1.
National Health Service (England)
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The National Health Service is the publicly funded national healthcare system for England and one of the four National Health Services of the United Kingdom. It is the largest and the oldest single-payer healthcare system in the world, Some services, such as emergency treatment and treatment of infectious diseases are free for everyone, including visitors. Free healthcare at the point of use comes from the principles at the founding of the National Health Service by the Labour government in 1948. Some specific NHS services do however require a financial contribution from the patient, for eye tests, dental care, prescriptions. However, these charges are often free to vulnerable or low income groups, the NHS provides the majority of healthcare in England, including primary care, in-patient care, long-term healthcare, ophthalmology, and dentistry. The National Health Service Act 1946 came into effect on 5 July 1948, private health care has continued parallel to the NHS, paid for largely by private insurance, it is used by about 8% of the population, generally as an add-on to NHS services. The NHS is largely funded from taxation with a small amount being contributed by National Insurance payments. The UK government department responsible for the NHS is the Department of Health, the Department of Health had a £110 billion budget in 2013-14, most of this being spent on the NHS. Sources do not always clear if they refer to the whole of the NHS or only to England. There is no unified British NHS, the National Health Service in Scotland and Northern Ireland were always separate, the Health and Social Care Act 2012 came into effect in April 2013, giving GP-led groups responsibility for commissioning most local NHS services. Starting in April 2013 Primary Care Trusts are being replaced by General Practitioner -led organisations called Clinical Commissioning Groups, under the new system, a new NHS Commissioning Board, called NHS England, oversees the NHS from the Department of Health. The Act has also associated with the perception of increased private provision of NHS services. NHS Trusts are responding to the Nicholson challenge which involved making £20 billion in savings across the service by 2015, Some NHS organisations are using referral management centres to help reduce inappropriate referrals in an attempt to save the NHS money. Millions of pounds have been spent for these services, 32% of which are provided by private companies, of the 211 clinical commissioning groups surveyed by the British Medical Journal in 2016,184 responded and 72 of those said they had used such schemes. Of those CCGs using these services, 14% could show savings, 12% showed no overall savings, because these services can prevent GPs from referring patients to hospitals, there are some concerns they may delay diagnosis and compromise patient safety. Dr A. J. Cronins controversial novel The Citadel, published in 1937, had fomented extensive debate about the severe inadequacies of health care. The authors innovative ideas were not only essential to the conception of the NHS, a national health service was one of the fundamental assumptions in the Beveridge Report. The Emergency Hospital Service established in 1939 gave a taste of what a National Health Service might look like, Healthcare prior to the war had been an unsatisfactory mix of private, municipal and charity schemes
2.
Hospital
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A hospital is a health care institution providing patient treatment with specialized medical and nursing staff and medical equipment. The best-known type of hospital is the hospital, which typically has an emergency department to treat urgent health problems ranging from fire. A district hospital typically is the health care facility in its region, with large numbers of beds for intensive care. Specialised hospitals can help reduce health care costs compared to general hospitals, a teaching hospital combines assistance to people with teaching to medical students and nurses. The medical facility smaller than a hospital is called a clinic. Hospitals have a range of departments and specialist units such as cardiology, some hospitals have outpatient departments and some have chronic treatment units. Common support units include a pharmacy, pathology, and radiology, Hospitals are usually funded by the public sector, by health organisations, by health insurance companies, or by charities, including direct charitable donations. Historically, hospitals were founded and funded by religious orders, or by charitable individuals. During the Middle Ages, hospitals served different functions from modern institutions, Middle Ages hospitals were almshouses for the poor, hostels for pilgrims, or hospital schools. The word hospital comes from the Latin hospes, signifying a stranger or foreigner, another noun derived from this, hospitium came to signify hospitality, that is the relation between guest and shelterer, hospitality, friendliness, and hospitable reception. By metonymy the Latin word then came to mean a guest-chamber, guests lodging, hospes is thus the root for the English words host hospitality, hospice, hostel and hotel. The German word Spital shares similar roots, the grammar of the word differs slightly depending on the dialect. Some patients go to a hospital just for diagnosis, treatment, or therapy and then leave without staying overnight, while others are admitted and stay overnight or for several days or weeks or months. Hospitals usually are distinguished from other types of facilities by their ability to admit and care for inpatients whilst the others. Larger cities may have several hospitals of varying sizes and facilities, some hospitals, especially in the United States and Canada, have their own ambulance service. A district hospital typically is the health care facility in its region, with large numbers of beds for intensive care. In California, district hospital refers specifically to a class of healthcare facility created shortly after World War II to address a shortage of beds in many local communities. Twenty-eight of Californias rural hospitals and 20 of its critical-access hospitals are District hospitals, Californias District hospitals are formed by local municipalities, have Boards that are individually elected by their local communities, and exist to serve local needs
3.
University
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A university is an institution of higher education and research which grants academic degrees in various academic disciplines. Universities typically provide undergraduate education and postgraduate education, the word university is derived from the Latin universitas magistrorum et scholarium, which roughly means community of teachers and scholars. Universities were created in Italy and evolved from Cathedral schools for the clergy during the High Middle Ages, the original Latin word universitas refers in general to a number of persons associated into one body, a society, company, community, guild, corporation, etc. Like other guilds, they were self-regulating and determined the qualifications of their members, an important idea in the definition of a university is the notion of academic freedom. The first documentary evidence of this comes from early in the life of the first university, the University of Bologna adopted an academic charter, the Constitutio Habita, in 1158 or 1155, which guaranteed the right of a traveling scholar to unhindered passage in the interests of education. Today this is claimed as the origin of academic freedom and this is now widely recognised internationally - on 18 September 1988,430 university rectors signed the Magna Charta Universitatum, marking the 900th anniversary of Bolognas foundation. The number of universities signing the Magna Charta Universitatum continues to grow, the university is generally regarded as a formal institution that has its origin in the Medieval Christian setting. The earliest universities were developed under the aegis of the Latin Church by papal bull as studia generalia and it is possible, however, that the development of cathedral schools into universities was quite rare, with the University of Paris being an exception. Later they were founded by Kings or municipal administrations. In the early period, most new universities were founded from pre-existing schools. Many historians state that universities and cathedral schools were a continuation of the interest in learning promoted by monasteries, the first universities in Europe with a form of corporate/guild structure were the University of Bologna, the University of Paris, and the University of Oxford. The students had all the power … and dominated the masters, princes and leaders of city governments perceived the potential benefits of having a scholarly expertise develop with the ability to address difficult problems and achieve desired ends. The emergence of humanism was essential to understanding of the possible utility of universities as well as the revival of interest in knowledge gained from ancient Greek texts. The rediscovery of Aristotles works–more than 3000 pages of it would eventually be translated–fuelled a spirit of inquiry into natural processes that had begun to emerge in the 12th century. Some scholars believe that these represented one of the most important document discoveries in Western intellectual history. Richard Dales, for instance, calls the discovery of Aristotles works a turning point in the history of Western thought and this became the primary mission of lecturers, and the expectation of students. The university culture developed differently in northern Europe than it did in the south, Latin was the language of the university, used for all texts, lectures, disputations and examinations. Professors lectured on the books of Aristotle for logic, natural philosophy, and metaphysics, while Hippocrates, Galen, outside of these commonalities, great differences separated north and south, primarily in subject matter
4.
University College London
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University College London is a public research university in London, England, and a constituent college of the federal University of London. It is the largest postgraduate institution in the UK by enrollment and is regarded as one of the worlds leading research universities. UCL also makes the claims of being the third-oldest university in England. In 1836 UCL became one of the two founding colleges of the University of London, which was granted a charter in the same year. UCL has its campus in the Bloomsbury area of central London, with a number of institutes and teaching hospitals elsewhere in central London. UCL is organised into 11 constituent faculties, within there are over 100 departments, institutes. In 2015/16, UCL had around 38,300 students and 12,000 staff and had an income of £1.36 billion. UCL ranks highly in national and international league tables and its graduates rank among the most employable in the world, UCL academics discovered five of the naturally occurring noble gases, co-discovered hormones, invented the vacuum tube, and made several foundational advances in modern statistics. There are at least 29 Nobel Prize winners and 3 Fields medalists amongst UCLs alumni and current, UCL was founded on 11 February 1826 under the name London University, as an alternative to the Anglican universities of Oxford and Cambridge. London Universitys first Warden was Leonard Horner, who was the first scientist to head a British university and this suggests that while his ideas may have been influential, he himself was less so. In 1827, the Chair of Political Economy at London University was created, with John Ramsay McCulloch as the first incumbent, in 1828 the university became the first in England to offer English as a subject and the teaching of Classics and medicine began. In 1830, London University founded the London University School, which would later become University College School, in 1833, the university appointed Alexander Maconochie, Secretary to the Royal Geographical Society, as the first professor of geography in the UK. In 1834, University College Hospital opened as a hospital for the universitys medical school. In 1836, London University was incorporated by charter under the name University College. The Slade School of Fine Art was founded as part of University College in 1871, in 1878, the University of London gained a supplemental charter making it the first British university to be allowed to award degrees to women. The same year, UCL admitted women to the faculties of Arts and Law and of Science, although women remained barred from the faculties of Engineering and of Medicine. Armstrong College, an institution of Newcastle University, also allowed women to enter from its foundation in 1871. Women were finally admitted to medical studies during the First World War in 1917, in 1898, Sir William Ramsay discovered the elements krypton, neon and xenon whilst professor of chemistry at UCL
5.
Emergency department
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The emergency department is usually found in a hospital or other primary care center. In some countries, emergency departments have become important entry points for those without means of access to medical care. The emergency departments of most hospitals operate 24 hours a day, griswold also equipped police and fire vehicles with medical supplies and trained officers to give emergency care while en route to the hospital. Today, a hospital has its emergency department in its own section of the ground floor of the grounds. As patients can present at any time and with any complaint, triage is normally the first stage the patient passes through, and consists of a brief assessment, including a set of vital signs, and the assignment of a chief complaint. Most emergency departments have an area for this process to take place. Most patients will be assessed at triage and then passed to another area of the department, or another area of the hospital. Conversely, patients with serious conditions, such as cardiac arrest, will bypass triage altogether. The resuscitation area, commonly referred to as Trauma or Resus, is a key area in most departments, the most seriously ill or injured patients will be dealt with in this area, as it contains the equipment and staff required for dealing with immediately life-threatening illnesses and injuries. Typical resuscitation staffing involves at least one attending physician, and at least one and these personnel may be assigned to the resuscitation area for the entirety of the shift, or may be on call for resuscitation coverage. Examples of majors include chest pain, difficulty breathing, abdominal pain, Advanced diagnostic testing may be conducted at this stage, including laboratory testing of blood and/or urine, ultrasonography, CT or MRI scanning. Medications appropriate to manage the condition will also be given. Depending on underlying causes of the chief complaint, he or she may be discharged home from this area or admitted to the hospital for further treatment. Patients whose condition is not immediately life-threatening will be sent to an area suitable to deal with them, such patients may still have been found to have significant problems, including fractures, dislocations, and lacerations requiring suturing. Children can present particular challenges in treatment, many hospitals have a separate area for evaluation of psychiatric problems. These are often staffed by psychiatrists and mental health nurses and social workers, there is typically at least one room for people who are actively a risk to themselves or others. Fast decisions on life-and-death cases are critical in emergency rooms. As a result, doctors face great pressures to overtest and overtreat, other common variations include emergency ward, emergency centre or emergency unit
