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Jargon Buster A-Z
 

IMPRESS NHS JARGON BUSTER  - SCROLL DOWN TO A-Z SEARCH

Third edition of the Jargon Buster  available in hard copy and here as pdf (April 2010)  Does not take account of post-election changes. The online version is updated periodically to take account of these.

There is short Social Care and Housing Jargon Buster  available from IMPRESS too, with thanks to the Long Term Conditions Delivery Support Team.    All the terms are in the A-Z as well.

 Please note that a number of the DH websites, including NHS Evidence, were reviewed post-Election May 2010, and so some links may not work.  If this is the case, please contact us to let us know and we'll correct quickly.

IMPRESS NHS JARGON BUSTER

Introduction

The Jargon Buster A-Z (see below) aims to provide a simple guide to the many  terms in the NHS in England that describe how healthcare and social care will be planned, measured and paid for.  Some of the terms also apply to Wales, Scotland and Northern Ireland.   They highlight the relevance for delivering respiratory care.

We would also highly recommend the Junior Doctors Guide to the NHS.  This is a very helpful guide for all who work in the NHS.    As a guide for junior doctors, we would hope that future editions might also include something on the  building blocks of coding, financial flows and casemix complexity because it is often the junior doctors who take on the responsibility of setting the coding standard from day one of discharge and this is a key responsibility, since it is this coding activity that drives planning.  However, IMPRESS can highly recommend the commentary in our guide to Respiratory Coding to fill this gap.

Before starting the alphabetical glossary you may find it helpful to look at Figure 1 that describes how the various policies contribute to the three main policy aims to:

•    improve patient care, and particularly to reduce inequalities in access to care,
•    improve the patient’s experience of services
•    achieve better value for money. 

Whilst this figure is updated in new Conservative policy, the basic direction remains the same.

A-Z

  
Jargon Buster A-Z

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Fair Access to Care

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4009653
Social care for adults, unlike healthcare, is not free for everyone.  Everyone is entitled to a free assessment, including carers, but councils only have a limited amount of money, and cannot provide services direct to everyone. They use the Government’s Fair Access to Care Services guidance as part of their assessment, to help decide what level of risk the individual has, and whether to pay for support. There are four levels of risk set out in the guidance.


These are:

Low - when there is little risk to the person’s independence
Moderate - where there is some risk to the person’s independence either now or in the near future
Substantial - where there are significant risks to the person’s safety and independence
Critical - where there are immediate risks to the person’s safety and independence


Most councils currently fund support for adults with a substantial or critical risk to their safety, independence or wellbeing.  There is different guidance for children.

The support offered will be means tested through a financial assessment.    A social care team would be able to provide health colleagues with client information categorised by level of risk, but not by diagnosis.

 

FESC

Framework for procuring External Support for Commissioners launched by the DH in England  in 2007. This includes an approved list of 14 commercial providers of support to commissioners. The companies are:
Aetna Health Services (UK) Limited
AXA PPP Healthcare Administration Services Limited
BUPA Membership Commissioning Limited
CHKS Ltd – trading as Partners In Commissioning
Dr Foster Limited, trading as Dr Foster Intelligence
Health Dialog Services Corporation - now part of Bupa
Humana Europe, Ltd
KPMG LLP
McKesson Information Solutions UK Limited
McKinsey and Company, Inc. United Kingdom
Navigant Consulting, Inc
Tribal Consulting Limited
UnitedHealth Europe Limited
WG Consulting Healthcare Limited, trading as WG

They are approved to offer some, or all of these services: Assessment and planning, contracting and procurement, performance management, settlement and review and patient and public engagement.

 

     
NHS Jargon Buster

The last printed version (please note the online version is more up to date) of the IMPRESS NHS Jargon Buster (pdf) is available to download here

  
Jargon Buster - HTML version
  
IMPRESS is grateful to  its corporate supporters - AstraZeneca, Boehringer Ingelheim/Pfizer and GlaxoSmithKline who provide grants for this independent programme of study
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