The National Health Service and Community Care Act 1990 is a significant piece of legislation that was passed in the United Kingdom. It was intended to reform and modernize the National Health Service (NHS) and to provide better community care for people in need.
One of the main objectives of the Act was to provide more choice and control for patients in the NHS. It introduced the concept of fundholding, which allowed GPs to purchase services on behalf of their patients from different providers, including hospitals and other healthcare organizations. This was intended to increase competition and improve the quality of care.
Another important aspect of the Act was the introduction of the internal market within the NHS. This allowed hospitals and other healthcare providers to compete with each other for contracts to provide services to patients. This was seen as a way to increase efficiency and drive down costs, but it also led to some criticism as it was perceived as introducing a more commercialized approach to healthcare.
The Act also established the Department of Health as the central body responsible for the administration and management of the NHS. It also created the position of the Chief Executive of the NHS, who was responsible for overseeing the operation of the service and implementing government policy.
In addition to these changes within the NHS, the Act also introduced significant reforms to community care. It aimed to provide better care for people who needed support to live independently in their own homes, rather than being institutionalized in hospitals or nursing homes. It introduced the concept of community care assessments, which were used to determine the needs of individuals and the type of support that they required.
Overall, the National Health Service and Community Care Act 1990 was a major reform of the NHS and community care in the United Kingdom. While it brought about some significant changes, it also sparked controversy and debate about the direction of healthcare in the country.
Narrative essays are a type of writing in which the writer tells a story, often about a personal experience or event. They are a way to share your experiences and insights with the reader, and they can be both entertaining and educational. If you're having trouble writing a narrative essay, here are some tips that may help:
Choose a topic that is meaningful to you: A narrative essay is an opportunity to tell a story that is important to you. Choose a topic that has personal significance and will be interesting to both you and your reader.
Start with an outline: Before you begin writing, it can be helpful to create an outline of the events in your story. This will help you organize your thoughts and ensure that your essay has a clear structure.
Use descriptive language: A narrative essay is an opportunity to use descriptive language to bring your story to life for the reader. Use specific details and sensory language to help the reader feel like they are experiencing the events of your story along with you.
Use dialogue: Including dialogue in your narrative essay can help bring your characters to life and make the story more engaging for the reader. Be sure to use quotation marks and attribute the dialogue to the appropriate character.
Show, don't tell: Instead of simply telling the reader what happened, use descriptive language and action verbs to show the events of your story. This will help the reader feel more connected to the story and make it more engaging.
Use transitions: Transitions help to connect the events in your story and make the essay flow smoothly. Use words and phrases like "meanwhile," "next," and "as a result" to connect the events of your story.
Edit and revise: Once you have finished writing your essay, be sure to edit and revise it carefully. Check for grammar and spelling errors, and make sure that the essay flows well and is easy to follow.
By following these tips, you should be well on your way to writing a compelling and engaging narrative essay.
