The NHS Constitution for England > 자유게시판

• 목록
• 답변
• 글쓰기
• 게시판 리스트 옵션
  • 수정
  • 삭제

The NHS belongs to the individuals.

It exists to enhance our health and wellbeing, supporting us to keep mentally and physically well, to improve when we are ill and, when we can not totally recover, to stay as well as we can to the end of our lives. It operates at the limitations of science - bringing the greatest levels of human knowledge and skill to save lives and improve health. It touches our lives at times of standard human need, when care and empathy are what matter most.

The NHS is founded on a typical set of principles and worths that bind together the neighborhoods and people it serves - clients and public - and the personnel who work for it.

This Constitution establishes the concepts and values of the NHS in England. It sets out rights to which clients, public and staff are entitled, and pledges which the NHS is dedicated to attain, together with obligations, which the general public, clients and staff owe to one another to make sure that the NHS runs relatively and efficiently. The Secretary of State for Health, all NHS bodies, personal and voluntary sector service providers providing NHS services, and local authorities in the workout of their public health functions are needed by law to take account of this Constitution in their choices and actions. References in this file to the NHS and NHS services consist of local authority public health services, however referrals to NHS bodies do not consist of regional authorities. Where there are distinctions of detail these are discussed in the Handbook to the Constitution.

The Constitution will be restored every ten years, with the participation of the public, clients and personnel. It is accompanied by the Handbook to the NHS Constitution, to be renewed a minimum of every 3 years, setting out present assistance on the rights, promises, responsibilities and duties developed by the Constitution. These requirements for renewal are lawfully binding. They guarantee that the principles and values which underpin the NHS go through routine evaluation and re-commitment; and that any government which looks for to change the principles or values of the NHS, or the rights, promises, responsibilities and obligations set out in this Constitution, will have to engage in a complete and transparent debate with the public, patients and personnel.

Principles that direct the NHS

Seven key principles assist the NHS in all it does. They are underpinned by core NHS worths which have been derived from substantial conversations with staff, clients and the public. These worths are set out in the next section of this document.

1. The NHS supplies an extensive service, offered to all

It is offered to all regardless of gender, race, impairment, age, sexual orientation, religious beliefs, belief, gender reassignment, pregnancy and maternity or marital or civil collaboration status. The service is created to improve, prevent, diagnose and treat both physical and mental health issue with equal regard. It has a duty to each and every individual that it serves and must respect their human rights. At the same time, it has a wider social duty to promote equality through the services it supplies and to pay specific attention to groups or areas of society where improvements in health and life span are not equaling the rest of the population.

2. Access to NHS services is based on clinical need, not an individual's capability to pay

NHS services are complimentary of charge, other than in restricted situations sanctioned by Parliament.

3. The NHS aims to the greatest standards of excellence and professionalism

It offers high quality care that is safe, efficient and concentrated on client experience; in individuals it utilizes, and in the support, education, training and development they receive; in the leadership and management of its organisations; and through its dedication to innovation and to the promotion, conduct and usage of research study to enhance the existing and future health and care of the population. Respect, self-respect, empathy and care should be at the core of how patients and staff are treated not only because that is the right thing to do however because patient security, experience and outcomes are all improved when staff are valued, empowered and supported.

4. The patient will be at the heart of whatever the NHS does

It ought to support individuals to promote and handle their own health. NHS services must reflect, and ought to be coordinated around and customized to, the needs and choices of patients, their families and their carers. As part of this, the NHS will ensure that in line with the Army Covenant, those in the militaries, reservists, their families and veterans are not disadvantaged in accessing health services in the area they live. Patients, with their families and carers, where proper, will be associated with and spoken with on all choices about their care and treatment. The NHS will actively encourage feedback from the public, patients and staff, invite it and utilize it to improve its services.

5. The NHS works across organisational boundaries

It operates in collaboration with other organisations in the interest of clients, local communities and the larger population. The NHS is an integrated system of organisations and services bound together by the principles and worths reflected in the Constitution. The NHS is committed to working jointly with other local authority services, other public sector organisations and a wide variety of private and voluntary sector organisations to provide and provide enhancements in health and health and wellbeing.

6. The NHS is committed to offering finest worth for taxpayers' cash

It is committed to providing the most efficient, fair and sustainable usage of limited resources. Public funds for health care will be dedicated solely to the advantage of individuals that the NHS serves.

7. The NHS is liable to the general public, neighborhoods and clients that it serves

The NHS is a national service funded through national tax, and it is the government which sets the framework for the NHS and which is responsible to Parliament for its operation. However, the majority of choices in the NHS, especially those about the treatment of individuals and the comprehensive organisation of services, are rightly taken by the local NHS and by patients with their clinicians. The system of obligation and accountability for taking choices in the NHS should be transparent and clear to the public, patients and staff. The federal government will ensure that there is always a clear and current statement of NHS responsibility for this function.

NHS values

Patients, public and staff have actually assisted develop this expression of worths that motivate enthusiasm in the NHS which must underpin everything it does. Individual organisations will establish and develop upon these values, tailoring them to their regional requirements. The NHS worths offer typical ground for co-operation to accomplish shared goals, at all levels of the NHS.

Working together for clients

Patients come initially in whatever we do. We totally involve clients, staff, households, carers, communities, and specialists inside and outside the NHS. We put the needs of clients and communities before organisational limits. We speak up when things go wrong.

Respect and self-respect

We value every individual - whether client, their families or carers, or personnel - as an individual, respect their goals and commitments in life, and look for to understand their priorities, requirements, abilities and limitations. We take what others have to say seriously. We are sincere and open about our perspective and what we can and can not do.

Commitment to quality of care

We earn the trust put in us by demanding quality and striving to get the essentials of quality of care - security, effectiveness and patient experience - ideal every time. We encourage and welcome feedback from clients, households, carers, personnel and the public. We utilize this to enhance the care we supply and develop on our successes.

Compassion

We ensure that compassion is main to the care we provide and react with humankind and generosity to each person's pain, distress, stress and anxiety or requirement. We browse for the things we can do, nevertheless small, to provide comfort and relieve suffering. We find time for clients, their families and carers, in addition to those we work together with. We do not wait to be asked, because we care.

Improving lives

We aim to enhance health and wellness and individuals's experiences of the NHS. We treasure quality and professionalism wherever we find it - in the everyday things that make people's lives much better as much as in clinical practice, service enhancements and development. We acknowledge that all have a part to play in making ourselves, patients and our neighborhoods healthier.

Everyone counts

We increase our resources for the advantage of the entire community, and make certain nobody is excluded, victimized or left. We accept that some individuals require more aid, that hard choices have actually to be taken - which when we waste resources we squander opportunities for others.

Patients and the public: your rights and the NHS promises to you

Everyone who uses the NHS should comprehend what legal rights they have. For this reason, essential legal rights are summed up in this Constitution and explained in more information in the Handbook to the NHS Constitution, which also describes what you can do if you believe you have not gotten what is rightfully yours. This summary does not modify your legal rights.

The Constitution also consists of promises that the NHS is devoted to attain. Pledges go above and beyond legal rights. This indicates that promises are not lawfully binding but represent a commitment by the NHS to provide comprehensive high quality services.

Access to health services

You deserve to get NHS services free of charge, apart from certain minimal exceptions sanctioned by Parliament.

You deserve to gain access to NHS services. You will not be refused gain access to on unreasonable premises.

You have the right to get care and treatment that is proper to you, meets your needs and shows your choices.

You can anticipate your NHS to assess the health requirements of your community and to commission and put in location the services to meet those needs as thought about required, and when it comes to public health services commissioned by regional authorities, to take actions to improve the health of the regional community.

You can authorisation for scheduled treatment in the EU under the UK EU Trade and Cooperation Agreement where you meet the pertinent requirements.

You likewise deserve to authorisation for organized treatment in the EU, Norway, Iceland, Lichtenstein or Switzerland if you are covered by the Withdrawal Agreement and you fulfill the relevant requirements.

You have the right not to be unlawfully discriminated versus in the provision of NHS services consisting of on grounds of gender, race, impairment, age, sexual orientation, religious beliefs, belief, gender reassignment, pregnancy and maternity or marital or civil partnership status.

You can gain access to specific services commissioned by NHS bodies within optimum waiting times, or for the NHS to take all reasonable actions to offer you a range of suitable alternative providers if this is not possible. The waiting times are explained in the Handbook to the NHS Constitution

The NHS promises to:

- supply hassle-free, simple access to services within the waiting times set out in the Handbook to the NHS Constitution.
- make choices in a clear and transparent way, so that patients and the public can comprehend how services are prepared and delivered
- make the shift as smooth as possible when you are referred in between services, and to put you, your household and carers at the centre of decisions that impact you or them

Quality of care and environment

You deserve to be treated with a professional standard of care, by appropriately certified and experienced staff, in a properly approved or signed up organisation that satisfies required levels of security and quality.

You deserve to be cared for in a clean, safe, protected and ideal environment.

You have the right to get ideal and healthy food and hydration to sustain excellent health and health and wellbeing.

You deserve to expect NHS bodies to keep track of, and make efforts to improve continuously, the quality of health care they commission or offer. This includes improvements to the security, effectiveness and experience of services.

The NHS likewise vows to identify and share finest practice in quality of care and treatments.

Nationally approved treatments, drugs and programs

You can drugs and treatments that have been suggested by NICE for use in the NHS, if your medical professional says they are scientifically proper for you.

You deserve to anticipate regional decisions on funding of other drugs and treatments to be made reasonably following a proper consideration of the proof. If the regional NHS decides not to money a drug or treatment you and your doctor feel would be best for you, they will discuss that decision to you.

You can get the vaccinations that the Joint Committee on Vaccination and Immunisation advises that you ought to receive under an NHS-provided nationwide immunisation program.

NHS promise

The NHS also devotes to provide screening programmes as recommended by the UK National Screening Committee.

Respect, approval and confidentiality

You have the right to be treated with dignity and respect, in accordance with your human rights.

You can be protected from abuse and disregard, and care and treatment that is degrading.

You deserve to accept or refuse treatment that is offered to you, and not to be offered any health examination or treatment unless you have offered legitimate approval. If you do not have the capability to do so, permission must be acquired from a person legally able to act on your behalf, or the treatment needs to remain in your best interests.

You have the right to be provided information about the test and treatment choices available to you, what they include and their dangers and benefits.

You have the right of access to your own health records and to have any accurate mistakes corrected.

You deserve to privacy and confidentiality and to expect the NHS to keep your private info safe and safe.

You have the right to be informed about how your info is utilized.

You can request that your confidential information is not used beyond your own care and treatment and to have your objections thought about, and where your wishes can not be followed, to be informed the factors consisting of the legal basis.

The NHS also vows:

- to make sure those associated with your care and treatment have access to your health information so they can take care of you safely and effectively
- that if you are confessed to hospital, you will not need to share sleeping lodging with clients of the opposite sex, except where suitable, in line with information set out in the Handbook to the NHS Constitution
- to anonymise the info gathered during the course of your treatment and use it to support research and enhance look after others
- where identifiable details needs to be used, to give you the opportunity to object wherever possible
- to notify you of research studies in which you may be qualified to take part
- to show you any correspondence sent in between clinicians about your care

Informed option

You deserve to pick your GP practice, and to be accepted by that practice unless there are reasonable grounds to decline, in which case you will be notified of those reasons.

You deserve to reveal a preference for utilizing a particular physician within your GP practice, and for the practice to try to comply.

You have the right to transparent, available and equivalent information on the quality of local healthcare providers, and on outcomes, as compared to others nationally

You can choose about the services commissioned by NHS bodies and to information to support these choices. The choices available to you will develop in time and depend on your individual needs. Details are set out in the Handbook to the NHS Constitution.

- notify you about the healthcare services available to you, locally and nationally.
- offer you easily accessible, trusted and pertinent details in a kind you can understand, and assistance to use it. This will allow you to get involved fully in your own healthcare choices and to support you in making choices. This will consist of details on the variety and quality of clinical services where there is robust and precise info readily available

Involvement in your health care and the NHS

You can be associated with planning and making choices about your health and care with your care service provider or service providers, including your end of life care, and to be provided details and support to allow you to do this. Where proper, this right includes your household and carers. This consists of being provided the opportunity to handle your own care and treatment, if suitable.

You deserve to an open and transparent relationship with the organisation offering your care. You must be outlined any safety incident associating with your care which, in the opinion of a health care expert, has triggered, or might still trigger, considerable damage or death. You need to be provided the truths, an apology, and any reasonable support you require.

You can be involved, directly or through agents, in the planning of healthcare services commissioned by NHS bodies, the advancement and consideration of proposals for changes in the way those services are provided, and in decisions to be made affecting the operation of those services

- provide you with the info and support you require to affect and scrutinise the preparation and delivery of NHS services.
- operate in collaboration with you, your family, carers and agents
- include you in discussions about planning your care and to provide you a composed record of what is agreed if you desire one
- motivate and invite feedback on your health and care experiences and utilize this to improve services

Complaint and redress

See the NHS site for info on how to make a problem and other ways to provide feedback on NHS services.

You deserve to have any grievance you make about NHS services acknowledged within 3 working days and to have it properly examined.

You have the right to discuss the way in which the complaint is to be managed, and to understand the period within which the examination is likely to be finished and the action sent.

You can be kept informed of progress and to understand the result of any investigation into your complaint, consisting of a description of the conclusions and confirmation that any action required in consequence of the grievance has actually been taken or is proposed to be taken.

You deserve to take your problem to the independent Parliamentary and Health Service Ombudsman or City Government Ombudsman, if you are not pleased with the method your grievance has actually been handled by the NHS.

You have the right to make a claim for judicial evaluation if you think you have been straight affected by an unlawful act or choice of an NHS body or regional authority.

You have the right to settlement where you have actually been harmed by irresponsible treatment

The NHS also vows to:

- ensure that you are treated with courtesy and you get appropriate support throughout the handling of a complaint; which the fact that you have actually complained will not adversely impact your future treatment.
- ensure that when mistakes happen or if you are damaged while getting healthcare you get a proper explanation and apology, delivered with level of sensitivity and acknowledgment of the injury you have actually experienced, and understand that lessons will be discovered to assist avoid a comparable event happening once again
- guarantee that the organisation finds out lessons from problems and claims and utilizes these to enhance NHS services

and the general public: your duties

The NHS comes from all of us. There are things that we can all provide for ourselves and for one another to assist it work effectively, and to ensure resources are utilized properly.

Please identify that you can make a considerable contribution to your own, and your family's, health and health and wellbeing, and take personal duty for it.

Please sign up with a GP practice - the primary point of access to NHS care as commissioned by NHS bodies.

Please deal with NHS staff and other patients with respect and identify that violence, or the triggering of nuisance or disruption on NHS facilities, could result in prosecution. You should recognise that abusive and violent behaviour might result in you being declined access to NHS services.

Please supply precise information about your health, condition and status.

Please keep consultations, or cancel within reasonable time. Receiving treatment within the maximum waiting times might be compromised unless you do.

Please follow the course of treatment which you have concurred, and speak to your clinician if you find this hard.

Please take part in crucial public health programmes such as vaccination.

Please ensure that those closest to you understand your desires about organ donation.

Please offer feedback - both favorable and negative - about your experiences and the treatment and care you have actually gotten, consisting of any adverse reactions you may have had. You can typically offer feedback anonymously and giving feedback will not impact adversely your care or how you are treated. If a member of the family or somebody you are a carer for is a client and not able to offer feedback, you are motivated to give feedback about their experiences on their behalf. Feedback will assist to improve NHS services for all.

Staff: your rights and NHS promises to you

It is the commitment, professionalism and devotion of staff working for the advantage of individuals the NHS serves which actually make the difference. High-quality care needs premium workplaces, with commissioners and suppliers aiming to be employers of option.

All staff should have gratifying and worthwhile jobs, with the liberty and confidence to act in the interest of clients. To do this, they need to be trusted, actively listened to and supplied with significant feedback. They need to be treated with regard at work, have the tools, training and support to provide thoughtful care, and opportunities to establish and progress. Care specialists should be supported to maximise the time they spend straight adding to the care of patients.

The Constitution uses to all staff, doing clinical or non-clinical NHS work - including public health - and their companies. It covers personnel anywhere they are working, whether in public, private or voluntary sector organisations.

Your rights

Staff have comprehensive legal rights, embodied in basic work and discrimination law. These are summed up in the Handbook to the NHS Constitution. In addition, private agreements of employment consist of terms giving staff further rights.

The rights exist to help make sure that personnel:

- have a great working environment with versatile working opportunities, constant with the needs of clients and with the manner in which individuals live their lives
- have a reasonable pay and contract structure
- can be involved and represented in the workplace
- have healthy and safe working conditions and an environment totally free from harassment, bullying or violence
- are treated fairly, equally and devoid of discrimination
- can in particular circumstances take a grievance about their employer to an Employment Tribunal
- can raise any interest in their employer, whether it is about security, malpractice or other threat, in the public interest.

NHS pledges

In addition to these legal rights, there are a number of promises, which the NHS is devoted to accomplish. Pledges go above and beyond your legal rights. This suggests that they are not legally binding however represent a commitment by the NHS to offer premium workplace for personnel.