An investigation of service provision and job roles in health and social care settings Unit 6 P6
Provision of services:
National framework relevant to home country
‘The revised framework sets out the principles and processes of the National Framework for
NHS continuing healthcare and NHS-funded nursing care (the National Framework). It
reflects the new NHS framework and structures created by the Health and Social Care Act
2012 effective from 1 April 2013. Standing Rules Regulations 1 have been issued under the
National Health Service Act 20062, and directions are issued under the Local Authority Social
Services Act 1970 in relation to the National Framework’.
‘Executive Summary
1. The National Framework – reflecting the new NHS structures from April 2013.
2. Transfer of Legal Duties – from PCTs to CCGs, except for armed forces (+families) and
prisoners where duties transfer to National Commissioning Board (the Board).
3. Definitions – CCG includes those exercising CCG functions but CCG can’t delegate final
eligibility decision. The Board includes those authorised to carry out its functions.
4. Scope – replaces previous Framework and includes Practice Guidance, FAQs etc.
5. Legal Framework - this document sets out duties for NHS and LAs.
6. Primary Health Need (PHN) - this is explained.
7. Core Values and Principles - these are explained - need for fairness and consistency.
8. Eligibility Consideration - decision making process based on MDT assessment.
9. Commissioning, care planning and provision - CCGs/Board responsibilities.
10. Access to other NHS-funded services - including how joint packages should operate.
11. Links to other policies e.g. MH, children's services, personal health budgets (PHBs).
12. Review - guidance on carrying out 3 monthly and annual reviews.
13. Dispute resolution - where individual challenges decision, also interagency disputes.
14. Governance - roles of Board and CCGs.’
(https://www.england.nhs.uk/wp-content/uploads/2015/04/qck-ref-guid-chc-nat-
framwrk.pdf)
Primary
Primary care is the first point of contact for individuals requiring health care provisions.
Primary care is usually provided within the community. Examples of primary care include;
pharmacy, walk in centre, general practitioner, optician and dentist.
Secondary
Secondary care is the second point of contact for individuals requiring health care
provisions, mostly within a hospital. An individual will have to be referred to secondary care.
Examples of secondary care include; maternity ward, ambulance services and local asthma
clinic.
Tertiary
Tertiary care is a third point of contact for individuals requiring specialist care. The individual
will have to be referred to specialist hospital units. Examples of tertiary care include;
oncology department, neo-natal unit and dialysis unit.
Regulators
The CQC (Care Quality Commission), are the independent regulator or health and social
(adult) care within England. They ensure that health and social care services provide the
service users with safe, effective, compassionate and high quality care, encouraging their
care services to improve. The CQC monitor, inspect and regulate health and social care
services to ensure they meet fundamental standards of quality and safety, publishing their
findings and performance ratings allowing individuals the ability to elect the care service
they prefer. The CQC performs in the following way:
Ensuring health and social care services meet fundamental standards that service
users have a right to anticipate when receiving care.
Registering care services that meet the CQC standards.
Provision of services:
National framework relevant to home country
‘The revised framework sets out the principles and processes of the National Framework for
NHS continuing healthcare and NHS-funded nursing care (the National Framework). It
reflects the new NHS framework and structures created by the Health and Social Care Act
2012 effective from 1 April 2013. Standing Rules Regulations 1 have been issued under the
National Health Service Act 20062, and directions are issued under the Local Authority Social
Services Act 1970 in relation to the National Framework’.
‘Executive Summary
1. The National Framework – reflecting the new NHS structures from April 2013.
2. Transfer of Legal Duties – from PCTs to CCGs, except for armed forces (+families) and
prisoners where duties transfer to National Commissioning Board (the Board).
3. Definitions – CCG includes those exercising CCG functions but CCG can’t delegate final
eligibility decision. The Board includes those authorised to carry out its functions.
4. Scope – replaces previous Framework and includes Practice Guidance, FAQs etc.
5. Legal Framework - this document sets out duties for NHS and LAs.
6. Primary Health Need (PHN) - this is explained.
7. Core Values and Principles - these are explained - need for fairness and consistency.
8. Eligibility Consideration - decision making process based on MDT assessment.
9. Commissioning, care planning and provision - CCGs/Board responsibilities.
10. Access to other NHS-funded services - including how joint packages should operate.
11. Links to other policies e.g. MH, children's services, personal health budgets (PHBs).
12. Review - guidance on carrying out 3 monthly and annual reviews.
13. Dispute resolution - where individual challenges decision, also interagency disputes.
14. Governance - roles of Board and CCGs.’
(https://www.england.nhs.uk/wp-content/uploads/2015/04/qck-ref-guid-chc-nat-
framwrk.pdf)
Primary
Primary care is the first point of contact for individuals requiring health care provisions.
Primary care is usually provided within the community. Examples of primary care include;
pharmacy, walk in centre, general practitioner, optician and dentist.
Secondary
Secondary care is the second point of contact for individuals requiring health care
provisions, mostly within a hospital. An individual will have to be referred to secondary care.
Examples of secondary care include; maternity ward, ambulance services and local asthma
clinic.
Tertiary
Tertiary care is a third point of contact for individuals requiring specialist care. The individual
will have to be referred to specialist hospital units. Examples of tertiary care include;
oncology department, neo-natal unit and dialysis unit.
Regulators
The CQC (Care Quality Commission), are the independent regulator or health and social
(adult) care within England. They ensure that health and social care services provide the
service users with safe, effective, compassionate and high quality care, encouraging their
care services to improve. The CQC monitor, inspect and regulate health and social care
services to ensure they meet fundamental standards of quality and safety, publishing their
findings and performance ratings allowing individuals the ability to elect the care service
they prefer. The CQC performs in the following way:
Ensuring health and social care services meet fundamental standards that service
users have a right to anticipate when receiving care.
Registering care services that meet the CQC standards.
