Community Care Act 1990c 19 * National Health Service (Private Finance) Act 1997c 56 section 1, on private finance * NHS Redress Act 2006 Notes References * Halsbury's Statutes National Health Service Act 2006 (C. 41): Table of Origins HMSO The Office of Public Sector Information (OPSI) is the body responsible for the operation of His Majesty's Stationery Office (HMSO) and ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
United Kingdom Acts Of Parliament 1990
United may refer to: Places * United, Pennsylvania, an unincorporated community * United, West Virginia, an unincorporated community Arts and entertainment Films * ''United'' (2003 film), a Norwegian film * ''United'' (2011 film), a BBC Two film Literature * ''United!'' (novel), a 1973 children's novel by Michael Hardcastle Music * United (band), Japanese thrash metal band formed in 1981 Albums * ''United'' (Commodores album), 1986 * ''United'' (Dream Evil album), 2006 * ''United'' (Marvin Gaye and Tammi Terrell album), 1967 * ''United'' (Marian Gold album), 1996 * ''United'' (Phoenix album), 2000 * ''United'' (Woody Shaw album), 1981 Songs * "United" (Judas Priest song), 1980 * "United" (Prince Ital Joe and Marky Mark song), 1994 * "United" (Robbie Williams song), 2000 * "United", a song by Danish duo Nik & Jay featuring Lisa Rowe Television * ''United'' (TV series), a 1990 BBC Two documentary series * ''United!'', a soap opera that aired on BBC One from 1965-19 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
