London Health Libraries Induction 15 th September 2008 The NHS in London Mandy Guest Knowledge...
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![Page 1: London Health Libraries Induction 15 th September 2008 The NHS in London Mandy Guest Knowledge Service Manager Islington Primary Care Trust London Health.](https://reader036.fdocuments.net/reader036/viewer/2022082713/5697bfe21a28abf838cb445e/html5/thumbnails/1.jpg)
London Health Libraries Induction
15th September 2008
The NHS in London
Mandy GuestKnowledge Service ManagerIslington Primary Care Trust
London Health Libraries
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London 7.6 million population with 200 communities and 300 languages spoken
• 250,000 health and care staff
• 32 London Boroughs
• Mayor + London Assembly = Greater London Authority
London Health Libraries
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• the Strategic Health Authority (SHA) for London•plans healthcare for the population•responsible to the Department of Health
London Health Libraries
NHS London is
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NHS Trusts• 31 PCTs• 25 NHS Trusts (Acute hospitals)• 3 Mental Health Trusts• Ambulance service Trusts• (14 Foundation trusts (including 7 mental
health) operate more independently and are regulated by Monitor)
London Health Libraries
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Primary Care
Primary care includes:•GP practices•Dentists, Opticians, Pharmacists•District Nursing and services in the local community
•Physiotherapy, podiatry, speech and language therapy etc
London Health Libraries
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Primary Care Trusts
• Primary Care Trusts (PCTs) are in charge of primary care and have a major role around commissioning secondary care, providing community care services.
• PCTs are at the centre of the NHS and control 80% of the NHS budget. As they are local organisations, they are best positioned to understand the needs of their community.
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Commissioning
• Practice based commissioning• World Class Commissioning• Specialised services commissioning
Adding life to years and years to life
London Health Libraries
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Secondary and Tertiary care
• Hospitals managed by 13 Foundation Trusts and 24 Acute Trusts •Mental Health Trusts •Ambulance Trust•Specialised services
• Other providers for NHS patients including nursing homes
London Health Libraries
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•Secondary care is known as acute health care and can be either elective care or emergency care.
•Elective care means planned specialist medical care or surgery, usually following referral from a primary or
community health professional such as a GP.
London Health Libraries
Secondary care
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Framework for London
• Framework for London July 2007 (Darzi) – details how London's healthcare needs to change
over the next ten years – 5 principles:– Services should be focused on individual needs and
choices – Services should be localised where possible and
regionalised where that improves the quality of care – There should be joined-up care and partnership
working, maximising the contribution of the entire workforce
– Prevention is better than cure – There must be a focus on reducing differences in
health and healthcare
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Framework for Action
• 3 month consultation, ended 7th March 2008• Roadshows etc• In mid-2008, a committee of PCTs considered
the report and used it to make decisions on the issues being consulted upon.
• Based on these decisions, the PCTs developed detailed proposals on services
London Health Libraries
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Specialist care
• Specialist centres will treat patients who have suffered a stroke or major trauma.
• Around seven specialist stroke centres, and between three and six major trauma centres, will be developed.
• Specialist care for children, and those who need complex emergency surgery, will also be delivered in dedicated units.
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Care closer to home• Patients with ‘long-term conditions’ such as diabetes and
arthritis will be able to access more care locally, and be supported to better manage their conditions.
• More outpatient care, tests and minor procedures will be provided in the community, meaning fewer visits to hospital. Londoners will also have better access to GPs
out of hours • Polyclinic models will offer better services at more
convenient times, by linking GP and other services
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London Health Libraries
Any questions?