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The 4 Pillars of the NHS: A Deep Dive into the Foundation of British Healthcare
The National Health Service (NHS) is a cornerstone of British society, a globally renowned institution providing healthcare free at the point of use. But what exactly is the NHS, and what principles underpin its complex and often lauded structure? This comprehensive guide delves deep into the four pillars of the NHS, exploring their individual strengths and interconnectedness, providing a clear understanding of this vital public service. We’ll examine how these pillars work in practice, the challenges they face, and their future implications for patient care. Prepare for an in-depth exploration that goes beyond the headlines and into the heart of the NHS.
I. The Four Pillars: A Foundation for Healthcare
The NHS is not simply a collection of hospitals and doctors; it's a system built on four fundamental pillars: Prevention, Treatment, Care, and Wellbeing. These pillars aren't isolated entities; they are interconnected and interdependent, working together to provide holistic healthcare for the entire population. Understanding these pillars is crucial to understanding the NHS as a whole and appreciating its complexities.
II. Prevention: Investing in a Healthier Future
The first pillar, Prevention, focuses on proactive healthcare. This isn't just about avoiding illness; it’s about promoting healthy lifestyles and early intervention to prevent diseases from developing in the first place. This involves public health campaigns focusing on areas like smoking cessation, healthy eating, and physical activity. Crucially, this pillar also encompasses screening programs for early detection of cancers and other serious conditions, allowing for timely treatment and improved outcomes. The success of prevention hinges on public education, accessible resources, and community engagement. Challenges include addressing health inequalities across different socioeconomic groups and ensuring consistent engagement with preventative measures.
III. Treatment: Providing High-Quality Medical Care
The Treatment pillar forms the core of what many people associate with the NHS: hospitals, doctors, nurses, and the provision of medical care when people are unwell. This pillar encompasses a vast range of services, from routine GP appointments to complex surgical procedures and specialist treatments. The NHS strives to provide equitable access to high-quality treatment for all, regardless of background or ability to pay. However, this pillar faces constant pressure due to resource constraints, increasing demand, and the ever-evolving landscape of medical technology and treatments. Balancing the need for cutting-edge technology with the financial realities of a publicly funded system presents a significant ongoing challenge.
IV. Care: Supporting Individuals Through Illness and Beyond
Beyond treatment, the NHS offers comprehensive Care services designed to support individuals through illness and recovery. This includes rehabilitation services to help patients regain their independence after an illness or injury, palliative care for individuals with terminal illnesses, and long-term care for individuals with chronic conditions. This pillar recognizes that healthcare is not just about curing illness; it's about supporting individuals' overall well-being and quality of life throughout their journey. Meeting the growing demands of an aging population and ensuring access to quality care, especially for individuals with complex needs, remains a critical area of focus and presents significant logistical and financial challenges.
V. Wellbeing: A Holistic Approach to Health
The final pillar, Wellbeing, encompasses the broader aspects of health and emphasizes a holistic approach to healthcare. This pillar goes beyond the traditional medical model and recognizes the interplay between physical, mental, and social factors that influence overall well-being. It includes initiatives promoting mental health awareness, community support programs, and strategies to address social determinants of health, such as poverty and inequality. This pillar represents a shift towards a more preventative and person-centred approach to healthcare, acknowledging that health and well-being are not solely determined by medical interventions. The integration of wellbeing initiatives across other pillars is essential for achieving a truly holistic and effective healthcare system.
Article Outline: The Four Pillars of the NHS
Introduction: Defining the NHS and its four pillars.
Chapter 1: Prevention: Public health campaigns, screening programs, and challenges.
Chapter 2: Treatment: Hospitals, doctors, specialist services, and resource allocation.
Chapter 3: Care: Rehabilitation, palliative care, long-term care, and access issues.
Chapter 4: Wellbeing: Holistic approach, mental health, social determinants, and integration.
Conclusion: The interconnectedness of the pillars and the future of the NHS.
Frequently Asked Questions (FAQs)
1. How is the NHS funded? The NHS is primarily funded through general taxation.
2. Is healthcare free in the NHS? Yes, most healthcare services are free at the point of use.
3. What are the biggest challenges facing the NHS? Funding, staffing shortages, and increasing demand are major challenges.
4. How can I access NHS services? Through your GP, hospital appointments, or online services.
5. What is the role of preventative care in the NHS? To reduce illness and promote healthy lifestyles.
6. How does the NHS deal with mental health? Through specialized services, community support, and awareness campaigns.
7. What is the future of the NHS? Ongoing reform and adaptation to meet evolving needs.
8. How can I contribute to the NHS? By supporting charities, volunteering, or advocating for its continued funding.
9. What are the key performance indicators for the NHS? Waiting times, patient satisfaction, and health outcomes are key metrics.
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1. NHS Funding Crisis: A Deep Dive into the Financial Challenges: Explores the complexities of NHS funding and its impact on service delivery.
2. The NHS Workforce Shortage: Recruitment and Retention Strategies: Examines the ongoing staffing crisis and proposed solutions.
3. Improving Access to NHS Services: Reducing Waiting Times and Improving Efficiency: Focuses on strategies to improve patient access and reduce waiting lists.
4. The Role of Technology in Transforming NHS Care: Discusses the use of technology to improve efficiency and patient care.
5. Mental Health Services within the NHS: Addressing the Growing Demand: Focuses on the specific challenges and improvements in mental healthcare within the NHS.
6. Preventative Healthcare in the NHS: Investing in a Healthier Nation: Details the preventative programs and their impact on public health.
7. Palliative Care within the NHS: Ensuring Dignity and Comfort at the End of Life: Examines the provision of palliative care and its importance.
8. The NHS and Health Inequalities: Addressing Disparities in Access and Outcomes: Analyzes the impact of social determinants on health and NHS strategies to address inequalities.
9. The Future of the NHS: Adapting to an Aging Population and Evolving Healthcare Needs: Looks at the long-term challenges and opportunities for the NHS.
4 pillars of nhs: A Strategic Guide to Continuing Professional Development for Health and Care Professionals: The TRAMm Model Sarah Lawson, Deb Hearle, 2020-09-11 This thoroughly revised edition of the popular Strategic Guide to Continuing Professional Development for Health and Care Professionals includes the latest professional policy guidance updates as well as the results of the authors’ ongoing research into professional development within health and social care. The importance of applying new learning in practice is reflected by the updated TRAMm model, in which ‘A’ now stands for ‘Apply’ (rather than ‘Activity’, as in the first edition). There is a new chapter on changing mindsets about CPD and how to create opportunities for learning and development, despite limited resources in the current economic climate. The authors have also expanded the chapter on CPD engagement, with updated evidence on exploring your preferred styles of learning. Continuing professional development (CPD) is essential for all health and social care professionals. It is also beneficial for organisations. Evidence shows that when there is significant investment in CPD, individuals feel valued and their practice improves. In order to maximise the potential of your CPD, this practical handbook guides you through the updated five TRAMm stages or ‘stations’: Tell (T), Record (R), Apply (A), Monitor (M) and measure (m). The tried-and-tested TRAMm Model reflects the five standards for CPD laid down by the Health and Care Professions Council; and your own learning needs provide the main focus, enabling you to develop a full CPD portfolio as you progress. At the end of each chapter, there are opportunities to reflect on your learning – and apply theory to practice through a series of tasks. Designed for all levels (from health and social care students to experienced practitioners), this book may also be useful for associated support workers and other healthcare professionals, including doctors, pharmacists, optometrists, nurses and midwives. In addition, some aspects will be relevant for professionals outside healthcare, such as teachers, surveyors and engineers. |
4 pillars of nhs: Effective Communication for Nursing Practice Naomi Anna Watson, 2024-04-13 Effective communication is at the heart of the nursing role. From providing person-centred care to collaborating with the multi-disciplinary team, this book will develop your communication and interpersonal skills and support you in finding your own voice. It equips you with key theory and principles and shows how to apply them to practice, from communicating with compassion to overcoming barriers to communication. This is your go to guide for effective communication in your everyday practice. Key features: · Each chapter is mapped to the 2018 NMC Standards · Takes a lifespan approach, covering communication with different groups across all fields of practice · Content and examples explore communication in relation to diversity, equity and inclusion, encouraging culturally competent and emotionally intelligent practice · Filled with activities and case studies to support critical thinking, reflection and application of theory to everyday nursing practice |
4 pillars of nhs: A Culture of Enquiry Jan Lees, 2004 This volume collects a wide range of papers discussing all aspects of Therapeutic Community (TC) research. An invaluable resource for anyone involved in the field, it considers questions of which methods are most appropriate in the TC environment, how research studies affect this, as well as practical and ethical questions. |
4 pillars of nhs: Advanced Clinical Practice at a Glance Barry Hill, Sadie Diamond Fox, 2022-10-25 Advanced Clinical Practice at a Glance The market-leading at a Glance series is popular among healthcare students and newly qualified practitioners for its concise, simple approach and excellent illustrations. Each bite-sized chapter is covered in a double-page spread with clear, easy-to-follow diagrams, supported by succinct explanatory text. Covering a wide range of topics, books in the at a Glance series are ideal as introductory texts for teaching, learning and revision, and are useful throughout university and beyond. Everything you need to know about Advanced Clinical Practice ... at a Glance! Advanced Clinical Practice at a Glance is an inclusive multi-professional resource that provides essential guidance for healthcare students on a myriad of topics related to advanced clinical practice. This book focuses on NMC and HCPC regulatory body requirements and is also aligned to nationally recognised advanced practitioner training curricula such as the Faculty Intensive Care Medicine (FICM), the Royal College of Emergency Medicine (RCEM) and the Royal College of Nursing (RCN). Made for the practicing clinician, Advanced Clinical Practice at a Glance is the perfect size for busy healthcare professionals. The snapshot figures and key points make the information highly accessible. Each chapter is written in a format that enables the reader to review and comprehend chapters individually. This valuable text includes: Guidance on undergraduate and postgraduate education programmes to allow students to prepare for more advanced level roles How to achieve transformation in advanced clinical practice via key functions like programme accreditation and recognition of education and training equivalence A directory of practitioners to recognise those working at an advanced level of practice across specialties Containing essential practical and theoretical guidance, Advanced Clinical Practice at a Glance is a must-have modern resource for all healthcare students looking to get involved in the field, plus professionals working in disciplines that intersect with advanced clinical care. For more information on the complete range of Wiley nursing and health publishing, please visit: www.wiley.com To receive automatic updates on Wiley books and journals, join our email list. Sign up today at www.wiley.com/email All content reviewed by students for students Wiley nursing books are designed exactly for their intended audience. All of our books are developed in collaboration with students. This means that our books are always published with you, the student, in mind. If you would like to be one of our student reviewers, go to www.reviewnursingbooks.com to find out more. This new edition is also available as an e-book. For more details, please see www.wiley.com/buy/9781119833284 |
4 pillars of nhs: Advanced Practice in Healthcare Paula McGee, Chris Inman, 2019-06-12 The definitive resource for advanced practice within nursing and the allied health professions—revised, expanded, and updated throughout. Advanced practice is an established and continuously evolving part of healthcare workforces around the world as a level of practice beyond initial registration. Advanced practitioners are equipped to improve health, prevent disease, and provide treatment and care for patients in a diverse range of settings. This comprehensively revised fourth edition emphasises the importance of practice in advanced healthcare, presenting a critical examination of advanced practice roles in nursing and allied health professions through a series of learning features designed to facilitate the development of vital knowledge and skills. Advanced Practice in Healthcare presents: International developments in advanced practice as a global response to the need to modernise services, reduce costs and increase access to healthcare services Country-specific examples of advanced practitioners’ roles in delivering patient care in diverse settings The impact of advanced practice in nursing and the allied health professions Controversial issues including prescribing, regulation and credentialing, and the interface with medical practice Ethical and legal dimensions of advanced practice The preparation of advanced practitioners Advanced Practice in Healthcare is an essential resource for all students, practitioners, managers and researchers of advanced practice in healthcare. |
4 pillars of nhs: Advanced Nursing Practice Thomas David Barton, Douglas Allan, 2015-10-26 Advanced Nursing Practice is a topical and emergent area of developing health practice, but as an area that is still developing it can also be seen as one of uncertainty. This authorative text provides helps understand ANP by offering a comprehensive overview of its evolution, including practice, theory and core concepts; and a wide review of the current clinical, strategic, educational and research developments in advanced practice. This is an essential resource for Advanced Nurse Practitioners, their educators and mentors, and is a valuable resource for undergraduate student nurses, registered nurses and service managers. |
4 pillars of nhs: Supervision of Learning and Assessment in Healthcare Neil Gopee, 2023-03-08 Updated in line with contemporary healthcare practice, this bestselling textbook introduces the theories, evidence and research behind effective student supervision and assessment. By developing your understanding of how people learn, the book enables you to facilitate student learning and development while also building your skills in a wide range of different aspects of assessment. Inter-professional in scope, the book is essential reading for anyone preparing for or undertaking a supervisory role in nursing, midwifery, social care and the allied health professions. Key Features and updates: Reflects the move away from the mentorship role to learning supervisors and assessors Includes a new chapter on the application of simulation in healthcare education Fully updated with the latest research, policies and guidance, with reference to both the NMC and HCPC Action and reflection points consolidate your learning and help develop your own supervisory style |
4 pillars of nhs: Newborn Screening Systems Carlie J. Driscoll, Bradley McPherson, 2010-02-15 |
4 pillars of nhs: Breathlessness and Biosociality Fredrik Nyman, 2024-10-07 This book delves into the intricate landscape of respiratory diseases among older people, shedding light on their biosocial encounters while grappling with chronic breathlessness. While respiratory ailments predominantly afflict older people, often stemming from lifestyle choices like smoking, contemporary factors such as the COVID-19 pandemic and escalating air pollution further exacerbate respiratory health challenges. Rooted in ethnographic research conducted in the UK, the narrative captures the quotidian struggles associated with abnormal breathing—an aspect typically overlooked despite its indispensability to life. Through poignant accounts, the book elucidates the profound transformations engendered by medical diagnoses, delving into their ripple effects on personal relationships and social engagements, while also offering insights into coping mechanisms. Chapters traverse the contours of patient identity, societal perceptions, community healthcare dynamics, advocacy endeavours, and the intrinsic link between health and human rights. Notably, the author delves into the pivotal role of support groups such as Breathe Easy, the empowering realm of “self-help”, and the organic formation of communities to address diverse social needs. With its multidisciplinary approach, this book appeals to a broad spectrum of scholars spanning anthropology, sociology, gerontology, and public health, offering a rich tapestry of insights into the complex interplay between health, society, and individual experiences. |
4 pillars of nhs: The 4 Stages of Psychological Safety Timothy R. Clark, 2020-03-03 This book is the first practical, hands-on guide that shows how leaders can build psychological safety in their organizations, creating an environment where employees feel included, fully engaged, and encouraged to contribute their best efforts and ideas. Fear has a profoundly negative impact on engagement, learning efficacy, productivity, and innovation, but until now there has been a lack of practical information on how to make employees feel safe about speaking up and contributing. Timothy Clark, a social scientist and an organizational consultant, provides a framework to move people through successive stages of psychological safety. The first stage is member safety-the team accepts you and grants you shared identity. Learner safety, the second stage, indicates that you feel safe to ask questions, experiment, and even make mistakes. Next is the third stage of contributor safety, where you feel comfortable participating as an active and full-fledged member of the team. Finally, the fourth stage of challenger safety allows you to take on the status quo without repercussion, reprisal, or the risk of tarnishing your personal standing and reputation. This is a blueprint for how any leader can build positive, supportive, and encouraging cultures in any setting. |
4 pillars of nhs: Well Beings James Riley, 2024-03-28 James Riley, author of the cult hit The Bad Trip: Dark Omens, New Worlds and the End of the Sixties, returns with another incisive and thought-provoking cultural history, turning his trenchant eye to the wellness industry that emerged in the 1970s. Concepts such as wellness and self-care may feel like distinctly twenty-first century ideas, but they first gained traction as part of the New Age health movements that began to flourish in the wake of the 1960s. Riley dives into this strange and hypnotic world of panoramic coastal retreats and darkened floatation tanks, blending a page-turning narrative with illuminating explorations of the era's music, film, art and literature. Well Beings delves deep into the mind of the seventies - its popular culture, its radical philosophies, its approach to health and its sense of social crisis. It tells the story of what was sought, what was found and how these explorations helped the 'Me Decade' find itself. In so doing, it questions what good health means today and reveals what the seventies can teach us about the strange art of being well. |
4 pillars of nhs: HC 401 - Managing the Care of People with Long-Term Conditions Great Britain: Parliament: House of Commons: Health Committee, 2014-07-03 15 million NHS patients in England with long-term conditions such as diabetes, arthritis and asthma account for 70% of the annual expenditure of the NHS in England. One projection estimating that the bill for treatment of long-term conditions will require the NHS to find £4 billion more each year by 2016. Increasingly, patients do not have a single long-term condition but live with two or more conditions, complicating treatment and adding to its cost. The Committee strongly supports the development of individual care planning for people with long-term conditions, based on the principles successfully demonstrated in the NHS House of Care programme. Care planning approaches will involve GPs, community health services and specialists sitting down with the patient to draw up a personalised plan for the care required, which includes the support needed to help the patient manage his or her own condition. The challenge, though, of introducing personalised care planning for 15 million people is substantial. The Committee looked at the prevailing view that services to treat long-term conditions should be moved out of hospitals and into primary and community care. To provide effective care for these conditions, services have to be maintained across all settings, from support in the home through to acute specialist care, and many conditions will continue to require specialist services delivered in hospital. Effective management of long-term conditions also requires collaboration with other government providers, such as housing and transport services. |
4 pillars of nhs: Digital Health Adoption: Looking Beyond the Role of Technology Yiannis Kyratsis, Harry Scarbrough, Amanda Begley, Jean-Louis Denis, 2023-04-10 |
4 pillars of nhs: The Royal Marsden Manual of Clinical Nursing Procedures, Professional Edition Sara Lister, Justine Hofland, Hayley Grafton, 2020-07-07 Now in its tenth edition, The Royal Marsden Manual of Clinical Nursing Procedures has been the definitive, market-leading guide to clinical nursing skills for over three decades. This internationally best-selling title sets the gold standard for nursing care; providing the procedures, rationale, and guidance required by qualified nurses to deliver clinically effective, patient-focused care with expertise and confidence. With over two-hundred detailed procedures, this comprehensive manual presents the evidence and underlying theory alongside full-colour illustrations and photographs, and includes coverage of infection prevention and control, perioperative care, wound management, nutrition, diagnostic testing, discharge, medicines management, and much more. Loved and trusted by millions for over thirty years, The Royal Marsden Manual of Clinical Nursing Procedures continues to be a truly indispensable guide for nursing practice. Written by nurses for nurses Empowers nurses to become informed, skilled practitioners Reflects current procedures and changes in modern adult nursing practice All procedures are supported by up to date evidence, including detailed rationales for each step of each procedure Considers the clinical governance around the procedures and nursing practice NEW to the Tenth Edition: Each chapter is linked to the NMC 2018 ‘Future Nurse: Standards of Proficiency for Registered Nurses’ guidance Includes a brand-new chapter on ‘Self Care and Wellbeing,’ helping nurses to care for themselves emotionally and physically The Royal Marsden Manual is also available online, fully searchable, and annotatable. www.rmmonline.co.uk |
4 pillars of nhs: The Challenge of Controlling COVID-19 Lewis, Jane, 2021-03-24 Providing an account of the policy response to COVID-19 in England, this book analyses the political and long-term systemic factors associated with the failures to control the first wave of the pandemic during 2020. It explores the part played by key policy actors, particularly politicians and scientists, and focuses on two difficult policy issues during the first wave: the establishment of a ‘test, trace and isolate’ system and responses to the high death rate in care homes for older people. Drawing on a wide range of documentary evidence, including parliamentary papers and SAGE minutes, this book draws attention to the importance of longstanding structural problems in public health and the care sector, especially the impact of outsourcing and privatisation. |
4 pillars of nhs: Medical Management: A Practical Guide Hameen Markar, Geraldine O'Sullivan, 2012-08-31 This essential guide provides a lifeline to authoritative, reliable information on medical management, giving you all the skills you need whether managing a junior colleague as a lead doctor, or running multidisciplinary consortia in the NHS or private sectors. Learn key skills from leadership, managing change, quality control, and project management through to doctors in difficulty, appraisals and revalidation, managing exceptional performance, and poor performance Comprehensive coverage of NHS and private healthcare, primary care, acute and emergency care, mental health, and many other sectors Gain insight into important topics such as healthcare innovations and technologies, implementing evidence-based medicine, medical education, patient safety, and primary care consortia Refine your management skills with advice, wisdom, and practical help from key opinion leaders, medical professionals, and management experts In this world of change, reforms and new government initiatives, can you afford not to build on your existing skills? Whether you are new to medical management or an experienced director wishing to stay up to date and refine your expertise, this book will be an invaluable source of advice to help you manage the delivery of high-quality care. |
4 pillars of nhs: A Textbook of Community Nursing Sue Chilton, Heather Bain, 2017-10-18 A Textbook of Community Nursing is a comprehensive and evidence-based introduction covering the full range of professional topics, including professional approaches to care, public health, eHealth, therapeutic relationships and the role of community nursing in mental health. The new edition has been updated throughout, including new guidelines and policies. It also provides a stronger focus on evidence-based practice. This user-friendly and accessible textbook includes: Current theory, policy, and guidelines for practice. All chapters are underpinned by a strong evidence base; Learning objectives for each chapter, plus exercises and activities to test current understanding, promote reflective practice, and encourage further reading; Case studies and examples from practice which draw on all branches of community nursing to illustrate practical application of theory. This is an essential text for all pre-registration nursing students, students on specialist community nursing courses, and qualified nurses entering community practice for the first time. |
4 pillars of nhs: Surfacing best practices for AI software development and integration in healthcare Mark Sendak, Suresh Balu, Xiao Liu, Karandeep Singh, Sylvia Trujillo, David Vidal, 2023-06-08 |
4 pillars of nhs: Understanding Leadership for Nursing Associates Hazel Cowls, Sarah Tobin, Natalie Cusack, 2023-11-09 Demonstrating leadership is entwined with many aspects of the nursing associate role. It is found in your workload management, prioritisation and delegation. It is found in the way you contribute to your team and supervise others. It is found in the way you deliver care and implement quality improvement. In short, understanding leadership is key to your future career. This book offers a first step into the world of leadership. Introducing the theory and principles of leadership you need to know, it shows you how to apply them to your every day role and build confidence in yourself as a leader. Key features - Fully mapped to the NMC Standards of Proficiency for Nursing Associates (2018) - Explains the theory and principles of leadership in clear, straightforward language - Case studies and activities illustrate leadership across a range of scenarios and care settings - Written specifically to address the unique experiences, challenges and requirements of the nursing associate role |
4 pillars of nhs: Mastering Public Health: A postgraduate guide to examinations and revalidation Geraint H Lewis, Jessica Sheringham, Kanwal Kalim, Tim Crayford, 2008-07-31 Mastering Public Health is an essential study aid for all those preparing for postgraduate exmainations in public health, and a definitive guide for the MFPH examination. The book covers the five key areas of public health knowledge: Research methods; Disease prevention and health promotion; Health information; Sociology, policy and health economics; and Organisation and management of health care. It is structured to follow the entire MFPH Part A exam syllabus, with appendices on revision strategies, exam technique and essay frameworks. Written in conjunction with an international team of editors, Mastering Public Health is aimed at public health practitioners who are training or re-validating in the UK and worldwide. Its concise format also serves as a quick reference text for the specialty. 'I am confident that this will rapidly become required reading for all those taking the Faculty's exams, as well as for those undertaking training in public health in many other countries.' Professor Martin McKee, CBE |
4 pillars of nhs: The Royal Marsden Manual of Clinical Nursing Procedures, Student Edition Sara Lister, Justine Hofland, Hayley Grafton, Catherine Wilson, 2021-04-13 The student edition of The Royal Marsden Manual of Clinical Nursing Procedures has been the definitive, market-leading textbook of clinical nursing skills for fifteen years. This internationally best-selling title sets the gold standard for nursing care, providing the procedures, rationale, and guidance required by pre-registration students to deliver clinically effective, patient-focused care with expertise and confidence. With over two-hundred detailed procedures which reflect the skills required to meet The Standards of Proficiency for Registered Nurses (NMC 2019), this comprehensive manual presents the evidence and underlying theory alongside full-colour illustrations and a range of learning activities designed to support student nurses in clinical practice. Loved and trusted by millions, The Royal Marsden Manual of Clinical Nursing Procedures, Student Edition continues to be a truly indispensable textbook for students, and includes coverage of patient assessment and discharge planning, communication, infection prevention and control, perioperative care, wound management, nutrition, diagnostic testing, medicines management, and much more. Learning features in this revised tenth edition include: Learning outcomes – summarise the focus of the information in each chapter Learning in practice – asks you to consider issues within your practice environment Case studies – provide learning around a particular patient scenario Clinical applications – ask you to consider how you would apply your knowledge to a clinical situation Stretch activities – challenge you with more nuanced, advanced issues to reflect upon Many of the features in the book are relevant to trainee nursing associates, especially when used in conjunction with supervision from academic and clinical teachers. A companion website to this title is available at www.royalmarsdenmanual.com/student10e |
4 pillars of nhs: Business for Foundation Degrees and Higher Awards Robert Dransfield, 2004 Business for Foundation Degrees and Higher Awards gives students the underpinning knowledge they need to succeed in one volume. A core textbook covering the first two years of a degree programme written for the Foundation Degree and the Higher National Diploma. |
4 pillars of nhs: The Foundation Programme Mark Welfare, Jonathan Carter (MBBS.), 2007-01-01 It is a practical, illustrated guide to the Foundation Programme, introduced throughout the UK to regulate and standardise the two-year training of newly qualified doctors. It provides specific information on how to apply for a Foundation post, the curriculum, assessment methods, and maintaining a portfolio, as well as reviewing the pros and cons of the various medical specialities which doctors can pursue after the Foundation years. The authors address issues of concern to all groups involved in the Foundation programme - trainees, trainers and senior doctors - and gives concrete examples of completed documentation and assessment. Helps UK and overseas doctors in choosing and applying for their Foundation Programme. Helps trainees and trainers understand the curriculum, the teaching and learning methods, and the use of the portfolio. Explains the various assessment procedures including the 'RITA' (Record of In-Training Assessment) and gives examples. Helps trainees manage their learning and pass their assessments. Informs trainers - including consultants ad GPs - about the purpose of the Foundation Programme and how to use the less-familiar assessment tools. |
4 pillars of nhs: Foundations for Operating Department Practice: Essential Theory for Practice Hannah Abbott, Helen Booth, 2024-03-07 “It is my belief that this book should be included on the reading list of all ODP programmes and Perioperative HEI Programmes.” John Dade RODP, PGCMedEd, Immediate Past President – The Association for Perioperative Practice “This book is suitable for both pre-registration learners and post registration practitioners to explore theory and concepts which are related directly to the role of the ODP and the broader scope of professional practice in contemporary healthcare.” Helen Lowes, National AHP Education and Training Lead for Operating Department Practitioners, NHS England, UK “This book is different to others, as it celebrates being an Operating Department Practitioner by staying focused on the things that matter to ODPs in providing patients with a high standard of safe and dignified care. Will be recommended to my Student ODPs!” John Tarrant, Senior Lecturer, Faculty of Health & Social Sciences, Bournemouth University, UK Written by Operating Department Practitioners (ODPs) for Operating Department Practitioners this book is key reading for all ODP students, qualified professionals, practitioners, theatre managers and even surgeons and anaesthetists who wish to better understand the modern role of the ODP. Thoroughly revised and updated, Foundations for Operating Department Practice, 2nd edition supports both pre- and post-registration ODPs throughout their academic studies and beyond in their professional careers, it covers: • Working in the Perioperative Team • Research and Evidence Based Practice • Patient Safety • Psychosocial Aspects of Operating Department Practice • Ethics and Legal Frameworks • Reflection, Leadership and Management • Professional Practice, Lifelong Learning and Continued Professional Development Each chapter gives examples of case studies and pedagogy designed to help ODP students see the relevance of these issues to their everyday practice and enhance learning and study. This book is the first of its kind to bring together the fundamental professional knowledge that supports and underpins the ODPs practice to enable them to deliver effective, compassionate and evidence-based care to the patient. Hannah Abbott is President of the College of Operating Department Practitioners (CODP) and an ODP with clinical and academic experience. She is currently Head of College of Health and Care Professions at Birmingham City University, UK. Helen Booth is an ODP with many years experience and was a former senior lecturer and specialised in bioethics. She is currently collaborating with the College of Operating Department Practitioners as a professional advisor and has been instrumental in driving the profession forward. |
4 pillars of nhs: The Appraiser's Handbook Nick Lyons, Susanne Caesar, Abayomi McEwen, 2006-12-20 This is an invaluable, detailed guide offering practical resources for medical professionals in the challenging role of appraiser. It assists with confidence, professionalism and competency and contains a comprehensive, up-to-date summary of the 'state of play' for appraising doctors. It also includes sample forms, contracts for guidance and links to web resources. The Appraiser's Handbook provides vital information for all those involved in continuing professional development in primary and secondary care. Appraisal leads and managers in primary and secondary care trusts will find it of great. |
4 pillars of nhs: Shaping Health Policy Mark Exworthy, 2012 This collection, written by leading health policy researchers, examines the role that case-studies play in British health policy, covering key health policy literatures in the policy process, analytical frameworks and seminal moments of the NHS. |
4 pillars of nhs: Legal Aid Lawyers and the Quest for Justice Daniel Newman, 2013-08-30 This book examines the state of access to criminal justice by considering the health of the lawyer-client relationship under legal aid. In the largest study of its kind for some two decades, ethnographic fieldwork is used to gain a fresh perspective upon the interaction that lies at the heart of the criminal justice system's equality of arms. The research produces two contradictory messages; in interview, lawyers claim a positive relationship with their clients while, under participant observation, there emerges quite the opposite. Paying more heed to what was seen than what was said, it is supposed that these lawyers were able to talk the talk but not walk the walk. The lawyers treat their clients with wanton disrespect; making fun of them, talking over them and pushing them to plead guilty – despite protestations to the contrary. The evidence is damning for this branch of the legal profession – and tragic for the clients who depend on them. What is responsible for this malaise...inadequate financial remuneration? Increased time pressures? Lapsed ethical training? Whatever the origin, this book is intended to show the profession that there is a problem – one that could get worse unless they choose to learn from the mistakes made by the lawyers in this study. |
4 pillars of nhs: Scott-Brown's Otorhinolaryngology and Head and Neck Surgery, Eighth Edition John Watkinson, Ray Clarke, 2018-07-17 Scott-Brown's Otorhinolaryngology is used the world over as the definitive reference for trainee ENT surgeons, audiologists and trainee head and neck surgeons, as well as specialists who need detailed, reliable and authoritative information on all aspects of ear, nose and throat disease and treatment. Key points: accompanied by a fully searchable electronic edition, making it more accessible, containing the same content as the print edition, with operative videos and references linked to Medline highly illustrated in colour throughout to aid understanding updated by an international team of editors and contributors evidence-based guidelines will help you in your clinical practice features include key points, best clinical practice guidelines, details of the search strategies used to prepare the material and suggestions for future research new Endocrine section. Scott-Brown will provide trainee surgeons (ENT and Head and Neck), audiologists and ENT physicians with quick access to relevant information about clinical conditions, and provide them with a starting point for further research. The accompanying electronic edition, enhanced with operative videos, will enable both easy reference and accessibility on the move. |
4 pillars of nhs: Scott-Brown's Otorhinolaryngology and Head and Neck Surgery John C Watkinson, Ray W Clarke, 2018-06-12 Available as a single volume and as part of the three volume set, Volume One of Scott-Brown's Otorhinolaryngology, Head and Neck Surgery 8e covers Basic Sciences, Endocrine Surgery, and Rhinology. With over 100 chapters and complemented by clear illustrations, the content focuses on evidence-based practice. Clinical coverage is further enhanced by a clear well designed colour page format to ensure easy learning and the esy assimilation of the most up to date material. Definitive coverage in a single volume, with e-version access included. |
4 pillars of nhs: Clinical Directorates in the Irish Health Service Yvonne O'Shea, 2009-11-16 The introduction in Ireland in 2008 of the clinical directorate model as the accepted method for the organisation of health services and the involvement of clinicians in the management of these services is one of the most significant developments to happen in the Irish health services in recent years. It poses major challenges for all clinical and medical professions. In Clinical Directorates in the Irish Health Services, Yvonne O'Shea explores the history and evolution of clinical directorates over the last thirty years in order to arrive at a deep understanding of the thinking behind them and the impact they are likely to have on Irish health services. Clinical Directorates in the Irish Health Services is about making the right choices in the management of health services. It suggests that the involvement of clinicians in management and in making decisions about how resources are used, in acute and primary settings, is the most efficient way to guarantee the effective use of resources and the safety of patients. Clinical Directorates in the Irish Health Services provides Irish clinical professionals with a resource to assist them in understanding the clinical directorate model and their own role within it. |
4 pillars of nhs: A Textbook of Children's and Young People's Nursing E-Book Edward Alan Glasper, James Richardson, 2010-05-19 This popular textbook is aimed at children’s nurses in a wide range of practice settings including primary, ambulatory, and tertiary care. Covering the full age and specialty spectrum this text brings together chapters from among the best-known children’s nurses in the UK. It describes family-centred child healthcare drawing upon practice throughout the UK and further afield. This innovative text provides up to date information on a wide range of topics. Each chapter offers readers additional material on Evolve. Full Microsoft PowerPoint presentations that facilitate interactive learning augment the written chapters and provide information not normally possible in a standard textbook e.g. colour photographs, video clips. Although intended for nurses the book adopts an interprofessional, problem-solving and reflective approach aimed at students, practitioners and child health educators. Material is offered from levels 1-3 and some of the ancillary material extends into the postgraduate arena. Each chapter offers readers additional material on an Evolve website. Full Microsoft PowerPoint presentations augment the written chapters and provide extra information that includes case studies, moving image, photographs and text. Aims, objectives, learning outcomes, a summary box in each chapter and key points assist learning and understanding Professional conversation boxes enliven the text on the page and make it more interesting to dip into Suggestions for seminar discussion topics to help teachers Case studies help to relate theory to practice Prompts to promote reflective practice Activity boxes/suggested visits Evidence based practice boxes which highlight key research studies, annotated bibliographies including details of web-sites and full contemporary references to the evidence base Resource lists including recommended web-site addresses New chapter on blood disorders of childhood. New material on caring for young people and transitions in care. More on childhood eczema, childhood and adolescent mental health, solid tumours of childhood. |
4 pillars of nhs: Journal of Interdisciplinary Science, Volume 4 Cheryl Hurkett, 2015-06-17 The Journal of Interdisciplinary Science Topics (JIST) forms part of the 'Interdisciplinary Research Journal' module in the third year of both the BSc and MSci Interdisciplinary Science degrees. It is intended to provide students with hands-on experience of, and insight into, the academic publishing process. The activity models the entire process from paper writing and submission, refereeing other students' papers, sitting on the editorial board that makes final decisions on the papers, to finally publishing in an online journal. This book is a compilation of the papers written by undergraduate students that were published during the 2014/2015 academic year. |
4 pillars of nhs: New Perspectives in Public Health Sian Griffiths, David J Hunter, 2017-11-22 The General Practice Jigsaw provides comprehensive and up-to-date information on the future of education training and professional development in general practice and primary care. It is an anthology of work produced by many of the leading figures in general practice across the United Kingdom. General practice now faces challenges that could be seen as threatening the way it traditionally operates but can also be seen as presenting opportunities. This book provides inspiration and guidance to its readers and fuel for the challenges ahead. It shares knowledge and best practice on education teaching and professional development drawing on examples from local regional and national projects. It is essential reading for general practitioners involved in education and training for everyone who needs to know how revalidation and professional development will influence them and for all members of primary health care teams who want to be involved in shaping the primary care organisations of the future. |
4 pillars of nhs: Stoma Care Specialist Nursing: A Guide for Clinical Practice Maddie White, Angie Perrin, 2023-03-01 This book provides specialist and general nurses with a comprehensive guide to the art and science of stoma care nursing, from the Association of Stoma Care Nurses UK, the only association for SCNs in UK. The chapters follow a schematic outline of knowledge required for nurses caring for patients who are undergoing stoma surgery; from the essence of nursing to the management of patients living with a long term condition. It also presents and discusses the issues surrounding the clinical picture such as prescription and community issues as well as sources of support available for patients. This text serves as an excellent resource for all disciplines of health care staff caring for individuals living with a stoma. |
4 pillars of nhs: Elgar Encyclopedia of Healthcare Management Federico Lega, 2023-08-14 Management practices within the healthcare sector are shaped by a multitude of professional, social, political and technical factors. This Elgar Encyclopedia of Healthcare Management provides clarity with holistic definitions and descriptions of essential healthcare systems, leadership and administration. Both engaging with new principles of care and existing themes within managerial practices, it offers a broad look into management within the ever-evolving sector. |
4 pillars of nhs: Crash Course Medical Ethics and Sociology Updated Edition - E-Book Andrew Papanikitas, 2015-01-12 Crash Course – your effective everyday study companion PLUS the perfect antidote for exam stress! Save time and be assured you have all the core information you need in one place to excel on your course and achieve exam success. A winning formula now for over 15 years, each volume has been fine-tuned and fully updated, with an improved layout tailored to make your life easier. Especially written by junior doctors – those who understand what is essential for exam success – with all information thoroughly checked and quality assured by expert Faculty Advisers, the result is a series of books which exactly meets your needs and you know you can trust. The importance of ethics and sociology as applied cannot be underestimated, within both the medical curriculum and everyday modern clinical practice. Medical students and junior doctors cannot hope to experience every dilemma first hand, but are expected to deal with new and problematic clinical situations in a reasoned, professional and systematic way. This volume, which accounts for the revised core curriculum in Medical Ethics and Law, will prove an indispensable companion. - More than 80 line artworks, tables and boxes present clinical, diagnostic and practical information in an easy-to-follow manner - Friendly and accessible approach to the subject makes learning especially easy - Written by junior doctors for students - authors who understand exam pressures - Contains 'Hints and Tips' boxes, and other useful aide-mémoires - Succinct coverage of the subject enables 'sharp focus' and efficient use of time during exam preparation - Contains a fully updated self-assessment section - ideal for honing exam skills and self-testing - Self-assessment section fully updated to reflect current exam requirements - Contains 'common exam pitfalls' as advised by faculty - Crash Courses also available electronically |
4 pillars of nhs: The Digital Transformation of the Healthcare System Katarzyna Kolasa, 2023-07-31 This book examines how the digital revolution has reorganized the model of healthcare during the COVID-19 pandemic and argues for a continued paradigm shift to digital healthcare. Katarzyna Kolasa sets the vision of healthcare 5.0 that relieves the burden on limited healthcare resources and creates better health outcomes by switching the focus from treatment to prediction and prevention. She advocates for a patient-centric ecosystem that empowers patients to take control of their health via new knowledge-based technologies such as next-generation sequencing (NGS), nanotechnology, artificial intelligence and digital therapeutics. Highlighting the mindset shift needed to transform healthcare and outlining in detail a futuristic vision of healthcare 5.0, this book will be of interest to academics and professionals of health policy, health economics and digital health. |
4 pillars of nhs: Global Medical Education in Normal and Challenging Times Shabih H. Zaidi, |
4 pillars of nhs: A Healthcare Students Introduction to Global Health Alison Fiander, |
4 pillars of nhs: A Handbook for Student Nurses, fourth edition Wendy Benbow, Gill Jordan, Anneyce Knight, Sara White, 2024-01-12 A Handbook for Student Nurses is widely recommended in institutions across the UK and is essential reading for new students. The book provides an introduction to the essential background knowledge that pre-registration nursing students need as a foundation for their training. This fourth edition has been thoroughly revised to reflect the new NMC standards of proficiency for registered nurses and the most recent update of the NMC Code. It incorporates the very latest developments in nurse education and in the health service. A Handbook for Student Nurses covers the core of first-year nursing studies: Practice supervision and assessment Communication Legal and professional issues Values, ethics and cultural awareness Reflection and personal development Quality care and evidence-based practice Study skills Public health and promoting health and wellbeing “An excellent introductory text for student nurses, written in a clear and illuminative style.” Lecturer, Adult Nursing |