“How has the NHS developed over time and what affect has this had on the Health and Social Care of the general population in the UK?”
This report will explorethe NHS over time and how it has affected the Health and Social Care of the general population in the UK. The report will touch upon the history of health care in the UK and explore the NHS to date and how this has had an impacted in society. The definition of the National Health Service, “NHS services are free of charge to patients in England, except where permitted by parliament. The service’s original focus was the diagnosis and treatment of the disease. Now it plays an increasing role in both preventing ill health and improving the physical and mental health of the population” (NHS, 2013).
Policy and legislation relevant as to why the NHS was needed goes back to 1834 when the Poor law was introduced. ‘The New Poor Law was meant to reduce the cost of looking after the poor and impose a system which would be the same all over the country.’ (The National Archives, 1934). When the NHS was born, people were only expected to live for up to three years after retirement, then in the year 2000 people were living more than ten years more than retirement age (Kemshall, 2002). This meant that there were more people needing social care from many different sources and costing more money than the health service can afford. By the late 1970s, health and social care in the UK was in difficulty. The NHS had initially been founded on the basis that the general population health would improve, resulting in less costs in the future once the health status was generally higher. However, this overlooked the fact that many people cured by the NHS; and who presumably might have died in the past, were brought back to full health and discharged from hospital, only to become ill again in the future explains (Glasby, 2017).
The 1800’s saw the introduction of the Lunatic Asylum Act 1858. Under this act, individuals who suffered from mental illnesses, were put into asylums and ‘othered’ by the rest of society. Historically, it was normative to label those with mental and cognitive disabilities as being ‘mentally retarded’ or “mentally handicapped” and it was also deemed acceptable to put them into institutions and take away their rights; rather than giving them the help that the need (inclusion BC, date unknown).
Ignaz Semmelweis was a physician, who was known as ‘the father of infection control’ he noticed that woman whose babies were being delivered by physicians and students who had been handling corpses from the morgue had a higher rate of post-delivery mortality. He then introduced a hand washing policy to his students and physicians. Due to them washing their hands mortality rate fell by 2%. He then started washing medical instruments. The rate then fell by a further 1%. His theory was not supported by his superior or by the hospital. It wasn’t until Pasteur, Koch and Lister until two decades later that provided more evidence regarding the germ theory and antiseptic techniques that Semmelweis handwashing techniques theory was appreciated
In 1897 the Kings fund was established. The Kings fund was an idea of the then Prince of Wales to mark 60 years of Queen Victoria’s reign. “Victorian times has seen many advancements in medicine and technology, from the discovery of x-rays to the foundation of the British Medical Association” (Smiton 2017) therefore, the fund was created with the aim to raise money for voluntary hospitals who helped to care for the poor. A meeting took place between the Prince of Wales, qualified physician and author of the journal ‘The Hospital’ Sir Henry Burdett and surgeon Alfred Fripp when it was stated that “it was at this meeting the Prince agreed to host a fundraising dinner to raise money for a central fund for London hospitals” (Smiton 2017).
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Aneurin Bevan who was a British minister of health in 1946 and a leading socialist politician was a key figure in making the NHS happen however, Cawthan (2013) states Bevan faced many challenges and bitter opposition from Winston Churchill who stated the country could not afford the NHS. Rick (2011) claimed Doctors and dentists also went against Bevan stating their independence would be taken, Lord Moran who ran the consultants got them on board by confirming Bevan agreed that all consultants would get a salary also they could work privately. In 1959 Bevan said in his speech “I am proud of the National Health Service, it’s a piece of real socialism, it’s a piece of real Christianity too you know!” (BBC 2017). Lord Beveridge was the author of the Beveridge report for the National health, another key person was Henry Burdett he was health care reformer who advocated charity to help hospital care (Cawthan, 2013). The National Health Service gave 50 million Britons free healthcare in the first year of the NHS the death rate had fallen by 80% this was the greatest event in history (Rick,2011). The Health Act 1999 initiated new partnership flexibilities to allow Health Authorities and councils to develop services at the interface of health and social care.
Currently the Five most common killers in the NHS are; Stroke, Heart disease, Cancer, Lung and Liver disease. To help prevent these five killers the NHS have brought out a mandate that states their aims are to keep people from dying prematurely, improve the quality of life for people with lifelong health conditions , assisting people to recover from bouts of ill health or injury, ensuring people are treated with dignity, respect and in a safe environment ensuring they are protected from avoidable harm, this ensures the patient has a positive experience during this time.( NHS 2018) this gives them a preceptive a good form of well-being. According to the World Health Organisation (WHO), “heart disease, strokes, cancer, diabetes and chronic lung disease are collectively responsible for almost 70% of all deaths worldwide”.
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Currently the NHS is rising to the challenge of a growing ageing population, this means pressure on services are greater than ever before. As people are growing older, they want to enjoy their later years in good health and also by remaining as independent as possible. Older people rely on the support of health and social care services to support them. The Department of Health (2001) states older people are the main users of health and social care services and Older people have a much greater need for health and social services than younger people, so most of health and social care resources are focussed on their needs, approximately two thirds of general and acute hospital beds are occupied by people over 65. Helping older people to stay healthy GPs offer free gym membership, Free influenza immunisation to everyone aged 65 and over and breast cancer screening has been extended to women up to and including the age of 70
The NHS and Prison Service are working together in partnership to assure that prisoners have access to the same choice and equal level of health services as the public, 700 people in prison are aged over 60. They have a series of health and social care needs, while they are in prison and on release, 1,000 people aged 60 and over leave prison every year. It is vital that there is good communication between prison healthcare staff and their colleagues in health and social care organisations in the community and they liaise making sure that prisoners that are being released are assessed and receive services which meet their ongoing health and social care needs (Department of Health, 2001).
The pressures on the NHS to increase life expectancy can be lifted through partnership working along with rapid diagnosis and speedy assessments thereafter. As a discipline, Health and Social Care could benefit from having a focus on partnership working, taking into account the public, private, informal and voluntary settings. By understanding these settings, the information relevant to a person’s health can be better distributed accordingly (Glasby, 2017)
The aims of safeguarding are to keep children, elderly and vulnerable adults free from abuse and to ensure they are kept safe. The safeguarding team would work in partnership with other multi-disciplinary teams to help service users be supported to make their own decisions, prevent things from happening before they do, have the least amount of intervention, whilst keeping the safety of the person first. Supporting the person reporting the abuse through different partnerships with carers, social services, health professionals and for every individual to be held accountable for their actions, (Ann Craft Trust, 2018).
The NHS’s five-year forward view is a proposal by the organisation for their aims for the future. The goals within this proposal are: for people with cardiac or cancer ensuring their outcomes are better; ensuring a high quality of care for every patient and making sure their care is tailored to them, that may mean changing treatments that do not work. Working with challenges in all areas of health, mental health in adults and children, cancer treatments, working in this way may enable more support for frail older patients, taking the pressures off other services. (NHS.uk)
- Age UK (2017) Age UK services [online] Available at https://www.ageuk.org.uk/services/ [accessed 3rd November 2018]
- Barnard, H (2015)The NHS: reducing poverty is the key to easing pressure on health services [online] https://www.jrf.org.uk/blog/nhs-reducing-poverty-key-easing-pressure-health-services [accessed 04 November 2018]
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- Best, M “Ignaz Semmelweis and the Birth of Infection Control” Quality and safety in Health Care 13.3 (2004): 233-34. Print.
- England.nhs.uk. (2018). [online] Available at: https://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf [Accessed 12 Nov. 2018].
- Gov.uk. (no date) 1934 Poor law – the national archives. [Online] Available at http://www.nationalarchives.gov.uk/education/resources/1834-poor-law/ [accessed 1st November 2018]
- Gov.uk (2016) Social Value Act: information and resources. [online] Available at https://www.gov.uk/government/publications/social-value-act-information-and-resources/social-value-act-information-and-resources [accessed 29/10/2018]
- Inclusion (2008) Our priority areas [online] available at: www.inclusionbc.org/our-priority-areas/disabilities-support/institutions [accessed: 07/11/2018]
- Kemshall. H (2002) Risk, social policy and welfare. Buckingham. Open university press. (p66)
- McShane, M (2014) We are living longer- fact [online] available at https://www.england.nhs.uk/blog/martin-mcshane-6/ [ accessed 25 October 2018]
- Nice.org.uk. (2018). Infection prevention and control | Guidance and guidelines | NICE. [online] Available at: https://www.nice.org.uk/guidance/qs61 [Accessed 12 Nov. 2018].
- NHS Digital. (2018). Quality Accounts – NHS Digital. [online] Available at: https://digital.nhs.uk/data-and-information/areas-of-interest/hospital-care/quality-accounts [Accessed 20 Oct. 2018].
- SCIE. (2013) Dignity in care [online] Available at) https://www.scie.org.uk/publications/guides/guide15/legislation/otherlegislation/vulnerablepeoplelegislation.asp [accessed 05/11/2018]
- Smiton, J (2017) The creation of The King’s Fund: raising money for London hospitals Available at: https://www.kingsfund.org.uk/blog/2017/02/raising-money-london-hospitals (Accessed: 1/11/18)
- World Health Organisation (2018) Noncommunicable diseases and their risk factors. Available at: www.who.int [Accessed on 13/11/18]
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