Public Health

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Base on the NHS 2010 White Paper in England, it was said that, National Health Service is currently experiencing one of the most important changes in its history. In the process, in order to outline the main features of the current reforms to NHS, this essay reveals some major problems these include; what is NHS 2010 White Paper? What are the main proposals for change? Why did they make changes? Accordingly, the essay will evaluate the reasons and implications and conclude with some important points with NHS. In fact, the National Health Service (NHS) began in England in 1948, providing free high quality of health care for the whole country. It has been improved so much in the sense that, before its creation, the delivery of health care was accessible only to the men who were working and contributing National Insurance (Fraser, 2003). Women and children and the mentally ill were vulnerable, they were not qualified for free health care services as promulgated by Lloyd George’s legislation of 1911 (Leathard, 1990). In the same way, it should be notice that the arrival of the NHS has led to this new system that professionals, doctors, nurses, pharmacists, opticians and dentists worked, merged and provide health care for the benefit of all. Following to that, the main idea in which NHS was established recommend that, the service should be for free during the delivery, depending on individual needs rather than affordability. It had to be universal, for example, offer the same quality of care across the country (Fraser, 1973). It follows that , from its birth, growth, until now, the NHS by successive governments has had several different reforms have attempted to solve the problems of centralised health services and improve the quality of duties. With reference to the above point, one of the reform among them contain; the implementation of Primary Trust, NFS, Creation of Clinical governance conducted by new labour in the year of 1997. However, despite the efforts of the previous government, a reliable source has revealed that the National Health Service is facing a serious financial deficit of £ 15 to 20 billion in 2011 to 2014 to meet the growing demand. For this reason, the Conservatives and the Liberals Democrats have observed the impasse the NHS, a great countrywide institution is falling down and decided to put in place some strategies. Number one, liberating the National Health Service (NHS); the government will expand health expenditures in real terms each year in the Parliament. It will sustain the NHS ideologies, wide-ranging service, obtainable for every one, free in term of delivery on the basis of clinical necessity rather than the affordability. It will make the new NHS the envy of all countries. The NHS is a matter of equity for everyone in England. The Government will promote equity and introduce the sanction for any discrimination within the National Health Service and social services to begin from 2012. The Commissioning Board will be in charge to explain the consequences of inequalities in health care services. Number two, Putting patients and the public first; the government's objective is to achieve the effects of health care services. To do this, patients should be involved in decision-making as partnership. Care services health outcome must be individual. The government has suggested the value of sharing decision-making to be the rule, no decision for me without me. General evidence shows that if patients are include in their care will develop treatment outcomes and their satisfaction with health care services. Number three, improving health care outcomes; Developing and implementing quality standards. Number four, Autonomy, accountability and democratic legitimacy. Number five, Cutting bureaucracy and improving efficiency;

They came up with new ideas for the first time since the existence of the NHS these included; liberating the National Health Service, their strategies included;

Thus, it is...
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