Bureaucracy and money
This chapter examines funding and bureaucracy issues that may influence the operation of palliative care teams in acute hospitals in Great Britain. It describes the bureaucratic structure of the National Health Service (NHS) and explains the roles of the NHS Hospital Trusts, the Healthcare Commission, the Acute Trusts, and the Foundation Trusts relevant to the palliative care team. It suggests that a detailed understanding of the structure of the wider NHS as well as the way the team's hospital, locality, and network function operates at a strategic level is essential if the team is going to develop its service effectively.
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