Health and Social Services in the Department of Health

1
Health and Social Services in the Department of
Health

• Health and social services funded by the
  Department of Health
• Primary Care Trusts
• Acute NHS Trusts
• Mental Health Trusts
• Social Care Trusts
• Specialist services

1A
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Primary Care Trusts or PCTs

• The role of PCTs is to
• find out about health and social care needs in
  the local area
• plan services to meet the needs
• use their budget from the Department of Health to
  commission the services from providers in the
  local area
• monitors how well services are being provided

1B
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Primary Care Trusts or PCTs

• Examples of services provided by PCTs include
• GP clinics
• Pharmacy services
• Dental services
• Optical service
• Home visiting programs
• Allied health professional services
• Public health - prevention and health promotion
  programs, e.g. stop smoking programs

1C
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NHS Trusts

• The local or general hospital is the base for
  each NHS Trust although some NHS Trusts have
  more than one hospital in it
• They are the secondary or tertiary levels of care
  in the health and social service system
• Secondary means the next step after seeing a GP,
  dentist, midwife or health visitor because the
  person needs a different sort of care
• Tertiary means a very specialised focus and level
  of care for specific health problems, like cancer

1D
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NHS Trusts

• Examples of services provided by NHS Trusts
  include
• accident and emergency care
• hospital out-patient clinics
• hospital admissions for a broad range of health
  issues, eg serious infections and operations for
  accidents or health problems heart disease,
  cancer, strokes
• specialist units or clinics, eg long-term medical
  problems (diabetes, multiple sclerosis), cancer
  care units

1E
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Mental Health Trusts

• Mental Health Trusts have a specialist focus on
  responding to people experiencing mental health
  problems and mental illness
• They have services that are focused on adults and
  their carers, and others on children and
  adolescents and their families.
• Their services are offered in the community as
  well as through hospitals

1F
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Mental Health Trusts

• Examples of services provided by Mental Health
  Trusts include
• mental health focused hospitals
• mental health wards in a general hospital
• crisis intervention services
• home-visiting and support services
• counselling services
• day centres for people with ongoing mental illness

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Social Care Trusts

• Social Care Trusts provide services for people
  who need additional social support, sometimes
  after they have been in hospital.
• Examples of services provided through Social Care
  Trusts include
• District nurses who do home-visiting
• Long stay care for the elderly
• School nurses

1H
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User involvement support in services

• Four main structures for user involvement in the
  NHS
•  
• Patient Advice and Liaison Services PALS
• Patient and Public Involvement Forums PPIFs
• Independent Complaints Advocacy Services ICAS
• Overview and Scrutiny Committees OCSs

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Patient Advice and Liaison Services PALS

• PALS are available at a local level such as the
  main reception area of hospitals and primary care
  services.
• They are run by health service staff and
• Provide advice and support in every Trust
• Provide information and on the spot help for
  patients, their families and carers

2B
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Patient and Public Involvement Forums - PPIFs

• Monitor and review services from a user and carer
  perspective
• Seek the views of users and carers on the
  services they receive
• Make reports and recommendations to the
  management of Trusts
• Are represented on Trust Boards
• When needed, suggest that other health or social
  service groups, or sections of the Department of
  Health investigate or take action on any concerns

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Independent Complaints Advocacy Services ICAS

• These will be available in each region to
• provide direct support to people who want to or
  need to complain about a service issue or their
  personal treatment
• extend but not replace existing advocacy services

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Overview and Scrutiny Committees OCSs

• Monitor the work of health and social services
• If there are public concerns about disputed
  service changes, then refer them to the Secretary
  of State
• Make routine reports and recommendations to local
  NHS managers
• Provide information on services and decisions to
  NHS managers
• Are consulted by NHS managers if there are major
  changes to health and social services

2E