The NHS Constitution for England > 자유게시판

The NHS belongs to the individuals.

It is there to improve our health and health and wellbeing, supporting us to keep psychologically and physically well, to get much better when we are ill and, when we can not totally recuperate, to stay as well as we can to the end of our lives. It works at the limitations of science - bringing the greatest levels of human understanding and ability to conserve lives and improve health. It touches our lives sometimes of fundamental human requirement, when care and empathy are what matter most.

The NHS is established on a typical set of principles and values that bind together the neighborhoods and individuals it serves - patients and public - and the personnel who work for it.

This Constitution develops the principles and worths of the NHS in England. It sets out rights to which patients, public and personnel are entitled, and pledges which the NHS is dedicated to attain, together with obligations, which the public, clients and staff owe to one another to make sure that the NHS operates fairly and effectively. The Secretary of State for Health, all NHS bodies, personal and voluntary sector service providers supplying NHS services, and regional authorities in the exercise of their public health functions are required by law to appraise this Constitution in their choices and actions. References in this document to the NHS and NHS services consist of regional authority public health services, however recommendations to NHS bodies do not include local authorities. Where there are differences of detail these are described in the Handbook to the Constitution.

The Constitution will be restored every ten years, with the participation of the general public, clients and staff. It is accompanied by the Handbook to the NHS Constitution, to be renewed at least every 3 years, setting out existing guidance on the rights, pledges, duties and duties developed by the Constitution. These requirements for renewal are legally binding. They ensure that the concepts and worths which underpin the NHS are subject to routine evaluation and re-commitment; which any federal government which looks for to modify the concepts or values of the NHS, or the rights, pledges, duties and responsibilities set out in this Constitution, will have to engage in a full and transparent debate with the public, clients and personnel.

Principles that direct the NHS

Seven key principles 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 worths are set out in the next area of this file.

1. The NHS provides an extensive service, offered to all

It is readily available to all regardless of gender, race, special needs, age, sexual orientation, religion, belief, gender reassignment, pregnancy and maternity or marital or civil partnership status. The service is developed to enhance, prevent, diagnose and treat both physical and psychological health issue with equivalent regard. It has a task to each and every person that it serves and must respect their human rights. At the same time, it has a wider social task to promote equality through the services it offers and to pay specific attention to groups or areas of society where improvements in health and life expectancy are not keeping rate with the rest of the population.

2. Access to NHS services is based on medical requirement, not an individual's ability to pay

NHS services are complimentary of charge, other than in restricted circumstances sanctioned by Parliament.

3. The NHS aspires to the greatest requirements of excellence and professionalism

It offers high quality care that is safe, effective and concentrated on client experience; in individuals it utilizes, and in the assistance, education, training and development they get; in the leadership and management of its organisations; and through its commitment to development and to the promo, conduct and use of research to enhance the current and future health and care of the population. Respect, dignity, compassion and care must be at the core of how clients and personnel are treated not only since that is the ideal thing to do however because patient security, experience and outcomes are all improved when staff are valued, empowered and supported.

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

It should support individuals to promote and handle their own health. NHS services must show, and ought to be collaborated around and tailored to, the requirements and preferences of patients, their households and their carers. As part of this, the NHS will guarantee that in line with the Army Covenant, those in the armed forces, reservists, their households 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 consulted on all decisions about their care and treatment. The NHS will actively motivate feedback from the public, patients and staff, invite it and use it to improve its services.

5. The NHS works across organisational limits

It works in collaboration 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 principles and worths reflected in the Constitution. The NHS is devoted to working jointly with other local authority services, other public sector organisations and a wide variety of personal and voluntary sector organisations to offer and provide enhancements in health and wellbeing.

6. The NHS is devoted to providing finest worth for taxpayers' money

It is dedicated to offering the most effective, reasonable and sustainable usage of finite resources. Public funds for healthcare will be committed solely to the benefit of the individuals that the NHS serves.

7. The NHS is accountable to the general public, neighborhoods and patients that it serves

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

NHS worths

Patients, public and staff have assisted develop this expression of worths that inspire passion in the NHS and that need to underpin whatever it does. Individual organisations will establish and build upon these worths, tailoring them to their regional needs. The NHS values supply typical ground for co-operation to achieve shared goals, at all levels of the NHS.

Collaborating for clients

Patients come initially in whatever we do. We completely include clients, staff, households, carers, neighborhoods, and specialists inside and outside the NHS. We put the needs of clients and neighborhoods before organisational limits. We speak out when things fail.

Respect and dignity

We value every person - whether client, their households or carers, or staff - as a private, respect their goals and commitments in life, and seek to understand their concerns, needs, capabilities and limits. We take what others need to state seriously. We are sincere and open about our point of view and what we can and can not do.

Commitment to quality of care

We make the trust positioned in us by demanding quality and aiming to get the essentials of quality of care - safety, effectiveness and patient experience - best every time. We encourage and invite feedback from patients, families, carers, staff and the general public. We use this to improve the care we offer and build on our successes.

Compassion

We guarantee that empathy is main to the care we provide and react with humankind and kindness to each person's discomfort, distress, stress and anxiety or need. We search for the things we can do, however little, to offer convenience and ease suffering. We discover time for clients, their households and carers, along with those we work along with. We do not wait to be asked, because we care.

Improving lives

We make every effort to enhance health and wellbeing and people's experiences of the NHS. We value quality and professionalism wherever we find it - in the everyday things that make individuals's lives better as much as in scientific practice, service enhancements and innovation. We recognise that all have a part to play in making ourselves, patients and our neighborhoods healthier.

Everyone counts

We maximise our resources for the benefit of the entire community, and make certain no one is excluded, discriminated versus or left behind. We accept that some individuals need more assistance, that challenging decisions need to be taken - which when we squander resources we waste opportunities for others.

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

Everyone who utilizes the NHS ought to comprehend what legal rights they have. For this reason, important legal rights are summarised in this Constitution and explained in more detail in the Handbook to the NHS Constitution, which also explains what you can do if you believe you have not gotten what is truly yours. This summary does not modify your legal rights.

The Constitution likewise consists of pledges that the NHS is dedicated to achieve. Pledges exceed and beyond legal rights. This indicates that promises are not lawfully binding however represent a dedication by the NHS to provide thorough high quality services.

Access to health services

You deserve to receive NHS services complimentary of charge, apart from particular minimal exceptions approved by Parliament.

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

You deserve to get care and treatment that is proper to you, meets your needs and reflects your choices.

You have the right to anticipate your NHS to evaluate the health requirements of your community and to commission and put in place the services to meet those needs as thought about essential, 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 meet the appropriate requirements.

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

You have the right not to be unlawfully discriminated against in the provision of NHS services including on grounds of gender, race, impairment, age, sexual preference, faith, belief, gender reassignment, pregnancy and maternity or marital or civil collaboration status.

You deserve to gain access to certain services commissioned by NHS bodies within maximum waiting times, or for the NHS to take all affordable steps to use you a series of ideal alternative providers if this is not possible. The waiting times are explained in the Handbook to the NHS Constitution

The NHS promises to:

- provide hassle-free, simple access to services within the waiting times set out in the Handbook to the NHS Constitution.
- make choices in a clear and transparent method, so that patients and the general public can comprehend how services are prepared and delivered
- make the transition as smooth as possible when you are referred between services, and to put you, your household and carers at the centre of decisions that affect you or them

Quality of care and environment

You have the right to be treated with a professional requirement of care, by appropriately certified and experienced personnel, in a correctly authorized or registered organisation that fulfills required levels of safety and quality.

You have the right to be looked after in a clean, safe, secure and appropriate environment.

You can get suitable and nutritious food and hydration to sustain great health and health and wellbeing.

You can expect NHS bodies to keep an eye on, and make efforts to improve constantly, the quality of health care they commission or supply. This consists of enhancements to the safety, efficiency and experience of services.

The NHS also pledges to determine and share best practice in quality of care and treatments.

Nationally authorized treatments, drugs and programmes

You deserve to drugs and treatments that have actually been recommended by NICE for usage in the NHS, if your doctor states they are clinically suitable for you.

You can expect regional choices on financing of other drugs and treatments to be made reasonably following a correct consideration of the proof. If the regional NHS chooses not to fund a drug or treatment you and your doctor feel would be right for you, they will describe that choice to you.

You deserve to receive the vaccinations that the Joint Committee on Vaccination and Immunisation recommends that you must get under an NHS-provided national immunisation programme.

NHS promise

The NHS also devotes to supply screening programs as recommended by the UK National Screening Committee.

Respect, consent and privacy

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

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

You can accept or decline treatment that is provided to you, and not to be offered any physical assessment or treatment unless you have actually provided valid authorization. If you do not have the capacity to do so, authorization needs to be acquired from an individual lawfully able to act upon your behalf, or the treatment must be in your best interests.

You deserve to be given details about the test and treatment options readily available to you, what they include and their threats 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 confidentiality and to anticipate the NHS to keep your private information safe and safe.

You deserve to be notified about how your info is utilized.

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

The NHS also pledges:

- to guarantee those included in your care and treatment have access to your health info so they can care for you safely and effectively
- that if you are confessed to medical facility, you will not have to share sleeping lodging with patients of the opposite sex, except 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 utilize it to support research study and improve care for others
- where identifiable info has actually to be used, to offer you the possibility to object anywhere possible
- to inform you of research studies in which you may be qualified to participate
- to share with you any correspondence sent in 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 sensible grounds to refuse, in which case you will be notified of those factors.

You have the right to reveal a choice for utilizing a specific physician within your GP practice, and for the practice to try to comply.

You deserve to transparent, available and comparable data on the quality of local doctor, and on results, as compared to others nationally

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

- inform you about the healthcare services available to you, in your area and nationally.
- offer you quickly accessible, trustworthy and relevant information in a kind you can understand, and assistance to use it. This will allow you to get involved totally in your own health care decisions and to support you in making options. This will include information on the range and quality of clinical services where there is robust and accurate information offered

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 company or suppliers, including your end of life care, and to be offered info and support to enable you to do this. Where proper, this right includes your family and carers. This includes being provided the chance to handle your own care and treatment, if proper.

You deserve to an open and transparent relationship with the organisation offering your care. You need to be outlined any safety incident associating with your care which, in the opinion of a healthcare professional, has caused, or could still trigger, substantial damage or death. You should be provided the realities, an apology, and any sensible support you require.

You have the right to be involved, directly or through representatives, in the planning of health care services commissioned by NHS bodies, the development and consideration of propositions for changes in the method those services are supplied, and in decisions to be made impacting the operation of those services

- provide you with the info and assistance you require to influence and scrutinise the preparation and shipment of NHS services.
- work in partnership with you, your household, carers and representatives
- include you in discussions about preparing your care and to offer you a composed record of what is concurred if you want one
- motivate and welcome 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 give feedback on NHS services.

You deserve to have any complaint you make about NHS services acknowledged within 3 working days and to have it correctly examined.

You can discuss the way in which the grievance is to be managed, and to understand the period within which the examination is likely to be finished and the reaction sent.

You have the right to be kept informed of development and to understand the result of any investigation into your complaint, consisting of a description of the conclusions and confirmation that any action required in repercussion of the grievance has been taken or is proposed to be taken.

You can take your grievance to the independent Parliamentary and Health Service Ombudsman or Local Government Ombudsman, if you are not pleased with the way your complaint has actually been dealt with by the NHS.

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

You have the right to compensation where you have actually been damaged by irresponsible treatment

The NHS also promises to:

- guarantee that you are treated with courtesy and you get suitable assistance throughout the handling of a problem; which the fact that you have actually complained will not adversely affect your future treatment.
- guarantee that when mistakes occur or if you are harmed while receiving healthcare you get a suitable description and apology, delivered with sensitivity and acknowledgment of the trauma you have actually experienced, and understand that lessons will be learned to assist prevent a comparable event taking place once again
- make sure that the organisation finds out lessons from complaints and claims and utilizes these to improve NHS services

Patients and the 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 assist it work effectively, and to guarantee resources are utilized properly.

Please identify that you can make a significant contribution to your own, and your household's, health and wellbeing, and take individual obligation for it.

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

Please treat NHS staff and other clients with respect and identify that violence, or the causing of problem or disruption on NHS properties, might result in prosecution. You should acknowledge that abusive and violent behaviour might result in you being refused access to NHS services.

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

Please keep visits, or cancel within reasonable time. Receiving treatment within the optimum waiting times might be jeopardized unless you do.

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

Please take part in essential public health programmes such as vaccination.

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

Please offer feedback - both positive and negative - about your experiences and the treatment and care you have gotten, consisting of any adverse reactions you may have had. You can often provide feedback anonymously and providing feedback will not impact adversely your care or how you are treated. If a relative or somebody you are a carer for is a patient and unable to supply feedback, you are motivated to give 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 commitment, professionalism and dedication of personnel working for the advantage of the people the NHS serves which truly make the difference. High-quality care needs top quality offices, with commissioners and providers intending to be companies of option.

All staff must have fulfilling and beneficial tasks, with the liberty and self-confidence to act in the interest of patients. To do this, they require to be trusted, actively listened to and offered with meaningful feedback. They should be treated with regard at work, have the tools, training and support to deliver caring care, and opportunities to develop and progress. Care professionals must be supported to increase the time they spend straight contributing to the care of clients.

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

Your rights

Staff have substantial legal rights, embodied in general work and discrimination law. These are summed up in the Handbook to the NHS Constitution. In addition, specific agreements of employment include conditions offering staff even more rights.

The rights are there to help make sure that personnel:

- have a great working environment with versatile working opportunities, consistent with the needs of clients and with the manner in which people live their lives
- have a fair pay and agreement framework
- can be involved and represented in the office
- have healthy and safe working conditions and an environment devoid of harassment, bullying or violence
- are treated fairly, equally and free from discrimination
- can in specific situations take a complaint about their employer to a Work Tribunal
- can raise any issue with their company, whether it has to do with safety, malpractice or other danger, in the general public interest.

NHS promises

In addition to these legal rights, there are a variety of pledges, which the NHS is devoted to achieve. Pledges go above and beyond your legal rights. This indicates that they are not lawfully binding but represent a commitment by the NHS to supply high-quality working environments for staff.