Knowing your NHS

Starter Ideas

The NHS in numbers How many people does the NHS treat every 24 hours? Approximately, how many GP appointments are there in a a year? Approximately, how many A&E attendances are there in a year? How many Community pharmacies are there in England?

The NHS in numbers: Answers Over 1.4 million patients are treated in the NHS in England every 24 hours It’s estimated that 332.7 million GP appointments take place in a year There are around 23.7 million A&E attendances in a year There are over 12,042 Community Pharmacies in England Sources: 1 https://www.nhs70.nhs.uk/about/nhs-facts/ 2 GP Appointments: QResearch estimates for NHS Digital with forecasts. (2016/17) 3 NHS England https://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/ae-attendances-and-emergency-admissions-2017-18/ 4 General Pharmaceutical Council data - (2018)

Discussion Ideas

The NHS Workforce Knowing your NHS The NHS is the largest employer in England and the 5th largest employer in the world When the NHS was established in 1948 there were 144,000 staff across the UK. Now there are 1.2m in England alone Nurses and health visitors make up the largest proportion of NHS staff (27.5%) in England Doctors make up approximately 10% of the NHS workforce There are over 350 different job roles in the NHS Knowing your NHS Sources: NHS Employers/ NHS Digital (2017) https://digital.nhs.uk/catalogue/PUB30240 (Dec 2017)

The NHS Workforce Source: NHS Employers 2017

Did you know? Knowing your NHS The population in England is over 55m people People now live on average at least 12 years longer than they did 70 years ago in 1948 There were 16,864 GPs in 1948 and there are 41,817 GPs in 2018 Knowing your NHS The NHS budget in 1948 was £437m (roughly £15 billion at today’s value) and the budget in 2017/18 was £110bn Over 9 million people were sent home from A&E in 2016/17 with just advice they could have got from a pharmacist or by calling 111. Sources: https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/timeseries/enpop/pop (2016) https://www.nhs70.nhs.uk/about/nhs-facts/ https://www.nhs70.nhs.uk/get-involved/support-the-nhs/pledges/

Class activities

Know your NHS Services www.NHS.uk Self care First aid Community Pharmacy GP Practice Dental Practice Children and young people’s mental health (CYPMH) service; Child and Adolescent Mental Health Services (CAMHS) NHS 111 Urgent Treatment Centre (Urgent Care Centre, Walk-in Centre, Minor Injuries Unit) 999 Emergency Department / Accident and Emergency (A&E)

Activity: Which service is most appropriate? Introductory task: Select the service that you feel is right for your illness or injury Discuss: What was wrong with you? Why did you choose this service? How did you get to there? What are the benefits of coming to this service? Activity: Think about your choice Is there a more appropriate service? Did you make the right choice?

Know your NHS services It’s hard to know who to speak to if you are ill or injured, but there are lots of places you can go for help Some injuries/illnesses can be treated by different NHS services, and the service required may also differ according to the seriousness of the symptoms or illness If you talk to someone in an NHS service they will see you get the right help There are things that we can all do for ourselves and for one another to make sure resources are used appropriately and help the NHS work effectively, so that services are available wherever and whenever they are needed If you are unsure or worried about a medical concern call 111 immediately. A summary of NHS services is in the next slide…

Children and young people’s mental health services (CYPMH) Do you need information or advice on your health or wellbeing? Do you need to see a nurse, doctor or other healthcare professional? Do you need help in an emergency? www.NHS.uk Provides online information about health related issues, including mental health GP Practice Your GP can offer advice, treatment or prescriptions for illnesses that won’t go away with self-care. GPs can refer you to other services e.g. Children and young people’s mental health services (CYPMH) 999 Dial 999 if someone is suspected of having a stroke or heart attack, is unconscious, has a deep cut/heavy bleeding, may have broken a bone, has bad chest pains, or is finding it difficult to breathe Community pharmacy Pharmacists offer clinical advice for minor health concerns, without having to book an appointment NHS 111 The number to call for urgent medical help – physical or mental health related – when help is needed fast and it’s not a life threatening emergency Emergency Department / Accident and Emergency (A&E) For immediate hospital attention; when life is at risk, due to a serious illness or injury, or If someone is very distressed, has harmed or is thinking of harming themselves. Childline 0800 1111 www.childline.org.uk (Childline is a service provided by NSPCC) Urgent Treatment Centre (Urgent Care Centre, Walk-in Centre, Minor Injuries unit) Urgent help for injuries or illnesses which are not serious or life threatening Dental Practice Between check-ups, call your dentist if you have problems with your teeth, In an emergency your dentist will tell you how to access emergency dental care. Emergency dental care can also be accessed via NHS 111 Children and young people’s mental health services (CYPMH) Support and treatment for young people experiencing a range of mental health problems. Services may be offered/accessed via a GP, a drop-in centre, via NHS 111 or in serious emergencies - A&E

Activity: Spread the word Introductory Task: Mind Mapping How do you find out about the things you are interested in? How do you pass on messages about these? How do you keep in touch with your friends? Create a mind map using these headings: MUSIC SPORT MOVIES PARTIES/GATHERINGS FRIENDS

Spread the word Discuss: Which media are most important to you? Magazines and newspapers? Radio? TV? Mobile apps? Email? Websites? Social media? Activity: How would you communicate one of the NHS services to other young people?

Plenaries

Guess the service… What number would you call for urgent medical help – whether it’s physical or mental health related – when help is needed fast and it’s not a life-threatening emergency?

Guess the service… Answer: NHS 111

Guess the service… A service that is there for those that require immediate hospital attention, when life is at risk due to a serious illness or injury, such as: loss of consciousness persistent chest pain severe allergic reactions breathing difficulties severe burns or scalds

Guess the service… Answer: 999 can be called for an ambulance to A&E Emergency Departments / Accident and Emergency (A&E) Can you think of local examples of this service?

Guess the service… This NHS service employs highly trained health professionals. They can offer clinical advice for minor health concerns without having to book an appointment. They are experts in medicines, and use their clinical expertise, together with their practical knowledge, to advise on common problems such as: coughs, colds, aches and pains.

Guess the service… Answer: Community Pharmacies Pharmacists Can you think of local examples of this service?

Match the condition to the most appropriate service… www.NHS.uk Self care First aid Strains and sprains Sore throat Living with diabetes Toothache Feeling anxious or depressed Suspected fracture Minor scalds or burns Suspected heart attack or stroke Blood loss, deep cuts Earache Suspected broken bone Worried about self-harm Feeling unwell Community Pharmacy GP Practice Dental Practice Children and young people’s mental health services (CYPMH or CAMHS) NHS 111 Urgent Treatment Centre (Urgent Care Centre, Walk-in Centre, Minor Injuries Unit) 999 Emergency Department / Accident and Emergency (A&E)

Match the illness to the service Answers: Illness / injury Service Strains and sprains, feeling unwell www.NHS.uk / Self-care / First Aid Sore throat, feeling unwell, Strains and sprains, Earache Community Pharmacy Living with diabetes (management of condition) GP Practice Toothache Dental Practice (in an emergency call 111) Feeling anxious or depressed, worried about self-harm Children and young people’s mental health (CYPMH) services (or CAMHS), GP, NHS 111 or Childline, if someone is very distressed or having a crisis – then 999/ A&E Suspected fracture, worried about self-harm Call 111 Minor scalds or burns, suspected fracture Urgent Treatment Centre, Urgent Care Centre, Walk-in Centre, Minor Injuries Unit Suspected heart attack or stroke 999 Blood loss, deep cuts, suspected broken bone Emergency Department / Accident and Emergency (A&E) But, remember! It may not always be immediately obvious which NHS service to use. Some injuries/illnesses can be treated by different NHS services, and the service required may also differ according to the seriousness of the symptoms or illness. If you talk to someone in an NHS service they will see you get the right help. If you are unsure or worried about a medical concern call 111 immediately.

Who can I talk to about my health? Where might you go for help if: you need information or advice about your health? you or a friend are worried about a mental health issue? you need to see a doctor or nurse? you need help in an emergency?

Who can I talk to about my health? Answers: The following services can help you if you need information or advice about your health: www.NHS.uk Pharmacist NHS 111 If you or a friend are worried about a mental health issue – the following services can help: Childline 0800 1111 / www.childline.org.uk GP Practice Children and young people’s mental health (CYPMH) services; Child and Adolescent Mental Health Services (CAMHS) To find local NHS mental health services: https://www.nhs.uk/Service-Search/Mental-health-support-for-young-people/LocationSearch/1430

Who can I talk to about my health? Answers: If you need to see a doctor, dentist or nurse: GP Practice or Dentist Practice CAMHS or CYPMH services Urgent Treatment Centre (or Urgent Care Centre, Walk-in Centres, Minor injuries Unit) Emergency dentist (via 111) Out of hours GP (via 111) If you need help in an emergency: 999 Emergency Department / Accident and Emergency (A&E)

Find out more NHS www.nhs.uk www.nhs70.nhs.uk www.england.nhs.uk Health Education England www.hee.nhs.uk www.stepintothenhs.nhs.uk Public Health England www.campaignresources.phe.gov.uk/schools