Audit and Expenditure Management in Healthcare Organizations

Health care Coursework

Table of Contents
QUESTION 1...................................................................................................................................3
QUESTION 2...................................................................................................................................4
QUESTION 3...................................................................................................................................5
QUESTION 4...................................................................................................................................6
QUESTION 5...................................................................................................................................7
REFERENCES................................................................................................................................9

QUESTION 1
Kings college hospital managed by NHS foundation trust is a leading teaching hospital
known for handling patients with major trauma injuries in Lambeth, Southwark, Lewisham and
Bromley districts (The King's Story, (2020)). It is renowned worldwide for its commendable
work in liver diseases and transplantation, haemato-oncology, neurosciences and foetal
medicine, stroke and blood cancers (Sneep, et. al. (2020)).
It was established in 1840's and since then it has been setting milestones starting from
performing the first bone marrow transplantation of UK to setting up world's first voluntary
blood donor service (King’s Green Plan, (2022)). Its future prospects include mould breaking
research and clinical trials to help achieve a Greener NHS that is sustainable healthcare for all
(Hammami, et. al. (2018)). Kings hospital with a total of 1300 around beds, a staff of more than
7000 and a patient count of at least 400 per day, it made a revenue of about 1 billion in the year
2020-2021 (Shah, et. al. (2020)).
The organogram of the hospital includes three structural units-
 Key members: Board of directors, council of governors, and members.
 Care Groups: Whole trust care groups, kings college hospital care group, PRUH and
South care groups (Russell, et.al. (2021)).
 Corporate teams: Business Intelligence, Transformation and site estates and facilities,
capital estates and facilities, corporate medical, corporate nursing, data, technology and
Information, finance, strategy and commercial services and workforce development
(Rela, et. al. (1998)).
The financial flow in NHS initiate from the collection of funds by the government from the
citizens in the form of taxes and national insurance which goes into the Treasury (Corporate
Structure at King’s, (2022)). Then a budget is prepared for each government sector and the
budget decided for Department of Health and Social Care is then split into revenue required for
spending on buildings and equipment, staff salaries and medicines and rest of the funds are
transferred to the NHS (Childers et. al., (2018)). NHS then utilizes the funds for providing the
services it has planned and then passes on the rest of the funds to the Clinical Commissioning
Groups and providers of services (Holland, & Wiseman, (2018). Other than the NHS source, the
Kings Hospital generate its income through charities as well. Data of year 2021 states the total

income of the hospital from charity to be around 3,701,014 (KING'S COLLEGE HOSPITAL
CHARITY, (2021)).
QUESTION 2
National Health Services have a department of Mental Health Services provide better and
effective health care services (Bachmann, et.al, (2019)). This can allowed to provide a better
delivery of health care services and psychological therapy (Harper, et.al. (2013)). This enable
individual to improve their mental health condition. Here, psychological therapist provides
treatment condition like social anxiety, depression, generalized anxiety, other phobia's, panic,
stress disorder, obsessive compulsive disorder (Jati et. al., (2020)).
Skills mix refers to the combination of different category of worker which can employed
within healthcare provision for the patient . It also include macro level planning for local service
delivery ( Dunn, (2012)). It can influence skill mix initiative along with existing professional
roles that need for supporting government and professional associate and along with healthcare
system. Skill mix includes the combination of improved quality of care, job satisfaction and
quality of life.
There are some of the contextual factor which can influence skill mix implementation
that may include need of healthcare system, existing professional roles, supporting government
and relevant professional association. They should be different from country to country (eJohn,
(2021)). This is the one in which need of healthcare system which can have effective role and
can impact the skill mix. There is another sensitivity to existing professional roles that can also
affects skill mix. There is need for different staff which have different shift where they can use
their skills to provide better healthcare service delivery (Antonini, Teo, & Chaudhuri, (2020)).
This may include balancing their skills per safety which can be effective and can allowed to
deliver quality of care services within different shift with utilizing their skills. There are some
speciality of staff in the mix that can enable them to deliver quality of care services and provide
better health improvement to patient (Wiguna et. al., (2019)).
There is also impact of experience which can allow healthcare professional to use their
experience in delivering health care services. This can also improve quality of services that can
have positive impact on patient health outcome (Khawaja, et.al.(2019)). Through experience
healthcare professional are able to deliver better and effective healthcare services to people for
their better and improved health. This can also lead to provide effective healthcare services that