NHS vs the private sector nursing: what type of graduate employer will you choose? TARGETjobs
The best-known face of healthcare provision in England is the NHS. Funded by the government, this massive organisation has been through a seemingly endless series of reorganisations over recent years. At grass-roots level it is grouped into the following areas:
Primary care: This is the care given to people when they first become aware of a health problem. Primary care providers also offer health education on subjects such as smoking, run clinics, give vaccinations and carry out small surgical operations. Some mental health care provision is also carried out by primary care providers.
Secondary care and emergency care: This is the care that is provided to people in an emergency or following a referral from a primary care organisation. Conditions treated at this stage tend to be acute or specialist in nature. Primary care trusts plan for secondary care and commission the providers of secondary care services to deliver these plans.
Tertiary care This refers to specialist care such as renal transplant or cardiac surgery. Tertiary care is usually accessed as a referral from secondary care.
The NHS isn’t the only public sector employer of nurses. The armed forces also employ nurses from all branches of nursing. Employers include the Royal Air Force, the British Army and the Royal Navy. Job opportunities are available in the UK and at overseas bases.
Independent healthcare organisations
This sector provides the majority of long-term care available in the UK. The sector also provides acute care services. It has fewer acute hospitals than the NHS but these have a critical role to play in providing a service for private patients and in helping the Department of Health (DH) to reduce waiting lists for acute care mainly through the provision of routine surgery. The independent sector will also play a significant role in enabling the health service in England to introduce patient choice. Independent employers can be divided into three main groups:
For profit: This term refers to single owners and large corporates who own single and groups of acute hospitals or nursing homes. Single owners are in the minority, particularly in the care-home sector following a spate of mergers and takeovers in recent years.
Not for profit/registered charities: These can be national organisations, single owners or smaller set ups. The majority of these offer carehome facilities for older people, those with learning disabilities or those with mental health needs. It’s also worth noting that some corporate acute providers have charitable status since they plough any profits they make back into the organisation. Examples include BUPA and Nuffield Healthcare.
Voluntary: Some organisations in the voluntary sector provide care homes. An example is Mencap.
The independent sector is not made up of independent healthcare providers alone. Additional employers include:
- Independent schools, eg school nurses
- Commercial organisations, such as pharmaceutical companies or publishing companies
- Industry, eg occupational health nurses
- The Crown Prosecution Service or other legal representatives, eg expert witnesses
recruitment consultancies and nursing agencies
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