教程單號-2500字8.7交session313th october

1、POLICIES IN HEALTH AND SOCIAL CARE & SERVICE USER EXPECTATIONS User expectations of health and social care 2014-15Learning esAWARENESS OF SOME KEY RELEVANT NHS GENERAL POLICIESCLARITY ABOUT WHAT IS MEANT BY COMMITMENT TO SERVICE USER INVOLVEMENTKNOWLEDGE OF SPECIFIC COMMITMENTS PRESENT IN SOME NHS G

2、ENERAL POLICIESGeneral policies commitments to user involvementNHS Plan (DH, 2000)Equity and Excellence: Liberating the NHS (DH, 2010)NHS Constitution (DH, 2009/2013)NHS Plan (DH, 2000)The vision of this NHS Plan is to offer people fast and convenient care delivered to a consistently high standard.

3、Services will be available when people require them, tailored to their individual needs.It will take time to realise this vision. Step by step over the next ten years the NHS must be redesigned to be patient centred to offer a personalised service.It is already happening in some places by 2010 it wi

4、ll be commonplace.(DH, 2000: 17)NHS Plan (DH, 2000)The patients voice does not sufficiently influence the provision of services. Local communities are poorly represented within NHS decision-making structures.Despite many local and national initiatives to alter the relationship between the NHS and th

5、e patient, the whole culture is more of the last century than of this.Giving patients new powers in the NHS is one of the keys to unlocking patient-centred services.(DH, 2000:30)Equity and Excellence: Liberating the NHS (DH, 2010)SECTION 4: EXECUTIVE SUMMARYPUTTING PATIENTS AND PUBLIC FIRST WE WILL

6、PUT PATIENTS AT THE HEART OF THE NHS, THROUGH AN INFORMATION REVOLUTION AND GREATER CHOICE AND CONTROL: A. SHARED DECISION-MAKING WILL E THE NORM: NO DECISION ABOUT ME WITHOUT ME. B. PATIENTS WILL HAVE ACCESS TO THE INFORMATION THEY WANT, TO MAKE CHOICES ABOUT THEIR CARE. THEY WILL HAVE INCREASED CO

7、NTROL OVER THEIR OWN CARE RECORDS. C. PATIENTS WILL HAVE CHOICE OF ANY PROVIDER, CHOICE OF CONSULTANT-LED TEAM, CHOICE OF GP PRACTICE AND CHOICE OF TREATMENT. WE WILL EXTEND CHOICE IN MATERNITY THROUGH NEW MATERNITY NETWORKS. Equity and Excellence: Liberating the NHS (DH, 2010) contd. The Government

8、 will enable patients to rate hospitals and clinical departments according to the quality of care they receive, and we will require hospitals to be open about mistakes and always tell patients if something has gone wrong. e. The system will focus on personalised care that reflects individuals health

9、 and care needs, supports carers and encourages strong joint arrangements and local partnerships. f. We will strengthen the collective voice of patients and the public through arrangements led by local authorities, and at national level, through a powerful new consumer champion, HealthWatch England,

10、 located in the Care Quality Commission. g. We will seek to ensure that everyone, whatever their need or background, benefits from these arrangements. Our vision for the NHSWE CAN FORESEE A BETTER NHS THAT: IS GENUINELY CENTRED ON PATIENTS AND CARERS; ACHIEVES QUALITY AND ES THAT ARE AMONG THE BEST

11、IN THE WORLD; REFUSES TO TOLERATE UNSAFE AND SUBSTANDARD CARE; ELIMINATES DISCRIMINATION AND REDUCES INEQUALITIES IN CARE; PUTS CLINICIANS IN THE DRIVING SEAT AND SETS HOSPITALS AND PROVIDERS FREE TO INNOVATE, WITH STRONGER INCENTIVES TO ADOPT BEST PRACTICE; IS MORE TRANSPARENT, WITH CLEARER ACCOUNT

12、ABILITIES FOR QUALITY AND RESULTS; GIVES CITIZENS A GREATER SAY IN HOW THE NHS IS RUN; IS LESS INSULAR AND FRAGMENTED, AND WORKS MUCH BETTER ACROSS BOUNDARIES, INCLUDING WITH LOCAL AUTHORITIES AND BETWEEN HOSPITALS AND PRACTICES; IS MORE EFFICIENT AND DYNAMIC, WITH A RADICALLY SMALLER NATIONAL, REGI

13、ONAL AND LOCAL BUREAUCRACY; AND IS PUT ON A MORE STABLE AND SUSTAINABLE FOOTING, FREE FROM FREQUENT AND ARBITRARY POLITICAL MEDDLING. (DH, 2010:8-9)CHAPTER 2: PUTTING PATIENTS AND THE PUBLIC FIRST 2.1. The Governments ambition is to achieve healthcare es that are among the best in the world. This ca

14、n only be realised by involving patients fully in their own care, with decisions made in partnership with clinicians, rather than by clinicians alone. 2.2. Healthcare es are personal to each of us. The es we experience reflect the quality of our interaction with the professionals that serve us. But

15、compared to other sectors, healthcare systems are in their infancy in putting the experience of the user first, and have barely started to realise the potential of patients as joint providers of their own care and recovery. Progress has been limited in making the NHS truly patient led. We intend to

16、put that right. CHAPTER 2: PUTTING PATIENTS AND THE PUBLIC FIRST WE WANT THE PRINCIPLE OF “SHARED DECISION-MAKING” TO E THE NORM: NO DECISION ABOUT ME WITHOUT ME. INTERNATIONAL EVIDENCE SHOWS THAT INVOLVING PATIENTS IN THEIR CARE AND TREATMENT IMPROVES THEIR HEALTH ES, BOOSTS THEIR SATISFACTION WITH

17、 SERVICES RECEIVED, AND INCREASES NOT JUST THEIR KNOWLEDGE AND UNDERSTANDING OF THEIR HEALTH STATUS BUT ALSO THEIR ADHERENCE TO A CHOSEN TREATMENT. (DH, 2010:13)Patient and public voiceWe will strengthen the collective voice of patients, and we will bring forward provisions in the ing Health Bill to

18、 create HealthWatch England, a new independent consumer champion within the Care Quality Commission. Local Involvement Networks (LINks) will e the local HealthWatch, creating a strong local infrastructure, and we will enhance the role of local authorities in promoting choice and complaints advocacy,

19、 through the HealthWatch arrangements they commission. We will also look at existing mechanisms, including relevant legislation, to ensure that public engagement is fully effective in future, and that services meet the needs of neighbourhoods. (DH, 2010:19)SummaryIDENTIFY RELEVANT GENERAL POLICIESRE

20、AD THE PARTS OF THE POLICIES RELATING TO COMMITMENTS TO PATIENT/USER INVOLVEMENTMAKE A NOTE OF QUOTATIONS AND/OR PARAPHRASE PARTS OF POLICY AND INFORMATION NECESSARY IN ORDER TO REFERENCE THIS CORRECTLYWRITE INTO YOUR ASSIGNMENTSThe NHS ConstitutionNHS Constitution (DH, 2009; 2012)THIS CONSTITUTION

21、ESTABLISHES THE PRINCIPLES AND VALUES OF THE NHS IN ENGLAND. IT SETS OUT RIGHTS TO WHICH PATIENTS, PUBLIC AND STAFF ARE ENTITLED, AND PLEDGES WHICH THE NHS IS COMMITTED TO ACHIEVE, TOGETHER WITH RESPONSIBILITIES WHICH THE PUBLIC, PATIENTS AND STAFF OWE TO ONE ANOTHER TO ENSURE THAT THE NHS OPERATES

22、FAIRLY AND EFFECTIVELY. Who does it apply to?All NHS bodies and private and third sector providers supplying NHS services are required by law to take account of this Constitution in their decisions and actions.RenewalThe Constitution will be renewed every 10 years, with the involvement of the public

23、, patients and staff. It is panied by the Handbook to the NHS Constitution, to be renewed at least every three years, setting out current guidance on the rights, pledges, duties and responsibilities established by the Constitution RenewalThese requirements for renewal are legally binding. They guara

24、ntee that the principles and values which underpin the NHS are subject to regular review and mitment; and that any government which seeks to alter the principles or values of the NHS, or the rights, pledges, duties and responsibilities set out in this Constitution, will have to engage in a full and

25、transparent debate with the public, patients and staff. SECTION 1: 7 KEY PRINCIPLES THAT GUIDE THE NHS 1. THE NHS PROVIDES A COMPREHENSIVE SERVICE, AVAILABLE TO ALL IRRESPECTIVE OF GENDER, RACE, DISABILITY, AGE, SEXUAL ORIENTATION, RELIGION OR BELIEF. IT HAS A DUTY TO EACH AND EVERY INDIVIDUAL THAT

26、IT SERVES AND MUST RESPECT THEIR HUMAN RIGHTS. AT THE SAME TIME, IT HAS A WIDER SOCIAL DUTY TO PROMOTE EQUALITY THROUGH THE SERVICES IT PROVIDES AND TO PAY PARTICULAR ATTENTION TO GROUPS OR SECTIONS OF SOCIETY WHERE IMPROVEMENTS IN HEALTH AND LIFE EXPECTANCY ARE NOT KEEPING PACE WITH THE REST OF THE

27、 POPULATION.7 KEY PRINCIPLES THAT GUIDE THE NHS2. Access to NHS services is based on clinical need, not an individuals ability to pay NHS services are free of charge, except in limited circumstances sanctioned by Parliament. 7 KEY PRINCIPLES THAT GUIDE THE NHS3. The NHS aspires to the highest standa

28、rds of excellence and professionalism in the provision of high-quality care that is safe, effective and focused on patient experience; in the planning and delivery of the clinical and other services it provides; in the people it employs and the education, training and development they receive; in th

29、e leadership and management of its organisations; and through its commitment to innovation and to the promotion and conduct of research to improve the current and future health and care of the population. 7 KEY PRINCIPLES THAT GUIDE THE NHS4. NHS SERVICES MUST REFLECT THE NEEDS AND PREFERENCES OF PA

30、TIENTS, THEIR FAMILIES AND THEIR CARERS. PATIENTS, WITH THEIR FAMILIES AND CARERS, WHERE APPROPRIATE, WILL BE INVOLVED IN AND CONSULTED ON ALL DECISIONS ABOUT THEIR CARE AND TREATMENT.7 KEY PRINCIPLES THAT GUIDE THE NHS5. The NHS works across organisational boundaries and in partnership with other o

31、rganisations in the interest of patients, local communities and the wider population. The NHS is an integrated system of organisations and services bound together by the principles and values now reflected in the Constitution. The NHS is committed to working jointly with local authorities and a wide

32、 range of other private, public and third sector organisations at national and local level to provide and deliver improvements in health and well-being.7 KEY PRINCIPLES THAT GUIDE THE NHS6. The NHS is committed to providing best value for taxpayers money and the most effective, fair and sustainable

33、use of finite resources. Public funds for healthcare will be devoted solely to the benefit of the people that the NHS serves.7 KEY PRINCIPLES THAT GUIDE THE NHS7. THE NHS IS ACCOUNTABLE TO THE PUBLIC, COMMUNITIES AND PATIENTS THAT IT SERVES. THE NHS IS A NATIONAL SERVICE FUNDED THROUGH NATIONAL TAXA

34、TION, AND IT IS THE GOVERNMENT WHICH SETS THE FRAMEWORK FOR THE NHS AND WHICH IS ACCOUNTABLE TO PARLIAMENT FOR ITS OPERATION. HOWEVER, MOST DECISIONS IN THE NHS, ESPECIALLY THOSE ABOUT THE TREATMENT OF INDIVIDUALS AND THE DETAILED ORGANISATION OF SERVICES, ARE RIGHTLY TAKEN BY THE LOCAL NHS AND BY P

35、ATIENTS WITH THEIR CLINICIANS. THE SYSTEM OF RESPONSIBILITY AND ACCOUNTABILITY FOR TAKING DECISIONS IN THE NHS SHOULD BE TRANSPARENT AND CLEAR TO THE PUBLIC, PATIENTS AND STAFF. THE GOVERNMENT WILL ENSURE THAT THERE IS ALWAYS A CLEAR AND UP-TO-DATE STATEMENT OF NHS ACCOUNTABILITY FOR THIS PURPOSE. S

36、ECTION 2A. PATIENTS AND THE PUBLIC YOUR RIGHTS AND NHS PLEDGES TO YOUEveryone who uses the NHS should understand what legal rights they have. For this reason, important legal rights are summarised in this Constitution and explained in more detail in the Handbook to the NHS Constitution, which also e

37、xplains what you can do if you think you have not received what is rightfully yours. ACCESS TO HEALTH SERVICES: Rights:to receive NHS services free of charge, apart from certain limited exceptions sanctioned by Parliament. to access NHS services. You will not be refused access on unreasonable grounds.to expect your local NHS to assess the health requirements of the local community and to commission and put in place the services to meet those needs as considered necessary.Rights (cont):to access services within maximum waiting times, or for