Friday, March 29, 2019

Development of Health Care Strategies and Policy in the UK

Development of wellness C ar Strategies and indemnity in the UK wellness and Social polityIntroductionIn this claim we will discuss the wellness cargon plans and objectives, beginning with the definition of wellness and an analysis of the Constitution of the World wellness constitution highlighting which be the areas of wellness handle polity that seems to ready received greatest attention. Health relates to physical and emotional well being and this is emphasized even elevate in the British idea of a upbeat state were health relates to sociable polity and serves as one of the most important areas of political concerns. The health business organization sector of the UK regime represented by the NHS and incision of health is discussed extensively with health give care programs, per versionances of change inwardly the health care settings, modernization, collaborative meets commencees and a habitual profit of health care run being emphasized as essential to actualisation of a successful health care constitution in the UK. We likewise discuss obesity and smoking related problems deep down this general setting of health care and neighborly polity to show how polices or administrative aspects are related to health care operate effectuation in generalDefining Health and HealthcareThe World Health Organization defines Health as a state of complete intellectual, physical and accessible well-being and not just a condition free from disorder and abnormality. The Constitution of the WHO is given as follows Source WHO constitution, 2005THE STATES Parties to this Constitution declare, in accord with the Charter of the United Nations, that the following principles are basic to the happiness, harmonious relations and security of in all citizenrysHealth is a state of complete physical, mental and well-disposed well-being and not merely the absence of disease or infirmity.The enjoyment of the highest attainable timeworn of health is one of the fundamental the right shipway of every human being with out distinction of race, religion, and political belief, economic or social condition.The health of all peoples is fundamental to the attainment of peace and security and is certified upon the fullest co-operation of individuals and States.The achievement of any State in the forwarding and protection of health is of value to all.Unequal development in varied countries in the promotion of health and overlook of disease, especially communicable disease, is a common danger. wholesome development of the child is of basic importance the office to live harmoniously in a changing total environs is essential to much(prenominal) development.The extension to all peoples of the bene pictures of medical, psychological and related knowledge is essential to the fullest attainment of health.Informed opinion and active co-operation on the part of the public are of the utmost importance in the benefit of the health of t he people.Governments adjudge a responsibility for the health of their peoples, which terminate be fulfilled only by the pro day-dream of adequate health and social measures.Worldwide Health PoliciesThe legislative and administrative measures on health policy within the divisions of WHO are carried out by Health Policy Analysis programme (HPA) which is now to the full integrated into that of the europiuman Observatory on Health Systems and Policies. Among the Health policies, the Health Impact Assessment (HIA) program adopted by the WHO is a major opportunity to integrate health concerns into all otherwise related policies. HIA influences the decision- devising process, and addresses all determinants of health, providing a bran- freshly direction for federation and empowerment in health related issues and decisions. The overall aim of health policies is to track the function of HIA and to mensurate its effectiveness identifying what are the factors that can care in succ essful slaying. on with the Health daze assessment which serves as a decision making tool, the health quarrys are instruments that can facilitate achievement of plastered health policies as they represent commitments of reaching or fulfilling specified outcomes in health care objectives within a defined time frame. Health targets put one over been identified by the member states of the WHO European Union and OECD countries as tools for twain policy formulation and implementation. Health targets have been the focus of several health related discussions and have contributed substantially to national and sub-national health polices (WHO report on Health Policy, 2005). In order to maintain the effectiveness of health target programs and health impact assessment, the European Observatory on Health Systems and Policies launched a three year multi-country send on the effectiveness of HIA in terrific 2004, and this was co-funded by the European Commission under the Public Health Pro gramme. As far as the WHO Environmental Health Policy is concerned, most European countries have addressed national health policies through the national environment and health exertion plans (NEHAPs). The WHO reports that Poor environmental quality contributes to 25 -33% of world(a) ill health. Environmental health policy involves collaborative working different sectors and ministries, and the policy-making procedure itself involves legion(predicate) stakeh sr.s in the phases of planning and consultation (WHO report, 2005). superstar of the important health policies is the shew on health exigencys and interventions (ENI) Programme at the WHO Europe committee which helps assure staff and programmes which uses available shew in providing advice and recommendations to member states. One of the goals of WHO is to ensure that there is a bond in the midst of potential interventions programmes or policies and improvements in public health for the first-string areas of advice and re commendations. The ENI programme is an important part of the European Advisory Committee on Health Research (EACHR)and is a division of the WHO advisory mechanism on health research, the primary share of which is to advise the WHO regional director for Europe on priorities and policies for development of research. WHO/Europe defines evidence as followsfindings from research and other knowledge that may serve as a useful foot for decision-making in public health and health care. (WHO report, 2005)The ENI policy makes WHO/Europe responsible toWHOs Member Statesas WHO is expected to make use of best available evidence to add advice and recommendations for health policies to member states and it would be unethical if WHPO could not confine up to the contractment.Health and Social Policy in the UKA Policy has been defined asThe process by which governments translate their political vision into programmes and actions to deliver outcomes desired changes in the real worldModernizing Government albumen Paper (2001) See DH report 2005, Health PolicyA more than working definition for policy is as followsA course of action with general applicability, requiring agreement at ministerial or top of the representation level( professoressor Mike Richards 2003) See DH report 2005, Health PolicyThe plane section of Health suggests a Policy is usually developed within abstruse systems and with many deadlines and pressures the DH Policy collaborative is a unique collaborative approach in which health professionals and administrators collect to work within the constraints of this restrictive and labyrinthian health environment and despite this be able produce benefits to the teams involved. In this period when the part of Health (DH) is undergoing major organizational changes the Policy Collaborative complements the downsides of organizational change through promoting accomplishment of new and innovative ways of addressing health issues.With public demands up for a faster and better NHS and social service, and for improved levels of public safety, the health department is working towards developing the right leadership for the whole healthcare system and excessively to secure delivery (Stephens 2004 Castledine 2004).The different health policy teams involved in health care implementation plans in different departments and their foci of work are given beneathSource DH report on Health Policy, 2005Policy teams involved in phase 1 of the DH Policy CollaborativePolicy team boil down of the work as part of the CollaborativeEnvisaged distinctive learning transplanting teamPolicy regarding tissue banking and the development of EU legislationworks with the NHS and other stakeholders on a high-risk, esoteric issue with a European dimensionCancer teamThe introduction of the NHS Bowel Cancer book binding ProgrammeDeveloping a bowel cancer programme fit for implementation, whilst taking account of the issues for symptomatic servicesOlder peoples NHS/ social care policy teams and work force teamTo ensure the availableness of an integrated health and social care workforce to help older people to maintain their independenceIntegration of workforce and service policy making and health and social care expertiseNHS Standards teamThe readying and publishing of statements of standards in relation to the render of healthcare by and for face NHS bodies and cross-border SHAsPolicy making around a bright idea with imperative deadlines and devil in the detail at heart the UK the NHS and Department of Health including the NHS executive director set a national framework within which healthcare services are delivered and implemented. The health department uses several different policy measures and tools such(prenominal) as legislation, circulars and guidance, corporate contracts, financial levers and review meetings. Many national level departments and organizations such as the Audit Commission, Clinical Standards Advisory Group, parliamen tary committees, the empurpled colleges and specialist associations, and the Mental Health Act Commission have an impact on research implementation (Klein 1989). As the DH reports, policy measures can have unanticipated consequences and can conflict with policy goals and their may be many obstacles to evidence found get along. There is a growing awareness for the need to identify solutions to problems within the NHS ad health policy initiatives and certain reforms on evidence based care also need evaluation.The aims of the DH policy for improvement of healthcare services are given as follows (DH report on Health Policy, 2005) To support the policy teams in reaching their objectives set within a specified time period To include wider stakeholder involvement in the process of developing health policy further To make implementation the primary measure of the DH policy making process To help project teams and wider stakeholders with handling of issues relating to implementation throu ghout the policy development process. To ensure a coherent, integrated set of policies supporting an agreed strategy. To take learning and experiences from the policy implementation programme and use that learning to develop an improved policy development and precaution process To improve ways of working and learning from experiences within DH To be informed of the policy management toolkit To involve participation and support of colleagues in managing change in policies within the DH To develop measures that can demonstrate real progress of the Excellence in Policy qualification criteria set out in the NHS management objective. To give time for productive thinking and implementation of policies, testing small changes, using examples of best practice and achievement To be brave in testing new ways of working and striving for excellence in policy making and repugn the status quo. To take measured risks in the quest for continuous improvement in policies and to achieve an excellen t policy.Health policy within the UK is embodied within the concept of a British welfare State. The concept of a welfare state refers to government policies and objectives that strive for an ideal model of provision where the state accepts responsibility for providing comprehensive welfare in all areas to its citizens (Brown, 1995). Within the UK, the idea of a welfare state suggests government objective to provide its citizens with guaranteed minimum income, social protection and provision of healthcare and other services at the best possible level. The health care sector of the UK government is largely controlled by the Department of Health with the policy decisions taken by the DH and implemented in association with the NHS. The depict elements considered within a welfare state framework are Health, Housing, Welfare, Employment and Social Security.Healthcare centering in the UK Evidence and StudiesEccles et al (2005) suggested behavioral changes of health care professionals a s an important factor of policy implementation. They write that routine healthcare is a haphazard and unpredictable process and the usefulness of results of implementation is quite limited. Their study explored the role of a theory based framework and suggests that some methods that could be used to operationalize the framework in the context of designing and conducting interventions which are aimed at improving the use of research findings by individual healthcare professionals or teams. This particular research aims o understand the importance of theory based research of health care services and emphasize on the role of behaviors and attitudes of health care professionals in successful implementation of health care plans.Cauchi (2005) highlights the challenges of integrated governance in the NHS with emphasis on collaborative and multi-agency working beginning from April 2005 and this according to him poses a challenge for all medical force play with the nurses being given a lead ing and more responsible role in the management of clinical cases.Glen (2004) offers a wide ranging analysis and interrogation of roles of professionals in the medical, nursing and healthcare sectors. Glen suggests that a coherent vision of the time to come is needed to shape the upcoming of the health workforce and also argues that this requires paltry beyond the presumption that medical reforms are primarily focused on shifting the responsibilities of doctors on to the nurses. The paper claims that the implications of changes in health care roles and the ability of existing professionals to function effectively in the future will require grooming, training and human resource investments which are supportive of these changes implied. The need to have a clear definition of competence and a national standard to practice has been recognized as essential especially as nurses work in acute deprecative care settings. A correlation between levels of practice, education ad remuneratio n has been suggested as important in management of health care. The author suggests that educational programmes for senior nurses should be in gluiness with educational programmes required for modernizing medical careers. The paper also suggests that the NHS modernization docket and governments health services improvement require certain changes within the culture at higher educational institutions, professional organizations, workforce development agencies and NHS trusts.The NHS healthcare policy on obesity have make several suggestion on whether junk diet advertisements should be prohibited (Patchell and Paterson 2004) to spreading awareness on the need to have a balance diet ( bell, 2005). A balanced brawny diet cuts down on risks of obesity, diabetes and heart diseases and keeps the citizens healthy and active if it is also combined with a healthy and active lifestyle and this approach has been taken up by the Department of Health to promote awareness and reduce health probl ems.For reducing other problems such as smoking, several measures have been taken up by the DH and NHS and these policies and initiatives range from community interventions using co-ordinated, widespread, multi-component programmes to try and influence behavior that would help in preventing smoking in young adults (Sowden et al., 2003) to effectively addressing tobacco control within health promoting NHS trusts as part of its network of health promoting hospitals (HPH) (Quinn et al, 2001). oddmentIn this paper approached the problem of health and health care implementation program using worldwide and British perspectives of welfare and discussed related social policies and plans for implementation of these policies. We discussed in brief, the objectives of the WHO and the NHS, the different departments involved in a new collaborative framework of healthcare within the NHS, the aims of health care policy and the associated problems and obstacles in implementation of these policies. I n this context we discussed specific cases of health care policies related to two major problems of obesity and smoking. We suggested along with evidential studies that maintaining modernized health care services and collaborative approach in the NHS are key elements of future health care improvement plan and also involve promoting awareness of the needs of an active and healthy lifestyle in individuals. Thus along with governmental efforts, individual awareness are key to better health and future well being and seem to form an obvious part of social policy.BibliographyAnnandale, Ellen.The sociology of health and medicine a decisive introduction /Ellen Annandale.Cambridge Polity Press,1998.Brown, John,The British welfare state a critical history /John Brown.Oxford desolatewell,1995.Inequalities in health the Black report /Sir Douglas Black et al. edited and with an introduction by Peter Townsend and Nick Davidson.Harmondsworth Penguin,1982, c1980.Checkland K, Harrison S.Policy im plementation in practice the case of national service frameworks in general practice. J Tissue Viability. 2004 Oct14(4)133-6.Castledine G.A nursing perspective on the new plan for the NHS. Br J Nurs. 2004 Aug 12- family line 813(15)926.Cauchi S.Integrated governance is this the future? Prof Nurse. 2005 Mar20(7)53-5.Eccles M, Grimshaw J, Walker A, Johnston M, Pitts N.Changing the behavior of healthcare professionals the use of theory in promoting the uptake of research findings. J Clin Epidemiol. 2005 Feb58(2)107-12.Glen S.Healthcare reforms implications for the education and training of acute and critical care nurses. Postgrad Med J. 2004 Dec80(950)706-10.Ham C J (1992). Health policy in Britain. Macmillan, capital of the United KingdomHayes J. period to change. Nurs Stand. 2005 Feb 23-Mar 119(24)78.Klein R E (1989).The politics of the NHS. Longman, LondonDilemmas in UK health care /edited by Carol Komaromy3rd ed.Buckingham Open University Press,2001.Health and disease series bk. 7P revious ed. 1993.Lea, Ruth,Healthcare in the UK the need for reform IOD policy paper /Ruth Lea.London Institute of Directors,2000.Price S.Understanding the importance to health of a balanced diet. Nurs Times. 2005 Jan 4-10101(1)30-1.Patchell C, Paterson M.Should junk food advertisements be banned? Nurs Times. 2004 Jan 20-26100(3)19.Quinn J, Sengupta S, Cleary H.The challenge of effectively addressing tobacco control within a health promoting NHS Trust. Patient Educ Couns. 2001 Dec 1545(4)255-9.Sowden A, Arblaster L, Stead L. residential district interventions for preventing smoking in young people. Cochrane Database Syst Rev. 2003(1)CD001291.Stephens R.A new era of health care. Nurs Manag (Harrow). 2004 Sep11(5)12-3.Stevens S.Reform strategies for the English NHS. Health Aff (Millwood). 2004 whitethorn-Jun23(3)37-44.Taylor RT.Effecting change in the NHS. Hosp Med. 2004 Sep65(9)568.Turner JJ.The GMC expediency before principle GMC reforms may damage the NHS. BMJ. 2005 Jan 29330(7485 )252 discussion 254.Timmins, Nicholas.The five giants a biography of the Welfare State /Nicholas Timmins.London HarperCollins,1995.Ujah EU, Bradshaw L, Fishwick D, Curran AD.An evaluation of occupational health services within the NHS in London. Occup Med (Lond). 2004 May54(3)159-64.Wilson T, Buck D, Ham C.Rising to the challenge will the NHS support people with long term conditions? BMJ. 2005 Mar 19330(7492)657-61. Review.Webster J.Leading the switch to patient-centred care. Prof Nurse. 2004 Oct20(2)20-1.Websiteswww.who.orghttp//www.euro.who.int/healthtopics/HT2ndLvlPage?HTCode=health_policywww.nhs.ukwww.dh.gov.uk for DH reportshttp//www.dh.gov.uk/PolicyAndGuidance/HealthAndSocialCareTopics/MentalHealth/MentalHealthList/fs/en?CONTENT_ID=4031694chk=87%2BXMM

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