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NHS Constitution: 7 Principles that guide the NHS
- The NHS provides a comprehensive service,
available to all irrespective of gender, race, disability, age, sexual
orientation, religion, belief, gender reassignment, pregnancy and maternity or
marital or civil partnership status. The service is designed to diagnose, treat
and improve both physical and mental health. It has a duty to each and every
individual that it serves and must respect their human rights. At the same
time, it has a wider social duty to promote equality through the services it
provides and to pay particular attention to groups or sections of society where
improvements in health and life expectancy are not keeping pace with the rest
of the population.
- Access to NHS services is based on clinical
need, not an individual's ability to pay. NHS services are free of charge, except in limited circumstances sanctioned by Parliament.
- The NHS aspires to the highest standards of excellence and
professionalism - in the provision of high quality care that is safe, effective
and focused on patient experience; in the people it employs, and in the
support, education, training and development they receive; in the leadership
and management of its organisations; and through its commitment to innovation
and to the promotion, conduct and use of research to improve the current and
future health and care of the population. Respect, dignity, compassion and care
should be at the core of how patients and staff are treated not only because
that is the right thing to do but because patient safety, experience and
outcomes are all improved when staff are valued, empowered and supported.
- The NHS aspires to put patients at the heart of everything it does. It
should support individuals to promote and manage their own health. NHS services
must reflect, and should be coordinated around and tailored to, the needs and
preferences of patients, their families and their carers. Patients, with their
families and carers, where appropriate, will be involved in and consulted on
all decisions about their care and treatment. The NHS will actively encourage
feedback from the public, patients and staff, welcome it and use it to improve
its services. encourage feedback from the public, patients and staff, welcome
it and use it to improve its services. 4encourage feedback from the public,
patients and staff, welcome it and use it to improve its services.
- The NHS works across organisational boundaries and in partnership with
other organisations in the interest of patients, local communities and the
wider population. The NHS is an integrated system of organisations and services
bound together by the principles and values reflected in the Constitution. The
NHS is committed to working jointly with other local authority services, other
public sector organisations and a wide range of private and voluntary sector
organisations to provide and deliver improvements in health and wellbeing.
- The NHS is committed to providing best value for taxpayers' money and
the most effective, fair and sustainable use of finite resources. Public funds
for healthcare will be devoted solely to the benefit of the people that the NHS
- The NHS is accountable to the public, communities and patients that it serves. The NHS is a national service funded through national taxation, and it is the Government which sets the framework for the NHS and which is accountable to Parliament for its operation. However, most decisions in the NHS, especially those about the treatment of individuals and the detailed organisation of services, are rightly taken by the local NHS and by patients with their clinicians. The system of responsibility and accountability for taking decisions in the NHS should be transparent and clear to the public, patients and staff. The Government will ensure that there is always a clear and up-to-date statement of NHS accountability for this purpose.