The NHS Constitution for England > 상담신청

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The NHS belongs to the individuals.

It exists to improve our health and wellbeing, supporting us to keep mentally and physically well, to get much better when we are ill and, when we can not fully 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 save lives and enhance health. It touches our lives sometimes of fundamental human need, when care and empathy are what matter most.

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

This Constitution establishes the concepts and worths of the NHS in England. It sets out rights to which patients, public and staff are entitled, and pledges which the NHS is committed to achieve, together with obligations, which the public, clients and staff owe to one another to make sure that the NHS operates relatively and successfully. The Secretary of State for Health, all NHS bodies, personal and voluntary sector suppliers providing NHS services, and local authorities in the workout of their public health functions are required by law to take account of this Constitution in their choices and actions. References in this file to the NHS and NHS services consist of local authority public health services, however references to NHS bodies do not consist of local authorities. Where there are differences of information these are discussed in the Handbook to the Constitution.

The Constitution will be renewed every ten years, with the involvement of the general public, patients and personnel. It is accompanied by the Handbook to the NHS Constitution, to be renewed a minimum of every 3 years, setting out current assistance on the rights, promises, duties and duties established by the Constitution. These requirements for renewal are legally binding. They guarantee that the principles and values which underpin the NHS are subject to routine review and re-commitment; which any government which looks for to alter the principles or values of the NHS, or the rights, promises, tasks and obligations set out in this Constitution, will need to engage in a full and transparent dispute with the public, clients and staff.

Principles that assist the NHS

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

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

It is available to all irrespective of gender, race, special needs, age, sexual orientation, religious beliefs, belief, gender reassignment, pregnancy and maternity or marital or civil partnership status. The service is designed to improve, avoid, identify and deal with both physical and psychological health problems with equivalent regard. It has a duty to each and every person that it serves and must appreciate their human rights. At the very same time, it has a broader social duty to promote equality through the services it provides and to pay particular attention to groups or areas of society where improvements in health and life expectancy are not equaling the remainder of the population.

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

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

3. The NHS strives to the highest requirements of quality and professionalism

It supplies high quality care that is safe, efficient and focused on patient experience; in individuals it utilizes, and in the assistance, education, training and advancement they receive; in the management and management of its organisations; and through its commitment to innovation and to the promotion, conduct and usage of research study to enhance the existing and future health and care of the population. Respect, dignity, compassion and care need to be at the core of how clients and personnel are treated not only because that is the best thing to do but because patient security, experience and outcomes are all improved when personnel are valued, empowered and supported.

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

It needs to support individuals to promote and manage their own health. NHS services must show, and should be collaborated around and tailored to, the requirements and preferences of clients, their households and their carers. As part of this, the NHS will guarantee that in line with the Army Covenant, those in the militaries, reservists, their families and veterans are not disadvantaged in accessing health services in the location they live. Patients, with their families and carers, where proper, will be associated with and sought advice from on all choices about their care and treatment. The NHS will actively encourage feedback from the public, clients and staff, welcome it and utilize it to improve its services.

5. The NHS works throughout organisational limits

It works in collaboration with other organisations in the interest of clients, local neighborhoods and the larger population. The NHS is an integrated system of organisations and services bound together by the concepts and values shown in the Constitution. The NHS is committed to working collectively with other regional authority services, other public sector organisations and a large range of personal and voluntary sector organisations to provide and deliver enhancements in health and wellbeing.

6. The NHS is devoted to supplying best value for taxpayers' money

It is committed to supplying the most reliable, fair and sustainable usage of finite resources. Public funds for health care will be committed entirely to the advantage of the individuals that the NHS serves.

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

The NHS is a national service moneyed through national taxation, and it is the federal government which sets the framework for the NHS and which is liable to Parliament for its operation. However, many decisions in the NHS, specifically those about the treatment of individuals and the comprehensive organisation of services, are rightly taken by the regional NHS and by patients with their clinicians. The system of responsibility and accountability for taking choices in the NHS ought to be transparent and clear to the public, clients and staff. The government will ensure that there is always a clear and updated declaration of NHS accountability for this function.

NHS values

Patients, public and personnel have assisted develop this expression of values that influence passion in the NHS and that need to underpin whatever it does. Individual organisations will establish and build upon these worths, customizing them to their regional needs. The NHS worths provide common ground for co-operation to achieve shared aspirations, at all levels of the NHS.

Working together for patients

Patients come first in whatever we do. We fully include patients, personnel, families, carers, communities, and professionals inside and outside the NHS. We put the requirements of clients and communities before organisational borders. We speak out when things fail.

Respect and self-respect

We value everyone - whether patient, their households or carers, or staff - as a private, regard their goals and commitments in life, and look for to comprehend their concerns, requirements, abilities and limits. We take what others need to state seriously. We are honest and open about our viewpoint and what we can and can not do.

Commitment to quality of care

We make the trust put in us by insisting on quality and aiming to get the basics of quality of care - safety, efficiency and client experience - right each time. We motivate and welcome feedback from clients, households, carers, staff and the general public. We utilize this to improve the care we provide and construct on our successes.

Compassion

We ensure that compassion is main to the care we supply and respond with humanity and generosity to each individual's pain, distress, anxiety or requirement. We look for the important things we can do, nevertheless little, to offer convenience and eliminate suffering. We discover time for patients, their households and carers, along with those we work alongside. We do not wait to be asked, since we care.

Improving lives

We aim to improve health and wellbeing and people's experiences of the NHS. We treasure quality and professionalism anywhere we find it - in the everyday things that make people's lives better as much as in medical practice, service improvements and development. We acknowledge that all have a part to play in making ourselves, patients and our neighborhoods healthier.

Everyone counts

We maximise our resources for the advantage of the whole neighborhood, and make sure nobody is omitted, discriminated versus or left. We accept that some people need more aid, that difficult choices need to be taken - which when we waste resources we lose chances for others.

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

Everyone who utilizes the NHS must comprehend what legal rights they have. For this reason, crucial legal rights are summarised in this Constitution and explained in more information in the Handbook to the NHS Constitution, which likewise discusses what you can do if you believe you have not received what is rightfully yours. This summary does not modify your legal rights.

The Constitution also includes promises that the NHS is devoted to attain. Pledges go above and beyond legal rights. This suggests that promises are not lawfully binding but represent a dedication by the NHS to provide extensive high quality services.

Access to health services

You deserve to get NHS services free of charge, apart from particular restricted exceptions approved by Parliament.

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

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

You deserve to anticipate your NHS to assess the health requirements of your neighborhood and to commission and put in location the services to fulfill those needs as thought about necessary, and when it comes to public health services commissioned by regional authorities, to take actions to enhance the health of the local neighborhood.

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

You also can authorisation for scheduled treatment in the EU, Norway, Iceland, Lichtenstein or Switzerland if you are covered by the Withdrawal Agreement and you meet the relevant requirements.

You have the right not to be unlawfully discriminated versus in the arrangement of NHS services consisting of on premises of gender, race, disability, age, sexual orientation, faith, belief, gender reassignment, pregnancy and maternity or marital or civil partnership status.

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

The NHS pledges to:

- supply convenient, easy 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 patients and the public can understand how services are prepared and delivered
- 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 can be treated with an expert requirement of care, by properly certified and experienced staff, in an appropriately approved or registered organisation that meets needed levels of security and quality.

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

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

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

The NHS also vows to identify and share best practice in quality of care and treatments.

Nationally approved treatments, drugs and programmes

You have the right to drugs and treatments that have been suggested by NICE for usage in the NHS, if your medical professional says they are clinically appropriate for you.

You deserve to anticipate regional choices on financing of other drugs and treatments to be made logically following a proper factor to consider of the proof. If the local NHS decides not to money a drug or treatment you and your physician feel would be ideal for you, they will describe that decision to you.

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

NHS pledge

The NHS also commits to provide screening programs as suggested by the UK National Screening Committee.

Respect, authorization and confidentiality

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

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

You have the right to accept or refuse treatment that is offered to you, and not to be offered any physical examination or treatment unless you have offered valid authorization. If you do not have the capacity to do so, consent must be acquired from an individual lawfully able to act on your behalf, or the treatment must remain in your finest interests.

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

You have the right of access to your own health records and to have any accurate mistakes corrected.

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

You have the right to be informed about how your info is used.

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

The NHS also pledges:

- to guarantee those associated with your care and treatment have access to your health info so they can look after you securely and efficiently
- that if you are admitted to health center, you will not have to share sleeping lodging with patients of the opposite sex, other than where suitable, in line with information set out in the Handbook to the NHS Constitution
- to anonymise the information collected during the course of your treatment and use it to support research study and improve care for others
- where recognizable details has to be utilized, to offer you the possibility to object wherever possible
- to inform you of research studies in which you may be eligible to get involved
- to show you any correspondence sent in between clinicians about your care

Informed choice

You can choose your GP practice, and to be accepted by that practice unless there are reasonable premises to refuse, in which case you will be informed of those factors.

You deserve to reveal a preference for utilizing a specific physician within your GP practice, and for the practice to attempt to comply.

You deserve to transparent, accessible and similar data on the quality of local healthcare suppliers, and on outcomes, 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 options. The choices readily available to you will establish over time and depend upon your individual requirements. Details are set out in the Handbook to the NHS Constitution.

- notify you about the healthcare services readily available to you, in your area and nationally.
- offer you quickly available, trustworthy and relevant information in a form you can comprehend, and assistance to use it. This will allow you to take part 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 accurate information readily available

Involvement in your healthcare and the NHS

You deserve to be included in planning and making choices about your health and care with your care company or service providers, including your end of life care, and to be offered information and assistance to allow you to do this. Where proper, this right includes your household and carers. This includes being offered the opportunity to manage your own care and treatment, if appropriate.

You can an open and transparent relationship with the organisation offering your care. You need to be outlined any safety event associating with your care which, in the viewpoint of a healthcare expert, has triggered, or could still cause, significant damage or death. You must be provided the facts, an apology, and any affordable assistance you need.

You deserve to be included, directly or through representatives, in the preparation of healthcare services commissioned by NHS bodies, the advancement and factor to consider of proposals for modifications in the method those services are provided, and in decisions to be made affecting the operation of those services

- offer you with the info and assistance you need to influence and scrutinise the preparation and shipment of NHS services.
- operate in collaboration with you, your household, carers and agents
- include you in conversations about preparing your care and to offer you a written record of what is concurred 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 complaint and other ways to offer feedback on NHS services.

You deserve to have any grievance you make about NHS services acknowledged within three working days and to have it appropriately investigated.

You deserve to talk about the manner in which the problem is to be handled, and to understand the duration within which the investigation is likely to be finished and the action sent.

You can be kept notified of progress and to know the result of any examination into your complaint, including an explanation of the conclusions and confirmation that any action needed in repercussion of the problem has actually 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 City Government Ombudsman, if you are not pleased with the method your complaint has actually been handled by the NHS.

You deserve to make a claim for judicial evaluation if you think you have been directly impacted by a crime or decision of an NHS body or local authority.

You deserve to settlement where you have been harmed by negligent treatment

The NHS also promises to:

- make sure that you are treated with courtesy and you receive suitable assistance throughout the handling of a complaint; and that the fact that you have complained will not adversely affect your future treatment.
- ensure that when errors happen or if you are damaged while receiving healthcare you get a proper explanation and apology, delivered with level of sensitivity and recognition of the injury you have experienced, and know that lessons will be discovered to help prevent a similar incident occurring again
- guarantee that the organisation discovers lessons from complaints and claims and uses these to improve NHS services

Patients and the public: your responsibilities

The NHS belongs to everybody. There are things that we can all do for ourselves and for one another to help it work effectively, and to guarantee resources are used responsibly.

Please acknowledge that you can make a significant contribution to your own, and your household's, health and wellness, and take personal duty for it.

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

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

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

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

Please follow the course of treatment which you have actually agreed, and speak with your clinician if you find this challenging.

Please get involved in crucial public health programmes such as vaccination.

Please ensure that those closest to you your wishes about organ donation.

Please offer feedback - both positive and unfavorable - about your experiences and the treatment and care you have actually received, consisting of any negative responses you may have had. You can frequently provide feedback anonymously and giving feedback will not impact negatively your care or how you are treated. If a family member or somebody you are a carer for is a client and not able to offer feedback, you are motivated to offer feedback about their experiences on their behalf. Feedback will help to enhance NHS services for all.

Staff: your rights and NHS pledges to you

It is the dedication, professionalism and devotion of personnel working for the benefit of individuals the NHS serves which really make the distinction. High-quality care requires premium workplaces, with commissioners and service providers aiming to be employers of choice.

All staff must have fulfilling and beneficial jobs, with the freedom and confidence to act in the interest of patients. To do this, they require to be trusted, actively listened to and supplied with significant feedback. They must be treated with regard at work, have the tools, training and support to deliver caring care, and chances to develop and progress. Care experts should be supported to maximise the time they invest directly adding to the care of clients.

The Constitution applies to all staff, 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 substantial legal rights, embodied in basic work and discrimination law. These are summarised in the Handbook to the NHS Constitution. In addition, private agreements of employment consist of terms and conditions providing staff even more rights.

The rights exist to assist guarantee that staff:

- have a good working environment with versatile working opportunities, constant with the requirements of patients and with the manner in which people live their lives
- have a fair pay and agreement structure
- 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 relatively, similarly and devoid of discrimination
- can in certain situations take a problem about their employer to a Work Tribunal
- can raise any worry about their company, whether it is about security, malpractice or other risk, in the general public interest.