최고위과정(ACE)

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The NHS comes from the people.

It is there 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 operates at the limitations of science - bringing the highest levels of human knowledge and skill to conserve lives and improve health. It touches our lives at times of basic human requirement, when care and compassion are what matter most.

The NHS is founded on a typical set of principles and values that bind together the communities and people it serves - clients 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 promises which the NHS is devoted to attain, together with responsibilities, which the public, patients and staff owe to one another to ensure that the NHS runs relatively and successfully. The Secretary of State for Health, all NHS bodies, personal and voluntary sector providers supplying NHS services, and local authorities in the exercise of their public health functions are needed by law to take account of this Constitution in their decisions and actions. References in this file to the NHS and NHS services consist of regional authority public health services, however referrals to NHS bodies do not consist of regional authorities. Where there are differences of information these are explained in the Handbook to the Constitution.

The Constitution will be restored every ten years, with the involvement of the general public, patients and staff. It is accompanied by the Handbook to the NHS Constitution, to be restored a minimum of every 3 years, setting out existing assistance on the rights, promises, responsibilities and duties established by the Constitution. These requirements for renewal are legally binding. They guarantee that the principles and values which underpin the NHS undergo routine evaluation and re-commitment; and that any government which looks for to change the concepts or worths of the NHS, or the rights, promises, duties and obligations set out in this Constitution, will need to take part in a full and transparent argument with the public, patients and staff.

Principles that guide the NHS

Seven essential concepts guide the NHS in all it does. They are underpinned by core NHS worths which have been derived from substantial conversations with personnel, clients and the general public. These values are set out in the next area of this document.

1. The NHS offers a thorough service, offered to all

It is available to all regardless of gender, race, disability, age, sexual preference, faith, belief, gender reassignment, pregnancy and maternity or marital or civil collaboration status. The service is designed to improve, prevent, identify and treat both physical and mental health issue with equal regard. It has a duty to each and every person that it serves and should appreciate their human rights. At the same time, it has a wider social task to promote equality through the services it provides and to pay particular attention to groups or sections of society where improvements in health and life span are not keeping pace with the remainder of the population.

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

NHS services are complimentary of charge, other than in limited circumstances approved by Parliament.

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

It provides high quality care that is safe, effective and focused on patient experience; in individuals it utilizes, and in the assistance, education, training and advancement they receive; in the leadership and management of its organisations; and through its commitment to innovation and to the promotion, conduct and usage of research study to improve the existing and future health and care of the population. Respect, self-respect, compassion and care must be at the core of how clients and personnel are treated not just since that is the ideal thing to do however because client safety, experience and outcomes are all enhanced when personnel 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 show, and should be collaborated around and tailored to, the needs and preferences of clients, their households and their carers. As part of this, the NHS will make sure that in line with the Armed Forces Covenant, those in the armed forces, reservists, their families and veterans are not disadvantaged in accessing health services in the location they reside. 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 encourage feedback from the public, patients and staff, invite it and utilize it to enhance its services.

5. The NHS works throughout organisational limits

It works in partnership with other organisations in the interest of patients, local neighborhoods and the larger 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 devoted to working jointly with other regional authority services, other public sector organisations and a large variety of personal and voluntary sector organisations to offer and provide improvements in health and wellness.

6. The NHS is committed to providing best value for taxpayers' money

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

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

The NHS is a nationwide service moneyed through nationwide taxation, and it is the federal government which sets the framework for the NHS and which is accountable to Parliament for its operation. However, many decisions in the NHS, specifically those about the treatment of people 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 need to be transparent and clear to the general public, patients and personnel. The federal government will make sure that there is always a clear and up-to-date statement of NHS accountability for this purpose.

NHS values

Patients, public and staff have actually helped establish this expression of worths that motivate passion in the NHS which must underpin whatever it does. Individual organisations will develop and build on these worths, tailoring them to their local requirements. The NHS worths offer commonalities for co-operation to attain shared aspirations, at all levels of the NHS.

Working together for patients

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

Respect and self-respect

We value every person - whether client, their households or carers, or staff - as an individual, regard their aspirations and dedications in life, and look for to understand their top priorities, requirements, capabilities and limits. We take what others need to state seriously. We are truthful and open about our viewpoint and what we can and can refrain from doing.

Commitment to quality of care

We make the trust put in us by insisting on quality and striving to get the essentials of quality of care - safety, efficiency and patient experience - best each time. We encourage and invite feedback from clients, families, carers, personnel and the general public. We utilize this to improve the care we provide and build on our successes.

Compassion

We ensure that empathy is central to the care we supply and respond with mankind and kindness to each person's discomfort, distress, anxiety or requirement. We search for the things we can do, however little, to provide comfort and alleviate suffering. We find time for patients, their households and carers, as well as those we work together with. We do not wait to be asked, due to the fact that we care.

Improving lives

We aim to enhance health and wellbeing and people's experiences of the NHS. We cherish excellence and professionalism anywhere we find it - in the daily things that make individuals's lives better as much as in clinical practice, service improvements and innovation. We identify that all have a part to play in making ourselves, clients and our neighborhoods healthier.

Everyone counts

We maximise our resources for the advantage of the entire neighborhood, and make sure nobody is left out, victimized or left behind. We accept that some individuals need more aid, that difficult choices need to be taken - which when we waste resources we lose opportunities for others.

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

Everyone who utilizes the NHS ought to comprehend what legal rights they have. For this factor, essential legal rights are summarised in this Constitution and described in more information in the Handbook to the NHS Constitution, which likewise explains what you can do if you believe you have actually not gotten what is truly yours. This summary does not modify your legal rights.

The Constitution likewise consists of promises that the NHS is devoted to achieve. Pledges exceed and beyond legal rights. This implies that promises are not legally binding however represent a commitment by the NHS to offer extensive high quality services.

Access to health services

You can receive NHS services free of charge, apart from specific restricted exceptions sanctioned by Parliament.

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

You have the right to receive care and treatment that is appropriate to you, fulfills your needs and reflects your preferences.

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 satisfy those requirements as considered necessary, and when it comes to public health services commissioned by regional authorities, to take steps to improve the health of the regional neighborhood.

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

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

You have the right not to be unlawfully discriminated against in the provision of NHS services consisting of on premises of gender, race, disability, age, sexual preference, religious beliefs, belief, gender reassignment, pregnancy and maternity or marital or civil collaboration status.

You can gain access to specific services commissioned by NHS bodies within optimum waiting times, or for the NHS to take all sensible steps to offer you a series of ideal alternative suppliers if this is not possible. The waiting times are described in the Handbook to the NHS Constitution

The NHS promises to:

- supply hassle-free, 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 understand how services are prepared and delivered
- make the shift as smooth as possible when you are referred 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 a professional standard of care, by appropriately certified and experienced personnel, in a correctly authorized or signed up organisation that meets required levels of security and quality.

You can be looked after in a clean, safe, safe and ideal environment.

You deserve to receive suitable and healthy food and hydration to sustain health and wellness.

You have the right to anticipate NHS bodies to keep an eye on, and make efforts to enhance continually, the quality of health care they commission or provide. This consists of improvements to the security, effectiveness and experience of services.

The NHS also promises 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 been suggested by NICE for usage in the NHS, if your physician says they are clinically proper for you.

You can anticipate local decisions on funding of other drugs and treatments to be made logically following an appropriate consideration of the evidence. If the local NHS decides not to fund a drug or treatment you and your physician feel would be ideal for you, they will describe that choice to you.

You deserve to get the vaccinations that the Joint Committee on Vaccination and Immunisation suggests that you should receive under an NHS-provided national immunisation program.

NHS promise

The NHS likewise dedicates to offer screening programmes as recommended by the UK National Screening Committee.

Respect, approval and privacy

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

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

You deserve to accept or refuse treatment that is provided to you, and not to be given any physical exam or treatment unless you have provided legitimate consent. If you do not have the capacity to do so, approval needs to be obtained from a person lawfully able to act upon your behalf, or the treatment should be in your benefits.

You can be offered information about the test and treatment options readily available to you, what they include and their risks and advantages.

You have the right of access to your own health records and to have any accurate errors fixed.

You deserve to personal privacy and privacy and to expect the NHS to keep your private details safe and safe and secure.

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

You deserve to request that your secret information is not used beyond your own care and treatment and to have your objections considered, and where your desires can not be followed, to be informed the factors consisting of the legal basis.

The NHS also pledges:

- to guarantee those included in your care and treatment have access to your health details so they can look after you securely and effectively
- that if you are admitted to medical facility, you will not need to share sleeping accommodation with clients of the opposite sex, other than where proper, in line with information set out in the Handbook to the NHS Constitution
- to anonymise the info gathered throughout the course of your treatment and use it to support research and improve take care of others
- where identifiable details needs to be utilized, to give you the opportunity to object any place possible
- to notify you of research study studies in which you may be qualified to participate
- to share with you any correspondence sent in between clinicians about your care

Informed choice

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

You have the right to express a preference for utilizing a particular physician within your GP practice, and for the practice to attempt to comply.

You can transparent, available and comparable information on the quality of local health care companies, and on outcomes, as compared to others nationally

You can make choices about the services commissioned by NHS bodies and to details to support these choices. The alternatives offered to you will develop in time and depend upon your specific requirements. Details are set out in the Handbook to the NHS Constitution.

- inform you about the healthcare services offered to you, locally and nationally.
- deal you quickly accessible, trustworthy and relevant details in a type you can comprehend, and assistance to utilize it. This will allow you to get involved totally in your own healthcare choices and to support you in choosing. This will consist of info on the range and quality of clinical services where there is robust and accurate info readily available

Involvement in your health care and the NHS

You can be involved in preparation and making choices about your health and care with your care supplier or suppliers, including your end of life care, and to be given details and assistance to enable you to do this. Where appropriate, this right includes your household and carers. This consists of being provided the opportunity to handle your own care and treatment, if proper.

You deserve to an open and transparent relationship with the organisation supplying your care. You must be outlined any security occurrence relating to your care which, in the opinion of a healthcare professional, has caused, or could still cause, significant harm or death. You need to be offered the truths, an apology, and any affordable support you need.

You have the right to be included, straight or through agents, in the preparation of health care services commissioned by NHS bodies, the development and consideration of for changes in the method those services are offered, and in choices to be made impacting the operation of those services

- provide you with the details and support you need to affect and scrutinise the preparation and shipment of NHS services.
- operate in partnership with you, your family, carers and representatives
- include you in conversations about planning your care and to use you a written record of what is agreed if you want one
- encourage and invite feedback on your health and care experiences and utilize this to enhance services

Complaint and redress

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

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