@Andrew Schneiderinstead he thought it would be better to steal doctors and nurses from other poor countries and stuff those countries whose country these new doctors and nurses are coming from, they will have to train more doctors and nurses to make up this shortfall, won't they?
@Andrew Schneider sounds like a badly run country. Not preparing for the future in terms of transport infrastructure, medical care, education needs, social care, building houses, not training up doctors, nurses, teachers etc. Recipe for disaster. How will people cope when they can't see a doctor in time? Send them to a chemist? Where I currently reside, chemists are NOT medically trained, I suppose they are medically trained up to the same level as a doctor in the UK so people can see them instead? Doesn't sound logical to me.
@Andrew SchneiderI'm very sad to hear this. When I lived there, the so called Green Lobby didn't want ANY new railways being built, no nothing. Some suggested using bikes to go to work!! I used to work miles away, silly people , clueless. I understand that they used to take regular foreign holidays themselves AND use cars, airports and planes !! Not ONE member from the so called Green Lobby ever talked about getting people out of their cars and into trains. That would mean building new train lines etc and would cost a fortune AND they can't pay for it.
@Andrew Schneider is it true that your country is about to recruit more doctors and nurses from other third world countries? Irresponsible behaviour I call it. What are these countries that lose their taxpayer trained doctors to do ???
The description of the structure is upside down. You should have started at the top, because restrictions imposed by the decisions at the top will filter down to the front line. "The Department of Health and Social Care sets out what the NHS is expected to deliver for the money it gets from the government , which comes from our taxes. It also holds budgets for some of the other areas that have an impact on our wellbeing, like public health. NHS England, which is the national body for the NHS in England, and sets the operational priorities for the health system. Integrated care systems get most of their money from NHS England Integrated care systems are made up of two parts: integrated care boards and integrated care partnerships. Integrated care boards decide how the NHS budget for their area is spent and develop a plan to improve people’s health, deliver higher-quality care and better value for money. Integrated care partnerships bring the NHS together with other key partners, like local authorities, to develop a strategy to enable the integrated care system to improve health and wellbeing in its area." You can see how budgetary restrictions from the government will determine how successful this revamp is.
There are 42 Integrated Care Systems (ICS) in England. It is an over simplification to say that each ICS is made up of 2 parts i.e. an Integrated Care Board (ICB) and an Integrated Care Partnership (ICP). In effect these two bodies are responsible for the management and delivery of Health and Social care within the ICS. The ICB is an organisation in its own right with a funded establishment and employees who are responsible for planning and funding most NHS services in the area whereas the ICP is a committee comprising amongst others elements of the ICB and Local Authority. Within each ICS are NHS Providers (Hospital Trusts), GP Practices, Social Services, Dental Practices, Pharmacies etc. Suffice to say each ICS has many elements to it but are managed by the ICB and ICP.
Thank you for the video It is always very helpful and informative. I find it interesting to contrast it's your previous videos about the structure of the NHS and interesting to see how some things may have come full circle.
Still didn't explain how that changes healthcare. All departments should be working together anyway now they have the legal right to... so no changes then.
Nice animation including lots of references to the role of local authorities, voluntary sector and communities working alongside NHS. Interesting that it makes no mention of the significant role that private healthcare businesses will play in future ICS decision-making and delivery. Seems a bit dishonest to airbrush that out.
Privatization is a major threat to the NHS which is not mentioned in the video as it drains much needed resources from frontline services into the pockets of profit driven private companies.
I really don't see how privatization in-and-of-itself is a threat to the NHS though. Have you ever seen how healthcare works in countries like France, Germany, Netherlands or even Japan? These countries follow a more Bismarckian healthcare system than a top-down government-run model like our NHS. In essence, it follows a hybrid model where every resident is obliged to be covered under a statutory health insurance which is funded through taxes and social security contributions and this could be topped-up with private insurance. These come from a selection of not-for-profit private health insurance companies where people can choose their healthcare plan according to their needs. In France, the government reimburses 70% of your healthcare costs. This percentage is even higher depending your employment status, financial situation or the severity of the illness where it can be as high as 100%. For people who are more financially affluent, they can choose to increase this reimbursement to 100% through their private health insurance known as "mutuelles". The hybrid system has time-and-time again proved to outperform our socialised model in terms of the quality of care, waiting lists and adoption of technology. Our NHS is too inefficient due to high bureaucracy and governments not wanting to take risks (i.e. innovate) with public money due to high political costs of failed innovation. The fact that our healthcare is free regardless of the person's economic background and the nature of the appointments is exacerbating our waiting list crisis.
@@prp3231 what a mischievous response. You made a reckless statement about BPT ratio say UK is the second lowest in UK. I ask you a question to be sure you have not looked in the wrong or old place for information. Why are you scared of telling me the figure? Perhaps you know I will expose your lies. Only liars &? mischievous people are weary of divulging information that would expose them. Tell the BPT ratio of UK, the year & most importantly your source. Let's see if your verdict about UK being the second lowest is accurate and most importantly up to date. You can't fool everyone. You expect me to follow your words hook, line and sinker without figures or reference? Common, you'd be kicked out if you try this as a researcher.
Unfortunately, the UK has a huge shortage of doctors per head of population compared to the rest of Europe. Recruiting doctors from other third world countries is ongoing but then what are these countries supposed to do without their own doctors? The UK needs to do much , much better!!
Adopt the French, Swiss or Japanese system. But that requires us British citizens to stop treating the NHS as a religion though. Public health insurance + private top up cover leads to better waiting times, quicker adoption of innovation, less administration costs and better patient satisfaction.
This over - simplified recording doesn't mention the very key issue that the new legislation provides a much bigger opportunity for the involvement of private providers within the NHS, hence the draining of resources from direct person centred care. It fails to report that private providers can be represented on the intergrated care system boards which allocate resources. In this instance, they will have very real vested interests in allocating contracts to their own companies. We have a right, as the funders of this whole system through our taxes , to this information, as this change has no political mandate. I'm disappointed that the King's Fund, which has usually been very clear and candid in its approach, has apparently gone with the flow...
As the NHS doesn't seem fit for purpose and is letting us down I suggest we halve the money going in so it's cost matches it's poor service. We want our money back !
Biggest black hole in UK history. Needs SERIOUSLY investigating. Public cannot afford to keep paying money into this organisation for very little and poor service. Not in the top 20 worldwide.
This is frightening. You appear to have neglected to mention about how the act facilitates external providers. For example, if I private company bought out multiple GP across the country and other health organisations this would give them a significant representation on top of the Integrated care systems "which in this model will divi out population funding" (essentially one private organisation would get to say what money is spent). While I do not speak for primary care I am aware this will push mentally ill people into the community, exactly as the models run in the 90s did and continue to do so. Ultimately this will drive the criminalisation of mental health like the Americans. By modelling the American system you are set to criminalise mental health like the Americans do.
I don't think this is modelled on the American system. You know private hospitals and doctors are very prevalent in welfare economies like France or Germany right?
@@inbb510 I am sure it is, although I can not remember where I watched the video. But to be clear it is one of many systems there is no one system in the US
UK's NHS is stressed at the moment, some opinned that it is an illusion that isn't working as waiting time becomes increasingly frustrating. Just imagine Brexit wasn't initiated before Covid 19 struck. The healthcare service would have been absolutely overwhelmed & probably collapse. A lot of EU nationals left UK many months before the official kickoff of Brexit (1 Feb, 2020). Just imagine they were all trapped in the UK during Covid. It would have been a disaster for the health Care.
London sign on wall say no smoking for the protection benefits and health of patients staff and vi's actors this trust has a total smoke free policy in all buildings entrances and grounds this is why the nhs is all set games iv never found any of there work to be right anyway
Save NHS. Import Indian Doctors and Management. Import Filipino Nurses, please be honest and check the NHS Employment statistics since the 1960s they are the 2 most Robust and Consistent in the history of the NHS. But these Nurses are retiring and dying so we need to start importing the correct Migrants for the job, it can never be British run, we know the lazy and entitled need to be removed Import Indian Doctors Import Filipino Nurses Before the 2 of the top 3 in the world for Medical Care all end up in Dubai Bottom line Save British Lives
For the protection benefit and health of patients staff and visitors this trust has a total smoke free policy in all buildings entrances and grounds this is why the nhs is all sex games iv never found them to be right ever
Can I ask? And this may be a really stupid question, I like most in the UK have paid in all our lives by working into the NHS, can anyone tell me then why do we allow people from other countries to use it free, when we go on holiday we have to buy insurance for any media Al services we may need, why do we not have insurance for incoming visitors to the UK, I am baffled perhaps someone can enlighten me?……I hope
it's because we are stupid and the tories don't want the NHS so they have run it into the ground. If we let them do this more fool all if us. Guess what the Canadian teachers union run our lottery if we had let the state run it it would have paid for our NHS over and over again but the tories stopped it sold us all down the river
Not sure where you heard that hospitals are full of sick immigrants because that's not true. Foreign nationals who go to work in the UK on a visa not only pay £1000s in visa fees, they also pay around £600 per year to access the NHS. If anything, the NHS functions because of the many foreign national healthcare professionals working in the UK. Refugees are a different story, but that's not unique to the UK.
NHS staff expically nurses should stop complaining about their pay & stress about the job' they new what job they were going for etc. So if you don't like your job then leave & stop bothering the public with your consent moaning 😭💯👍💋.
I agree. Healthcare staff should all simultaneously should walk away and realise their worth and stop sacrificing themselves to the meatgrinder that is the nhs. The nhs would cease to exist and healthcare would go private. healthcare professionals could start getting paid what they're actually worth, working conditions would be 100x better and so would the quality of care for patients.... as long as you can afford it or your esurance can cover it. Goodbye free healthcare.
The UK is now 50,000 doctors short and is struggling to cope with the sheer workload in hospitals and surgeries across the country.
@Andrew Schneiderinstead he thought it would be better to steal doctors and nurses from other poor countries and stuff those countries whose country these new doctors and nurses are coming from, they will have to train more doctors and nurses to make up this shortfall, won't they?
@Andrew Schneider sounds like a badly run country. Not preparing for the future in terms of transport infrastructure, medical care, education needs, social care, building houses, not training up doctors, nurses, teachers etc. Recipe for disaster. How will people cope when they can't see a doctor in time? Send them to a chemist? Where I currently reside, chemists are NOT medically trained, I suppose they are medically trained up to the same level as a doctor in the UK so people can see them instead? Doesn't sound logical to me.
@Andrew SchneiderI'm very sad to hear this. When I lived there, the so called Green Lobby didn't want ANY new railways being built, no nothing. Some suggested using bikes to go to work!! I used to work miles away, silly people , clueless. I understand that they used to take regular foreign holidays themselves AND use cars, airports and planes !!
Not ONE member from the so called Green Lobby ever talked about getting people out of their cars and into trains. That would mean building new train lines etc and would cost a fortune AND they can't pay for it.
@Andrew Schneider is it true that your country is about to recruit more doctors and nurses from other third world countries? Irresponsible behaviour I call it. What are these countries that lose their taxpayer trained doctors to do ???
@Andrew Schneider the tories have been in charge for 12 years now. Surely they could’ve changed something?
The description of the structure is upside down. You should have started at the top, because restrictions imposed by the decisions at the top will filter down to the front line.
"The Department of Health and Social Care sets out what the NHS is expected to deliver for the money it gets from the government , which comes from our taxes. It also holds budgets for some of the other areas that have an impact on our wellbeing, like public health.
NHS England, which is the national body for the NHS in England, and sets the operational priorities for the health system.
Integrated care systems get most of their money from NHS England
Integrated care systems are made up of two parts: integrated care boards and integrated care partnerships.
Integrated care boards decide how the NHS budget for their area is spent and develop a plan to improve people’s health, deliver higher-quality care and better value for money.
Integrated care partnerships bring the NHS together with other key partners, like local authorities, to develop a strategy to enable the integrated care system to improve health and wellbeing in its area."
You can see how budgetary restrictions from the government will determine how successful this revamp is.
I love the way you have broken it down. Good job.
this is really helpful thank you
A complicated way if saying privatisation involving unwanted large US companies is moving along at a pace.
fully agree we need to stop them
It's changing to quantum healing whi h has nothing to do with the murdering swines of the NHS.
This is an informative video which depicts the collaborative working of the people involved in the NHS delivering their great work.
r you for real bet you get private health care
Thank you for this video. it's very informative on the new system of funding for the NHS and how better services are being provided.
There are 42 Integrated Care Systems (ICS) in England. It is an over simplification to say that each ICS is made up of 2 parts i.e. an Integrated Care Board (ICB) and an Integrated Care Partnership (ICP). In effect these two bodies are responsible for the management and delivery of Health and Social care within the ICS. The ICB is an organisation in its own right with a funded establishment and employees who are responsible for planning and funding most NHS services in the area whereas the ICP is a committee comprising amongst others elements of the ICB and Local Authority. Within each ICS are NHS Providers (Hospital Trusts), GP Practices, Social Services, Dental Practices, Pharmacies etc. Suffice to say each ICS has many elements to it but are managed by the ICB and ICP.
Well explained. Thank you.
Thank you for the video It is always very helpful and informative. I find it interesting to contrast it's your previous videos about the structure of the NHS and interesting to see how some things may have come full circle.
Circle
lol tort at best
Do give us a call when it's time for an update!
Still didn't explain how that changes healthcare. All departments should be working together anyway now they have the legal right to... so no changes then.
Very good animation!
Keep it going 💪
Nice animation including lots of references to the role of local authorities, voluntary sector and communities working alongside NHS. Interesting that it makes no mention of the significant role that private healthcare businesses will play in future ICS decision-making and delivery. Seems a bit dishonest to airbrush that out.
It would be good if the vital role of charity and not for profit organisations as well as unpaid Carers could be touched upon.
Could you tell me some ways private healthcare will play a role please?
Is it true that in these times of increasing demand for health care, the government has reduced the number of medical student intake at university??
This is so simplistic its CARTOON!
Privatization is a major threat to the NHS which is not mentioned in the video as it drains much needed resources from frontline services into the pockets of profit driven private companies.
I really don't see how privatization in-and-of-itself is a threat to the NHS though. Have you ever seen how healthcare works in countries like France, Germany, Netherlands or even Japan?
These countries follow a more Bismarckian healthcare system than a top-down government-run model like our NHS. In essence, it follows a hybrid model where every resident is obliged to be covered under a statutory health insurance which is funded through taxes and social security contributions and this could be topped-up with private insurance. These come from a selection of not-for-profit private health insurance companies where people can choose their healthcare plan according to their needs.
In France, the government reimburses 70% of your healthcare costs. This percentage is even higher depending your employment status, financial situation or the severity of the illness where it can be as high as 100%. For people who are more financially affluent, they can choose to increase this reimbursement to 100% through their private health insurance known as "mutuelles".
The hybrid system has time-and-time again proved to outperform our socialised model in terms of the quality of care, waiting lists and adoption of technology. Our NHS is too inefficient due to high bureaucracy and governments not wanting to take risks (i.e. innovate) with public money due to high political costs of failed innovation. The fact that our healthcare is free regardless of the person's economic background and the nature of the appointments is exacerbating our waiting list crisis.
But the UK is not attempting to follow the European models.
We do not want privatization.
Great explaination
Doctors should NOT be allowed to administer or prescribe any substance which is NOT normally potable.
Thank you for sharing this very informative video
Unfortunately, the UK has the second lowest number of beds per 1000 people in the whole of Europe.
How many beds per a thousand person if I may ask?
@@thefuturebeganyesterday2843 Looks like you need to get yourself an education first, sorry I can't help you otherwise
@@prp3231 what a mischievous response. You made a reckless statement about BPT ratio say UK is the second lowest in UK. I ask you a question to be sure you have not looked in the wrong or old place for information. Why are you scared of telling me the figure? Perhaps you know I will expose your lies. Only liars &? mischievous people are weary of divulging information that would expose them. Tell the BPT ratio of UK, the year & most importantly your source. Let's see if your verdict about UK being the second lowest is accurate and most importantly up to date. You can't fool everyone. You expect me to follow your words hook, line and sinker without figures or reference? Common, you'd be kicked out if you try this as a researcher.
Unfortunately, the UK has a huge shortage of doctors per head of population compared to the rest of Europe. Recruiting doctors from other third world countries is ongoing but then what are these countries supposed to do without their own doctors? The UK needs to do much , much better!!
Grim news. 87 year old man with cancer waited 14 hours for an ambulance. Going from bad to disastrous.
How does the NHS work? That’s the thing it doesn’t.
Well said
What health service? Could have fooled me.
Quite useful information in the words, but impossible to take it in because of the fatuous and distracting pictures.
Close your eyes and listen then.
Our nhs is now struggling 😢 if it continues we'll break
How would people reform the NHS?
Adopt the French, Swiss or Japanese system. But that requires us British citizens to stop treating the NHS as a religion though.
Public health insurance + private top up cover leads to better waiting times, quicker adoption of innovation, less administration costs and better patient satisfaction.
This over - simplified recording doesn't mention the very key issue that the new legislation provides a much bigger opportunity for the involvement of private providers within the NHS, hence the draining of resources from direct person centred care. It fails to report that private providers can be represented on the intergrated care system boards which allocate resources. In this instance, they will have very real vested interests in allocating contracts to their own companies. We have a right, as the funders of this whole system through our taxes , to this information, as this change has no political mandate. I'm disappointed that the King's Fund, which has usually been very clear and candid in its approach, has apparently gone with the flow...
letautismbeautism #depression #trauma #earlyintervention #nhs #earlydiagnosis #homelessness #anxiety #letautismbeautism
The constant tap-tap and whoosh sounds detract from the excellent animation and voice-over.
As the NHS doesn't seem fit for purpose and is letting us down I suggest we halve the money going in so it's cost matches it's poor service.
We want our money back !
Biggest black hole in UK history. Needs SERIOUSLY investigating. Public cannot afford to keep paying money into this organisation for very little and poor service. Not in the top 20 worldwide.
If you hear "partnership" think privatisation.
Turner Plains
Sanford View
This is frightening.
You appear to have neglected to mention about how the act facilitates external providers. For example, if I private company bought out multiple GP across the country and other health organisations this would give them a significant representation on top of the Integrated care systems "which in this model will divi out population funding" (essentially one private organisation would get to say what money is spent). While I do not speak for primary care I am aware this will push mentally ill people into the community, exactly as the models run in the 90s did and continue to do so. Ultimately this will drive the criminalisation of mental health like the Americans. By modelling the American system you are set to criminalise mental health like the Americans do.
I don't think this is modelled on the American system.
You know private hospitals and doctors are very prevalent in welfare economies like France or Germany right?
@@inbb510 I am sure it is, although I can not remember where I watched the video. But to be clear it is one of many systems there is no one system in the US
281 Eliezer Locks
Kuhlman Mill
UK's NHS is stressed at the moment, some opinned that it is an illusion that isn't working as waiting time becomes increasingly frustrating. Just imagine Brexit wasn't initiated before Covid 19 struck. The healthcare service would have been absolutely overwhelmed & probably collapse. A lot of EU nationals left UK many months before the official kickoff of Brexit (1 Feb, 2020). Just imagine they were all trapped in the UK during Covid. It would have been a disaster for the health Care.
Wehner Wall
How does it work ? It doesn't !
PRIVATISE THE NHS.
Robinson David Garcia Mark Perez Susan
Boehm Valley
🤔 it doesnt as their is an 18 month backlog
Stokes Knoll
Jerry Circle
Lee Patricia Davis Sharon Walker Joseph
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Koch Harbor
London sign on wall say no smoking for the protection benefits and health of patients staff and vi's actors this trust has a total smoke free policy in all buildings entrances and grounds this is why the nhs is all set games iv never found any of there work to be right anyway
Save NHS.
Import Indian Doctors and Management.
Import Filipino Nurses, please be honest and check the NHS Employment statistics since the 1960s they are the 2 most Robust and Consistent in the history of the NHS.
But these Nurses are retiring and dying so we need to start importing the correct Migrants for the job, it can never be British run, we know the lazy and entitled need to be removed
Import Indian Doctors
Import Filipino Nurses
Before the 2 of the top 3 in the world for Medical Care all end up in Dubai
Bottom line Save British Lives
Clark Elizabeth Clark Betty Martin George
Hilpert Points
Why doesn't the N H S give 6 month physical checks to all patients, or are the ''doctors'' too greedy or lazy!
It’s not a proactive organization; it only reacts!
It clearly doesn't
For the protection benefit and health of patients staff and visitors this trust has a total smoke free policy in all buildings entrances and grounds this is why the nhs is all sex games iv never found them to be right ever
Can I ask? And this may be a really stupid question, I like most in the UK have paid in all our lives by working into the NHS, can anyone tell me then why do we allow people from other countries to use it free, when we go on holiday we have to buy insurance for any media Al services we may need, why do we not have insurance for incoming visitors to the UK, I am baffled perhaps someone can enlighten me?……I hope
it's because we are stupid and the tories don't want the NHS so they have run it into the ground. If we let them do this more fool all if us. Guess what the Canadian teachers union run our lottery if we had let the state run it it would have paid for our NHS over and over again but the tories stopped it sold us all down the river
Not sure where you heard that hospitals are full of sick immigrants because that's not true.
Foreign nationals who go to work in the UK on a visa not only pay £1000s in visa fees, they also pay around £600 per year to access the NHS.
If anything, the NHS functions because of the many foreign national healthcare professionals working in the UK.
Refugees are a different story, but that's not unique to the UK.
First of all when you go on a tourist visa it is compulsory to pay for a medical insurance.
@@ch-do3dt UK healthcare is getting so bad UK citizens will soon be refugees fleeing abroad for treatment.
Beer privatised!
BEEN privatised!
009 Lila Via
Toy Spring
NHS staff expically nurses should stop complaining about their pay & stress about the job' they new what job they were going for etc.
So if you don't like your job then leave & stop bothering the public with your consent moaning 😭💯👍💋.
I agree.
Healthcare staff should all simultaneously should walk away and realise their worth and stop sacrificing themselves to the meatgrinder that is the nhs. The nhs would cease to exist and healthcare would go private. healthcare professionals could start getting paid what they're actually worth, working conditions would be 100x better and so would the quality of care for patients.... as long as you can afford it or your esurance can cover it.
Goodbye free healthcare.
You're also dyslexic af, at least turn auto-correct on
Run my back
R.i.p Lamin
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