Careers in The National Careers in The National Health Service Health Service

Dawn PorterDawn Porter

Joanne RhodesJoanne Rhodes

Origins of the NHS Origins of the NHS

• The NHS was set up 57 years ago on The NHS was set up 57 years ago on the 5the 5thth July 1948 to provide July 1948 to provide healthcare for all citizens, based on healthcare for all citizens, based on need, not the ability to pay and is now need, not the ability to pay and is now the largest organisation in Europe. the largest organisation in Europe.

• It is recognised as one of the best It is recognised as one of the best health services in the world by the health services in the world by the World Health OrganisationWorld Health Organisation

Funding and management of Funding and management of the NHSthe NHS

• The NHS is funded by the taxpayer The NHS is funded by the taxpayer and managed by the Department of and managed by the Department of Health, which sets overall policy on Health, which sets overall policy on health issues. health issues.

• It is the responsibility of the It is the responsibility of the Department of Health to provide Department of Health to provide health services to the general public health services to the general public through the NHS.through the NHS.

NHS – a massive employerNHS – a massive employer

• In England alone, the NHS employs about a In England alone, the NHS employs about a million people but the NHS needs more staff million people but the NHS needs more staff to deliver improving and expanding levels of to deliver improving and expanding levels of treatment and care.treatment and care.– 7,500 more consultants 7,500 more consultants -2,000 more GP’s-2,000 more GP’s– 20,000 extra nurses20,000 extra nurses -6,500 extra -6,500 extra

therapiststherapists– 1,000 more medical school places 1,000 more medical school places by 2010by 2010

• There are over 300 careers within the NHS, There are over 300 careers within the NHS, which means that there is something for which means that there is something for everyone everyone

NHS in Birmingham – 4 NHS in Birmingham – 4 areasareas

• Acute Trusts Acute Trusts

• Primary Care Trusts Primary Care Trusts

• Mental Health Trusts Mental Health Trusts

• Specialist Hospitals Specialist Hospitals

e.g. e.g. Women’sWomen’s

Children’sChildren’s

ROH ROH

Acute TrustAcute Trust

• Mostly large district or general hospitals Mostly large district or general hospitals (ie UHB, Heartlands, Good Hope, City)(ie UHB, Heartlands, Good Hope, City)

• Employ up to 6500 members of staff, Employ up to 6500 members of staff, across various disciplines/areasacross various disciplines/areas

• Deal with acutely (recent) and Deal with acutely (recent) and chronically (long term) unwell patientschronically (long term) unwell patients

• Mostly adults over of the age of 16Mostly adults over of the age of 16

Acute Trust – cont’dAcute Trust – cont’d

• Mostly have an Accident and Emergency Mostly have an Accident and Emergency department and therefore deal with department and therefore deal with ambulances bringing in patients from 999 calls ambulances bringing in patients from 999 calls

• Have wards, theatres, specialist Have wards, theatres, specialist units/departments and out-patient units/departments and out-patient departments departments

• Patients are brought in as emergencies or are Patients are brought in as emergencies or are electively (planned) for specific operationselectively (planned) for specific operations

• Have regular patients who attend for Have regular patients who attend for treatment – i.e. Cancer centre, Dialysis treatment – i.e. Cancer centre, Dialysis

Primary Care TrustPrimary Care Trust

• An NHS organisation which looks at the health of the entire local population and address issues specific to the area.

• Mainly based within a community setting, for example Medical/Health Centres and Community Hospitals (West Heath and Moseley Hall Hospital)

• Their aim is to keep health care close to home by moving care from the Acute settings into a Primary Care.

Primary Care Trust – cont’dPrimary Care Trust – cont’d

• Primary Care Services include:Primary Care Services include:– Carers SupportCarers Support– Chiropody/PodiatryChiropody/Podiatry– District NursingDistrict Nursing– General PracticeGeneral Practice– Health VisitingHealth Visiting– School NursingSchool Nursing– PhysiotherapyPhysiotherapy

..

Primary Care Trust – cont’dPrimary Care Trust – cont’d

• Some Primary Care Trusts also offer Some Primary Care Trusts also offer specialised community servicesspecialised community services which can include:which can include:– Children’s servicesChildren’s services– Complex Care Nursing packages Complex Care Nursing packages – Dental HospitalDental Hospital– Community Hospitals at Moseley Hall, West Community Hospitals at Moseley Hall, West

Health offering Rehab and Elderly ServicesHealth offering Rehab and Elderly Services– Services for People with Learning DisabilitiesServices for People with Learning Disabilities– West Midlands Rehabilitation CentreWest Midlands Rehabilitation Centre

Mental Health TrustMental Health Trust

• Based in Hospital and Community Based in Hospital and Community settingssettings

• Spans the city of Birmingham and Spans the city of Birmingham and SolihullSolihull

• Employs approximately 4,000 staffEmploys approximately 4,000 staff

• Deal with clients with Mental Health Deal with clients with Mental Health illnesses of all agesillnesses of all ages

• Adults, Older adults and adolescentsAdults, Older adults and adolescents

Mental Health Trust Cont’dMental Health Trust Cont’d

• Have both in-patient and outpatient Have both in-patient and outpatient servicesservices

• Provide specialist services:-Provide specialist services:-– Mother and BabyMother and Baby– Deaf ServicesDeaf Services– ForensicsForensics

Specialist NHS HospitalsSpecialist NHS HospitalsBirmingham Women’s HospitalBirmingham Women’s Hospital

• A leading specialist teaching hospital A leading specialist teaching hospital dedicated to serving the health dedicated to serving the health needs of women and babies within needs of women and babies within the West Midlands, and beyond for the West Midlands, and beyond for some of its specialised servicessome of its specialised services

• Hospital, one of only two Trusts in Hospital, one of only two Trusts in England dedicated to women’s England dedicated to women’s healthhealth

Women’s cont’dWomen’s cont’d

• Provides full community midwifery Provides full community midwifery services to the population of South services to the population of South Birmingham delivering over 6,000 normal Birmingham delivering over 6,000 normal and complex maternity cases per yearand complex maternity cases per year

• Receives and cares for women with high Receives and cares for women with high risk obstetric problemsrisk obstetric problems

• The hospital has a large neonatal and The hospital has a large neonatal and special care unit, providing a regional special care unit, providing a regional service for neonatology as well as caring service for neonatology as well as caring for babies delivered herefor babies delivered here

Women’s cont’dWomen’s cont’d

• The Trust employs approximately 1,500 The Trust employs approximately 1,500 employeesemployees

• Services include a full range of specialities Services include a full range of specialities including:including:– Obstetrics and Maternity ServicesObstetrics and Maternity Services– GynaecologyGynaecology– NeonatologyNeonatology– GeneticsGenetics– And other specialist pathology services And other specialist pathology services

Private sectorPrivate sector

• To incl:To incl:HospicesHospices

NuffieldNuffieldBupaBupa

Nursing HomesNursing Homes

• Also employee various members of staff, Also employee various members of staff, but under very different terms and but under very different terms and conditions of employmentconditions of employment

Graduate Clinical RolesGraduate Clinical Roles

• Broadly speaking clinical roles can be Broadly speaking clinical roles can be separated into the following groups:separated into the following groups:

NURSING AND MIDWIFERYNURSING AND MIDWIFERY

MEDICINEMEDICINE

HEALTHCARE SCIENTISTSHEALTHCARE SCIENTISTS

ALLIED HEALTH PROFESSIONALS ALLIED HEALTH PROFESSIONALS (AHP’s)(AHP’s)

Nursing and MidwiferyNursing and Midwifery

• Individuals undertake a 3-4 year Individuals undertake a 3-4 year course to become a:course to become a:

General Nurse (also called adult) General Nurse (also called adult)

Mental Health NurseMental Health Nurse

Children’s NurseChildren’s Nurse

Learning Disability NurseLearning Disability Nurse

MidwifeMidwife

Nursing and Midwifery Nursing and Midwifery cont’d cont’d

• After qualification individuals may go After qualification individuals may go on through further training to on through further training to become:become:

Health VisitorsHealth Visitors

Practice NursesPractice Nurses

District NursesDistrict Nurses

Specialist NursesSpecialist Nurses

Health care scientistsHealth care scientists

• Provide a vital service to screen, Provide a vital service to screen, diagnose and treat patients. Well diagnose and treat patients. Well over 70% of all diagnoses are made over 70% of all diagnoses are made with the help of the scientific with the help of the scientific servicesservices

• About 40 different professions in About 40 different professions in Healthcare scienceHealthcare science

• Various routes of entryVarious routes of entry

MedicineMedicine

• Excellent grades at ‘A’ level are required Excellent grades at ‘A’ level are required to go onto University for 5 years to to go onto University for 5 years to become a doctorbecome a doctor

• After further training and exams a doctor After further training and exams a doctor may then go on to become a:may then go on to become a:

SurgeonSurgeon ConsultantConsultant

PsychiatristPsychiatrist GP GP

PathologistPathologist Anaesthetist Anaesthetist

Allied Health Professionals Allied Health Professionals (AHP’s)(AHP’s)

• Qualified AHP’s have generally undertaken a Qualified AHP’s have generally undertaken a 3-4 year degree/diploma to become a:3-4 year degree/diploma to become a:

- Physiotherapist - Physiotherapist - Dietician- Dietician- Occupational Therapist - Orthoptist- Occupational Therapist - Orthoptist- Podiatrist- Podiatrist - - Prothetist/OrthotistProthetist/Orthotist- Radiographer- Radiographer - Speech & - Speech & Language Language

- Operating Department Therapist- Operating Department Therapist Practitioner (ODP) - PharmacistPractitioner (ODP) - Pharmacist

Assistants within AHP’sAssistants within AHP’s

• There are no national qualifications, There are no national qualifications, however some GCSE’s are expected however some GCSE’s are expected or work experience to become or work experience to become assistants to:assistants to:

ParamedicsParamedics PhysiotherapistsPhysiotherapists

RadiographersRadiographersDieticians…… etc Dieticians…… etc

Unqualified Unqualified carers/assistantscarers/assistants

• No minimum qualifications (other than No minimum qualifications (other than sometimes a pass at level 2 in a basic sometimes a pass at level 2 in a basic skills test) are required to become:skills test) are required to become:

Health care assistantHealth care assistantAuxiliary nurseAuxiliary nursePhlebotomistPhlebotomistECG technicianECG technicianOperating department assistant Operating department assistant

Non-Clinical RolesNon-Clinical Roles

• The ability of the clinical staff to do The ability of the clinical staff to do their vital work depends upon a their vital work depends upon a massive back up operationmassive back up operation

• This is provided around the clock by This is provided around the clock by a huge range of support staffa huge range of support staff

• Working mainly behind the scenes to Working mainly behind the scenes to ensure the NHS can functionensure the NHS can function

Non- clinical graduate rolesNon- clinical graduate roles

• ManagementManagement

• Accountancy/FinanceAccountancy/Finance

• Human ResourcesHuman Resources

• Project workProject work

• Information Technology/communicationsInformation Technology/communications

• LibrarianLibrarian

• ResearchResearch

Non-Clinical RolesNon-Clinical Roles

• Broadly speaking the remaining non Broadly speaking the remaining non clinical roles can be separated into clinical roles can be separated into the following groups:the following groups:

- Health Informatics- Health Informatics

- The Wider Health Care Team - The Wider Health Care Team

Health InformaticsHealth Informatics

• There are four main specialist areas in this group:There are four main specialist areas in this group:

- Information and communication staff, who run the internal - Information and communication staff, who run the internal and external electronic communicationsand external electronic communications

- Health records staff who collate, store and retrieve the - Health records staff who collate, store and retrieve the patient recordspatient records

- Knowledge management who support clinical staff in their - Knowledge management who support clinical staff in their education, training and professional practiceeducation, training and professional practice

- Information management who use statistics and other - Information management who use statistics and other information to develop the health serviceinformation to develop the health service

Wider Healthcare StaffWider Healthcare Staff

• There are many roles within this There are many roles within this category and include posts within:category and include posts within:– CateringCatering– Clerical staffClerical staff– EstatesEstates– FinanceFinance– ManagementManagement– FacilitiesFacilities

Benefits of working for the Benefits of working for the NHSNHS• Generous paid annual leave (per year)Generous paid annual leave (per year)

– 27 days or 202.5 hours on commencement 27 days or 202.5 hours on commencement with the NHSwith the NHS

– 29 days or 217.5 hours after 5 years service29 days or 217.5 hours after 5 years service– 33 days or 247.5 hours after 10 years service33 days or 247.5 hours after 10 years service

• 8 public holidays per year8 public holidays per year• Paid sick leave (6 months full pay/6 Paid sick leave (6 months full pay/6

months half pay after 5 years service)months half pay after 5 years service)• Excellent pension schemeExcellent pension scheme• Child and carer advice line and supportChild and carer advice line and support

Benefits continuedBenefits continued

• Training and development opportunitiesTraining and development opportunities

-skills escalator-skills escalator

-European computer driving licence-European computer driving licence

-appraisal system-appraisal system

• Occupational HealthOccupational Health

• Holiday and Leisure discountsHoliday and Leisure discounts

• Flexible working opportunitiesFlexible working opportunities

• Family friendly policiesFamily friendly policies

Any QuestionsAny Questions