NHS in Scotland
The Scottish Parliament sets the legislative framework for the NHS in Scotland.
The Scottish government decides on the level of resources to be devoted to the
NHS. The system is overseen by the Scottish Cabinet Secretary for Health
and Wellbeing who is also the Chief Executive of NHS Scotland. The Cabinet
Secretary is supported by the Scottish government Health and Social Care
Directorates, which provide strategic leadership for public health, the NHS
and social care.
Planning and delivery functions are delegated to 14 regional NHS Boards;
they plan and commission hospital and community health services. In addition,
seven national (“special”) NHS Boards provide national services. Boards work
together regionally and nationally to plan and commission specialist health care
services such as heart and lung surgery, neurosurgery and forensic psychiatric
care. Healthcare Improvement Scotland provides scrutiny and public assurance
of health services.
At local level, there are community health partnerships or community
health and social care partnerships covering all areas of Scotland. These are
committees of NHS Boards and have formal structures that ensure close
involvement of local authorities, patients and the public.
In 2014 the Scottish Parliament passed the Public Bodies (Joint Working)
Act, which puts in place the framework for integrating health and social care
in Scotland (Scottish Government, 2015). It requires health boards and local
authorities to establish integrated partnership arrangements. Integrated Joint
Boards are being established, which will hold an integrated budget for both
health and social care; from April 2016 these boards should have overall
responsibility for the planning, resourcing and delivery of all integrated health
and social care services.
NHS in Wales
The Welsh government, through its Department for Health and Social Services,
funds the NHS in Wales. It leads on the development of policy and strategy for
improving health, social care and public health. The Minister for Health and
Health systems in transition United Kingdom 21
Social Services holds overall responsibility for health and social services, and is
accountable for the performance of the NHS in Wales to the National Assembly
for Wales. The Director General, Health & Social Services within the Welsh
government is also Chief Executive of the NHS in Wales; s/he is accountable to
the Minister for Health and Social Services, and is responsible for providing the
minister with policy advice and exercising strategic leadership and management
of the NHS. The planning and delivery of health care services is delegated
to seven Local Health Boards (LHBs), and their chief executives are directly
accountable to the Chief Executive. In addition, there are three NHS Trusts
with an all-Wales focus offering emergency services and specialist services in
cancer care, as well as the newly established Public Health Wales. The interests
of patients and the wider public are represented by seven statutory Community
Health Councils, which provide an independent “watchdog” function on all
aspects of NHS care and treatment.
NHS Wales is supported by the NHS Wales Shared Services Partnership
(NWSSP), which was launched in 2011 and which seeks to support the
statutory bodies such as LHBs and NHS Trusts through the standardization
and streamlining of processes, use of technology and enhancing supply chain
and procurement functions. The Healthcare Inspectorate Wales (HIW) is the
independent inspectorate and regulator of all health care in Wales.
Health and Social Care in Northern Ireland
The Minister of Health oversees the Department of Health, Social Services
and Public Safety of Northern Ireland (DHSSPS), which is responsible for
policy, public health and public safety. The Health and Social Care Board
(after consulting the Public Health Agency) commissions care along with
the local commissioning groups (LCGs), although the small size of the local
commissioning groups means that the Health and Social Care Board and
Health and Social Care trusts end up taking on a lot of the responsibility of
commissioning and delivering care.
النتائج (
العربية) 1:
[نسخ]نسخ!
دائرة الصحة الوطنية في اسكتلنداالبرلمان اﻻسكتلندي يحدد الإطار التشريعي لدائرة الصحة الوطنية في اسكتلندا.تقرر الحكومة الاسكتلندية في مستوى الموارد لتكون مكرسةدائرة الصحة الوطنية. الإشراف على النظام بأمين مجلس الوزراء اﻻسكتلندي للصحةوالعافية وهو أيضا "الرئيس التنفيذي في اسكتلندا دائرة الصحة الوطنية". مجلس الوزراءأمين معتمد من قبل الحكومة الاسكتلندية الصحة و "الرعاية الاجتماعية"المديريات التي توفر القيادة الاستراتيجية للصحة العامة والمستشفيات العامةوالرعاية الاجتماعية.تفويض مهام تخطيط وإنجاز 14 مجالس الصحة الإقليمية؛أنها خطة ولجنة الخدمات الصحية المستشفى والمجتمع. بالإضافةسبعة "مجالس المستشفيات العامة" ("الخاصة") الوطنية تقديم الخدمات الوطنية. عمل المجالسمعا إقليمياً ووطنياً اللجنة وخطة الرعاية الصحية المتخصصةخدمات مثل القلب والرئة الجراحة، وجراحة الأعصاب والطب الشرعي النفسيالرعاية. يوفر الرعاية الصحية "تحسنا اسكتلندا" التمحيص والضمانات العامةمن الخدمات الصحية.وعلى الصعيد المحلي، وهناك شراكات صحة المجتمع المحلي أو المجتمعالصحة والرعاية الاجتماعية شراكات تغطي جميع المناطق في اسكتلندا. وهذهلجان المجالس "دائرة الصحة الوطنية"، وهياكل رسمية تكفل إغلاقإشراك السلطات المحلية والمرضى والجمهور.أقر "البرلمان اﻻسكتلندي" في عام 2014 "الهيئات العامة" (العمل المشترك)القانون الذي يضع إطارا لإدماج الصحة والرعاية الاجتماعيةفي اسكتلندا (الحكومة الاسكتلندية، عام 2015). فهو يتطلب المجالس الصحية والمحليةauthorities to establish integrated partnership arrangements. Integrated JointBoards are being established, which will hold an integrated budget for bothhealth and social care; from April 2016 these boards should have overallresponsibility for the planning, resourcing and delivery of all integrated healthand social care services.NHS in WalesThe Welsh government, through its Department for Health and Social Services,funds the NHS in Wales. It leads on the development of policy and strategy forimproving health, social care and public health. The Minister for Health and Health systems in transition United Kingdom 21Social Services holds overall responsibility for health and social services, and isaccountable for the performance of the NHS in Wales to the National Assemblyfor Wales. The Director General, Health & Social Services within the Welshgovernment is also Chief Executive of the NHS in Wales; s/he is accountable tothe Minister for Health and Social Services, and is responsible for providing theminister with policy advice and exercising strategic leadership and managementof the NHS. The planning and delivery of health care services is delegatedto seven Local Health Boards (LHBs), and their chief executives are directlyaccountable to the Chief Executive. In addition, there are three NHS Trustswith an all-Wales focus offering emergency services and specialist services incancer care, as well as the newly established Public Health Wales. The interestsof patients and the wider public are represented by seven statutory CommunityHealth Councils, which provide an independent “watchdog” function on allaspects of NHS care and treatment.NHS Wales is supported by the NHS Wales Shared Services Partnership(NWSSP), which was launched in 2011 and which seeks to support thestatutory bodies such as LHBs and NHS Trusts through the standardizationand streamlining of processes, use of technology and enhancing supply chainand procurement functions. The Healthcare Inspectorate Wales (HIW) is theindependent inspectorate and regulator of all health care in Wales.Health and Social Care in Northern IrelandThe Minister of Health oversees the Department of Health, Social Servicesand Public Safety of Northern Ireland (DHSSPS), which is responsible forpolicy, public health and public safety. The Health and Social Care Board(after consulting the Public Health Agency) commissions care along withthe local commissioning groups (LCGs), although the small size of the localcommissioning groups means that the Health and Social Care Board andHealth and Social Care trusts end up taking on a lot of the responsibility ofcommissioning and delivering care.
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