The NHS Constitution for England > 자유게시판

The NHS comes from the individuals.

It exists to enhance our health and wellbeing, supporting us to keep psychologically and physically well, to improve when we are ill and, when we can not totally recuperate, to remain as well as we can to the end of our lives. It works at the limitations of science - bringing the highest levels of human understanding and ability to conserve 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 established on a common set of concepts and values that bind together the neighborhoods and people it serves - patients and public - and the personnel who work for it.

This Constitution establishes the concepts and worths of the NHS in England. It sets out rights to which clients, public and personnel are entitled, and promises which the NHS is committed to achieve, together with duties, which the general public, patients and personnel owe to one another to guarantee that the NHS runs fairly and successfully. The Secretary of State for Health, all NHS bodies, private and voluntary sector suppliers providing NHS services, and local authorities in the exercise of their public health functions are required 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 regional authority public health services, but recommendations to NHS bodies do not include regional authorities. Where there are distinctions of information 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 restored a minimum of every 3 years, setting out present guidance on the rights, pledges, duties and responsibilities developed by the Constitution. These requirements for renewal are lawfully binding. They guarantee that the concepts and worths which underpin the NHS go through regular review and re-commitment; and that any federal government which looks for to modify the principles or worths of the NHS, or the rights, pledges, responsibilities and obligations set out in this Constitution, will need to take part in a complete and transparent argument with the general public, patients and staff.

Principles that guide the NHS

Seven crucial concepts direct the NHS in all it does. They are underpinned by core NHS worths which have been stemmed from extensive discussions with staff, patients and the general public. These values are set out in the next area of this file.

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

It is readily available to all irrespective of gender, race, special needs, age, sexual preference, faith, belief, gender reassignment, pregnancy and maternity or marital or civil partnership status. The service is created to enhance, avoid, diagnose and deal with both physical and mental health issues with equivalent regard. It has a task to each and every person that it serves and need to appreciate their human rights. At the same time, it has a larger social task to promote equality through the services it supplies and to pay particular attention to groups or sections 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 clinical need, not a person's capability to pay

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

3. The NHS desires the greatest requirements of excellence and professionalism

It provides high quality care that is safe, reliable and focused on patient experience; in the people it utilizes, and in the assistance, education, training and advancement they receive; in the management and management of its organisations; and through its dedication to development and to the promotion, conduct and use of research to enhance the present and future health and care of the population. Respect, dignity, compassion and care need to be at the core of how clients and staff are dealt with not just because that is the best thing to do however because patient safety, experience and results are all enhanced when personnel are valued, empowered and supported.

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

It needs to support people to promote and handle their own health. NHS services need to reflect, and must be collaborated around and tailored to, the needs and choices of clients, their families and their carers. As part of this, the NHS will make sure that in line with the Armed Forces Covenant, those in the militaries, reservists, their households and veterans are not disadvantaged in accessing health services in the area they live. Patients, with their families and carers, where appropriate, will be involved in and sought advice from on all decisions about their care and treatment. The NHS will actively motivate feedback from the public, clients and personnel, welcome it and use it to enhance its services.

5. The NHS works throughout organisational boundaries

It operates in collaboration with other organisations in the interest of clients, regional communities and the wider population. The NHS is an integrated system of organisations and services bound together by the concepts and worths reflected in the Constitution. The NHS is committed to working collectively with other regional authority services, other public sector organisations and a vast array of personal and voluntary sector organisations to supply and deliver improvements in health and wellness.

6. The NHS is committed to providing 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 committed entirely to the advantage of individuals that the NHS serves.

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

The NHS is a nationwide service funded through nationwide tax, and it is the federal government which sets the framework for the NHS and which is responsible to Parliament for its operation. However, most choices in the NHS, particularly those about the treatment of individuals and the in-depth organisation of services, are appropriately taken by the regional NHS and by clients with their clinicians. The system of responsibility and responsibility for taking decisions in the NHS must be transparent and clear to the public, patients and staff. The government will guarantee that there is constantly a clear and up-to-date declaration of NHS responsibility for this purpose.

NHS worths

Patients, public and staff have helped establish this expression of values that in the NHS and that ought to underpin whatever it does. Individual organisations will develop and construct upon these values, tailoring them to their local needs. The NHS values provide typical ground for co-operation to accomplish shared goals, at all levels of the NHS.

Working together for patients

Patients come first in everything we do. We fully involve patients, staff, families, carers, neighborhoods, and specialists inside and outside the NHS. We put the requirements of clients and communities before organisational borders. We speak up when things go incorrect.

Respect and dignity

We value every person - whether patient, their families or carers, or staff - as a private, respect their goals and dedications in life, and look for to understand their concerns, needs, capabilities and limitations. We take what others need to say seriously. We are sincere and open about our viewpoint and what we can and can not do.

Commitment to quality of care

We make the trust placed in us by insisting on quality and aiming to get the basics of quality of care - safety, efficiency and client experience - ideal each time. We motivate and welcome feedback from clients, families, carers, personnel and the general public. We utilize this to improve the care we offer and develop on our successes.

Compassion

We make sure that empathy is main to the care we offer and react with humankind and kindness to each individual's pain, distress, anxiety or requirement. We look for the things we can do, nevertheless little, to give comfort and eliminate suffering. We discover time for clients, their families and carers, in addition to those we work along with. We do not wait to be asked, since we care.

Improving lives

We make every effort to improve health and health and wellbeing and people's experiences of the NHS. We treasure excellence and professionalism anywhere we find it - in the daily things that make individuals's lives much better as much as in medical practice, service improvements and development. We identify that all have a part to play in making ourselves, clients and our communities healthier.

Everyone counts

We maximise our resources for the benefit of the entire community, and make sure no one is left out, discriminated versus or left behind. We accept that some people require more aid, that hard decisions need to be taken - and that when we waste resources we squander chances for others.

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

Everyone who utilizes the NHS needs to comprehend what legal rights they have. For this reason, essential legal rights are summarised in this Constitution and discussed in more information in the Handbook to the NHS Constitution, which also explains what you can do if you think you have actually not received what is truly yours. This summary does not change your legal rights.

The Constitution also consists of promises that the NHS is committed to accomplish. Pledges exceed and beyond legal rights. This means that pledges are not legally binding however represent a dedication by the NHS to offer extensive high quality services.

Access to health services

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

You have the right to access NHS services. You will not be refused gain access to on unreasonable grounds.

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

You have the right to expect your NHS to evaluate the health requirements of your community and to commission and put in location the services to meet those requirements as considered required, and when it comes to public health services commissioned by regional authorities, to take steps to improve the health of the local neighborhood.

You have the right to authorisation for planned treatment in the EU under the UK EU Trade and Cooperation Agreement where you meet the pertinent requirements.

You likewise have the right to authorisation for organized treatment in the EU, Norway, Iceland, Lichtenstein or Switzerland if you are covered by the Withdrawal Agreement and you meet the appropriate requirements.

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

You deserve to gain access to particular services commissioned by NHS bodies within maximum waiting times, or for the NHS to take all reasonable actions to use you a range of appropriate alternative companies if this is not possible. The waiting times are described in the Handbook to the NHS Constitution

The NHS promises to:

- offer practical, 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 clients and the general public can comprehend how services are prepared and provided
- make the shift as smooth as possible when you are referred in between services, and to put you, your family and carers at the centre of choices that impact you or them

Quality of care and environment

You deserve to be treated with an expert requirement of care, by properly qualified and experienced staff, in an effectively approved or registered organisation that fulfills required levels of safety and quality.

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

You can get appropriate and healthy food and hydration to sustain health and wellness.

You deserve to anticipate NHS bodies to monitor, and make efforts to improve constantly, the quality of health care they commission or offer. This consists of improvements to the safety, effectiveness and experience of services.

The NHS likewise pledges to recognize and share finest practice in quality of care and treatments.

Nationally approved treatments, drugs and programmes

You deserve to drugs and treatments that have actually been advised by NICE for usage in the NHS, if your physician says they are scientifically appropriate for you.

You have the right to anticipate regional choices on financing of other drugs and treatments to be made rationally following a proper factor to consider of the evidence. If the local NHS decides not to money a drug or treatment you and your medical professional feel would be ideal for you, they will describe that choice 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 national immunisation programme.

NHS promise

The NHS also dedicates to supply screening programs as suggested by the UK National Screening Committee.

Respect, authorization and confidentiality

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

You have the right to be protected from abuse and disregard, and care and treatment that is degrading.

You can accept or refuse treatment that is provided to you, and not to be provided any health examination or treatment unless you have actually provided valid permission. If you do not have the capability to do so, authorization must be acquired from an individual legally able to act upon your behalf, or the treatment needs to be in your benefits.

You have the right to be offered details about the test and treatment options offered to you, what they include and their dangers and advantages.

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

You deserve to privacy and privacy and to expect the NHS to keep your secret information safe and safe.

You deserve to be informed about how your information is utilized.

You can request that your personal information is not utilized beyond your own care and treatment and to have your objections considered, and where your desires can not be followed, to be told the reasons including the legal basis.

The NHS also vows:

- to guarantee those included in your care and treatment have access to your health details so they can care for you safely and effectively
- that if you are confessed to healthcare facility, you will not need to share sleeping lodging with patients of the opposite sex, other than where proper, in line with details 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 care for others
- where recognizable info needs to be utilized, to offer you the chance to object wherever possible
- to notify you of research study studies in which you may be qualified to take part
- to share with you any correspondence sent between clinicians about your care

Informed option

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

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

You have the right to transparent, available and equivalent data on the quality of regional health care providers, and on results, as compared to others nationally

You have the right to make choices about the services commissioned by NHS bodies and to info to support these choices. The choices available to you will develop in time and depend on your private needs. Details are set out in the Handbook to the NHS Constitution.

- notify you about the healthcare services offered to you, in your area and nationally.
- offer you easily accessible, dependable and pertinent info in a kind you can comprehend, and support to use it. This will allow you to participate totally in your own healthcare decisions and to support you in making choices. This will include information on the variety and quality of scientific services where there is robust and precise details 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 provider or providers, including your end of life care, and to be provided information and support to enable you to do this. Where proper, this right includes your family and carers. This consists of being given the opportunity to manage your own care and treatment, if appropriate.

You can an open and transparent relationship with the organisation providing your care. You need to be outlined any security event associating with your care which, in the viewpoint of a healthcare professional, has actually triggered, or could still trigger, considerable damage or death. You must be given the realities, an apology, and any sensible assistance you need.

You deserve to be involved, directly or through agents, in the preparation of health care services commissioned by NHS bodies, the advancement and consideration of propositions for changes in the method those services are supplied, and in decisions to be made affecting the operation of those services

- provide you with the info and support you require to influence and scrutinise the preparation and shipment of NHS services.
- work in partnership with you, your family, carers and representatives
- involve you in discussions about preparing your care and to use you a composed record of what is agreed if you want one
- motivate and welcome feedback on your health and care experiences and use this to improve services

Complaint and redress

See the NHS site for info on how to make a grievance and other methods to give feedback on NHS services.

You can have any grievance you make about NHS services acknowledged within three working days and to have it effectively examined.

You can go over the way in which the problem is to be managed, and to know the duration within which the examination is likely to be completed and the action sent out.

You deserve to be kept notified of progress and to understand the outcome of any examination into your problem, consisting of an explanation of the conclusions and verification that any action needed in consequence of the complaint has 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 Local Government Ombudsman, if you are not satisfied with the method your grievance has been handled by the NHS.

You deserve to make a claim for judicial review if you think you have been straight impacted by an unlawful act or decision of an NHS body or regional authority.

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

The NHS likewise vows to:

- make sure that you are treated with courtesy and you get appropriate support throughout the handling of a grievance; which the fact that you have grumbled will not negatively affect your future treatment.
- make sure that when errors happen or if you are harmed while receiving health care you receive a suitable explanation and apology, provided with sensitivity and acknowledgment of the injury you have experienced, and understand that lessons will be learned to assist avoid a similar occurrence occurring again
- make sure that the organisation learns lessons from grievances and claims and uses these to enhance NHS services

Patients and the general public: your responsibilities

The NHS belongs to everyone. There are things that we can all provide for ourselves and for one another to help it work successfully, and to ensure resources are used responsibly.

Please acknowledge that you can make a substantial contribution to your own, and your household's, excellent health and wellbeing, and take individual duty for it.

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

Please deal with NHS staff and other patients with regard and recognise that violence, or the causing of nuisance or disruption on NHS premises, might result in prosecution. You must identify that violent and violent behaviour might lead to you being refused access to NHS services.

Please supply accurate details about your health, condition and status.

Please keep visits, or cancel within affordable time. Receiving treatment within the maximum waiting times may be compromised unless you do.

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

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

Please guarantee that those closest to you are mindful of your wishes about organ donation.

Please give feedback - both positive and unfavorable - about your experiences and the treatment and care you have gotten, consisting of any negative responses you may have had. You can typically provide feedback anonymously and providing feedback will not impact adversely your care or how you are dealt with. If a relative or someone you are a carer for is a client and unable to supply feedback, you are motivated to provide feedback about their experiences on their behalf. Feedback will help to improve NHS services for all.

Staff: your rights and NHS pledges to you

It is the dedication, professionalism and devotion of staff working for the advantage of individuals the NHS serves which truly make the distinction. High-quality care requires premium work environments, with commissioners and service providers aiming to be companies of choice.

All staff ought to have fulfilling and beneficial jobs, with the liberty and confidence to act in the interest of patients. To do this, they need to be relied on, actively listened to and supplied with significant feedback. They need to be treated with respect at work, have the tools, training and assistance to provide thoughtful care, and chances to establish and advance. Care professionals ought to be supported to increase the time they spend straight adding to the care of clients.

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

Your rights

Staff have extensive legal rights, embodied in general employment and discrimination law. These are summarised in the Handbook to the NHS Constitution. In addition, specific contracts of employment include terms and conditions giving staff even more rights.

The rights exist to assist guarantee that staff:

- have an excellent working environment with flexible working chances, consistent with the needs of clients and with the manner in which people live their lives
- have a fair pay and contract structure
- can be involved and represented in the office
- have healthy and safe working conditions and an environment free from harassment, bullying or violence
- are dealt with relatively, similarly and free from discrimination
- can in specific scenarios take a complaint about their company to an Employment Tribunal
- can raise any interest in their employer, whether it has to do with safety, malpractice or other threat, in the general public interest.

NHS pledges

In addition to these legal rights, there are a number of promises, which the NHS is devoted to achieve. Pledges go above and beyond your legal rights. This means that they are not legally binding but represent a commitment by the NHS to supply top quality workplace for staff.