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In England, an integrated care system (ICS) is a statutory partnership of organisations who plan, buy, and provide health and care services in their geographical area.The organisations involved include the NHS, local authorities, voluntary and charity groups, and independent care providers.
The NHS Careers web site stated in 2023: [26] As a doctor in training you’ll earn a basic salary, plus pay for any hours over 40 per week, a 37 per cent enhancement for working nights, a weekend allowance for any work at the weekend, an availability allowance if you are required to be available on-call, and other potential pay premia.
The key NHS performance indicators (18 weeks (RTT), 4 hours (A&E) and cancer (2 week wait) have not been achieved since February 2016, July 2015 and December 2015 respectively. [77] A ranking of individual hospitals around the world, published by Newsweek in March 2022, no NHS hospital was listed within the top 40.
Critics argue that the UK’s limited medical school capacity exacerbates workforce shortages in the NHS and forces students to seek education abroad. Some experts have proposed increasing government support for international training pathways, where students study at accredited European medical schools and return to work in the NHS.
NHS Pathways is a triage software utilised by the National Health Service of England to triage public telephone calls for medical care and emergency medical services – such as 999 or 111 calls – in some NHS trusts and seven of the ambulance services in the country.
However in September 2020, 53.5% of CAMHS patients in Scotland had waited for an appointment longer than the 18 weeks target, and in Glasgow the average waiting time was 26 weeks. [54] Current policy in England is based on the Green Paper (2017) and the NHS Mental Health Implementation Plan (2019).
A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimized and sequenced either by hour (ED), day (acute care) or visit (homecare).
Common mental health problems: identification and pathways to care NICE guidelines, May 2011; Some perspectives on improving access to psychological therapies (IAPT) Charlotte Thomas, 2013. The sorry state of NHS provision of psychological therapy. Paul Atkinson, 2014