Polyclinics In England
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Polyclinics In England
Polyclinics in England were intended to offer a greater range of services than were offered by current general practitioner (GP) practices and local health centres. In addition to traditional GP services they would offer extended urgent care, healthy living services, community mental health services and social care, whilst being more accessible and less medicalised than hospitals. A variety of models were proposed, ranging from networks of existing clinics to larger premises with several colocated general practitioner (GP) practices, more extensive facilities and additional services provided by allied healthcare professionals. The incoming health secretary in May 2010 Andrew Lansley put on hold all plans to increase numbers of polyclinics and to relocate GPs to them pending a review of policy under the new coalition government, after a review by management consultants McKinsey revealed "NHS managers had vastly overestimated the ability of polysystems to handle the shift in car ...
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Urgent Care
An urgent care center (UCC), also known as an urgent treatment centre in the United Kingdom, is a type of walk-in clinic focused on the delivery of urgent ambulatory care in a dedicated medical facility outside of a traditional emergency department (ED) located within a hospital. Urgent care centers primarily treat injuries or illnesses requiring immediate care but not serious enough to require an ED visit. In the United Kingdom In the United Kingdom, urgent treatment centres (also called walk-in centres or minor injury units) are provided by the National Health Service, not on a commercial basis. They are intended for the treatment of conditions which require urgent medical attention but are not life-threatening: This may typically include things like broken bones, minor infections, sprains and strains, cuts, grazes, minor burns or scalds, and bites and stings. They are not often located in retail facilities and are generally on hospital sites where they take patients who may n ...
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Primary Care Trust
Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers. Until 31 May 2011, they also provided community health services directly. Collectively PCTs were responsible for spending around 80 per cent of the total NHS budget. Primary care trusts were abolished on 31 March 2013 as part of the Health and Social Care Act 2012, with their work taken over by clinical commissioning groups. Establishment In 1997 the incoming Labour Government abolished GP Fundholding. In April 1999 they established 481 primary care groups in England "thereby universalising fundholding while repudiating the concept." Primary and community health services were brought together in a single Primary Care Group controlling a unified budget for delivering health care to and improving the health of communities of about 100,000 people. A PC ...
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National Health Service (England)
The National Health Service (NHS) is the Publicly funded health care, publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from general taxation (plus a small amount from National Insurance contributions), and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR). Free healthcare at the point of use comes from the core principles at the founding of the National Health Service. The 1942 Beveridge cross-party report established the principles of the NHS which was implemented by the Attlee ministry, Labour ...
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Community Health Center
A healthcare center, health center, or community health center is one of a network of clinics staffed by a group of general practitioners and nurses providing healthcare services to people in a certain area. Typical services covered are family practice and dental care, but some clinics have expanded greatly and can include internal medicine, pediatric, women’s care, family planning, pharmacy, optometry, laboratory testing, and more. In countries with universal healthcare, most people use the healthcare centers. In countries without universal healthcare, the clients include the uninsured, underinsured, low-income or those living in areas where little access to primary health care is available. In the Central and East Europe, bigger health centers are commonly called policlinics (not to be confused with polyclinics). Community health centers by country Canada Community Health Centers (CHCs) have existed in Ontario for more than 40 years. The first established CHC in Canada was Mou ...
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Conurbation
A conurbation is a region comprising a number of metropolises, cities, large towns, and other urban areas which through population growth and physical expansion, have merged to form one continuous urban or industrially developed area. In most cases, a conurbation is a polycentric urbanised area in which transportation has developed to link areas. They create a single urban labour market or travel to work area. Patrick Geddes coined the term in his book ''Cities In Evolution'' (1915). He drew attention to the ability of the new technology at the time of electric power and motorised transport to allow cities to spread and agglomerate together, and gave as examples " Midlandton" in England, the Ruhr in Germany, Randstad in the Netherlands, and the Northeastern Seaboard in the United States. The term as described is used in Britain whereas in the United States, each polycentric "metropolitan area" may have its own common designation such as San Francisco Bay Area or the Dallas†...
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London Ambulance Service
The London Ambulance Service NHS Trust (LAS) is an NHS trust responsible for operating ambulances and answering and responding to urgent and emergency medical situations within the London region of England. The service responds to 999 phone calls across the region, and 111 phone calls from certain parts, providing triage and advice to enable an appropriate level of response. It is one of the busiest ambulance services in the world, and the busiest in the United Kingdom, providing care to more than 8.6million people, who live and work in London. The service is currently under the leadership of chief executive Daniel Elkeles and chair Andrew Trotter OBE QPM. The service employs around 5,300 staff. It is one of ten ambulance services trusts in England providing emergency medical services, and is part of the National Health Service, receiving direct government funding for its role. The LAS responded to over 2.1million 999 calls for assistance, and over 1.2million incidents in the ...
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Leisure
Leisure has often been defined as a quality of experience or as free time. Free time is time spent away from business, work, job hunting, domestic chores, and education, as well as necessary activities such as eating and sleeping. Leisure as an experience usually emphasizes dimensions of perceived freedom and choice. It is done for "its own sake", for the quality of experience and involvement. Other classic definitions include Thorsten Veblen's (1899) of "nonproductive consumption of time." Free time is not easy to define due to the multiplicity of approaches used to determine its essence. Different disciplines have definitions reflecting their common issues: for example, sociology on social forces and contexts and psychology as mental and emotional states and conditions. From a research perspective, these approaches have an advantage of being quantifiable and comparable over time and place. Leisure studies and sociology of leisure are the academic disciplines concerned w ...
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Mental Health
Mental health encompasses emotional, psychological, and social well-being, influencing cognition, perception, and behavior. It likewise determines how an individual handles stress, interpersonal relationships, and decision-making. Mental health includes subjective well-being, perceived self-efficacy, autonomy, competence, intergenerational dependence, and self-actualization of one's intellectual and emotional potential, among others. From the perspectives of positive psychology or holism, mental health may include an individual's ability to enjoy life and to create a balance between life activities and efforts to achieve psychological resilience. Cultural differences, subjective assessments, and competing professional theories all affect how one defines "mental health". Some early signs related to mental health problems are sleep irritation, lack of energy, lack of appetite and thinking of harming yourself or others. Mental disorders Mental health, as defined by the Public Heal ...
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Social Care
Social work is an academic discipline and practice-based profession concerned with meeting the basic needs of individuals, families, groups, communities, and society as a whole to enhance their individual and collective well-being. Social work practice draws from areas, such as psychology, sociology, health, political science, community development, law, and economics to engage with systems and policies, conduct assessments, develop interventions, and enhance social functioning and responsibility. The ultimate goal of social work is the improvement of people's lives and the achievement of social justice. Social work practice is often divided into three levels. Micro-work involves working directly with individuals and families, such as providing individual counseling/therapy or assisting a family in accessing services. Mezzo-work involves working with groups and communities, such as conducting group therapy or providing services for community agencies. Macro-work involves foste ...
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Local Government In England
Local government in England broadly consists of three layers: regional authorities, local authorities and parish councils. Legislation concerning English local government is passed by Parliament, as England does not have a devolved parliament. This article does not cover the 31 police and crime commissioners or the four police, fire and crime commissioners of England. Regional authorities Greater London Authority The Greater London Authority Act 1999 established a Mayor of London and 25-member London Assembly. The first mayoral and assembly elections took place in 2000. The former Leader of the Greater London Council, Ken Livingstone, served as the inaugural Mayor, until he was defeated by future Prime Minister Boris Johnson in 2008. The incumbent, Sadiq Khan, was first elected in 2016. The Mayor's functions include chairing Transport for London, holding the Commissioner of the Metropolitan Police and London Fire Commissioner to account and keeping strategies up to ...
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Community Mental Health Services
Center for Mental Health Services''(CMHS), also known as community mental health teams (CMHT) in the United Kingdom, support or treat people with mental disorders (mental illness or mental health difficulties) in a domiciliary setting, instead of a psychiatric hospital (asylum). The array of community mental health services vary depending on the country in which the services are provided. It refers to a system of care in which the patient's community, not a specific facility such as a hospital, is the primary provider of care for people with a mental illness. The goal of community mental health services often includes much more than simply providing outpatient psychiatric treatment. Community services include supported housing with full or partial supervision (including halfway houses), psychiatric wards of general hospitals (including partial hospitalization), local primary care medical services, day centers or clubhouses, community mental health centers, and self-help groups f ...
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