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Management of NHS Assignment

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Added on  2020-12-30

Management of NHS Assignment

   Added on 2020-12-30

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Management of NHS Assignment_1
Table of ContentsINTRODUCTION...........................................................................................................................1BACKGROUND.............................................................................................................................1RATIONALE...................................................................................................................................2RELATED WORK..........................................................................................................................2RECOMMENDATIONS.................................................................................................................5EVALUATION................................................................................................................................6CONCLUSION................................................................................................................................9REFLECTIVE ACCOUNT.............................................................................................................9REFERENCES..............................................................................................................................10
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INTRODUCTIONThe four-hour accident and emergency (A&E) department in NHS, London performsagainst the target to admit or discharge 95 per cent of patients within four hours. It is a source ofsignificant public, media and political interest (Giuntella, Nicodemo and Vargas-Silva, 2017).Albeit, majority of accident and emergency departments in NHS London were not able to meetthe target since the summer of 2013. In this context, the following assignment will focus onascertaining the existing health care structure of National Health Service, London. The publichealth and population health will be analysed in this assignment. With the help of relevantarticles, a robust argument will be established in this report that enriches the subject matter moreefficiently. Furthermore, the financial model for care delivery will be provided in this report.Leadership theories which can be implemented by health care professionals within theorganisational framework will be elaborated in this report. Eventually, some of the bestrecommendations will be provided to the management of NHS London so that they can eradicatethe issues and work efficiently to accomplish their four hour target.BACKGROUNDIn order to measure the performance of NHS accident and emergency department,waiting times are used by the management to assess the performance of NHS London. Theaccident and emergency department in England has been classified into three main types(Mohammad and Shetty, 2016). Type 1 departments are major emergency department thatprovides a consultant-led 24 hour service to the patient with full fledge facilities for resuscitatingpatients. For instance patients suffered from cardiac arrest. Type 2 department are for specificconditions with single specialists. For instance, patient suffering from eye problem or dentalproblems. Type 3 departments are established to provide treatment for minor injuries andillnesses such as stomach aches, cuts and bruises (Di Somma and et.al., 2015). The most highprofile measure which helps in measuring the performance of accident and emergencydepartment of NHS is the four hour standard. This standard was mandated by NHS Englandwhere they pledge to set out at least 95 per cent of patient who attends accident and emergencydepartment should be admitted to hospital, transferred to another provider or discharged withinfour hours (Appleby, Thompson and Jabbal, 2014). The four-hour target results in reducing theoverall waiting times and enhancing the satisfaction of patients. But it also increases theworkload pressure on nurses and other health care professionals which hamper their quality of1
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care and the level of support from secondary and primary care. There were certain problems suchas high occupancy of bed, pressure on staff which increases their stress and lack of availability ofmedical resources affects the policy greatly and the system reached near its breaking point(Doherty, 2017). There are other issues in meeting four-hour target which hampers the accidentand emergency department quality of care. Patients waiting on trolleys for over four hours beforebeing admitted to hospital have almost trebled, and delayed ambulance handover at A&E haverisen by over 70 per cent. RATIONALE NHS London has been facing loads of challenges in meeting four hours deadline which theymandate in 2013. Frequent breach of deadline, overloaded and increase in strain in staff, lack ofresources, poor quality of care, etc. are some of the issues stated by health care professionals. Inthis context, this study is conducted in order to identify the reasons for breach of four hour timeand providing recommendations which can be implemented by the authorities in order toenhance the system effectively and efficiently. This study will also help the researcher to knowmore about NHS London and its health structure which helps him or her in enhancing his or herlevel of education and knowledge.RELATED WORKThe National Health Service is the universal medical care provider for the people livingacross UK. The main objective and aim of the organisation was to make sure that the servicesoffered to people meets clinical needs of each and every individual who visits NHS. Theorganisation focus on providing effective and beneficial health and social care services to thepeople of the community. There are many services provided by NHS to their patients such ascancer treatment, rehabilitation, psychological treatment and other healthcare services.According to (Stoddart and et.al., 2017), NHS has a rule that focus on providing health servicesto people efficiently and in a speedy manner. The NHS states that they admit and discharge apatient after check-up in four hours. Also, establishment has a well framed organisationalstructure that helps in achieving the organisation goals and objectives effectively. There arevarious department of NHS which looks after different kind of patients and individuals visitingthe organisation to experience effective health care services. The internal organisational workingenvironment and structure of staff as well as the patients and public experience or perception ofthe NHS as service users are the two effective definitions of the positive culture in NHS.2
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