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The goal of health care in Great Britain is to provide medical care to all residents, regardless of income.
Residents have the OPTION of choosing 2 sectors…
• The National Health Service (NHS) – public service that provides medical care paid for manly by the government.
• Private Medical Care
The PRINCIPLE of NHS
Provide comprehensive (complete) health care service, regardless of a person’s income.
Paid for by… NATIONAL INSURANCE CONTRIBUTIONS (general
taxation)
Who pays: Employees and their employersSelf-employed peopleThe cost of prescription drugs/dental treatment*Voluntary sources*Private Patients
PRIMARY SERVICESDoctors, Dentists, Opticians, Pharmacists, Health Visitors, District Nurses, Midwives
ALL RESIDENTS are covered.
Hospital Treatment is free.
Patients pay for prescriptions/dental treatment - except people with low incomes, children, expectant mothers, pensioners and other groups.
• The NHS is SEPARATED into HEALTH AUTHORITIES–100 local organizations responsible for
health services in a specific area.
–Has contracts with public and private hospitals in the area
Staff include GENERAL PRACTICIONER (GP) – a family doctor. The
first doctor a patient will see.
Specialist Doctor
Nurse
Health Visitor
A hospital can become a TRUST:
1. Independent of health authority control2. Still treats NHS patients 3. Paid for by contracts with health authority
TRUSTS WERE CREATED BY REFORMS TO THE NHS
CHANGES TO THE NHSStarting in the 1960’s and continuing in the 1990’s
THE NATIONAL HEALTH SERVICE AND COMMUNICTY CARE ACT OF 1990 – expanded the range of NHS services.
Led to the creation of THE INTERNAL MARKET system
THE INTERNAL MARKET• CREATED in 1991
• The PURPOSE of the Internal Market is to–promote competition within the NHS–Allow doctors/hospitals more
independence
• Doctors/Hospitals who take part in the system are known as Fundholders
FUNDHOLDINGDoctors and hospitals have
control of how they spend their money.
More choice on what medicines and treatments they buy.
THE BRITISH GOVERNMENT WANTS A PARTNERSHIP WITH THE
NHS AND THE PRIVATE MARKET
The Private Market –Patients can choose private doctors.
Over 6 Million people covered by Private Medical Insurance
PRIVATE INSURANCE PAID FOR BY….
PRIVATE PATIENTS– pay for their medical service
WHY? Receive better care and reduce the waiting time for treatment.
CHECKING YOUR HOMEWORK
I WILL READ EACH QUESTION ALOUD
THEN A STUDENT WILL RAISE THEIR HAND AND ANSWER THE QUESTION
WHAT ARE THE ADVANTAGES AND DISADVANTAGES OF HEALTH SERVICE IN GREAT BRITAIN?
Do you think the is a good or bad system?