The Act repeals
the majority of existing community care legislation including: The Carers
(Recognition and Services) Act 1995, The Carers and Disabled Children Act 2000, The Carers (Equal
Opportunities) Act 2004, and The Carers Strategies (Wales) Measure 2010.
The Act covers also
covers: Well-being, Population
assessments, Preventative services, Social enterprises, Provision of information, advice and assistance, and Register of
sight-impaired, hearing impaired and other disabled people
Local councils now
must offer a carer’s assessment
to any carer where it appears to the council that the carer may have needs for
support. This is an important change, as previously a carer could only
request a carer’s assessment.
The Act has a new
definition of a carer: a person who provides or intends to provide care
for an adult or disabled child. This removes the requirement that carers must
be providing ‘a substantial amount of care on a regular basis’.
The Social Services and Well-being (Wales) Act 2014
came into force in April 2016 and includes significant changes for carers
including new rights and new duties on local councils.
law is very extensive, consolidating in one place many legal frameworks for
social services in Wales. It repeals many previous provisions and guidelines
regarding care and support and replaces them under this Act. Appendix 1 lists
the consequences of repealing and amending the existing primary law. The new
law is based on the White Paper ‘Sustainable social services for Wales: a
framework for action’ calling for modernization of care and support law in a
way that reflects the strengths of structures, systems and policies in Wales.
This the most substantial piece of
primary legislation enacted by the Assembly and it will be a profound
inpact on the provision of social care
will change the way social services are delivered, promoting people’s
independence to provide them with stronger voice and control.
Social service and well being act 2014
is aimed at solving these problems, and thus will provide more freedom
to decide what services they need, supporting consistent high-quality services
across the country.
included demographic changes, increased expectations of people using care and
support, and a persistent difficult economic situation.
White Paper ‘Sustainable social services for Wales: a framework for action’,
published in 2011, highlights a number of challenges for public services in
the Health and Social Care Act 2012, the Government publishes goals and
expectations for health care in the first mandate of the NHS Commission.
In that time, the Doctors
take industrial action for the first time in nearly 40 years. The British
Medical Association (BMA) has decided to make significant changes to the NHS
pension system. The
coalition government publishes the White Book of Care and Support along with
the draft Act on Care and Support and a “progress report” on
financing, all of which outline the government’s vision of reforming care and
support for adults.
The legal basis for the introduced changes was given by the The Health Act
1999, which was signed by the queen on 30 June. The changes introduced by this
act concern both organizational structures and the division of competences at
all levels of the health administration.
Currently, the structures of the British national health service are again
subject to major organizational changes. These changes are related to the
seizure of power in 1997 by the Labor Party.
The basic document in the case (The new NHS. Modern. Dependable) presented
the Secretary of State for Health in December 1997 to the British Parliament.
The document clearly defined the need for further strengthening of the PHC,
especially general practice, within the framework of the NHS structures.
Since the implementation of this reform, general practitioners have been
paid according to a dual system: traditionally concluded contracts and under
the so-called global budgets (annual). From these budgets, the doctors
purchased the necessary hospital services for their patients, external
consultations, and some surgical procedures. These doctors were also obliged to
respect the global amount allocated to prescribed medicines. Global budgets
were allocated by regional health authorities and traditional contracts
contained local NHS authorities. This dual system functioned in the 90s and has
been preserved to this day. However, with Prime Minister Tom Blaire’s coming to
power, the reform of the reform conducted during the reign of Margaret Thatcher
A formula for general medical practice was introduced as part of the reform
of the health care system undertaken by the government of Margaret Thatcher.
The basic assumption of the reform at that time was the introduction of
internal competition (the so-called internal market) within the NHS. Local
health authorities have become an active element of the system. Local
administration could freely purchase hospital services in various hospitals,
managed by themselves, in hospitals in another area, in autonomous hospital
foundations, and in private hospitals – taking into account the quality of
health services and the price proposed by the providers. in principle, this was
to force competition between hospitals and improve the quality of health
services, and in the future lead to a departure from the budgets of global
hospitals in order to contract the number and type of services or to pay for a
The sources of public health financing are general taxes, subsidies from
the National Insurance Fund for the NHS , patient fees and various charges (eg
for the stay of private patients in NHS hospitals).
The National Health Service has not undergone any major changes to the
present day, and the major adjustments made over the years have concerned
organizational issues, reallocation of resources and the scope and amount of
additional payments for benefits provided by patients. Thus, the original
intention of the free of all benefits was withdrawn.
The NHS system was based on the following principles (currently also
current), namely: separation of payment of sickness benefits from treatment, universality
and a wide range of free medical services for all residents regardless of their
income and health status, financing health care from public sources (taxes),
which means introducing the so-called supply (budget) as opposed to the
contribution system of financing, equal access to health services, introduction
of the three-level NHS administration system.
The first plan for the creation of state health care in Great Britain was
created in 1942 in connection with the project of the new social security
system of Lord William Beveridge. The element which, according to Beveridge,
influenced the success of social security reforms, was the introduction of
universal, free medical and rehabilitation care. In the end, the social
security plan was passed by the parliament in 1943, and in 1948 the National
Health Service (NHS) system entered into force.
In the beginning of this assignment I would like to mention a history of
health care in Great Britain.