Health care system and nurse education in the UK

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Health care system and nurse education in the UK

• Geraldine Lyte
• John Baker

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Health Care in the United Kingdom
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Demographics

• Population 59 million
• Life expectancy 77.82 males 75.13 females
• Infant mortality rate 5.54 deaths/1000 live
  births
• GDP 24 462 Expenditure on health as of GDP
  7.3
• 17 of population below poverty line

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Health care system

• National Health Service set up over 50 years
  ago recognised as one of the best health
  services by WHO delivers comprehensive and free
  health care service to all
• Department of Health supports government to
  improve health and well being of population sets
  direction for the NHS and social care.

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NHS 2003
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Major Health Issues

• England has one of the highest rates from
  Coronary heart disease

WHO 2003
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Cancer

• Lung cancer Most common cause of cancer death in
  the UK,
• 30,000 people dying each year
• Colorectal cancer Second most common form of
  cancer in England,
• 14,000 deaths every year
• 30,000 new cases a year of colon cancer
• Breast cancer
• 14,000 women die from breast cancer each year in
  the UK (11,000 deaths in England)
• Testicular cancer
• Most common cancer to affect men between 20-35
  years old
• 1500 new cases are diagnosed each year in the UK.

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Public health issues

• 28 of the general population in England smoke
• Major health inequalities
• Mental health problems are common, with many
  people (around one in six at any one time)
  experiencing anxiety or depression at some point
  in their lives
• Accidents are responsible for 10,000 deaths a
  year across England.
• Greatest single life threat to children and young
  people.
• Accidents, particularly falls, are a major cause
  of death and disability in older people

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NHS Plan

• More power and information for patients
• More hospitals and beds
• More doctors and nurses
• Shorter waiting times for hospital and doctor
  appointments
• Cleaner wards, better facilities
• Improved care for older people
• Better standards by NHS organisations

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Nurse Education in the England

• Nursing education was originally an
  apprenticeship system
• The first degree programmes emerged in the 1960s
  in Edinburgh Manchester to develop leaders
  innovators
• In 1989 Project 2000 introduced diploma-level
  education
• Since 1999 number of degree programmes increased

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Nurse Education in the England

• Nursing organised into 4 branches
• Adult nursing
• Childrens nursing
• Mental Health Nursing
• Learning Disability
• Midwifery and Health Visiting regarded as
  separate professions

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Nursing programmes

• Educational Programmes
• Bachelor of Nursing (Hons) Programme
• 3 years full time
• BSc (Hons) Nursing
• Flexible modular programmes scope for pacing
  their study over 7 years
• Diploma in Professional Studies in Nursing
• Entry criteria varies
• Education is based in HE settings
• Entitled to means-tested NHS Bursary

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Nursing programmes

• Post Graduate Programmes
• MSc
• MPhil/PhD
• Entry criteria
• Degree level entry or 3 years equivalent
  experience
• Professional qualification
• Many overseas students come to the UK to study

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Nursing Roles

• Nurses are still involved in the delivery of
  traditional nursing care e.g. assisting with
  ADLs dependent on speciality
• However the move has been towards a more
  supervisory role

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Nursing Roles

• There are a growing number of support roles, from
  the health care support worker, to assistant
  practitioner
• Also recently we have seen the development of
  more advanced clinical roles for experienced
  nurses such as nurse prescribing and advanced
  nurse practitioner roles

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Nursing Midwifery Council

• Independent regulatory body for nursing and
  midwifery
• Promotes good practice and deals with bad
  practice
• Key responsibilities
• Maintaining nursing register
• Setting and improving standards
• Dealing with misconduct
• Quality assurance
• Setting standards and guidance