An Investigation At Winterbourne View Hospital

An Investigation At Winterbourne View Hospital
Over the last 15 years or so a number of cases concerning patient care and safety have come to light
prompting investigations and inquiries that have led to changes in the way care is delivered. These
include inquiries at Winterbourne View hospital, Mid–Staffordshire hospital(Mid staffs) and Harold
shipman to name a few. At Winterbourne View Hospital, an undercover investigation for the BBC
panorama revealed practices that amounted to criminal abuse by staff towards patients. A serious
case review set up by the government in collaboration with the CQC, Local NHS and Police found
that patients were subjected too many incidences of Physical restraint and poor quality care. It also
found a "punitive and closed" culture that prevented ... Show more content on Helpwriting.net ...
Francis published a number of reports between 2010 to 2013 which revealed failings by mid staffs
in providing basic care; from provision of food, drink, pain relief, wash facilities to unhygienic
wards and toilets. The francis report also estimated that between January 2005 and march 2009,
approximately 400–1200 deaths occurred as a result of poor care.
The inquiry laid blame on poor staffing, lack of compassion, poor management. Francis also noted a
lack of concern when issues had been raised stating "Staff who spoke out felt ignored and there is
strong evidence that many were deterred from doing so through fear and bullying". Again other
agencies were slow to react to warning signs that things were not right at Mid staffs.
One of the recommendations that emerged from the francis report was the expectation upon all NHS
staff of a "duty of Candour". It says Every healthcare organisation and everyone working for them
must be honest, open and truthful in all their dealings with patients and the public, and
organisational and personal interests must never be allowed to outweigh the duty to be honest, open
and truthful.
The total sum of both these findings equals to recurring themes of:
Poor staffing levels lack of training at all levels
Organisational cultures, that turn a blind eye to poor practices
Lack of communication between management boards and staff on the frontline
Poor Care and Financial
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The Dhs Research Paper
How was the National Health Service formed? The NHS began in 1948 from an assumption that we
all as UK citizens should receive good healthcare. The NHS value, of putting patients first, remains
at its core. The main focus that the NHS had initial plans for was to diagnose and the treatment for a
disease. From then onwards, the government decided on making a system where UK Citizens are
entitled on receiving free care, in return for tax. The National Health Service is now known for
being the largest and oldest healthcare system in the world. Now however, the NHS has rapidly
increased ( more hospitals being built, higher level of staff being employed and private healthcare
services and plays a role in preventing illnesses and improving the physical ... Show more content
on Helpwriting.net ...
The Department of Health provides strategic leadership of public health, the NHS and social care in
the United Kingdom. The DH holds inclusive liability for the businesses and policies of the
department, including financial control, and oversight of all NHS delivery and performance.
National health Service (NHS) in England is an Independent body. Its main role is to set the
priorities and direction of the NHS and to improve health and care outcomes for people in England.
The NHS manages primary care services such as GPs, pharmacists, including military health
services and same specialized services. The National Health Service in England regulates around
£100 billion of the overall NHS budget and ensures that organizations are spending the allocated
fund effectively.
The National Health Service is declared the best healthcare system in the world with it scoring
highest on quality, access and efficiency. The NHS is the UK's state health service which provides
treatment for UK residents. Some services are free, other have to be paid for. The regulations that
govern who can and can't receive treatment are complex and may change. A person who is regarded
as ordinarily resident in the UK is eligible free treatment by a GP. Overseas visitors to the UK are
not regarded as ordinarily resident if they do not meet his

Stategic Planning for The University Hospital Bristol NHS...
The University Hospital Bristol NHS Foundation Trust is a teaching hospital that provides specialist
and general services to the people of Bristol, England and the wider South West. The hospital is
already recognized for the strength of their clinical services, research portfolio in cancer, and
pediatric services. The hospital employs more than 7,000 (uhbristol/About Us, 2013) health care
workers and operates across eight hospital sites. One of the hospital's goals is to be recognized for
the excellence of the outcomes they achieve for their patients and the quality of the patient
experience while under their care.
In 2010, the Board of University Hospital Bristol began a process in order to ensure that the hospital
continues to improve ... Show more content on Helpwriting.net ...
Their plan includes increasing efficiency and performance across all departments. In order to
achieve this, they are focusing on creating a more flexible infrastructure that will allow the hospital
to respond to changes in demand as well as patient initiatives (monitor.gov, 2010). Another factor in
helping the hospital to achieve their goals is the further investing in the infrastructure which will
allow them to compete with other health care facilities for patient care and also an increased cash
flow.
It should be noted that the hospital has also created strategic planning for collaborative work with
other health care factions in order to create the proper levels of access and quality in all departments
and other facilities in order to ensure the best care is given across all demographics and geographic
lines. This collaborative work not only benefits the communities, but also creates a network of
services that can better serve the residents and all other health care workers and organizations. This
collaboration can also ensure the profitability and sustainability of not only Bristol, but also the
partnering organizations. This leads to the final strategic planning goal of understanding the
profitability of procedures and patient care.
With the finances of the hospital being as it is, it is imperative to note that if a situation arose
whereby the nursing union has begun bargaining and has demanded a ten percent increase in
salaries, a

NHS Risk Management Case Study
1. Risk Management and why this is required for the National Health Service (NHS)
Risk management is essential in any industry as it is not always possible to predict the future.
However, by carrying out certain procedures and taking precautions, a more favourable outcome can
result over a less attractive one (Garlick, 2007, p.3). This is greatly beneficial for the publicly–
funded National Health Service (NHS) as it assists the organisation comply with the 'the Standard
for Better Health for England and the Healthcare Standards for Wales.' The National Patient Safety
Agency (2006) states that understanding all potential risks will aid the organisation in coping with
unexpected events and ultimately ensure public, staff and patient confidence ... Show more content
In "Hospital acquired infection: the challenges of the law of negligence", Rachel Hanly states, "a
utopian aspiration for the health system is that all dangers to patients can be eradicated, but realism
entails that the maximum should be done, by the providers and users, to curtail any threats to the
safety of vulnerable patients". The hospital must maintain a controlled safety environment as it must
be aware of any risks which are present at any other place, aside from a home (Wilkinson, 2003,
p.87). The National Audit Office (2000) states that infections acquired in hospitals in the United
Kingdom ultimately cost around £1bn a year, affecting almost 10% of patients and causing over
5000 deaths a year and so the National Patient Safety Agency (NPSA) was started in 2001 to focus
solely on patient safety issues. The Handwashing Liaison Group recommended washing hands with
soap and water when there is soiling and that staff should use an alcohol–glycerol hand rub between
interactions with patients. This shows that the NHS has identified the steps which were highlighted
in their risk assessment (NHS: National Patient Safety Agency, 2006) and later the NPSA was
created to assist the NHS to meet its core values in terms of patient

The Importance Of Clinical Audit
The aim of the Nursing and midwifery council is to regulate nurses and midwives in England,
Wales, Scotland and Northern Ireland.(Nursing and Midwifery Council, 2016). The NMC is set to
protect the public and to represent and campaign on behalf of nurses and midwives. (Nursing and
Midwifery Council, 2016). Furthermore the NMC regulates healthcare setting and
hospitals,regulates healthcare assistants and also set staffing level to ensure high quality of care the
first time round for service users.(Nursing and Midwifery Council, 2016).
Clinical Audit was introduced to the NHS in 1993. The 1997 White Paper The New NHS reinforced
the position of Clinical Audit as an essential element of professional practice in the health service.
(Dartford and Gravesham NHS trust, 2017).Clinical audit is a way to find out if healthcare is being
provided in line with standards and care providers and patients know where their service is doing
well, and where there could be improvements.Clinical audits play a part in implementing clinical
standards,clinical guidelines and evidence based medicines.The NHS England however defines
clinical audit as a way to find out if healthcare is being provided in line with standards and let's care
providers and patients know where their service is doing well, and where there could be
improvements. (NHS England, 2016) The aim of clinical audit is to allow quality improvement to
take place where it will be most helpful and will improve outcomes for service users

What 's Meant By Person Centred And Coordinated Care
I would like to start by defining what's meant by person centred and coordinated care. Person
Centred has various definitions yet not one that's universally accepted. Debra De Silva in her review
for The Health Foundation describes it as supporting "people to make informed decisions about, and
to successfully manage, their own health and care, yet able to make informed decisions and choose
when to invite others to act on their behalf" (2014, pg. 2). It essentially means that the care given
places the patient in control and everything else is built around that. Professor Don Berwick sums it
up as "the experience of transparency, individualisation, recognition, respect, dignity, and choice in
all matters, without exception, related to one's ... Show more content on Helpwriting.net ...
There are many components of implementing person centred coordinated care but I'll highlight those
I feel are important. Firstly, evidence shows that there needs to be a fundamental understanding that
patient choice matters. According to Hartley and Benington (2010, pp. 2–5) there are greater
expectations from patients and communities for more personalised and flexible care. Research
shows that a patient's decision regarding treatment change when they're well informed and this can
only mean a better experience of care for a patient. For example, an international Cochrane Review
that included 11 trials involving major elective surgeries showed that demand declined by 20% after
patients became well informed (Mulley et al, 2012). This also leads to greater convenience for
patients and having the option to go where they like and when they like for care can only become a
reality when true integration and coordination is achieved within the healthcare system. This relies
on clinicians accepting that they don't know best when it comes to patient preferences and letting
them decide their own preferences for receiving care and the settings where to receive it. I was
involved in a service redesign for the phlebotomy service at Burton Hospitals NHS foundation trust
where patients wanted a service that operated earlier then the normal opening time of 9:00 am. I
worked with the patients and staff to find a solution where the service

NHS Social Changes
The National Health Service has seen many political and financial changes since it began. The
advance in medicine since the 19th century impacted the Britain significantly. The health of the
nation has improved dramatically since the NHS formed. The timeline of events leading up to its
formation are crucial. The health services in the 19th century consisted of self–employed doctors
who were for the rich and charitable volunteers for the poor. Local authority hospitals catered for
specific illnesses and health issues only, these included maternity and mental illness. The lack of
control over housing allowed slums to be built, the poverty in these conditions led to malnutrition.
Cholera and Typhoid epidemics bred quickly in the slums and it ... Show more content on
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In 2012 The British Medical Association (BMA) made the decision to strike over major changes to
the NHS pension scheme and the re–formation of the NHS structure without any discussion with the
BMA first. Also in 2012 The Health and Social Care Act 2012 was introduced by the coalition
government. It brought substantial changes to the way the NHS is organised, while work is also
underway to improve the quality of social care and reform its funding. Robert Francis, chair of the
Mid Staffordshire NHS Foundation Trust Public Inquiry presented his final report to the Secretary of
State for Health. It pointed out the errors with the current NHS and the falling standards of nursing
and healthcare. From 2005 to 2009 Francis collected evidence about a large amount of preventable
deaths of patients while waiting for treatment in Staffordshire hospital. He published his final report
in February 2013. The Government published their response later on in the year. The full reaction
focused powerfully on new legislation and direction to hospital trusts and their employees, planning
to make the NHS more open, accountable and focused on safety and

Actions for Wrongful Birth and Wrongful Conception
Actions for wrongful birth and wrongful conception Actions for wrongful birth and wrongful
conception frequently raise moral, ethical and philosophical issues. Legal judgments have often
been contradictory and on occasions have arrived at their conclusions without addressing all the
pertinent issues. Actions for wrongful conception or wrongful birth are variants of clinical liability
and negligence. The initiative to bring an action lies with the parents. This is different for actions for
wrongful life where the action is brought by the child who alleges injury in utero or has a
preventable congenital condition. There has only been in one such case in English law – McKay v
Essex Area Health Authority, and the Court of Appeal rejected ... Show more content on
Helpwriting.net ...
The second is for the costs associated with raising the resultant child. Whilst the costs associated
with a child's upbringing are also foreseeable their award has posed a greater dilemma for the courts.
A child resulting from a pregnancy arising from a doctor's lack of care would appear to have a
tortious claim to such damages. The concept of compensating for a healthy child has led to moral
and policy concerns. In the Canadian courts some years ago this matter was aired in Doiron v Orr
the judge awarded damages for mental anguish related to the pregnancy but there would be no
liability for the cost of bringing up an unsought child. A range of views has developed from never
awarding damages, always doing so or doing so in a graded fashion by offsetting the benefits of
parenthood with the economic costs. In an action for unwanted pregnancy in Udale v Bloomsbury
Area Health Authority there was an award for pain and suffering along with loss of earnings
following a negligently performed operation. However an award for the economic costs of bringing
up a child was rejected. In his judgment Jupp J felt that the joy and love of a child should be set
against economic loss. There was a different view in Emeh v Kensington and Chelsea and
Westminster Area Health Authority where the Court of Appeal awarded damages which included the
cost of rearing a child. The court rejected the policy objections cited in Udale.

NHS Foundation Trusts Chapter Summary
Chapter 3: Institutional settings
3.1 NHS and NHS Foundation Trusts
National Health Service (NHS) is a publicly funded health caring system composed by four distinct
organizations, namely NHS England, Health and Social Care in North Ireland (HSCNI), NHS
Scotland and NHS Wales, with each part operating in its own way. NHS mainly derives money from
the country's tax income, which is paid by all the permanent residences of United Kingdom earning
certain amount of income. NHS expenditure takes up the largest proportion of UK's social benefit
expenditure. In this way, about 60 million people in UK are able to enjoy the same–level health care,
which also makes the NHS the largest public Health Care System in the world. One thing worth
mentioning ... Show more content on Helpwriting.net ...
The Council of Governors holds the Board of Directors to account for the performance of the Trust
including ensuring the Board of Directors acts within the terms of the licence. Governor feedback
information about the Trust to members and the local community through a regular newsletter and
information placed on the Trust's website.
The Council of Governors consists of elected and appointed governors. More than half the
governors are public governors elected by community members of the Trust. Elections take place
once every year, or on other occasions. As for the Council of Governors, it is generally made up of
public governors, appointed governors and staff governors. These governors connect the Board of
Directors closely with the public and patients. Governors have statutory role. The governors have
control over the direction of the FT even without the Board of Directors' permission. The governors
can appoint the chair and directors. Moreover, the board of governors can has the rights to appoint
or remove trust auditors. The Council of Governors has in place a process for the appointment of the

Understand how health and safety legislation is...
Assignment Front Sheet
Qualification
Unit Number and Title
Pearson BTEC Level 4 HND Diploma In Health and Social Care
Student Name
Unit 3: Health and Safety in the Health and Social
Care Workplace
Assessor name:
Christine Pratt
Date of Issue
Completion date
27/01/2014
18/04/2014
Student No.
Submitted on
Assignment title
Learning
Outcome
Learning outcome Assessment criteria LO1
Understand

1.1
how health and safety legislation is implemented in the health and social care workplace 1.2
1.3
In this assessment you will
Task
have the opportunity to
No.
present evidence that shows you are able to review systems, policies and 1 procedures for
communicating information on health and safety in the health and social care
workplace ... Show more content on Helpwriting.net ...
(Task 1,2,&3)
D3 demonstrate convergent/lateral and creative thinking
3
Assignment Brief
Unit Number and title
Qualification
Unit 3: Health and Safety in the Health and Social Care workplace Pearson BTEC Level 4 HND
Diploma in Health and Social
Care
Start Date
27/01/2014
Deadline
18/04/2014
Assessor
Christine Pratt
Assignment title
Purpose of this assignment
Health and safety is an essential consideration for all practitioners in health and social care and this
unit will enable learners to develop an understanding of the importance of continually monitoring
the implementation of health and safety legislation and policies within any health and social care
setting.

Learners will gain a clear understanding of the implications of relevant legislation for their own role
and the implementation of policies and systems in their own workplace. The importance of record
keeping, monitoring and review health and safety policies and procedures will also be considered.
Scenario
On the 29th August 2013, it was reported that the Health and Safety Executive (HSE) will prosecute
the Mid Staffordshire NHS Trust under Section 3(1) of the Health and
Safety at Work Act over the death of a patient, Gillian Astbury.
Gillian Astbury, who suffered from diabetes, was admitted to Stafford Hospital in
April 2007 after falling at home. She was put under the care of a team of nurses who did not bother

Understanding Organisations and the Role of Hr Essay
Information Sheet
Main Products and Services of the Organisation
East Midlands Ambulance Service NHS Trust (EMAS) provides emergency 999, urgent care and
patient transport services for 4.8 million people within the six counties of Derbyshire,
Leicestershire, Rutland, Lincolnshire, Northamptonshire and Nottinghamshire.
Main Customers
Our main customers are members of the public calling 999 emergency services. In addition we have
a Patient Transport Service (PTS) who undertake journeys to and from routine health appointments.
Purpose and Goals of the Organisation
All NHS ambulance services must respond to 75% of Category A emergency calls (the most serious
and life threatening) within 8 minutes. Within 19 minutes 95% of ... Show more content on
Helpwriting.net ...
This has seen EMAS move from transporting patients to the healthcare provider, into a service that
takes healthcare to the patient within the community (EMAS 2011).
Reconfiguration within the service is a further external factor. EMAS has been influenced by the
merger in 1999 and 2006 of six previous ambulance services into the East Midlands. Over recent
years, we have seen a shift from traditional command–and–control cultures of the former
organisations, to localised, empowered management teams working within the heart of their
communities.
Becoming an NHS Foundation Trust is an external factor that is already having a major impact. An
NHS Foundation Trust is a new form of NHS organisation with greater freedom from Government
control so that it can better meet the needs of local communities. We are currently developing our
application. NHS Foundation Trust status will provide the freedom to invest surplus funds. We will
be able to plan for a longer period, 5 years plus so we can be more confident in how we will
develop.
Bibliography
ACAS Advice Booklet – How to Manage Change (ACAS/B23)

ACAS Advice Booklet – Recruitment and Induction (ACAS/B05)
ACAS Factsheet – Recruitment and Selection (ACAS/S06)
Armstrong, M. 2003, A Handbook of Human Resources Management Practice, 9th Edition, London,
Kogan Page
Behan, S. 2010, Recruitment and Selection, EMAS Policy
Crawford, N. 2009, Work Life Balance, EMAS Policy
Department of Health. Connecting for Health

Clinical Leadership And The United Kingdom National Health...
Introduction
Clinical leadership is a concept growing in usage. Word frequency in the English lexicon shows the
term increasing in the last two decades, despite its composite words remaining static over the same
period (Graphs 1 and 2).
Graph 1: Word frequency in the British Lexicon of "leadership" and "clinical" (Google 2015)
Graph 2: Word frequency in the British Lexicon of "clinical leadership" (Google 2015)
Clinical leadership as a term grew out of opposition to New Public Management (Hood 1991) and
the corporatisation of health services in the 1970s to 1990s. The recent focus on catastrophic
medical errors in the United Kingdom National Health Service (NHS), in particular at the Mid
Staffordshire trust, has resulted in ... Show more content on Helpwriting.net ...
Organisations are doing more to foster it, with some success, but barriers remain. Background
Leadership is often juxtaposed against management. In classical business teaching, Kotter (2001,
reprint p4) defines the difference: 'Management is about coping with complexity. Leadership (by
contrast) is about coping with change.' Leadership is more commonly distributed across all
organisational levels, and leaders are seen as those who empower others to significantly improve
organisation performance. Managers are those involved in performance monitoring, target setting,
and most importantly with the operational oversight of employees. They organise resources and
maintain stability. This is a large field, but for current purposes we accept that, though there is
overlap, Kotter's definition serves to highlight a valid distinction.
Leadership as a term has differing meanings through time. The influence of 'Great Man' theories
stem form the socio–politico models prevalent in much of the first half of the twentieth century.
However, personality traits map poorly to successful leaders, and this theory has waned. Post–war
good leadership was thought to be based more around behaviours. It was out of this that models for
behaviour arose, including Adair's (1973) three circles model (task, team and individual). Truly
good leadership will undoubtedly involve a mixture of nature (or traits) and nurture (behaviours).
Current theory is

A Letter of Advice to Nhs Litigation Authority on Clinical...
To: NHS Litigation Authority,
Re: Chandler Bing v Friends Health NHS Foundation Trust
Dear Sir/ Madam,
Thank you for your referral of the case concerning Mr. Chandler Bing's missed fracture scaphoid
bone received on 31 August 2010.
The following is the Letter of Advice to the NHSLA concerning the above–mentioned case.
The Claimant: 1. The Claimant was born on 8 April 1969.
As a result of the events referred to in their particulars of claim the claimant is now represented by
Bloomingdale Solicitors to launch to launch a civil action against Friends Health NHS Foundation
Trust on 31 August 2010.
The Defendant:
2. The Defendant was at all relevant times responsible for the management control, and
administration of ... Show more content on Helpwriting.net ...
Claimant's family members and colleagues concerning the accused loss of function in daily
activities of living. 2. Healthcare providers beside the medical doctor in Accident and Emergency
Department, including accident and emergency doctors and consultants, radiologists, orthopaedic
specialists, nurses, family doctors, etc, who have treated the Claimant. 3. The Claimant himself.
Where a witness statement or a witness summary is not served, the party will not be able to call that
witness to give oral evidence unless the Court allows it.
Matters to be covered in the witness's statement will include: 1. Occupation and working ability of
the Claimant, if this has changed, since the injury, previous occupation of the Claimant. 2. Brief
description of marital and family circumstances including dates of birth of all the family members of
the Claimant. 3. The Claimant's amount of the sequence of events relating to the treatment in
question. Care should be taken to avoid importing text and phraseology from medical records or
reports that the Claimant would not use in the normal course of discussing the case. 4. If the
witness's factual recollection of events differs in any important respect from the medical records, or
from the version of facts set out in the Defendant, the statement should acknowledge this and

comment upon these differences. 5. The witness should describe the effects of the injury; this will
include the effects on his

Performance Management Performance Management Performance...
To look into the performance measures for a hospital and also an electrical goods retailer. From this
I will look into a few companies of each and write what sort of performance measures they use and
if their management priorities.
Management Coursework
Performance Management
For this assignment I have been assigned to look into the performance measures for a hospital and
also an electrical goods retailer. From this I will look into a few companies of each and write what
sort of performance measures they use and if their management priorities should lie elsewhere or
not.
Hospitals
Performance measures for Finances
Finance is a major part of running a hospital. As much as any company or hospital would like to ...
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Although it is now with Chase Farm Hospital, it employs 1100 less staff with the same hospital bed
capacity. But its financial management ratings were significantly underachieved. These ratings are
trying to show the public and the board, that there is a spread of wealth within the different NHS
hospitals and that one is not neglected. This is deffinately where their priorities should lie as they are
trying to sell the image that the public hospitals have the right equipment and people.
Performance measures for assessment of customer services
The assessment of customer services is one that can be measured in a number of different ways.
Firstly through the NHS ratings the length of time that someone has to wait in A&E generally
should be 4 hours or less – Both hospitals were considered unsatisfactory. Customer
Services goes further than just the waiting time at A&E, although it might be looked at as an
important element within a hospital. The
Royal Free give priority to their training schemes as laid out in their aims. They train all types of
workers, from doctors to mid–wives. But depending on the training schemes, it is hard to say when
it would have an affect on the quality of customer service. But as it is trying to assess what patients

think of a hospital, it is not straight forward. For instance, you wouldn't be able to use secret
shoppers with retail stores. Surveys are given out from time to time to get customer feedback

Candover Clinic Essay
Introduction The Candover clinic is a private patient facility that consists of a private Outpatient
building and its own suite created especially for private patients. The facility is based alongside
Hampshire Hospitals Foundation Trust a National Health Service (NHS) hospital, which covers a
population of approximately 600.000 and covers Hampshire and parts of West Berkshire (Trust
Source). Before becoming Hampshire Hospitals, it used to be known as Basingstoke and North
Hampshire Hospital Foundation Trust, which it earned in 2006, however, as a result of an
integration in 2012 between the North Hampshire Foundation Trust and Winchester and Eastliegh
Healthcare Trust it became Hampshire Hospitals. (Trust Source) The Candover Clinic opened ...
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Although this does come at a cost this can either be made by the patient themselves, or through their
health insurance cover. There are opportunities for people who go through the NHS to have a room
on their own, but they don't always contain the same environment or facilities. As The Candover
Clinic is a new facility it needs to overcome inter–trust relationships, as when it first opened it
appeared to have the attitude that it was a separate unit from the hospital trust and in turn this
created a very negative attitude within the trust. Slowly the Clinic is building an understanding
within the staff to create a better working environment and ensure they are working for the same
goal, which is to increase revenue for the trust and its future. Technological impacts within the
Clinic are it is an innovation for the trust and has to show that it is beneficial and that it is creating
revenue for the trust rather than causing a deficit. So in effect it has a lot to prove. It is using the
latest in communications to ensure the smooth journey for its

Essay NHS Policy
This essay will examine the following statement in relation to reforms proposed in the Health and
Social Care Bill 2011 "Funding and delivering high quality health and social care services is
problematic to all governments irrespective of political persuasions" I will provide an overview of
the bill and investigate through critical analysis recommendations in the Bill for clinically–led
commissioning. This will enable me to illustrate the problems in delivering a high quality care
service that is needed by the changing society and the challenges this causes policy makers who
uphold the ideology of the NHS.
The Bill states that " To safeguard its future the NHS needs to change to meet the challenges it faces
– only by modernising can ... Show more content on Helpwriting.net ...
But Campbell (2012) argues that the modernisation of the NHS could have a diverse effect and
provide worse care especially for the more serious conditions such as cancer as inequalities will be
greater and poorer patients in lower socio–economic areas will be overlooked. The state of the
public finances and tightening of budgets means that the past system was becoming increasingly
unaffordable the new system will be responsive to the needs of patients and remove the layers of
bureaucracy which consumed money that could be better spent on services. The British Medical
Association (2010) stresses that it is not just finance that drives medical decisions as consideration
must be given to the clinical need of the local heath community.
The key legislative changes in the bill are; clinically led commissioning, provider regulation to
support innovative services, a greater voice for patients, a new focus for public heath, greater
accountability locally and nationally and streamlining of arms–lengths bodies.
Clinically lead commissioning puts GP's and health care professionals in the centre of decision
making and development of services so that they can provide care without the frustration caused by
involving primary care trusts. This will give the provider regulation to support innovative services

Trial Business Plan
PathWay Business PlanKeval Shah | | * Executive Summary Business Overview PathWay is an
innovative new start–up that has been formed with the intention of pioneering a new direction of
pathology reporting which is faster and more accessible to healthcare professionals. The company
has a great potential for growth and opportunity in the current evolving healthcare setting where
digitalisation has become a key priority in the quest to improving healthcare outcomes for patients.
Market Overview The importance of technology and information technology (IT) systems in
meeting the challenges placed on the health care system is becoming increasingly apparent. The
NHS is currently driving a technological revolution with the vision ... Show more content on
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He is currently studying the MSc. Technology Entrepreneurship course at UCL, has had large
amounts of experiences in hospitals as a patient and as a visitor and has a keen interest and
knowledge regarding the current processes entailed in the NHS. Keval is looking for a technical co–
founder as well as a medical co–founder. The technical co–founder will have expertise in both the
back–end and front–end of the solution. The technical co–founder should have a vast knowledge of
Application Programming Interfaces and database engineering. He will be able to apply insights we
gather to makes sure the user experience of the solution is the heart of the problem The medical co–
founder will ensure that solution is targeted and addressed appropriately within the healthcare
setting and at the same time will provide relevant connections to the NHS Trust board members of
the respective hospitals we intend to target. Table of Contents Executive Summary 2 Business
Overview 2 Market Overview 2 Product Overview 2 Competitor Analysis 2 Business Model 3 Team
3 2. Business Description 6 1.1 What is the PathWay concept? 6 1.2 What makes PathWay unique?
6 1.3 PathWay's approach to Market 6 2 Problem Solution Fit 7 2.1 The Problem 7 2.2 The Solution
7 3 Market 9 3.1 Market analysis 9 3.2 Customer Research 9 3.3 Competitors 10 3.4 Competitive
Advantage 12 3.5 Marketing and Advertisement 13 4 Strategy 14 4.1 Business Goals 14

The Pros And Cons Of Pioneer Generation Package
In 2014, the Singapore news released a statement regarding the pioneer generation package in line
with Singapore turning 50 in 2015. Prime Minister Lee Hsien Loong announced that about 450,000
seniors from the Pioneer Generation will receive a Pioneer Generation Package (PGP) focused on
healthcare. This Package will ensure lifelong benefits that cover different types of healthcare needs
and also other extra subsidies. The purpose of this paper is to provide insights to the advantages and
disadvantages of the PGP as well as comparing PGP with other healthcare services. This paper will
cover the pros and cons of the PGP, comparing with other Singapore healthcare schemes and also
the healthcare measures taken in Britain. Firstly, the advantages are that they will receive more
subsidies such as receiving more benefits of MediShield Life but paying less premiums than they do
for their MediShield. Also extra subsidies will be given at specialist outpatient clinics (SOCs),
polyclinics, and General Practitioner (GP) clinics under the Community Health Assist Scheme
(CHAS), on top of other subsidies which all of citizens are ... Show more content on Helpwriting.net
...
It is used by a minority of the population and has both advantages and disadvantages. Private
healthcare is seen as a basic right of those who choose to use it. It reduces pressure on the NHS and
allows medical staff an opportunity to improve their incomes. Big companies and their employees
find it convenient as it enables them to arrange treatments at times that do not interfere with their
work schedules. But private healthcare is criticised as it allows people with higher incomes to gain
access to treatment ahead of those who are unable to afford it. It is also seen as taking resources
away from the NHS. For example, staff who are trained by NHS may go on to treat patients in
private healthcare with a profit

Organisation responsibility to provide comprehensive...
Organisation responsibility to provide comprehensive services available to all aspires to the highest
standards of excellence and professionalism. Duty to providing standards of quality and safety
improve health outcome for patient (Pidegon (1997) states a culture exists whereby when a man–
made disaster occurs this is followed by a cycle of disaster inquiries and subsequent new safety
measures and regulations pattern is particularly evident in Health and Social services during the
1970s for example the Shipman Enquiry. The organizational failure at Mid–Staffordshire became
major concerns for the government and society as there had been a widespread failure of health and
social care agencies and staff. According to report that there ... Show more content on
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Kline (2010) stated that organisation can show evidence of denial rather than self–criticism when
working together and the staff can easily accepted poor standard of conduct and unwilling to use
governance and disciplinary practice to tackle poor standard blames can be shifted to others
organisation. According to report the Trust was focusing financial targets and seeking to upgrade
Foundation Trust which results in cutting back on cost and delivery because of pressure from
external organisation. According to Kennedy (2001) cited in Martin (2010) point out that in Mid–
Staffordshire there were be problems in attendance at mandatory training and lack of advice given to
pharmacists. The organisation did not investigate in professional training and support for staff to up
to date with patient records or given sufficient time for continuous advice to enable them to carried
out duties. The Inquiries found that clinical governance had been insufficiently active and that a
monitoring system such as the Quality Care Commission failed to identify problems and risk or
follow through with continuing reviewing the outcomes of risk management, there was an absence
of clinical supervision and staff appraisals. Kennedy (2012) argues that they may not have an agreed
standard for the assessment of quality of patient care. Managers did not adequately assess the risk
involved and were working within a malpractice culture outside of the guidelines and ignored the

The Mental Capacity Act 2005
Answer: Introduction: The Mental Capacity Act 2005 (MCA 2005) introduced a statutory
framework for advance decision making in England and Wales building upon the common law
recognition of advance decisions. Academics considered that a bias may operate against upholding
advance decisions refusing life–sustaining treatment 1. It's commonly felt that judges usually give
decisions favouring preservation of life and making advance decisions invalid on various grounds.
Recent case–law indicates that a high level of specificity is required for advance refusals of life–
sustaining treatment and, in some capacity must be demonstrated at the time of making the decision.
This essay will argue the legal back ground of the advance decisions and relevant case law. There
are suggestions that advance care planning (ACP) instead of advance decisions (ADRT) may be
more helpful when it comes to the practice of law on ground 2. The Mental Capacity Act 2005: The
MCA 2005 introduced the statutory framework for the advance decisions as follows: "A decision
made by a person ('P') after he has reached 18 and when he has capacity to do so, that if – (a) at a
later time and in such circumstances as he may specify, a specified treatment is proposed to be
carried out or continued by a person providing health care for him, and (b) at that time he lacks
capacity to consent to the carrying out or continuation of the treatment, the specified treatment is not
to be carried out or

The Importance Of Safeguarding And Protection Of Children
There are a number of different agencies which may be involved when working in the context of
safeguarding and protection of children and it is vital that these agencies communicate and work in
partnership. Each professional working with children has to respect the others' areas of expertise and
support others' work as everybody is making a valuable contribution to the pupils' development. To
make sure that these professionals and agencies work together effectively in order to safeguard
children, section 10 of the Children Act 2004 places the duty on local authorities to make
arrangements to promote cooperation to improve the wellbeing of all children in the authority's area.
The continuous safeguarding of children and young people ... Show more content on
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Children are best protected when professionals know what is required of them and how each
organisations and professionals within those organisations work together. All adults and
professionals that work with have a responsibility for keeping them safe. This involves identifying
concerns, sharing information and taking prompt action. In order to do this in an effective way;
professionals need to work in partnership with each other. Individual children, especially some of
the most vulnerable children and those at greatest risk of harm and social exclusion, will need to
coordinate help from health, education, early years, children's social care, and the voluntary sector
and other agencies, including youth justice services. To provide adequate safeguarding measures it
helps to have a complete 'picture' of the child. To work in partnership means that each professional
and agency work together with the other agencies in contact with a child that they have safeguarding
and welfare concerns about. The different professionals and organisations working with that child
may have one snapshot and a concern that may, on its own, not necessary need intervention. When
partnership working is effect a bigger picture evolves as a result of information sharing. If each
profession has a different concern, this can lead to the

Public Health Services For Nhs England
Rehabilition services are there for many people suffering from mental health issues, drug or alcohol
abuse or even for servicemen and women who have been injured in the armed forces.
Public health services commissioned not only by the CCGs but also by PHE whom also works
closely with NHS England and the department of health to be provided. These services should aim
to provide efficient healthcare to people living within UK.
Primary care is what patients mainly look out for when they are in need of help– health wise. It is
delivered through GPs, dentists, pharamists, optometrists, walk–in centres and the NHS 111 number.
They are commissioned by NHS England who also commission some other specialist services. NHS
England is in charge of ... Show more content on Helpwriting.net ...
The are commissioned by both the department of England and public health England.
Monitor is a financial regulator of foundation trusts. They make sure that all NHS provisions are
running properly and that they provide quality care, that all the essential services provided by the
NHs are maintained especially if a provider gets into a difficult situation, that the payment system
endorses quality and efficiency and finally to make sure that patients are operated on their best
interests.
The care quality commission is also a regulator which is independent for the quality of both health
and social care in the UK. Similar to OFSTED, they examine and inspect as well as register health
provisions such as hospitals, care homes, GP surgeries, healthcare practices, dental practices etc.
The CQC have the right to give warnings, close down the practice, give a penalty notice, to suspend
registration or prosecute the provider if they feel as though the services are not meeting the
standards of quality and safety.
Healthwatch England is a consumer champion for both health and social care nationally. It makes
sure that the views and experiences of the public are taken into consideration when local needs
assessments are organised. It enables people to share their views about the

Essay Princess Diana
One year ago, the death of a princess brought an entire world to tears. The wounds are slowly
healing and the grief is less painful. What remains are the lessons that can be learned from a
phenomenon that few can entirely forget. At the time it was a mystery. A divorced member of the
royal family of a medium–sized European nation dies in a banal car accident in Paris, and for a
week the sun, moon and stars are knocked off their appointed tracks. Within days, Europe suffers a
shortage of cut flowers as tens of thousands of bouquets are laid before the house of the victim.
Demand for newsprint soars; the funeral, watched live on television throughout the world, attracts
an audience of 1 billion.
A few years later, the mystery remains. What ... Show more content on Helpwriting.net ...
96). Now the charities with which she was still associated – Centrepoint, The English National
Ballet, Great Ormond Street Children's Hospital, The Leprosy Mission, The National Aids Trust and
The Royal Marsden Hospital NHS Trust, are facing up to a future without a patron whose backing
was impossible to evaluate. A spokeswoman for Great Ormond Street Hospital, with which the
princess had been involved since 1987, said: "Her support was invaluable and
incalculable."
"I'd like to be a queen of people's hearts." Princess Diana (BBC TV interview). Diana was
patron of the National AIDS Trust and helped put their work in front of the public, as well as raising
many thousands of pounds to help them do it. She was president of the Royal Marsden NHS Trust at
the London cancer hospital; she had an interest in patients and research. On one of her trips to
Chicago raised $800,000 for the hospital, and the auction of her clothes in New York brought in
another £1 million. Diana was Fund President of London's Great Ormond Street Hospital for
Children. "On many official or private visits to wards, she sought out the shyest child for her special
attention" (2, pg. 97) Children were Diana's delight, she always wanted a little girl. When one little
eight–year–old girl Danielle first met the princess, she had no idea of the identity of the special
person who was to visit the Rose Ward of

Essay about Working in Partnership in health and social care
Learning Outcomes Assessment requirements To achieve each outcome a learner must demonstrate
the ability to: LO1 Understand partnership philosophies and relationships in health and social care
services 1.1 Explain the philosophy of working in partnership in health and social care 1.2 Evaluate
partnership relationships within health and social care services LO2 Understand how to promote
positive partnership working with users of services, professionals and organisations in health and
social care services 2.1 Analyse models of partnership working across the health and social care
sector 2.2 Review current legislation and organisational practices and policies for partnership
working in health and social care 2.3 Explain ... Show more content on Helpwriting.net ...
Further enquiry was carried out in July 2009 and the report was released on 24th February 2010.
This lead to the Trust apologising for its fallings and payouts of up to £11.000 were received by
some of the affected families. In June 2010 a new public inquiry was set up by the new government
chaired by Robert Francis QC which began on 8th November 2010. A million pages of previous
evidence and hearings from witnesses were considered. The final report was published on 6th
February 2013 and made 290 local and national recommendations which includes that the regulators
should monitor and de– authorize the Foundation Trust. The care sector was not left out of this as
there have been Serious Case Reviews both in the Children and Adult Services such as Adult A,
Victoria Climbee, Baby P and Daniel Pelka among others. These reviews investigated cases of
abuse, neglect and subsequent death of these vulnerable adults and children and triggered changes in
the law and working practices. As a result, new policies, frameworks and strategies have been
developed and implemented to drive the prevention of such cases, for example the Children Act
2004 and The Mental Capacity Act and Deprivation of Liberty to Safeguards 2007. The Mental
Capacity Act stipulates that those with dementia, mental illness or physical disability cannot be
labeled as lacking mental capacity or as being unable to

Nhs Reform Essay examples
Equity and Excellence: Liberating the NHS White paper briefing, July 2010
The Secretary of State for Health, Andrew Lansley, has set out the government's plans to reform the
NHS in England. The plans, documented in a new white paper entitled 'Equity and Excellence:
Liberating the NHS', state that more power will be given to patients and professionals in the design
and delivery of health and social care. This briefing outlines a summary of the key reforms. Please
note, some terms which require further clarification are explained in a glossary at the end of this
document. The white paper focuses on four key areas: 1. 2. 3. 4. Putting patients and the public first
Improving healthcare outcomes Autonomy, accountability and democratic ... Show more content on
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Access to drugs The government intends to introduce value–based pricing for drugs, whereby drug
companies are paid according to the value of new medicines in order to promote innovation and
improve value for money.
2
Other reforms scope and value of CQUIN (Commissioning for Quality and Innovation) payment
framework will be extended to support local quality improvement goals; there will be a consultation
on the integration of health and social care services; the basis of the current tariff system will be
refined.
3. Autonomy, accountability and democratic legitimacy
Key reforms Power to commission services will be devolved to GPs working in consortia. National
and regional specialised services will be the responsibility of the new NHS Commissioning Board,
not GP consortia. GP consortia will have a duty to work in partnership with local authorities, for
example in relation to linking up health and social care. The new NHS Commissioning Board will
take over current CQC responsibility for assessing NHS commissioners and will hold GP consortia
to account. Role of CQC will be strengthened as the quality inspectorate for health and social care.
Monitor will become the economic regulator for health and social care from April 2012.
Commissioning of services
GP consortia will have a duty to work in partnership with local authorities, for example in relation to
linking up health and social care, and

Foundation Trusts: A Case Study
within the geographical area that made up the PCT (Primary Care Trusts). The PCTs carried out
their mandate with funding from the central government and contracts with the hospitals and other
practitioners for healthcare service (Great Britain et al. 2012).
The NHS initiative for reform in 2002 gave hospitals permission to acquire independence from the
NHS as a trust foundation. Contrary to an NHS hospital, many foundation trusts were deemed to be
distinct, non–profit making entities that had permission to select a localized board to watch over
their operations and had permission to some financial independence which included the freedom to
borrow out finances. A monitor is the regulator of a foundation trust. A monitor is a government
agency ... Show more content on Helpwriting.net ...
On the contrary, these concerns should act as leverage that the USA hospital system and the UK
foundation trusts need to be clearly on the forefront to showcase their charitable endeavors and
pursue the diversification strategies through the integrated delivery model (Harrington, Estes 2008).
At this point in time, the healthcare system in the United Kingdom is no longer being viewed by the
world as the best healthcare system and the USA continues to boast of having the best healthcare
system in the world; however, both countries should strive to learn from each other on the positives
and also learn from other countries who are also putting up admirable healthcare systems. In today's
world where trade barriers are no longer a worry and national borders are being opened up, the USA
and the UK should not shy from learning from each other and learning from other countries as

Nursing Care Concepts
Define and Describe the Key Concepts of Care.
This essay covers the Key concepts of care. In 2013 the Francis report highlighted the need for
student nurses to test and experience their values and levels of care and compassion, and whilst it is
seen that the failures highlighted in the report go further than a lost compassion of nursing, this
exercise is to look at the key concepts of care and the principles of the 6 Cs (Care, Compassion,
Courage, Communication, Competence and Commitment) which have been identified as
fundamental values, although not the only ones as nurses have other core values such as
organisational, professional and NHS values to work to. I have selected one of the 6 Cs
(communication) for a more detailed description from which I will then provide as requested in my
brief an example specific to its application in a particular service. The area I have selected to apply
this to, is Dementia.
The nature of the interrelation of care and nursing has been recognised by theorists over several
decades internationally, back in 2002 caring both as a natural attribute of being human and the core
of nursing was identified by Sister Simone Roach of Canada. Sister Simone Roach was responsible
for a similar set of the 6Cs to the ones we recognise today.
Several reports of poor care arose in 2009 regarding Mid Staffordshire hospital which concluded
that patients needed to be protected from harm, patients had been subject to unacceptable risk of
harm and that patients had failed to be treated in the appropriate way. The Francis report was
commissioned to look into the failings and examine why nurses failed to treat patients appropriately,
stemming from the Francis report came 209 recommendations. In 2012 the DH publication
Compassion in Practice: Nursing Midwifery and Care Staff– Our vision and strategy Cummings &
Bennett (2012). included the 6 Cs. Reports from the Winterbourne View Hospital (DH 2012) and the
Mid Staffordshire NHS Foundation trust (Francis 2013) reported of the need to improve the care
culture after highlighting a lack of compassion.
In 2013 the government announced a three–year

The Pros And Cons Of Bolam Test
Typically, a defendant cannot escape liability in negligence simply by arguing that they followed
common practice: Neglect of duty does not cease by repetition to be neglect of duty. However, there
is one important exception to this rule. The court faces wide latitude to professionals, acting in their
professional capacity, to determine the standards by which they are to be judge. In cases where the
defendant has a special skill or competence, (that is, a skill that the reasonable man ordinarily does
not have) and the circumstances are such that they are required to exercise that skills or competence,
the courts have developed a different approach. In such cases, the actions of the defendant are
judged against those of the ordinarily skilled man professing to exercise that skill, the so called –
Bolam test.
Bolam test has been adopted for decades in various cases. One of the recent cases includes the case
of Middleton (by his Father and Litigation Friend, Gavin Middleton) v Ipswich Hospital NHS Trust,
the claimant brought a claim for damages for clinical negligence from the defendant NHS Trust. The
claimant suffered damage to the nerves due to shoulder dystocia. He has faced significant
difficulties in daily life. The claimant is keen in sports however, it was the specialist view that the
claimant was at the risk of developing an adjustment ... Show more content on Helpwriting.net ...
He contended that the surgeon was negligent in the technique he had used and the defendant was
negligent in its post–operative care. The court held that the use of the technique, supported by expert
evidence and standard textbooks, was reasonable and that the claimant's operation had not fallen
outside the NHS's standard follow–up arrangements. Hence, the claim is

Planning & Administering Project Contracts and...
Request For Quotation (RFQ) Assignment It should be noted in the first instance that shipping and
freight is specialist in nature and it is best to entrust arrangements for long distance transport,
shipping, airfreight, seaport, airport and international frontier formalities to a specialist organisation
(Lock, 2007, p.348) in such circumstances if a relationship has been developed with a freight
specialist there may be an argument not to go out to competitive tender in the first place and adopt a
nominated supplier attitude. It is my opinion however that even though there may be limitation of
choice of freight and shipping companies a recommendation should be given for at least three
companies to be approached. Receiving the ... Show more content on Helpwriting.net ...
1.4 Further information and enquiries All queries arising during this RFQ procedure, or requests for
clarification will be made by telephone and confirmed by e–mail to

A Survey Of Secondary Care Pharmacist Independent
A Survey of Secondary Care Pharmacist Independent Prescribers in the West Midlands
Proposal summary
The implementation of pharmacist independent prescribing is an emerging area in healthcare with
the potential to optimise access to medicines. However the actual role of independent prescribers
[IP] in practice is poorly understood and under–represented in literature. Current interest in funding
for pharmacist IP by Health Education West Midlands [HEWM] is a major driver behind this
research. It is hoped that this research may be used to help support future investment policies within
the West Midlands [WM].
This undergraduate descriptive observational study aims to identify the role and assess the views of
pharmacist IP working in acute ... Show more content on Helpwriting.net ...
However non–medical prescribing [NMP] is a growing area within healthcare that has evolved over
the last fifteen years. The aims of NMP are to improve patient care, allow easier patient access to
medicines, increase patient choice, to better utilise the skills of healthcare professionals and
introduce flexible team working across the NHS.1 NMP was first considered following The Crown
Report 1999, in which it was suggested that specific professional groups including pharmacists
should prescribe from a restricted formulary for specific conditions.2 This was followed by the NHS
Plan 20003 which set out policy for the development of NMP. Legal changes in 2003 allowed for
the development of 'supplementary prescribing' [SP] for pharmacists.3
By the spring of 2005 there were over 240 pharmacist SP4 and the barriers to SP began to be
recognised. As stated by Hughes et al these included financial and organisational problems, a
general lack of awareness into the role as well as 'over bureaucracy' of the clinical management
plan.5 Consultations in 2005 evaluated the option of further extending the prescribing role of
pharmacists to allow patients greater access to healthcare services and pharmacist knowledge.1
Legal changes in 2006 introduced independent prescribing for pharmacists, enabling the prescribing
of any licensed medicine for any medical condition

P6 Unit 6 Health and Social Care
A health service is a service that provides care and is under the NHS. For examples hospitals or a
G.P. They provide treatments but also prevent illnesses through health promotions. A social care
service is about providing support to individuals to help them get by and who ever needs it such as
emotional support or practical support with daily living tasks. Statutory care is care that's paid for
and provided by the government and is welcome to everyone. For example, the children's hospital.
Private care is care that is paid for and isn't funded by the government. People go private to get
things such as scar deduction, moles and lumps removed or operations that they don't want to wait a
long time for. Voluntary care is care provided ... Show more content on Helpwriting.net ...
The types of services they provide is primary, secondary and tertiary. It is a statutory type of care. A
trust co–ordinates care. They make decisions about the service and they co–ordinate and decide
what type of care and what services they provide, how many service users, staff and beds available
etc. An example of a type of trust is a hospital trust. A hospital trust is an NHS trust that provides
secondary health services. Hospital trusts are ordered to provide these services by primary care
trusts and clinical commissioning groups. A hospital trust co–ordinates the health care services. The
Care Quality Commission makes sure that hospitals, care homes, dental and GP surgeries, and all
other care services in England provide people with safe, effective, compassionate and high quality
care, and they encourage these services to make improvements. The Social Care Institute for
Excellence aims to improve the lives of people who use care services by sharing knowledge about
what works. They provide practical resources including learning materials and offer training and
consultancy services for people who plan, deliver and use adults, children's and families services.
Service provider: Sheffield Children's Hospital. Sheffield Children's Hospital is funded by the
government. It is a public/statutory type of care. To access this service, you can self–refer yourself
but you can also be referred by your GP. Policies and procedures: The Trust works with local

The Royal London Hospital Nhs
Introduction
The report is about The Royal London Hospital which is carried out by NHS trust. The vision of the
Royal London hospital is created and the objectives are been framed. There is proper medical
improvement. This report creates new updated vision of the organization which helps in identifying
the objectives. Thus various factors are evaluated and communication is made clear with the
stakeholders in the organization.
There have been meetings taken up by the royal London hospital so as to meet up its aims and
objectives so stakeholders have been informed. The key role of stakeholders would represent the
need of the interest of groups which are fulfilled by particular project. The stakeholders include
everyone which is related to ... Show more content on Helpwriting.net ...
Political factors affect the organizations vision due to government hindrance. The demand and cost
of hospital is rising which can be economically measured. The money is tightened. So, economic
factors do affect the organizational vision. Now a day technology plays a important role which can
be considered. Due to technology there is continuous rise in the life of the people. The life is
increased and that is going to continue. The population is increasing and that's the trend which is
going in future. People have multiple conditions. Various surgeries and clinical patients are been
provided to the patients. The diseases are dangerous but the life is been increased due to technology.
There are cancer patients, heart attack patients but survival rate is raised. Even organ transplant is
successful. NHS has to bear a large cost due to various treatments, techniques and the cost. Thus the
government has to meet the rising demand as the population lifestyle factor. These factors affect the
organization in the context as they are helpful to verify the information. Political factors affect the
external environment in the organization for the goal formation.
1.3 Create a vision for an organization
Vision is a long term goal which has to be accomplished by the stakeholders to meet the
requirements. The vision and mission of the organization is to be in written format and every
member related to the goal should know because

Unit 26 Facilitating Change PP
Devrim Dilekci Unit 26–Facilitating Change Task 2 – Be able to evaluate recent changes in health
and social care services. Stefan Alexa 1 2–1 DEVISE A STRATEGY AND CRITERIA FOR
MEAUSRING RECENT CHANGES IN HEALTH AND SOCIAL CARE o o Measuring change in
health care organisations needs critical analysis and examination, using a PESTEL analysis template
would be the first thing that a manager could use to measure recent changes that have taken place in
the company. Devising a strategy within health care can be local or national level, incorporating a
different size of area or concentration upon a particular area or aspect of health will allow managers
to asses more resourcefully, articulating a stratagem can be via a individual or ... Show more content
Some of the senior team were relatively new in post but it appeared that the senior team had a good
working relationship and commitment to drive through improvements. However the
recommendations from the KPMG review of governance was still to be rolled out and embedded.
We saw a team who were fire fighting issues, but found that there was a lack of planning for the
future. The trust had not significantly engaged staff, patients and other stakeholders in the
development of services. Governance processes were not sufficiently developed or robustly
challenged." – CQC Report For North Middlesex Hospital Date of inspection visit: 3–6 June 2014 &
23 June 2014 – Date of publication: 21 August 2014 This section of a report that is made up of
15pages of inspection report it is commenting on how well the trust is led. This means they are
making judgements depending on the comment received and collected from staff members and
service users. "but felt that the trust had not fully recognised the impact of this on the workload
within the current services" – this points out that there is a shortage of internal resources to lead
change initiatives which could lead to the change process to become challenging as there may be a
shortage of staff or resources that are invented to be effective for improved quality care. "We saw a
team who were fire fighting issues, but found that there was a lack of planning for the future. The
trust had not significantly engaged staff,

National Health System ( Nhs ) Essay
National Health System (NHS) England (1800words) The National Health System began in 1948
with the aim to provide free health care for the English thus removing health access inequities. This
essay considers two strengths of the NHS, being free health and locally responsive health care and
two weaknesses being the financial burden and unprecedented pressure on health care resources.
One of the strengths of the NHS England is residents receive free fully funded medical care that
includes all medical treatment, screenings including antenatal, dental, prescriptions, specialist
referrals and optometrists (NHS England, 2016). Furthermore, while being free at point of access,
the NHS system is an efficient, effective, care, safe, coordinated and patient centred system that was
ranked number two worldwide on equity (NHS England, 2016). Free healthcare supports Ham 's
(2010) claim that being free at point of entry is a characteristic of a high performing health care
system. The benefits of free healthcare were that everyone was able to get the same medical
treatment. The delivery of health care through Clinical Commissioning Groups (CCG's) is another
strength. CCG's were created in 2012 following the passing of the Health and Social Care Act, to
replace primary care trusts in 2013(NHS England, 2013). Their strength lies in their authority and
purpose to provide health care that is responsive to a geographical area and set patient number. They
are clinically led, often by local

Mid-Staffordshire NHS Scandal Analysis
An example of poor practices from an organisational point of view is the mid–Staffordshire NHS
scandal, which showed that between 400 and 1,200 patients died as a result of poor care between
January 2005 and March 2009 at Stafford hospital, which shows that there was clearly a lack of
quality care being provided and that there was something that was not quite right occurring within
the trust. The NHS care regulator soon became aware of the fact that Stafford seemed to have
unusually high death rates over such a short period of time, which was obviously cause for concern.
It is often described as the worst care that the NHS has seen for many years, and became an issue of
public concern when it was turned into a full blown investigation. Within

The NHS: The World's Widely Funded Health System
The NHS has developed as the world's largest publicly funded health system since its launch in 1948
after legislation in 1946, 1947 and 1948. It is also one of the most efficient, egalitarian and
comprehensive. The NHS was built from a principle that good healthcare must be available to all,
regardless of wealth. With the exception of several charges, i.e. prescriptions, optical and dental
services, for anyone who is a UK resident the NHS still remains free at use. From antenatal
screening and routine treatments for long–term conditions, transplants, emergency treatment and
end–of–life care, the NHS deals with over 1 million patients every 36 hours. Since the NHS was
established in 1948 life expectancy has risen and infant mortality has fallen. ... Show more content
Providing a spectrum of services to Buckinghamshire Stoke Mandeville Hospital has a 24–hour
accident and emergency, maternity, cancer care and outpatient services. In the last 5 years Stoke
Mandeville has begun renovation that will provide high quality care in new comfortable
environments.
The Pathology service at Stoke Mandeville Hospital is a diagnostics laboratory analysing patients
samples everyday, producing accurate, reliable results in a strict time scale for clinical diagnosis and
patient welfare. All Hospital wards are provided with this service as well as all departments at Stoke
Mandeville, Wycombe Hospital, all GP's and Clinics.
The Pathology Laboratory consists of Blood Sciences and Microbiology. Blood Sciences is
composed of Immunology, Biochemistry, Blood Bank, Cytology, Histology and Haematology.
Departments are:
Biochemistry: the analysis of chemical compounds of a sample.
Blood Bank: the analysis of samples to determine compatibility of blood products.
Cytology: the study and diagnosis of diseases on a cellular level.
Haematology: the analysis of the function and composition of

Roles Of Different Agencies For Identifying Levels Of...
1:1 – Explain the roles of different agencies in identifying levels of health and disease in
communities
Public health is the discipline that addresses health and social care at a profession level. This can be
national and regional. Public health is therefore different to occupational therapists, physiotherapist
etc. as these professionals are individuals led. Public health is concerned with a group of people
rather than a one to one.
There are different agencies that identify levels of disease in communities:
Local
Local agencies provide care for smaller communities. For example, the local accident and
emergency department for children in Sheffield is the children's Hospital, it provides care on a local
level. Sheffield Children's hospital is a trust which covers five main teaching hospitals in Sheffield.
According to ("Overview – Sheffield Teaching Hospitals NHS Foundation Trust – NHS Choices")
Sheffield Teaching Hospitals NHS Foundation Trust is one of the UK's busiest and most successful
NHS foundation trusts. The trust provides a full range of local hospital and community services for
people in Sheffield, as well as specialist care for patients from further afield. This includes cancer,
spinal cord injuries, renal and cardiothoracic services. The Trust also comprises five of Yorkshire's
best known teaching hospitals. These include The Royal Hallamshire Hospital, The Northern
General Hospital, Charles Clifford Dental Hospital, Weston Park Cancer Hospital and Jessop

NHS Core Values
This assignment will discuss the core values that underpin social and health service delivery and
will compare the current health service provision with health care services at the inception of the
NHS. The NHS has seven core values that aim to ensure that quality care is delivered to everyone
regardless of their gender, religion, race, age, wealth or sexual orientation. These values have been
developed by the general public, patients and staff, with local authorities having to develop and
adapt these to provide personalised care. These values not only underpin the social and health
delivery service, but also influence the legislation regarding care. For example the Care Act 2014
looks at integrating care, involving the patient and carer ... Show more content on Helpwriting.net ...
This has not changed in the current NHS, albeit more values have been added to improve service
delivery. The NHS remains free with the exception of some charges, such as prescriptions, optical
and dental services. It covers everything from antenatal screening and routine treatments for long–
term conditions, to transplants, emergency treatment and end–of–life care.
The National Health Service (NHS) was planned as a three–tier structure. With the Minister of
Health at the top and below were the three tiers designed to interact with each other to suit the needs
of the patient. These tiers were voluntary and municipal hospitals supervised by Regional hospital
boards, family doctors, dentists, opticians and pharmacists who were self–employed professionals
contracted to the NHS to provide services so that patients did not pay directly and local health
authorities like community clinics that provided services such as immunisations, maternity care and
school medical services controlled by a local authority Medical Health. The NHS in England is
undergoing some big changes, most of which took effect on April 1 2013. This included the
abolition of primary care trusts (PCTs) and strategic health authorities (SHAs), and the introduction
of clinical commissioning groups (CCGs) and Health watch England.
From the 1950s onwards the scale and quality of the treatment provided by the National Health
Service (NHS) improved, and between 1948

An Investigation At Winterbourne View Hospital

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An Investigation At Winterbourne View Hospital