{"id":11513,"date":"2024-05-29T07:54:46","date_gmt":"2024-05-29T07:54:46","guid":{"rendered":"https:\/\/nurs.essaybishops.com\/patient-centred-care-in-the-nhs\/"},"modified":"2024-05-29T07:54:46","modified_gmt":"2024-05-29T07:54:46","slug":"patient-centred-care-in-the-nhs","status":"publish","type":"post","link":"https:\/\/homeworkacetutors.com\/nursing\/patient-centred-care-in-the-nhs\/","title":{"rendered":"Patient Centred Care in the NHS"},"content":{"rendered":"
\n

Introduction<\/h2>\n

The NHS is a large multi-functioning health care service that deals with over 1 million patients every 36 hours1<\/sup>. The NHS sets out to provide quality health care which include three important parts; Clinical efficiency, patient safety and patient experience2 <\/sup>. The need for even greater quality health care in the NHS saw a shift in focus towards a more patient centric NHS3<\/sup>. This is because they believe a patient centric care<\/a>, care that encompasses the patients\u2019 needs and values and allowing this to shape and guide all clinical decisions4<\/sup>, will allow for a better quality of health care.<\/p>\n

This essay will explore how patient centric the NHS really is in terms of the different departments it encompasses, policies, laws and overall patient satisfaction<\/a>. It will also investigate whether there are certain areas that the NHS needs to improve in terms of patient centric care and exploring if this is the case how to do so.<\/p>\n

Departments<\/h2>\n

The NHS is made up of many departments
\nand collaborates with a wide range of organisations such as the National
\nInstitute for Health &. Clinical Excellence (NICE)5<\/sup>. The structure
\ncan be described as complex and can cause confusion for patients trying to
\naccess these services6<\/sup>. In addition the
\ncomplex structure makes the health care provided by these, less efficient and
\neffective in the health services they are providing; and brings about questions
\nof who is really responsible for the care of the patients7-10<\/sup><\/p>\n

In 2014 the NHS released the Five Year
\nForward View2<\/sup>, which outlines
\nplanned improvements for various areas of the NHS. Since the five year forward
\nview plan was released, there has been a focus of new models and an increased
\nfocus on integrated care7<\/sup>. This emphases a more holistic approach to
\nhealth care and looks to encompass all services11<\/sup>. Integrated care
\nsets out to bring together a range of services so that all aspects of the
\npatients\u2019 needs are more closely met11<\/sup>. One of the new
\ncare models, called Vanguards has been set up around the country12<\/sup>. Vanguards aims
\nto trial new integrated care methods which were presented in the five year
\nforward view. Some of these new integrated care methods include Sustainability and
\nTransformation Partnerships (STPS)13<\/sup> and Accountability
\nCare Systems (ACS)14<\/sup>. STPs are there
\nto help organizations including GPs, hospitals, local authorities to work
\ntogether and have unified services for the most vulnerable1<\/sup>3<\/sup>. ACS\u2019 have been
\ndeveloped to co-ordinate services under a set budget for organisations outside
\nthe NHS that impact health, this includes working with housing and social care organisations
\nto create accountable care to assure that patients needs are being met7<\/sup>.<\/p>\n

Quality Surveillance groups (QSGs)
\nidentifies risks to patients in terms of quality and safety of the health care
\nbeing received from the NHS and associated organisations acts as
\nsafeguarders15<\/sup>. This creates
\naccountability for those providing health care services to the public. One
\nindividual organization within QSG is Care Quality Commission (CQCs). CQCs
\nregulates the health and social care act, directly relating to patient centric
\ncare within the NHS as \u00a0regulation act 9
\nwith this act says that providers must take action to make sure every individual
\nhas access to personal care treatment16<\/sup>. If this not
\nbeing provided the CQC can take regulatory action, this provides further
\nevidence that the NHS is patient centric as they are constantly monitoring the
\nquality of patient care. <\/p>\n

Another QSG group is the clinical
\ncommission group (CCGs) this group, led by GPs commissions services on the
\nbehalf of the NHS, works to improve the health of the population in their area.
\nCCGs are important because they allow the clinicians (GPs) that have knowledge
\non the needs of that particular area to provide the required healthcare services1<\/sup>7<\/sup>. An example of
\nthis is the provision of integrated care within Oldham to provide a budget for
\nvulnerable people to have fuel in the winter18<\/sup>. Although CCGs
\nhave been widely successful in terms of some of the services its commissioned, 19 <\/sup>one year after
\nthe creation of CCGs, a report commissioned by King\u2019s Fund and Nuffield trust
\nsaw that less than half of GPs felt that CCGs reflects their views20<\/sup>. This report questions
\nthe patient centrism of CCGs as one of the reasons that CCGs are led by GPs is
\nthat they\u2019ll have a better understanding of the patients\u2019 needs in that area21<\/sup>, if GPs are not
\nbeing consulted then this could also lead to less patient centered services.
\nFurthermore, CCGs recently have had to make difficult decisions which have led
\nprotests from the public. One such decision is the closure of\u00a0 Accidents and Emergency\u2019s across the country2<\/sup>2<\/sup>. CCG have
\ndecided these \u00a0A &E\u2019s are
\nunsustainable and are creating a larger deficit than necessary23<\/sup>. This has led to
\ndissatisfaction from the public and feeling like their voices in regard to this
\nmatter is not being heard 24<\/sup>\u00a0 <\/sup>.This
\ngoes against patient centered care, which is there to involve the patient in
\nevery step of care1<\/sup>. However, this is only one issue, overall the
\nCCGs are a step in the right direction toward a more patient focused health
\ncare services for the NHS. With further consideration of GPs and the public
\nviews the CCGs can become an effective tool for building a patient centric
\nhealth system.<\/p>\n

Policies and
\nLegislation <\/h2>\n

There are several laws in place that
\nare there to protect the patient but also to put the patient at the forefront
\nof every clinical decision that is made in the NHS. The health and Social Care
\nAct 201225<\/sup> allowed for the
\npatients to be more involved in their care on every level. It does this by
\nallowing patients support to manage their health in their everyday lives, it
\nalso gives them control over the care that they are receiving and also treating
\neach patient as an individual with an individual circumstance25<\/sup>. In addition, this
\nAct allowed for the establishment of Healthwatch England which will provide
\ncrucial information to the CQC on the opinions of the patients using their
\nservice26<\/sup>. To a certain
\ndegree this has been successful as Healthwatch England has published 1450
\nreports as of 201627<\/sup> and has worked
\nwith local health ministers and the public to implement the care that is wanted
\nby the patient. They have also worked closely together with CQC to provide
\ninformation on which health services in which area need to improve28<\/sup>.
\nHowever, they have only engaged 385,000 people28<\/sup> to find out
\ntheir view. Although this seems like a large sample the total amount of
\noutpatients the NHS had in 2015\/2016 was 89.436 million people29<\/sup> <\/sup>and so this is a
\nrelatively small sample of the people treated by the NHS views which are being
\nheard and so those which have the most need for improvement in the health care
\nservices may not be heard. <\/p>\n

Other legislation which provides the
\ncase of a patient centric NHS includes the Social Value Act30<\/sup>, This encourages
\ncommissioners of public services to think about how the services will benefit
\nthe public. The use of the Social Value Act in policy and practice can only be
\nclearly shown by 13% of the CCGsand 43% of CCGshad no
\npolicy or were in the process of making a policy on the Social Value Act31<\/sup>.To
\nimprove to become more patient centric, the Social Value Act could be
\nimplemented on a wide scale basis into main policy of NHS England but also
\nwithin the framework of QGS`.<\/p>\n

In addition to the previous laws, The Equality
\nAct32<\/sup>, which protects patients from
\ndiscrimination and permits them to get quality health care, also helps a
\npatient centered NHS. It Allows for every Citizen of England no matter their
\nculture and values to have health care which is free and of quality. These legislations
\nare designed to make the NHS patient centric through creating a patient- NHS
\nrelationship free of discrimination and allows for the patient\u2019s values and
\nopinions to be respected. Although there could be some improvement on the
\nimplementation such as making sure these laws are practiced this can be done by
\nsetting up accountability groups and incentives for healthcare professionals to
\nprovide better patient centered care, these laws go a long way in making the
\npatient the focus of the NHS healthcare33<\/sup><\/p>\n

Patient
\nSurvey<\/h2>\n

Patient experience has been
\nseen as vital to the care provided by the NHS34<\/sup>. Listening
\nand taking action on a patients\u2019 feedback about their experiences of health
\ncare is seen as critical to making sure that care within the NHS is centered
\naround the person35<\/sup>. patient
\nreported information can be described as Information which comes from the
\npatient or family and Carers as an account or through surveys36<\/sup>.
\nThere has been increase in the number of surveys carried out by the NHS but
\nhave found that GPs were resistant to feedback which was to do with the patient
\nor was dismissive questioning the validity of the report37<\/sup>.
\nHowever there have been positive reports on services attempting to improve due
\nto feedback from Patients38<\/sup>. This Creates a more patient centered
\nNHS as they are listening to the feedback and taking action to it, meaning the
\nviews and experiences of the patient are valued.<\/p>\n

\u00a0Conclusion<\/h2>\n

To conclude, The NHS has had
\na shift in view towards a more patient centric NHS, this can be seen as widely
\nsuccessful due to the policies and legislation its placed but also different
\nquality surveillance groups and the listening of patients\u2019 feedback. Although
\nsome improvement could be made in terms of CCGs and a straight forward pathway
\nfor the patient, the NHS can be seen as patient centric.<\/p>\n

Reference List<\/h2>\n

1. Department of Health. Chief Executive\u2019s report to the NHS: December 2005. 272002. Department of Health, 2005.<\/p>\n

2. http:\/\/webarchive.nationalarchives.gov.uk\/20080728140415\/http:\/\/www.dh.gov.uk\/en\/Publicationsandstatistics\/Publications\/PublicationsPolicyAndGuidance\/DH_4124276<\/a>. Accessed 26th October 2017<\/p>\n

3. NHS. Next Steps On The NHS Five Year Forward View. 06669. NHS. 2017. https:\/\/www.england.nhs.uk\/publication\/next-steps-on-the-nhs-five-year-forward-view\/<\/a> Accessed 26th<\/sup> October 2017.<\/p>\n

3. The Rt Hon J. Hunt. Making healthcare more human-centred and not system-centred. GOV.co.uk. 2015. https:\/\/www.gov.uk\/government\/speeches\/making-healthcare-more-human-centred-and-not-system-centred<\/a> Accessed 26th October 2017<\/p>\n

4. Institute of Medicine. Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington (DC): National Academies Press (US); 2001. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK222262\/<\/a> Accessed 26th<\/sup> October <\/p>\n

5. National Health Service (NHS). Putting Patients First: The NHS England Business Plan for 2013\/14 \u2013 2015\/16.<\/em> \u00a0England. 2013. http:\/\/www.thehealthwell.info\/node\/454557<\/a> Accessed 5th November,2017<\/p>\n

6. Bamford, David\u00a0and\u00a0Daniel, Stephen\u00a0A case study of change management effectiveness within the NHS.<\/em> Journal of Change Management, (2005).\u00a0 5 (4). pp. 391-406. ISSN 1469-7017.<\/p>\n

7)\u00a0\u00a0\u00a0 Kings fund, Creative connection. How does the NHS in England work? An alternative guide Kings Fund, 2017
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8.\u00a0\u00a0\u00a0 HJarmon. The new NHS structure is unstable.HSJ. 2014https:\/\/www.hsj.co.uk\/comment\/the-new-nhs-structure-is-unstable\/5067897.article Accessed 5th<\/sup> NovemberDayan M. who is accountable in the NHS?. Nuffield Trust. 2016.<\/p>\n

9. https:\/\/www.nuffieldtrust.org.uk\/news-item\/who-is-accountable-in-the-nhs<\/a>
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10.
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\nAccessed 5th November<\/p>\n

11. \u00a0Department of Health. Integrated Care: Our Shared Commitment. England. NHS. 2013. https:\/\/www.gov.uk\/government\/publications\/integrated-care<\/a>
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12. Williams. NHS England reveals new care model \u2018vanguard\u2019. HSJ. 2015.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 https:\/\/www.hsj.co.uk\/topics\/service-design\/nhs-england-reveals-new-care-model-vanguard\/5083135.article<\/a> Accessed 8th November <\/p>\n

13. N. Laccobucci. Community
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14. T. Moberly. Accountable care
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15. \u00a0NHS England.
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\nhttps:\/\/www.england.nhs.uk\/wp-content\/uploads\/2017\/07\/quality-surveillance-groups-guidance-july-2017.pdf<\/a>\u00a0 Accessed 8th<\/sup> November<\/p>\n

16. The Health
\nand Social Care Act 2008 (Regulated Activities) Regulations 2014
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\n8th November<\/p>\n

17. Kings Fund. An alternative guide to the new NHS in England..
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18.<\/strong> Oldham CCG.
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\nAccessed 8th<\/sup> November<\/p>\n

19. NHS Clinical Commissioners. Delivering a healthier future: How CCGs are leading the way on prevention and early diagnosis. 2016. https:\/\/www.nhscc.org\/policy-briefing\/5061\/<\/a>\u00a0 Accessed 10th<\/sup> November<\/p>\n

20.\u00a0
\nKings Fund. One year on, new
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\nAccessed 10th November.<\/p>\n

21. Kings Fund. Clinical Commissioning, GPs in Charge?. Kings Fund and Nuffield Trust. 2016 https:\/\/www.kingsfund.org.uk\/sites\/default\/files\/field\/field_publication_file\/Clinical_commissioning_web_pdf.pdf<\/a>
Accessed 10th<\/sup> November <\/p>\n

22. G. Newton. Slideshow: Thousands march through Grantham in protest
\nagainst overnight closure of A&E. Grantham Journal.2017. http:\/\/www.granthamjournal.co.uk\/news\/slideshow-thousands-march-through-grantham-in-protest-against-overnight-closure-of-a-e-1-7839498<\/a> Accessed 10th November<\/p>\n

23.
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\nAccessed 10th November<\/p>\n

24.Robertson.
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\nAccessed 10th November<\/p>\n

25. Health
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26.
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27.
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28. NHS. NHS statistics, facts and
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29.<\/p>\n

30.
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\nAccessed 11th November.<\/p>\n

31. National Voices. Healthy commissioning: How the Social Value Act is being used by Clinical Commissioning Groups.2017. https:\/\/www.nationalvoices.org.uk\/publications\/our-publications\/healthy-commissioning-how-social-value-act-being-used-clinical<\/a> Accessed 12th November<\/p>\n

32.
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33.
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3<\/strong>4. \u00a0Department of Health.\u00a0High quality care for all: NHS Next Stage Review final report.Stationery Office,\u00a02008.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

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