The National Institute for Health and Clinical Excellence provides relevant sets of information needed to identify and treat depression. They are set out care and services for most people with a specific condition or need. NICE gives an appraisal on the use of new and existing medicine and treatments within the National Health Service. The NHS uses the NICE guidelines in helping the health and communal care experts too; avert ill health, endorse and protect good health, advance the quality of care and services, adapt and provide health and social care services to the patients. These policies and guidelines impact clinical decisions made by the pharmacist and other healthcare professionals to improve the health services and ensure that the patient gets the most effective course of treatment. The policies and guidance vary between hospitals, and this means that the policy interpretation often depends on the specialism, nationalism and where they practice. In Kuwait, where I am doing my practice, the hospitals rely on the USA, Canada, UK and other countries guidelines to inform practice. This paper aims at comparing and contrasting the use of the National Health Services policy and the National Institute for Health and Care Excellence guidelines and their impact on clinical decision making to those in Kuwait.
The National Institute for Health and Care Excellence is in charge of producing Quality Standards which are a set of concise and specific statements that act as markers of high quality, cost-effective patient care, covering the treatment and the prevention of different diseases and conditions. These rules are used by clinical commissioners to identify and procure excellent quality services. Most of the Quality Standards are not a comprehensive description of care pathways, but they are just vital identifiers of good practice. The National Health Services, on the other hand, is an independent body whose central role is to set the priorities and the direction to improve health and care outcomes for people. It is the commissioner for primary care services for example pharmacists, dentist and military health services. The body manages the revenue and ensures that organizations are spending the allocated funds efficiently. The NHS is also responsible for the regular monitoring of expenditure to not only verifies spending against the target but to even identify the changing patterns or the circumstances that need corrective action. They ensure that the health care facilities follow to the latter the guidelines given to them so that they can accomplish their job competently. The NHS is the overall boss who makes sure both the healthcare facilities and the health practitioners are working efficiently.
The National Institute for Health and Care Excellence guidelines offer abridged instructions on which investigative or transmission tests to order, how to proposal medical or surgical amenities, how long patients ought to stay in the hospice or other details of clinical practice. For example, someone who is under depression and has the side effects of continually uses of antidepressants. The pharmacist is encouraged to plan for a two to a four-week review of the patient first three months or longer to determine if the response to treatment is okay. The patient is also advised on what to avoid the use of generic or herbal products which may worsen the condition. It shows that the NICE also explain to the doctors and other health workers on the procedure to use while treating persons with different illnesses. Each illness has its method of treatment. The National Health Services policies are responsible for working on new and innovative ways to improve the communities health and reducing the health inequalities. These initiatives drives are by highly committed individuals, and the system-wide action is needed to embed them into the NHS structure. These efforts help in preventing poor health services rendered to the public. The NHS has the time and the resources needed to keep reinventing new ideas to better the healthcare department.
The National Health Services and the National Institute for Health and Care Excellence have the role of ensuring the patient gets the best healthcare treatment. Both are working most efficiently to improve the public healthcare practices and facilities. The two can achieve the best for patients and the public if they work in partnership with any other local services. They use their resources to help the patients, and the people maintains and improves their health including those already living with certain conditions. The National Health Services and the National Institute for Health and Care Excellence act as the role model for their patients and communities, by improving people health and promoting healthy living.
Clinical guidelines have become a familiar part of clinical practice. The rules of operation at hospitals and clinics, clinical decisions at the bedside and health spending by government are influenced each day by the guidelines. These guidelines systematically developed statements that assist practitioners and patients decisions about good health care for specific clinical circumstances. Policymakers, payers, and clinicians see the local directions as an instrument for creation care more unswerving and qualified and for terminating the gap between what clinicians do. The principal benefit of these local guidelines is to improve the quality of care received by the patients. The most common finding from health service research is the failure to translate the directions set into daily practice. The health care practitioners do not follow the local clinical instructions and policies that have been set. Due to this issue, the Partnership for Policy Implementation was established to increase the ability of the clinicians to implement the said policies. The PPI works by assigning a medical practitioner to work with the lead guideline subcommittee to help in producing clear guidance on how he or she can implement recommendations in practice.
In conclusion, the National Health Services policies and the National Institute for Health and Care Excellence guidelines should be set in all countries to provide adequate health services and make positive health decisions, to deliver quality management of patients. These guidelines set by the government or payers help in controlling spiraling cost may constitute responsible public policy, but they may resent by the health practitioners as an invasion of personal space. Clinical guidelines are the only option for improving the healthcare services. Clinical guidelines and policies make sense when health practitioners are unclear about appropriate practice and when scientific evidence can provide answers. Also, patients benefit from protection from harmful drugs, wrongly administered, which may have a negative impact on patient adherence and worsening their situation. When the healthcare clinicians know the information in the guidelines, they should now redirect their efforts in identifying the specific barriers that stand in the way of behavior change.
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