The NHS Constitution for England > 자유게시판

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

The NHS belongs to individuals.

It is there to improve our health and wellbeing, supporting us to keep psychologically and physically well, to get better when we are ill and, when we can not completely recover, to remain as well as we can to the end of our lives. It operates at the limits of science - bringing the highest levels of human understanding and ability to conserve lives and enhance health. It touches our lives at times of fundamental human requirement, when care and compassion are what matter most.

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

This Constitution develops the principles and worths of the NHS in England. It sets out rights to which clients, public and personnel are entitled, and pledges which the NHS is committed to achieve, together with responsibilities, which the public, patients and staff owe to one another to make sure that the NHS runs fairly and effectively. The Secretary of State for Health, all NHS bodies, personal and voluntary sector companies supplying NHS services, and regional authorities in the exercise of their public health functions are needed by law to take account of this Constitution in their choices and actions. References in this document 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 explained in the Handbook to the Constitution.

The Constitution will be renewed every 10 years, with the participation of the general public, patients and staff. It is accompanied by the Handbook to the NHS Constitution, to be renewed a minimum of every 3 years, setting out current guidance on the rights, pledges, responsibilities and obligations developed by the Constitution. These requirements for renewal are lawfully binding. They guarantee that the principles and worths which underpin the NHS go through routine review and re-commitment; which any government which looks for to modify the concepts or values of the NHS, or the rights, pledges, tasks and duties set out in this Constitution, will need to participate in a full and transparent debate with the general public, clients and personnel.

Principles that guide the NHS

Seven key concepts direct the NHS in all it does. They are underpinned by core NHS values which have been stemmed from substantial conversations with personnel, patients and the general public. These values are set out in the next area of this document.

1. The NHS offers a comprehensive service, readily available to all

It is readily available to all irrespective of gender, race, impairment, age, sexual preference, religion, belief, gender reassignment, pregnancy and maternity or marital or civil partnership status. The service is created to enhance, avoid, detect and deal with both physical and psychological illness with equivalent regard. It has a responsibility to each and every individual that it serves and need to respect their human rights. At the very same time, it has a broader social task to promote equality through the services it supplies and to pay particular attention to groups or areas of society where improvements in health and life span are not keeping pace with the rest of the population.

2. Access to NHS services is based upon scientific requirement, not a person's capability to pay

NHS services are totally free of charge, other than in minimal circumstances sanctioned by Parliament.

3. The NHS aspires to the highest standards of excellence and professionalism

It offers high quality care that is safe, reliable and concentrated on client experience; in individuals it uses, and in the assistance, education, training and advancement they get; in the management and management of its organisations; and through its dedication to development 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, compassion and care should be at the core of how patients and staff are treated not only since that is the ideal thing to do however since client safety, experience and results are all improved when personnel are valued, empowered and supported.

4. The client will be at the heart of everything the NHS does

It ought to support individuals to promote and manage their own health. NHS services must reflect, and need to be collaborated around and customized to, the requirements and choices of patients, their families and their carers. As part of this, the NHS will guarantee 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 sought advice from on all decisions about their care and treatment. The NHS will actively motivate feedback from the general public, patients and staff, welcome it and utilize it to enhance its services.

5. The NHS works across organisational limits

It operates in partnership with other organisations in the interest of clients, local communities and the broader population. The NHS is an integrated system of organisations and services bound together by the concepts and worths shown in the . The NHS is dedicated to working jointly with other local authority services, other public sector organisations and a broad variety of private and voluntary sector organisations to supply and provide improvements in health and health and wellbeing.

6. The NHS is dedicated to offering best value for taxpayers' money

It is dedicated to providing the most reliable, reasonable and sustainable usage of finite resources. Public funds for healthcare will be dedicated entirely to the benefit of individuals that the NHS serves.

7. The NHS is responsible to the public, communities and patients that it serves

The NHS is a nationwide service moneyed through nationwide tax, and it is the federal government which sets the structure for the NHS and which is responsible to Parliament for its operation. However, most decisions in the NHS, especially those about the treatment of people and the in-depth organisation of services, are appropriately taken by the local NHS and by patients with their clinicians. The system of duty and responsibility for taking choices in the NHS should be transparent and clear to the public, clients and personnel. The federal government will make sure that there is constantly a clear and current declaration of NHS responsibility for this function.

NHS values

Patients, public and personnel have actually assisted develop this expression of values that inspire passion in the NHS and that need to underpin everything it does. Individual organisations will develop and build on these values, customizing them to their local needs. The NHS worths offer typical ground for co-operation to achieve shared aspirations, at all levels of the NHS.

Working together for clients

Patients come first in everything we do. We completely include patients, personnel, households, carers, neighborhoods, and professionals inside and outside the NHS. We put the needs of patients and neighborhoods before organisational borders. We speak up when things fail.

Respect and dignity

We value every individual - whether patient, their households or carers, or staff - as an individual, regard their goals and commitments in life, and look for to understand their top priorities, requirements, abilities and limitations. We take what others need to say seriously. We are honest and open about our viewpoint and what we can and can refrain from doing.

Commitment to quality of care

We make the trust placed in us by firmly insisting on quality and making every effort to get the fundamentals of quality of care - safety, effectiveness and patient experience - right each time. We motivate and invite feedback from clients, families, carers, personnel and the public. We utilize this to enhance the care we offer and build on our successes.

Compassion

We guarantee that compassion is main to the care we supply and react with humankind and kindness to each individual's pain, distress, anxiety or requirement. We look for the important things we can do, nevertheless little, to offer comfort and relieve suffering. We discover time for clients, their families and carers, in addition to those we work alongside. We do not wait to be asked, because we care.

Improving lives

We strive to improve health and wellness and individuals's experiences of the NHS. We cherish excellence and professionalism anywhere we find it - in the everyday things that make people's lives better as much as in scientific practice, service enhancements and development. We recognise that all have a part to play in making ourselves, patients and our communities healthier.

Everyone counts

We maximise our resources for the benefit of the whole neighborhood, and ensure nobody is left out, victimized or left. We accept that some individuals require more aid, that tough choices have actually to be taken - and that when we squander resources we lose chances for others.

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

Everyone who uses the NHS ought to understand what legal rights they have. For this factor, essential legal rights are summed up in this Constitution and described in more information in the Handbook to the NHS Constitution, which likewise explains what you can do if you think you have not gotten what is rightfully yours. This summary does not modify your legal rights.

The Constitution also contains pledges that the NHS is committed to accomplish. Pledges exceed and beyond legal rights. This means that pledges are not lawfully binding but represent a dedication by the NHS to supply comprehensive high quality services.

Access to health services

You have the right to receive NHS services totally free of charge, apart from specific minimal exceptions approved by Parliament.

You can gain access to NHS services. You will not be declined gain access to on unreasonable grounds.

You can receive care and treatment that is appropriate to you, meets your requirements and reflects your preferences.

You deserve to expect your NHS to assess the health requirements of your neighborhood and to commission and put in place the services to satisfy those requirements as considered necessary, and in the case of public health services commissioned by local authorities, to take actions to improve the health of the regional neighborhood.

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

You also can authorisation for organized treatment in the EU, Norway, Iceland, Lichtenstein or Switzerland if you are covered by the Withdrawal Agreement and you fulfill the pertinent requirements.

You have the right not to be unlawfully discriminated versus in the arrangement of NHS services including on grounds of gender, race, special needs, age, sexual orientation, faith, belief, gender reassignment, pregnancy and maternity or marital or civil collaboration status.

You have the right to access particular services commissioned by NHS bodies within optimum waiting times, or for the NHS to take all sensible steps to offer you a series of suitable alternative companies if this is not possible. The waiting times are described in the Handbook to the NHS Constitution

The NHS promises to:

- offer convenient, easy access to services within the waiting times set out in the Handbook to the NHS Constitution.
- make decisions in a clear and transparent method, so that clients and the general public can comprehend how services are planned 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 choices that affect you or them

Quality of care and environment

You can be treated with a professional requirement of care, by properly qualified and experienced staff, in an effectively approved or signed up organisation that satisfies needed levels of safety and quality.

You deserve to be taken care of in a tidy, safe, protected and ideal environment.

You deserve to get appropriate and nutritious food and hydration to sustain health and health and wellbeing.

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

The NHS also vows to recognize and share finest practice in quality of care and treatments.

Nationally approved treatments, drugs and programs

You can drugs and treatments that have actually been advised by NICE for usage in the NHS, if your doctor says they are medically proper for you.

You can anticipate regional choices on funding of other drugs and treatments to be made rationally following a correct consideration of the proof. If the local NHS decides not to fund a drug or treatment you and your medical professional feel would be ideal for you, they will discuss that choice to you.

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

NHS promise

The NHS likewise commits to supply screening programs as recommended by the UK National Screening Committee.

Respect, authorization and confidentiality

You deserve to be treated with self-respect and regard, in accordance with your human rights.

You deserve to be protected from abuse and overlook, and care and treatment that is degrading.

You can accept or decline treatment that is provided to you, and not to be provided any health examination or treatment unless you have offered valid permission. If you do not have the capacity to do so, consent should be obtained from an individual lawfully able to act on your behalf, or the treatment should be in your benefits.

You have the right to be provided details about the test and treatment choices readily available to you, what they involve and their risks and benefits.

You have the right of access to your own health records and to have any factual errors remedied.

You have the right to privacy and privacy and to anticipate the NHS to keep your secret information safe and safe.

You can be informed about how your information is used.

You deserve to demand that your secret information is not used beyond your own care and treatment and to have your objections considered, and where your wishes can not be followed, to be told the reasons consisting of the legal basis.

The NHS also promises:

- to make sure those included in your care and treatment have access to your health details so they can care for you securely and successfully
- that if you are admitted to healthcare facility, you will not need to share sleeping accommodation with patients of the opposite sex, except where suitable, in line with information set out in the Handbook to the NHS Constitution
- to anonymise the details gathered throughout the course of your treatment and use it to support research and enhance take care of others
- where recognizable details needs to be utilized, to provide you the chance to object wherever possible
- to notify you of research studies in which you might be eligible to take part
- to show you any correspondence sent in between clinicians about your care

Informed option

You have the right to select your GP practice, and to be accepted by that practice unless there are affordable grounds to refuse, in which case you will be informed of those reasons.

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

You have the right to transparent, accessible and comparable information on the quality of regional health care service providers, and on results, as compared to others nationally

You have the right to choose about the services commissioned by NHS bodies and to details to support these choices. The options offered to you will develop over time and depend on your specific needs. Details are set out in the Handbook to the NHS Constitution.

- inform you about the health care services readily available to you, in your area and nationally.
- deal you easily available, trusted and pertinent details in a type you can comprehend, and assistance to use it. This will enable you to participate completely in your own health care decisions and to support you in making choices. This will consist of information on the variety and quality of scientific services where there is robust and precise info offered

Involvement in your health care and the NHS

You have the right to be associated with preparation and making choices about your health and care with your care provider or service providers, including your end of life care, and to be offered info and assistance to enable you to do this. Where suitable, this right includes your family and carers. This consists of being offered 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 need to be outlined any safety occurrence associating with your care which, in the viewpoint of a healthcare professional, has actually caused, or could still cause, significant harm or death. You must be provided the truths, an apology, and any reasonable assistance you need.

You can be involved, straight or through representatives, in the planning of healthcare services commissioned by NHS bodies, the advancement and factor to consider of proposals for modifications in the method those services are offered, and in choices to be made impacting the operation of those services

- offer you with the details and assistance you need to influence and scrutinise the planning and delivery of NHS services.
- operate in collaboration with you, your family, carers and agents
- involve you in discussions about preparing your care and to provide you a composed record of what is concurred if you want one
- motivate and invite feedback on your health and care experiences and use this to enhance services

Complaint and redress

See the NHS site for information on how to make a complaint and other methods to provide feedback on NHS services.

You have the right to have any problem you make about NHS services acknowledged within 3 working days and to have it effectively investigated.

You have the right to talk about the manner in which the grievance is to be handled, and to know the period within which the examination is most likely to be completed and the action sent.

You have the right to be kept informed of progress and to know the result of any investigation into your complaint, including a description of the conclusions and confirmation that any action required in effect of the complaint has actually been taken or is proposed to be taken.

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

You have the right to make a claim for judicial review if you believe you have actually been directly affected by a crime or decision of an NHS body or local authority.

You can payment where you have actually been damaged by negligent treatment

The NHS likewise pledges to:

- guarantee that you are treated with courtesy and you get appropriate support throughout the handling of a complaint; and that the truth that you have actually complained will not negatively affect your future treatment.
- ensure that when errors happen or if you are hurt while getting health care you get a suitable explanation and apology, provided with level of sensitivity and acknowledgment of the injury you have actually experienced, and understand that lessons will be found out to assist prevent a similar occurrence happening again
- guarantee that the organisation finds out lessons from grievances and claims and utilizes these to enhance NHS services

Patients and the general public: your responsibilities

The NHS belongs to all of us. There are things that we can all do for ourselves and for one another to help it work efficiently, and to guarantee resources are utilized properly.

Please recognise that you can make a substantial contribution to your own, and your family's, health and wellbeing, and take personal responsibility for it.

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

Please treat NHS staff and other clients with regard and acknowledge that violence, or the causing of nuisance or disturbance on NHS properties, could lead to prosecution. You ought to identify that violent and violent behaviour might lead to you being refused access to NHS services.

Please offer accurate info about your health, condition and status.

Please keep appointments, or cancel within affordable time. Receiving treatment within the optimum waiting times might be compromised unless you do.

Please follow the course of treatment which you have agreed, and speak with your clinician if you discover this challenging.

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

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

Please offer feedback - both favorable and negative - about your experiences and the treatment and care you have gotten, consisting of any adverse responses you might have had. You can typically provide feedback anonymously and giving feedback will not affect adversely your care or how you are dealt with. If a household member or someone you are a carer for is a patient and not able to provide feedback, you are encouraged to provide feedback about their experiences on their behalf. Feedback will help to enhance NHS services for all.

Staff: your rights and NHS promises to you

It is the commitment, professionalism and devotion of personnel working for the benefit of the individuals the NHS serves which really make the distinction. High-quality care needs high-quality work environments, with commissioners and providers intending to be employers of option.

All personnel must have fulfilling and worthwhile tasks, with the freedom and self-confidence to act in the interest of clients. To do this, they require to be trusted, actively listened to and supplied with meaningful feedback. They should be treated with regard at work, have the tools, training and support to provide thoughtful care, and opportunities to develop and progress. Care experts need to be supported to increase the time they spend directly contributing to the care of patients.

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

Your rights

Staff have extensive legal rights, embodied in basic employment and discrimination law. These are summed up in the Handbook to the NHS Constitution. In addition, private agreements of employment contain conditions providing staff even more rights.

The rights are there to help guarantee that personnel:

- have a great working environment with versatile working chances, consistent with the needs of clients and with the method that individuals live their lives
- have a reasonable pay and contract structure
- can be included and represented in the workplace
- have healthy and safe working conditions and an environment complimentary from harassment, bullying or violence
- are dealt with fairly, similarly and free from discrimination
- can in specific situations take a complaint about their employer to an Employment Tribunal
- can raise any concern with their company, whether it is about safety, malpractice or other danger, in the public interest.

NHS promises

In addition to these legal rights, there are a variety of pledges, which the NHS is devoted to accomplish. Pledges go above and beyond your legal rights. This suggests that they are not lawfully binding but represent a dedication by the NHS to provide top quality working environments for personnel.