Sunday, 30 March 2014

Structure of organisations in the health sector

NHS
The professional that holds the highest role in the NHS is the The Secretary of State for Health - their job is to ensure that the structure is functioning smoothly to meet the patients' needs. The Department of Health is next in line where they have to make sure that the health and social care systems are work efficiently. NHS England work closely with the government and they try to come up with new ways to improve the health of the public, such as producing national campaigns to influence the public. Clinical commissioning groups (CCG) are the responsibility to make sure the budget is being spent wisely. All GP's are part of a CCG. Public Health England (PHE) is an organisation that is newly created and their role is to work with local governments to develop campaigns to benefit the public's health. (1)

View large version of the new NHS structure graphic(1)
Primary Care Trusts
This organisation was created to make it easier for the public to come in contact with health and social care professionals - this includes, dentists, GP's, walk in centres and pharmacists. They worked alongside the local authority to make sure that the provisions provided for the public was efficient in meeting their needs and that there were enough services available for the public. The Primary Care Trusts were the ones who made it possible for health and social care systems working together. (2)

Strategic Health Authorities 
This organisation was created by the government to manage local NHS hospitals. They had the responsibility of improving the local health services, increase the capacity so they can help more people and ensuring that national campaigns are involved in local health services. (2)

Hospital Wards
For each hospital wards there will always be a number of professionals present keeping check of the patients residing there. There is always a consultant who is responsible for a patient's medical care; they talk with the patient about their condition and what treatment options are available for them. A group of doctors work with the consultant to provide any help needed for the patient. There are senior nurses who are responsible for a number of wards and help patients when there are no other member of staff to help.There are matrons there to ensure the safety of the patients. A ward sister is in charge of a ward and is there to help with any problems that may arise. Each patient will be assigned a staff nurse who is responsible for that patient alone but may receive assistance from other nurses. A ward housekeeper is in charge in keeping the wards clean and making sure it is a sanitary place for the patients. (3)

Legislations relating to health
The Health and Safety at Work Act 1974
This legislation was created to ensure the safety of employees and service users in their workplace by taking out extra precautions within the workplace so no one gets hurt. For example, placing wet floor signs on the floor so people know to be careful when walking as they could slip and hurt themselves. (4)

RIDDOR 1995
Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) protects our health as if an injury takes place in the workplace then it has to be reported in the accident book and so employers can check it to see what precautions they need to put in place to ensure that it does not happen again. For example, if an employee hurts their back by lifting something that was too heavy for them to carry then it will be reported in the book so the employers know that equipment will be required so no one else gets hurt. (5)

Multi-disciplinary Working
multi-disciplinary working is when different healthcare professionals work together in a team to help patients. The reason why this is needed is because each professional can bring a new set of skills to the team and so they all can contribute to help promote the health of the patient. What healthcare professionals work together depends on what type of care the patient needs. For example, if there was a patient receiving treatment for cancer then the professionals that would be involved are: oncologists, surgeons, pathologists, nurses and GPs. (6)

The most well known multidisciplinary team are the community mental health team (CMHT), the professionals that work together to help treat mental health patients are psychiatrists, social workers, occupational therapists and psychologists. (7)

Bibliography 
1 NHS [2013] The NHS in England Available at: http://www.nhs.uk/NHSEngland/thenhs/about/Pages/nhsstructure.aspx Date Accessed: 29th March 2014
2 NHS [2013] The NHS in England Available at: http://www.nhs.uk/NHSEngland/thenhs/about/Pages/authoritiesandtrusts.aspx Date Accessed: 30th March 2014
3 NHS [2013] Staff on the ward Available at: http://www.uhs.nhs.uk/PatientsAndVisitors/Yourstayinhospital/Staffontheward.aspx Date Accessed: 30th March 2014
4 Unknown [2014] Health and Safety at Work etc. Act 1974 Available at: http://www.legislation.gov.uk/ukpga/1974/37 Date Accessed: 30th March 2014
5 Unknown [2013] RIDDOR Available at: http://www.hse.gov.uk/riddor/ Date Accessed: 30th March 2014
6 Unknown [2014] Multidisciplinary Teams Available at: http://www.health.nt.gov.au/Cancer_Services/CanNET_NT/Multidisciplinary_Teams/index.aspx Date Accessed: 30th March 2014
7 Unknown [2014] Multidisciplinary Teams Available at: http://www.communitycare.co.uk/2008/06/19/multidisciplinary-teams/#.UzhanvldV1N Date Accessed: 30th March 2014

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