The National Health Service in Great

Britain

FILL IN THE CHART AS I GO THROUGH THE LECTURE.

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 National Health Service

Created: July 5, 1948

Result of the National Health Service Act (1946).

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

THE COST? $$$$•0ne-hundred and forty-eight billion dollars

•$ 148,000,000,000

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.

Private Insurance•British United Provident Association (BUPA) – a major private insurance company

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?

HOME ASSIGNMENTWrite a paragraph about

whether or not you would want to have a health care system like the British NHS in Ukraine.