Patient Centred Care in the NHS

tolerant Centred C be in the NHSIntroductionThe NHS is a large multi-functioning wellness do by service that deals with over 1 million longanimouss every 36 hours1. The NHS adapts out to provide feeling health bang which include three cardinal parts Clinical efficiency, affected role safety and longanimous experience2 . The need for even greater quality health care in the NHS saw a shift in focus towards a much patient centric NHS3. This is because they call up a patient centric care, care that encompasses the patients unavoidably and values and allowing this to shape and guide all clinical decisions4, will allow for a better quality of health care.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. It will overly check up on 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 t o do so.DepartmentsThe NHS is made up of legion(predicate) departmentsand collaborates with a wide range of organisations such as the topic build for Health &. Clinical Excellence (NICE)5. The organize fag be described as complex and can cause confusion for patients trying toaccess these operate6. In addition thecomplex structure makes the health care provided by these, little expeditious andeffective in the health go they are providing and brings about questionsof who is really responsible for the care of the patients7-10In 2014 the NHS released the Five YearForward View2, which outlinesplanned improvements for discordant areas of the NHS. Since the five year forwardview plan was released, there has been a focus of bleak models and an increasedfocus on integrated care7. This emphases a more holistic approach tohealth care and looks to encompass all services11. Integrated caresets out to bring together a range of services so that all aspects of thepatients needs are more cl osely met11. atomic number 53 of the nakedcare models, called Vanguards has been set up around the country12. Vanguards aimsto trial new integrated care methods which were presented in the five yearforward view. Some of these new integrated care methods include Sustainability andTransformation Partnerships (STPS)13 and AccountabilityCare Systems (ACS)14. STPs are thereto service of process organizations including GPs, hospitals, local authorities to worktogether and overhear unified services for the most vulnerable13. ACS seduce beendeveloped to co-ordinate services under a set budget for organisations outsidethe NHS that impact health, this includes working with housing and social care organisationsto create accountable care to assure that patients needs are being met7. fictitious character Surveillance groups (QSGs)identifies risks to patients in terms of quality and safety of the health carebeing received from the NHS and associated organisations acts assafeguarders15. This createsaccountability for those providing health care services to the public. Oneindividual organization within QSG is Care Quality Commission (CQCs). CQCsregulates the health and social care act, directly relating to patient centriccare within the NHS as regulation act 9with this act says that providers must take action to make sure every individualhas access to personal care treatment16. If this nonbeing provided the CQC can take regulatory action, this provides furtherevidence that the NHS is patient centric as they are constantly monitoring thequality of patient care. other QSG group is the clinicalcommission group (CCGs) this group, led by GPs commissions services on thebehalf of the NHS, works to improve the health of the population in their area.CCGs are important because they allow the clinicians (GPs) that have knowledgeon the needs of that particular area to provide the required health care services17. An example ofthis is the provision of integrated care within Oldham to provide a budget forvulnerable people to have fuel in the winter18. Although CCGshave been widely successful in terms of some of the services its commissioned, 19 one year afterthe creation of CCGs, a report commissioned by Kings Fund and Nuffield trustsaw that less than half of GPs felt that CCGs reflects their views20. This report questionsthe patient centrism of CCGs as one of the reasons that CCGs are led by GPs isthat theyll have a better understanding of the patients needs in that area21, if GPs are notbeing consulted then this could also lead to less patient centered services.Furthermore, CCGs recently have had to make difficult decisions which have ledprotests from the public. One such decision is the closure of Accidents and Emergencys across the country22. CCG havedecided these A &Es areunsustainable and are creating a larger deficit than necessary23. This has led todissatisfaction from the public and feeling like their voices in regard to thismatter is not being heard 24 .Thisgoes against patient centered care, which is there to involve the patient inevery step of care1. However, this is only one issue, overall theCCGs are a step in the undecomposed direction toward a more patient focused healthcare services for the NHS. With further consideration of GPs and the publicviews the CCGs can become an effective diaphysis for building a patient centrichealth system.Policies andLegislation There are several laws in place thatare there to protect the patient but also to put the patient at the forefrontof every clinical decision that is made in the NHS. The health and Social Care characterization 201225 allowed for thepatients to be more involved in their care on every level. It does this byallowing patients support to manage their health in their everyday lives, italso gives them get the hang over the care that they are receiving and also treatingeach patient as an individual with an individual circumstance25. In addition, thisAct allowed for the esta blishment of Healthwatch England which will provide crucial information to the CQC on the opinions of the patients using theirservice26. To a certaindegree this has been successful as Healthwatch England has published 1450reports as of 201627 and has workedwith local health ministers and the public to implement the care that is wantedby the patient. They have also worked closely together with CQC to provideinformation on which health services in which area need to improve28.However, they have only engaged 385,000 people28 to find outtheir view. Although this seems like a large sample the total amount ofoutpatients the NHS had in 2015/2016 was 89.436 million people29 and so this is acomparatively small sample of the people treated by the NHS views which are beingheard and so those which have the most need for improvement in the health careservices may not be heard. Other legislation which provides thecase of a patient centric NHS includes the Social pass judgment Act30, This encoura gescommissioners of public services to think about how the services will benefitthe public. The use of the Social Value Act in policy and practice can only beclearly shown by 13% of the CCGsand 43% of CCGshad nopolicy or were in the process of making a policy on the Social Value Act31.Toimprove to become more patient centric, the Social Value Act could beimplemented on a wide scale basis into briny policy of NHS England but alsowithin the framework of QGS.In addition to the previous laws, The EqualityAct32, which protects patients fromdiscrimination and permits them to get quality health care, also helps apatient centered NHS. It Allows for every Citizen of England no matter theirculture and values to have health care which is free and of quality. These legislationsare designed to make the NHS patient centric through creating a patient- NHSrelationship free of discrimination and allows for the patients values andopinions to be respected. Although there could be some improvement on t heimplementation such as making sure these laws are practiced this can be done bysetting up accountability groups and incentives for healthcare professionals toprovide better patient centered care, these laws go a long way in making thepatient the focus of the NHS healthcare33PatientSurveyPatient experience has beenseen as vital to the care provided by the NHS34. Listeningand taking action on a patients feedback about their experiences of healthcare is seen as slender to making sure that care within the NHS is centeredaround the person35. patientreported information can be described as Information which comes from thepatient or family and Carers as an account or through surveys36.There has been increase in the number of surveys carried out by the NHS buthave found that GPs were repellant to feedback which was to do with the patientor was dismissive questioning the validity of the report37.However there have been positive reports on services attempting to improve dueto feedback fro m Patients38. This Creates a more patient centeredNHS as they are listening to the feedback and taking action to it, meaning theviews and experiences of the patient are valued.ConclusionTo conclude, The NHS has hada shift in view towards a more patient centric NHS, this can be seen as widelysuccessful due to the policies and legislation its placed but also differentquality surveillance groups and the listening of patients feedback. Althoughsome improvement could be made in terms of CCGs and a straight forward pathwayfor the patient, the NHS can be seen as patient centric.Reference List1. Department of Health. Chief Executives report to the NHS December 2005. 272002. Department of Health, 2005.2. http//webarchive.nationalarchives.gov.uk/20080728140415/http//www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4124276. Accessed 26th October 20173. NHS. bordering Steps On The NHS Five Year Forward View. 06669. 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