105-655: The Royal Berkshire Hospital (RBH) is an NHS hospital in the town of Reading in the English county of Berkshire . It provides acute hospital services to the residents of the western and central portions of Berkshire , and is managed by the Royal Berkshire NHS Foundation Trust . The hospital provides approximately 813 inpatient beds (627 acute , 66 paediatric and 120 maternity ), together with 204 day-beds and spaces. In doing so, it employs over 7,500 staff. The Royal Berkshire Hospital
210-646: A heritage asset legally protected) is called 'designation'. Several different terms are used because the processes use separate legislation: buildings are 'listed'; ancient monuments are 'scheduled', wrecks are 'protected', and battlefields, gardens and parks are 'registered'. A heritage asset is a part of the historic environment that is valued because of its historic, archaeological, architectural or artistic interest. Only some of these are judged to be important enough to have extra legal protection through designation. Buildings that are not formally listed but still judged as being of heritage interest can still be regarded as
315-905: A listed building is a structure of particular architectural or historic interest deserving of special protection. Such buildings are placed on one of the four statutory lists maintained by Historic England in England , Historic Environment Scotland in Scotland , Cadw in Wales , and the Historic Environment Division of the Department for Communities in Northern Ireland . The classification schemes differ between England and Wales, Scotland, and Northern Ireland (see sections below). The term has also been used in
420-436: A material consideration in the planning process. As a very rough guide, listed buildings are structures considered of special architectural and historical importance. Ancient monuments are of 'national importance' containing evidential values, and can on many occasions also relate to below ground or unoccupied sites and buildings. Almost anything can be listed. Buildings and structures of special historic interest come in
525-505: A basement. The frontage has 11 bays, with the central 7 bays forming a projecting pedimented hexastyle portico with Ionic columns . Amongst the buildings within the hospital complex is the old laundry, built in 1881. This now houses the museum of the Berkshire Medical Heritage Centre , which contains 3,000 artefacts relating to medicine, surgery, nursing , midwifery , pharmacy and dentistry . Some of
630-661: A building. Listed building consent must be obtained from local authorities before any alteration to a listed structure. There are about 8,500 listed buildings in Northern Ireland, divided into four grades, defined as follows: In Scotland, listing was begun by a provision in the Town and Country Planning (Scotland) Act 1947, and the current legislative basis for listing is the Town and Country Planning (Scotland) Act 1997 . As with other matters regarding planning, conservation
735-463: A commitment to sharing the understanding of the historic environment and more openness in the process of designation. In 2008, a draft Heritage Protection Bill was subject to pre-legislative scrutiny before its passage through UK Parliament. The legislation was abandoned despite strong cross-party support, to make room in the parliamentary legislative programme for measures to deal with the credit crunch, though it may be revived in future. The proposal
840-802: A deficit on their budgets at the end of the financial year. Failure to meet financial objectives could result in the dismissal and replacement of a trust's board of directors, although such dismissals are enormously expensive for the NHS. In April 2013 a new system was established as a result of the Health and Social Care Act 2012 . The NHS budget is largely in the hands of a new body, NHS England. NHS England commissions specialist services and primary care. Acute services and community care are commissioned by local clinical commissioning groups (CCGs) led by GPs. From April 2021 all CCGs have become part of Integrated Care Systems. The vast majority of NHS services are free at
945-457: A financial disincentive due to potential legal costs) for individual hospitals to do so. The Road Traffic (NHS Charges) Act 1999 introduced a standard national scheme for recovery of costs using a tariff based on a single charge for out-patient treatment or a daily charge for in-patient treatment; these charges again ultimately fell upon insurers. This scheme did not however fully cover the costs of treatment in serious cases. Since January 2007,
1050-521: A government 'promise' made in 2020 to give NHS workers a 2.1% pay rise, which was voted for in a long-term spending plan in January 2020 but the Department of Health considered to be not legally binding. Prime Minister Boris Johnson defended the 1% pay rise, stating that the government was giving workers "as much as we can" in light of the COVID-19 pandemic and that he was "massively grateful" to
1155-626: A government majority of 88 and following more than 1,000 amendments in the House of Commons and the House of Lords. The total budget of the Department of Health in England in 2017/18 was £124.7 billion. £13.8 billion was spent on medicines. The National Audit Office reports annually on the summarised consolidated accounts of the NHS. The population of England is aging, which has led to an increase in health demand and funding. From 2011 to 2018,
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#17327718049471260-404: A group that is—for example, all the buildings in a square. This is called 'group value'. Sometimes large areas comprising many buildings may not justify listing but receive the looser protection of designation as a conservation area . The specific criteria include: The state of repair of a building is not generally deemed to be a relevant consideration for listing. Additionally: Although
1365-451: A list of locally listed buildings as separate to the statutory list (and in addition to it). There is no statutory protection of a building or object on the local list but many receive a degree of protection from loss through being in a Conservation Area or through planning policy. Councils hope that owners will recognise the merits of their properties and keep them unaltered if at all possible. Listing began later in Northern Ireland than in
1470-403: A listed building is a criminal offence and owners can be prosecuted. A planning authority can also insist that all work undertaken without consent be reversed at the owner's expense. See also Category:Grade II* listed buildings for examples of such buildings across England and Wales. See also Category:Grade II listed buildings for examples of such buildings across England and Wales. It
1575-558: A listed building which involves any element of demolition. Exemption from secular listed building control is provided for some buildings in current use for worship, but only in cases where the relevant religious organisation operates its own equivalent permissions procedure. Owners of listed buildings are, in some circumstances, compelled to repair and maintain them and can face criminal prosecution if they fail to do so or if they perform unauthorised alterations. When alterations are permitted, or when listed buildings are repaired or maintained,
1680-687: A listed structure. Applications for consent are made on a form obtained from Historic Environment Scotland. After consulting the local planning authority, the owner, where possible, and an independent third party, Historic Environment Scotland makes a recommendation on behalf of the Scottish Ministers. The scheme for classifying buildings is: There are about 47,400 listed buildings in Scotland. Of these, around 8 percent (some 3,800) are Category A, 50 percent are Category B, and 42 percent are listed at Category C. Although
1785-471: A national level, including: In the year ending in March 2017, there were 1.187 million staff in England's NHS, 1.9% more than in March 2016. There were 34,260 unfilled nursing and midwifery posts in England by September 2017, this was the highest level since records began. 23% of women giving birth were left alone part of the time causing anxiety to the women and possible danger to them and their babies. This
1890-558: A non-statutory basis. Although a limited number of 'ancient monuments' were given protection under the Ancient Monuments Protection Act 1882 , there was reluctance to restrict the owners of occupied buildings in their actions related to their property. The extensive damage to buildings caused by German bombing during World War II prompted efforts to list and protect buildings that were deemed to be of particular architectural merit. Three hundred members of
1995-400: A private provider and many are free to vulnerable or low-income patients. 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 was enacted on 5 July 1948. Private health care has continued parallel to the NHS, paid for largely by private insurance: it
2100-477: A process of reform, including a review of the criteria used for listing buildings. A Review of Heritage Policy in 2006 was criticised, and the Government began a process of consultation on changes to Planning Policy Guidance 15 , relating to the principles of selection for listing buildings in England. The government's White Paper "Heritage Protection for the 21st Century", published on 8 March 2007, offered
2205-519: A provision in the Town and Country Planning Act 1947 covering England and Wales, and the Town and Country Planning (Scotland) Act 1947 covering Scotland. Listing was first introduced into Northern Ireland under the Planning (Northern Ireland) Order 1972. The listing process has since developed slightly differently in each part of the UK. The process of protecting the built historic environment (i.e. getting
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#17327718049472310-450: A significant reorganization of the NHS. The white paper, Equity and excellence: liberating the NHS , with implications for all health organizations in the NHS abolishing primary care trusts and strategic health authorities . It claimed to shift power from the center to GPs and patients, moving somewhere between £60 and £80 billion into the hands of clinical commissioning group to commission services. The bill became law in March 2012 with
2415-557: A single document, the National Planning Policy Framework . A consultation draft of this was published on 25 July 2011 and the final version on 27 March 2012. This became a material consideration in planning matters on publication. It has since been revised in 2018, 2019 and 2021. The Historic Buildings and Monuments Commission in England and Cadw in Wales list buildings under three grades, with Grade I being
2520-494: A single indoor pedestrian route that runs the length of the site. The original entrance on London Road still exists, but the main entrance is now situated in Craven Road, roughly at the midpoint of this route. The original building of 1839, together with the wings added in the 1860s, are now listed grade II* by English Heritage . They are built of Bath Stone with slate roofs, and the main building comprises 2 storeys and
2625-503: A single-charge pre-payment certificate that allows unlimited prescriptions during its period of validity. The high and rising costs of some medicines, especially some types of cancer treatment, means that prescriptions can present a heavy burden to the primary care trusts , whose limited budgets include responsibility for the difference between medicine costs and the low, fixed prescription charge. This has led to disputes whether some expensive drugs (e.g., Herceptin ) should be prescribed by
2730-563: A unique role in the training of new doctors in England, with approximately 8,000 places for student doctors each year, all of which are attached to an NHS University Hospital trust. After completing medical school, these new doctors must go on to complete a two-year foundation training program to become fully registered with the General Medical Council . Most go on to complete their foundation training years in an NHS hospital although some may opt for alternative employers such as
2835-618: A wide variety of forms and types, ranging from telephone boxes and road signs, to castles. Historic England has created twenty broad categories of structures, and published selection guides for each one to aid with assessing buildings and structures. These include historical overviews and describe the special considerations for listing each category. However, in 2020, the Supreme Court ruled in Dill v Secretary of State for Housing, Communities and Local Government and another that buildings in
2940-512: A £110 billion budget in 2013–14, most of which was spent on the NHS. A. J. Cronin 's controversial novel The Citadel , published in 1937, had fomented extensive debate about the severe inadequacies of healthcare. The author's innovative ideas were not only essential to the conception of the NHS but in fact, his best-selling novels are said to have greatly contributed to the Labour Party's victory in 1945. A national health service
3045-802: Is a power devolved to the Scottish Parliament and the Scottish Government . The authority for listing rests with Historic Environment Scotland (formerly Historic Scotland ), an executive agency of the Scottish Government, which inherited this role from the Scottish Development Department in 1991. The listing system is administered by Historic Environment Scotland on behalf of the Scottish Ministers. Listed building consent must be obtained from local authorities before any alteration to
3150-407: Is because there are too few midwives. Neonatal mortality rose from 2.6 deaths for every 1,000 births in 2015 to 2.7 deaths per 1,000 births in 2016. Infant mortality (deaths during the first year of life) rose from 3.7 to 3.8 per 1,000 live births during the same period. Assaults on NHS staff have increased, there were 56,435 recorded physical assaults on staff in 2016–2017, 9.7% more than the 51,447
3255-551: Is consistently one of the most efficient in the country, with more than 99% of patients being seen and treated, admitted or discharged within four hours. In August 2010, it was reported that the number of jobs in the hospital would be reduced by 600, out of a total of around 4,000, to achieve a saving of £60 million. In October 2013, as part of a screening process by the Care Quality Commission , based on existing data and intended for use in prioritising inspections,
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3360-652: Is not directly comparable with later figures. A 2012 analysis by the BBC estimated that the NHS across the whole UK has 1.7 million staff, which made it fifth on the list of the world's largest employers (well above Indian Railways). In 2015 the Health Service Journal reported that there were 587,647 non-clinical staff in the English NHS. 17% worked supporting clinical staff. 2% in cleaning and 14% administrative. 16,211 were finance staff. The NHS plays
3465-441: Is not unusual for historic sites, particularly large sites, to contain buildings with multiple, sometimes varying, designations. For example, Derwent Valley Mills , a World Heritage Site contains 838 listed buildings, made up of 16 listed at Grade I, 42 at Grade II* and 780 at Grade II. A further nine structures are Scheduled monuments . Many councils, for example, Birmingham City Council and Crawley Borough Council , maintain
3570-552: Is possible but is rare. One example is Anmer Hall in Norfolk, which was listed in 1984 and de-listed in 1988. In an emergency, the local planning authority can serve a temporary " Building Preservation Notice " (BPN), if a building is in danger of demolition or alteration in such a way that might affect its historic character. This remains in force for six months until the Secretary of State decides whether or not to formally list
3675-441: Is provided through general taxation and not a specific tax. Because the NHS is not funded by a contributory insurance scheme in the ordinary sense and most patients pay nothing for their treatment there is thus no billing to the treated person nor any insurer or sickness fund as is common in many other countries. This saves hugely on administration costs that might otherwise involve complex consumable tracking and usage procedures at
3780-446: Is regularly revised – in 2003, the Government announced major changes to NHS dentistry, giving primary care trusts (PCTs) responsibility for commissioning NHS dental services in response to local needs, and using NHS contracts to influence where dental practices were located, and in 2006 a new contract was introduced following Department of Health recommendations on how to cash limit NHS primary care dentistry. Professional bodies such as
3885-600: Is used by about 8% of the population, generally as an add-on to NHS services. The NHS is largely funded from general taxation, with a small amount being contributed by National Insurance payments and from fees levied by recent changes in the Immigration Act 2014 . The UK government department responsible for the NHS is the Department of Health and Social Care , headed by the Secretary of State for Health and Social Care . The Department of Health and Social Care had
3990-633: The British Dental Association have complained that the 2006 contract changes introduced a remuneration system which fails to incentivize disease prevention, leading to declining patient outcomes and that radical reform was needed. NHS dentistry charges as of April 2017 were: £20.60 for an examination; £56.30 for a filling or extraction; and £244.30 for more complex procedures such as crowns, dentures, or bridges. As of 2007, less than half of dentists' income came from treating patients under NHS coverage; about 52% of dentists' income
4095-482: The Department for Environment, Food and Rural Affairs (DEFRA) to deliver the government policy on the protection to historic buildings and other heritage assets. The decision about whether or not to list a building is made by the Secretary of State, although the process is administered in England by Historic England . The listed building system in Wales formerly also operated under the Planning (Listed Buildings and Conservation Areas) Act 1990, as in England, until this
4200-580: The Department of Health and Social Care made a non-binding recommendation that NHS staff in England should receive a 1% pay rise for 2021–2022, citing the 'uncertain' financial situation and the current low inflation. This is estimated to cost £500 million a year, as almost half of the NHS's budget goes on staffing costs (at £56.1 billion). The Trades Union Congress estimated that nurses' pay would be £2,500 less than in 2010, paramedics' pay would be £3,330 less and porters' pay would be £850 less due to inflation . The Royal College of Nursing has criticized
4305-574: The Institute for Fiscal Studies (IFS), compared to the increase necessary to keep up with a rising population that is also ageing, spending will fall by 1.3% from 2009–10 to 2019–20. George Stoye, senior research economist of the IFS, and said the annual increases since 2009-10 were "the lowest rate of increase over any similar period since the mid-1950s, since when the long-run annual growth rate has been 4.1%". This has led to cuts to some services, despite
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4410-550: The Nicholson challenge —which involved making £20 billion in savings across the service by 2015. The principal NHS website states the following as core principles: The NHS was born out of a long-held ideal that good healthcare should be available to all, regardless of wealth. At its launch by the then minister of health, Aneurin Bevan, on 5 July 1948, it had at its heart three core principles: These three principles have guided
4515-558: The Republic of Ireland , where buildings are protected under the Planning and Development Act 2000, although the statutory term in Ireland is " protected structure ". A listed building may not be demolished, extended, or altered without permission from the local planning authority, which typically consults the relevant central government agency. In England and Wales , a national amenity society must be notified of any work to be done on
4620-701: The Royal Institute of British Architects and the Society for the Protection of Ancient Buildings were dispatched to prepare the list under the supervision of the Inspectorate of Ancient Monuments, with funding from the Treasury. The listings were used as a means to determine whether a particular building should be rebuilt if it was damaged by bombing, with varying degrees of success. In Scotland,
4725-582: The post-war consensus , wherein the major political parties largely agreed on the central themes of Keynesianism , the welfare state, the mixed economy, supplies both of public and private housing and close regulation of the economy. There was one major exception: the National Health Service, which was widely popular and had wide support inside the Conservative Party. In 1982, Prime Minister Margaret Thatcher promised Britons that
4830-558: The 2008 draft legislation was abandoned, Historic England (then part of English Heritage) published a single list of all designated heritage assets within England in 2011. The National Heritage List for England is an online searchable database which includes 400,000 English Listings, this includes individual listed buildings, groups of multiple listed buildings which share the same listing, scheduled monuments, registered parks and gardens, protected historic wrecks and registered battlefields and World Heritage Sites in one place. The 400,000 in
4935-763: The DCLG published Planning Policy Statement 5 , "Planning for the Historic Environment". This replaced PPG15 and set out the government's national policies on the conservation of the historic environment in England. PPS5 was supported by a Practice Guide, endorsed by the DCLG, the DCMS, and English Heritage, which explained how to apply the policies stated in PPS5. In December 2010, the Department for Communities and Local Government announced that in England all PPSs and Planning Policy Guidance Notes would be replaced by
5040-609: The Firestone demolition, the Secretary of State for the Environment , Michael Heseltine , also initiated a complete re-survey of buildings to ensure that everything that merited preservation was on the lists. In England, the Department for Culture, Media and Sport (DCMS) works with Historic England (an agency of the DCMS), and other government departments, e.g. Ministry of Housing, Communities and Local Government (MHCLG) and
5145-519: The Government's Heritage Protection Reform (HPR) report in July 2003 by the DCMS, entitled "Protecting our historic environment: Making the system work better", asked questions about how the current designation systems could be improved. The HPR decision report "Review of Heritage Protection: The Way Forward", a green paper published in June 2004 by the DCMS, committed the UK government and English Heritage to
5250-567: The NHS is "safe in our hands." The NHS was established within the differing nations of the United Kingdom through differing legislation, and as such there has never been a singular British healthcare system, instead there are 4 health services in the United Kingdom; NHS England, the NHS Scotland , HSC Northern Ireland and NHS Wales , which were run by the respective UK government ministries for each home nation before falling under
5355-468: The NHS must claim back the cost of treatment, and ambulance services, for those who have been paid personal injury compensation. In the last year of the scheme immediately preceding 2007, over £128 million was reclaimed. From April 2019 £725 is payable for outpatient treatment, £891 per day for inpatient treatment and £219 per ambulance journey. Listed building In the United Kingdom ,
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#17327718049475460-416: The NHS' 70th Anniversary then Prime Minister Theresa May announced extra funding for the NHS worth an average real terms increase of 3.4% a year, reaching £20.5 billion extra in 2023/24. Jeremy Hunt describes the process of setting the NHS budget as far too random - "decided on the back of headlines, elections and anniversaries rather than on rational calculations of demand and cost." From 2003 to 2013
5565-404: The NHS. The position of dentistry within the NHS has been contested frequently. At the inception of the NHS, three branches of dental service were established: local health authority dental service; general practitioner service; and hospital dental service. Dental treatment was initially free at the point of use; however charges were introduced in 1951 for dentures – leading to the resignation of
5670-402: The NHS. They may operate in partnership with other professionals, own and operate their surgeries and clinics, and employ their staff, including other doctors, etc. However, the NHS does sometimes provide centrally employed healthcare professionals and facilities in areas where there is insufficient provision by self-employed professionals. Note that due to methodological changes, the 1978 figure
5775-605: The Trust was put into the highest risk category. A patient at the Royal Berkshire Hospital on 5 March 2020 was the first confirmed fatality in the UK from the COVID-19 pandemic . In August 2020, Reading’s Royal Berkshire Hospital piloted an Emergency Department for elderly and frail people. In November 2021, the Royal Berkshire Hospital in Reading began consulting the local community about major redevelopment of
5880-443: The UK would be signed up to a specific General Practice (GP) as the point of entry into the system, building on the foundations laid in 1912 by the introduction of National Insurance and the list system for general practice. Patients would have access to all medical, dental, and nursing care they needed without having to pay for it at the time. In the 1980s, Thatcherism represented a systematic, decisive rejection and reversal of
5985-696: The UK's architectural heritage; England alone has 14,500 listed places of worship (4,000 Grade I, 4,500 Grade II* and 6,000 Grade II) and 45% of all Grade I listed buildings are places of worship. Some of the listed churches are no longer in use; between 1969 and 2010, some 1,795 churches were closed by the Church of England , equalling roughly 11% of the stock, with about a third listed as Grade I or Grade II. The criteria for listing include architectural interest, historic interest and close historical associations with significant people or events. Buildings not individually noteworthy may still be listed if they form part of
6090-735: The actual cost of the medicines through NHS Prescription Services, a division of the NHS Business Services Authority. As of March 2023 the NHS prescription charge in England was £9.35 per item (in Scotland, Wales and Northern Ireland there is no charge for items prescribed on the NHS). People over sixty, children under sixteen (or under nineteen if in full-time education), patients with certain medical conditions, and those with low incomes, are exempt from charges, subject to penalties for claiming exemption when not entitled. Those who require repeated prescriptions may purchase
6195-474: The amount of the subsidy. Under older legislation (mainly the Road Traffic Act 1930 ) a hospital treating the victims of a road traffic accident was entitled to limited compensation (under the 1930 Act before any amendment, up to £25 per person treated) from the insurers of driver(s) of the vehicle(s) involved, but were not compelled to do so and often did not do so; the charge was in turn covered by
6300-461: The architect of the NHS and Minister for Labour, Aneurin Bevan in March 1951 – and in 1952 for other treatments. Dentists are private contractors to the NHS, which means practitioners must purchase and maintain the practice premises, equip the surgery, and hire staff to provide an NHS dental service. The contract between the NHS and dentists determines what work is provided for under the NHS, payments to dentists, and charges to patients. The contract
6405-549: The architectural and historic interest. The Secretary of State, who may seek additional advice from others, then decides whether to list or delist the building. In England, the authority for listing is granted to the Secretary of State by the Planning (Listed Buildings and Conservation Areas) Act 1990 . Listed buildings in danger of decay are listed on the Historic England 'Heritage at Risk' Register . In 1980, there
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#17327718049476510-527: The armed forces. Most NHS staff, including non-clinical staff and GPs (although most GPs are self-employed), are eligible to join the NHS Pension Scheme —which, from 1 April 2015, is an average-salary defined-benefit scheme. Among the current challenges with recruiting staff are pay, work pressure, and difficulty recruiting and retaining staff from EU countries due to Brexit . and there are fears that doctors could also leave. In March 2021,
6615-557: The building. Until the passing of the Enterprise and Regulatory Reform Act 2013 an application for a Certificate of Immunity from Listing (CoI) could only be made if planning permission was being sought or had been obtained in England. However, the changes brought about by the Act means that now anyone can ask the Secretary of State to issue a Certificate of Immunity in respect of a particular building at any time. In England and Wales,
6720-672: The control of devolved governments in 1999. In 2009, NHS England agreed to a formal NHS constitution , which sets out the legal rights and responsibilities of the NHS, its staff, and users of the service, and makes additional non-binding pledges regarding many key aspects of its operations. 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 (PCTs) began to be replaced by general practitioner (GP)-led organizations called clinical commissioning groups (CCGs). Under
6825-498: The current hospital or alternatively a completely new development in a different location, to ensure that future planning and developments would cover everyone's needs. West Berkshire Council member Biyi Oloko underwent an MRI scan in February 2024, during which hospital administration requested proof of citizenship to ascertain potential payment requirements, ultimately resulting in hospital officials apologizing for their handling of
6930-407: The decision to list a building may be made on the basis of the architectural or historic interest of one small part of the building, the listing protection nevertheless applies to the whole building. Listing applies not just to the exterior fabric of the building itself, but also to the interior, fixtures, fittings, and objects within the curtilage of the building even if they are not fixed. De-listing
7035-436: The development of the NHS for more than half a century and remain. However, in July 2000, a full-scale modernization program was launched and new principles were added. The main aims of the additional principles are that the NHS will: The English NHS is controlled by the UK government through the Department of Health and Social Care (DHSC), which takes political responsibility for the service. Resource allocation and oversight
7140-468: The exhibits date back to the 17th century. National Health Service (England) The National Health Service ( NHS ) is the publicly funded healthcare system in England , and one of the four National Health Service systems in the United Kingdom . It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde . Primarily funded by
7245-517: The government from general taxation (plus a small amount from National Insurance contributions), and overseen by the Department of Health and Social Care , the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR). Free healthcare at
7350-509: The health and social care workers. Secretary of State for Health and Social Care Matt Hancock and Secretary of State for Education Gavin Williamson similarly argued that the decision was due to an assessment of what was affordable due to the pandemic and that NHS staff was excluded from a wider public sector pay freeze. Shadow Secretary of State for Health and Social Care Jon Ashworth clarified that Labour would "honour whatever
7455-602: The highest grade, as follows: There was formerly a non-statutory Grade III , which was abolished in 1970. Additionally, Grades A, B and C were used mainly for Anglican churches in active use, loosely corresponding to Grades I, II and III. These grades were used mainly before 1977, although a few buildings are still listed using these grades. In 2010, listed buildings accounted for about 2% of English building stock. In March 2010, there were about 374,000 list entries, of which 92% were Grade II, 5.5% were Grade II* and 2.5% were Grade I. Places of worship are an important part of
7560-494: The hospital opened. The first patron of the hospital was William's niece and successor, Queen Victoria . In the 1860s, the original building was extended with east and west wings designed by Joseph Morris . In the 1880s, a new chapel was added to the rear of the main block, together with long side wings. Both chapel and side wings were also designed by Morris. In 1993, the Royal Berkshire and Battle Hospitals NHS Trust
7665-410: The listing should not be confused with the actual number of listed buildings, which will be much larger than the listing, because a listing can include more than one building that share the same listing number. The legislative frameworks for each type of historic asset remains unchanged. A photographic library of English listed buildings was started in 1999 as a snapshot of buildings listed at the turn of
7770-536: The management of listed buildings is the responsibility of local planning authorities and the Ministry of Housing, Communities and Local Government (i.e., not DCMS, which originally listed the building). There is a general principle that listed buildings are put to 'appropriate and viable use' and recognition that this may involve the re-use and modification of the building. However, listed buildings cannot be modified without first obtaining Listed Building Consent through
7875-566: The new system, a new NHS Commissioning Board, called NHS England , oversees the NHS from the Department of Health . The Act has also become associated with the perception of increased private provision of NHS services. In reality, the provision of NHS services by private companies long precedes this legislation, but there are concerns that the new role of the healthcare regulator ('Monitor') could lead to increased use of private-sector competition, balancing care options between private companies, charities, and NHS organizations. NHS trusts responded to
7980-448: The overall increase in funding. In 2017, funding increased by 1.3% while demand rose by 5%. Ted Baker, Chief Inspector of Hospitals has said that the NHS is still running the model it had in the 1960s and 1970s and has not modernised due to lack of investment. The British Medical Association (BMA) has called for £10bn more annually for the NHS to get in line with what other advanced European nations spend on health. In June 2018 ahead of
8085-671: The owners are often required to use specific materials or techniques. Although most sites appearing on the lists are buildings, other structures such as bridges, monuments, sculptures, war memorials, milestones and mileposts , and the Abbey Road zebra crossing made famous by the Beatles , are also listed. Ancient, military, and uninhabited structures, such as Stonehenge , are sometimes instead classified as scheduled monuments and are protected by separate legislation. Cultural landscapes such as parks and gardens are currently "listed" on
8190-510: The patient level and concomitant invoicing, reconciliation, and bad debt processing. Eligibility for NHS services is based on having ordinary resident status , regardless of nationality. Prescriptions for medication in England and Wales are subject to a fixed charge per item for up to three months' supply, regardless of the actual cost of the medicine. Some people qualify for free prescriptions. Higher charges apply to medical appliances. Pharmacies or other dispensing contractors are reimbursed for
8295-424: The pay rise, calling it 'pitiful' and said that nurses should be getting 12.5% more; it has also agreed to set up a £35m fund to support members in the event of a strike. Other unions have threatened strike actions and warned that the proposal could lead to staff quitting their jobs, worsening staffing issues. The Labour Party similarly criticized the proposal as 'reprehensible' and claimed that it goes against
8400-530: The point of use comes from the core principles at the founding of the National Health Service. The 1942 Beveridge cross-party report established the principles of the NHS which was implemented by the Labour government in 1948. Labour's Minister for Health Aneurin Bevan is popularly considered the NHS's founder, despite never formally being referred to as such. In practice, "free at the point of use" normally means that anyone legitimately and fully registered with
8505-418: The point of use. This means that people generally do not pay anything for their doctor visits, nursing services, surgical procedures or appliances, consumables such as medications and bandages, plasters, medical tests, and investigations, x-rays, CT or MRI scans, or other diagnostic services. Hospital inpatient and outpatient services are free, both medical and mental health services. Funding for these services
8610-487: The population of England increased by about 6%. The number of patients admitted to hospital in an emergency went up by 15%. There were 542,435 emergency hospital admissions in England in October 2018, 5.8% more than in October 2017. Health spending in England is expected to rise from £112 billion in 2009/10 to £127 billion in 2019/20 (in real terms), and spending per head will increase by 3.5%. However, according to
8715-463: The principal fundholders in the NHS system were the primary care trusts (PCTs), which commissioned healthcare from NHS trusts , GPs, and private providers. PCTs disbursed funds to them on an agreed tariff or contract basis, on guidelines set out by the Department of Health. The PCTs budget from the Department of Health was calculated on a formula basis relating to population and specific local needs. They were supposed to "break-even" – that is, not show
8820-577: The process slightly predated the war with the Marquess of Bute (in his connections to the National Trust for Scotland ) commissioning the architect Ian Lindsay in September 1936 to survey 103 towns and villages based on an Amsterdam model using three categories (A, B and C). The basis of the current more comprehensive listing process was developed from the wartime system. It was enacted by
8925-539: The relevant local planning authority. In Wales, applications are made using a form obtained from the relevant local authority. There is no provision for consent to be granted in outline. When a local authority is disposed to grant listed building consent, it must first notify the Welsh Parliament ( i.e. Cadw ) of the application. If the planning authority decides to refuse consent, it may do so without any reference to Cadw. Carrying out unauthorised works to
9030-512: The responsibility for the listing process rests with the Historic Environment Division of the Department for Communities , which took over the built heritage functions of the Northern Ireland Environment Agency (formerly the Environment and Heritage Service) following the break up of the Department of the Environment. Following the introduction of listing, an initial survey of Northern Ireland's building stock
9135-579: The rest of the UK: the first provision for listing was contained in the Planning (Northern Ireland) Order 1972; and the current legislative basis for listing is the Planning (Northern Ireland) Order 1991. Under Article 42 of the Order, the relevant Department of the Northern Ireland Executive is required to compile lists of buildings of "special architectural or historic interest". Since 2016,
9240-401: The review body recommends". At the end of 2021, there were 99,000 vacancies in the English NHS. 39,000 more nurses were needed, together with 1,400 more anesthetists, 1,900 more radiologists, and 2,500 more GPs. Miriam Deakin of NHS Providers stated there were 133,000 NHS vacancies in late 2022. The coalition government's white paper on health reform, published in July 2010, set out
9345-596: The same year, the trust became an NHS Foundation Trust under the name of Royal Berkshire NHS Foundation Trust , reflecting both its new status and the closure of Battle Hospital. In 2008, the hospital was awarded 'Excellent' for its use of resources and 'Good' for the quality of its services in the Healthcare Commission 's annual health check of all the hospitals within the National Health Service . The accident and emergency department
9450-456: The scheme must meet certain criteria – "a three-fold test which involved considering size, permanence and degree of physical attachment" – referred to as the Skerritts test in reference to a previous legal case in England. Both Historic Environment Scotland and Cadw produce guidance for owners. In England, to have a building considered for listing or delisting, the process is to apply to
9555-413: The secretary of state; this can be done by submitting an application form online to Historic England . The applicant does not need to be the owner of the building to apply for it to be listed. Full information including application form guidance notes are on the Historic England website. Historic England assesses buildings put forward for listing or delisting and provides advice to the Secretary of State on
9660-408: The situation. The hospital occupies a long thin site, running gently uphill from London Road to Addington Road, and flanked by Craven Road and Redlands Road. The buildings that house the hospital are of various ages, from the original building of 1839 to the latest ward block completed in 2015. Despite the various ages and styles of building, almost all of the hospital's departments are accessible from
9765-434: The system (i.e. in possession of an NHS number ), available to legal UK residents regardless of nationality (but not non-resident British citizens), can access the full breadth of critical and non-critical medical care, without payment except for some specific NHS services, for example eye tests , dental care , prescriptions and aspects of long-term care . These charges are usually lower than equivalent services provided by
9870-431: The then legally required element of those drivers' motor vehicle insurance (commonly known as Road Traffic Act insurance when a driver held only that amount of insurance). As the initial bill went to the driver rather than the insurer, even when a charge was imposed it was often not passed on to the liable insurer. It was common to take no further action in such cases, as there was no practical financial incentive (and often
9975-705: The year before. Low staffing levels and delays in patients being treated are blamed for this. Nearly all hospital doctors and nurses in England are employed by the NHS and work in NHS-run hospitals, with teams of more junior hospital doctors (most of whom are in training) being led by consultants , each of whom is trained to provide expert advice and treatment within a specific specialty. From 2017, NHS doctors must reveal how much money they make from private practice. General practitioners , dentists, optometrists (opticians), and other providers of local health care are almost all self-employed and contract their services back to
10080-564: Was begun in 1974. By the time of the completion of this First Survey in 1994, the listing process had developed considerably, and it was therefore decided to embark upon a Second Survey, which is still ongoing, to update and cross-check the original information. Information gathered during this survey, relating to both listed and unlisted buildings, is entered into the publicly accessible Northern Ireland Buildings Database. A range of listing criteria, which aim to define architectural and historic interest, are used to determine whether or not to list
10185-776: Was delegated to NHS England , an arms-length body, by the Health and Social Care Act 2012 . NHS England commissions primary care services (including GPs ) and some specialist services, and allocates funding to 211 geographically based clinical commissioning groups (CCGs) across England. The CCGs commission most services in their areas, including hospital and community-based healthcare. Several types of organizations are commissioned to provide NHS services, including NHS trusts and private sector companies. Many NHS trusts have become NHS foundation trusts , giving them an independent legal status and greater financial freedoms. The following types of NHS trusts and foundation trusts provide NHS services in specific areas: Some services are provided at
10290-471: Was formed, to manage both the Royal Berkshire Hospital and Battle Hospital , the town's other general hospital. On 24 February 2006, Queen Elizabeth II , accompanied by The Duke of Edinburgh , opened the new buildings of the Royal Berkshire Hospital. This was to celebrate the completion of an eight-year project to move the Battle Hospital services onto the Royal Berkshire Hospital site. In August of
10395-654: Was from treating private patients. From 1 April 2024, the NHS Sight Test Fee (in England) was £23.53, and there were 13.1 million NHS sight tests carried out in the UK. For those who qualify through need, the sight test is free, and a voucher system is employed to pay for or reduce the cost of lenses. There is a free spectacles frame and most opticians keep a selection of low-cost items. For those who already receive certain means-tested benefits, or who otherwise qualify, participating opticians use tables to find
10500-495: 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 before the war had been an unsatisfactory mix of private, municipal, and charity schemes. Bevan decided that the way forward was a national system rather than a system operated by local authorities. He proposed that each resident of
10605-467: Was opened in 1839 on the London Road on land donated by Henry Addington, 1st Viscount Sidmouth , a local resident and former Prime Minister . The hospital was built by local architect and builder Henry Briant, who won the design competition. King William IV took a keen interest in the hospital before it was built; and as a consequence, his arms appear on the central pediment, although he died before
10710-490: Was public outcry at the sudden destruction of the art deco Firestone Tyre Factory ( Wallis, Gilbert and Partners , 1928–29). It was demolished over the August bank holiday weekend by its owners Trafalgar House , who had been told that it was likely to be 'spot-listed' a few days later. In response, the government undertook to review arrangements for listing buildings in order to protect worthy ones from such demolition. After
10815-507: Was replaced in 2024 with Wales-specific heritage legislation. In Wales, the authority for listing is granted to the Welsh Ministers by section 76 of the Historic Environment (Wales) Act 2023, although the listing system is in practice administered by Cadw . There have been several attempts to simplify the heritage planning process for listed buildings in England. As of 2021, few changes had been implemented. The review process
10920-516: Was started in February 2000 by Alan Howarth , then minister at the Department for Culture, Media and Sport (DCMS). The outcome was the paper "Power of Place" in December 2000, followed by the subsequent policy document "The Historic Environment: A Force for Our Future", published by the DCMS and the Department of the Environment, Transport and the Regions (DTLR) in December 2001. The launch of
11025-644: Was that the existing registers of buildings, parks and gardens, archaeology and battlefields, maritime wrecks, and World Heritage Sites be merged into a single online register that will "explain what is special and why". English Heritage would become directly responsible for identifying historic assets in England and there would be wider consultation with the public and asset owners, and new rights of appeal. There would have been streamlined systems for granting consent for work on historic assets. After several years of consultation with heritage groups, charities, local planning authorities, and English Heritage, in March 2010,
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