NHS Health Provision - Essay Example

The health service was an important aspect, so it had to exist, with reasons for its existence ranging from: Financial constrains for the hospitals which were volunteering; The 2nd world war which ensured an emergency medical service was ensured as part of the war effort; Emergence of the view that every human being had the right to health care, and it should not be something given to people charity thought they needed; The wide spread effect of war that saw it possible that the system was changed rather than modified; Mutual agreement that services that existed were in disarray, and something had to be done to sort it; and Young members who practiced medicine saw a better way of handling things hence its existence (NHS core principles, 2005).

One of the major health care provisions in the national hospital service was the development of a network that would handle unplanned and emergency care services. This was an inter-organisation development criterion which was effective as a tool that would support the required changes in interrelated services. These were intensive care networks, emergency care networks and surgical service networks. The subtopic on emergency care networks is solely based on the fact that it is used by the public as a port of call which is safe for most, if not all of their problems.

This is especially so if the other agencies are shut (Enthoven, 2000). Over the years as a result, services have been built in this department and also their knowledge in distinct areas such as minor injuries which accounts for 2/3 of the workload, trauma services which estimates to approximately 2% of the work in most of the departments and major injuries which accounts for work in balance. Such specialist services needed competent individuals around in a sort of shift patterns and a rota. Surgical services are becoming highly specialised, and some anaesthetists’ and surgeons’ ability to be flexible in that they can cross-over in general areas is becoming a challenge.

This in turn, creates pressure in mid-sized and smaller general district hospitals, in that their staff is small and cannot meet the new shifts and rota layered down by the existing rules. This pressure is due to concentration of staff members in areas of excellence such as cardiology, neurosurgery, cancer, urology, paediatrics and ophthalmology; increase in the percentage of daily case surgery which includes the transfer of some cases out of private sectors in east London (public policy reforms and the National Health Service strategic development agenda) (Oakley 2009, p. 13-15). The National Health Service was created out of thought that healthcare services to a person should be available regardless of wealth.

This was based on these three core principles: It should not be based on a person’s ability to pay but on essential clinical needs, It should meet the needs of each and every one, At the point of delivery it should be free, The three principles have seen that the development of the national hospital service is guided for over sixty years and remaining at its pillar core. The department of health in March 2011 published the National Hospital Service. In its content were the guiding principle of the NHS and the publics’ right as an NHS patient.

These rights did a wide coverage of the quality of care a NHS patient receives, an NHS patient right, confidentiality, programmes and treatments available to the patient and the patient’