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  1. Read and translate the text. Give its abstract.

Text IV. Patient Choice

A dramatic expansion of patient choice in the NHS got under way in April 2008. Surveys have constantly shown that patients want choice. The 2005 British Attitudes survey revealed that 65% of patients said they wanted a choice of treatment, 63% wanted a choice of hospital and 53% welcomed a choice of appointment time.

Traditionally patients were told: “Go to this hospital at this appointment time”, and it was an appointment that was suitable for the NHS, not necessarily for the patient.

The introduction of free choice means that patients are themselves able to choose where they are treated from any hospital that meets NHS standards. The list includes many private hospitals as well as all NHS providers. Between them offered everything from treatment of your cataracts to open-heart surgery.

Under the move to free choice, if you or your GP decide that you need to see a specialist, you’ll be able to choose the hospital that best suits your needs. Perhaps you will want to, go somewhere away from home but close to your family? Perhaps good parking facilities are vital for you? Waiting list, cleanliness, reputation ... they can all be factored into your thinking. The point is that the choice is now yours.

It may not always be possible for you to choose which hospital you go. In the case of accidents or other emergencies, for example, ambulance crews may have to decide for you. Also, your GP may take the view that - while not an emergency - you need to see a specialist quickly. Here the GP may have to advise you. Finally, there are two areas of healthcare where the location in which you are treated is not subject of free choice - mental health services and maternity. However, you are always free to talk to your GP if you feel the hospital you are being referred to is not right for you.

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22. Read the text and discuss the meaning of the title “Now I feel tall”. Note information on the following:

в the current state of patient care within the NHS a the emotional experience of the patient

Text V. “Now I Feel Tall” - What a Patient-led nhs Feels Like Creating a Patient-led nhs

Creating a patient-led NHS requires changes in how the system works and how people behave, and in a culture where everything is measured by its impact on patients and the benefits to people’s health. Changes are beginning to happen. One example of a hospital that has made patient-led changes in South Manchester University Hospital, which trying to improve access for people with learning difficulties. Following these changes, one patient said: “I’m only small, but now I feel tall.” However not all patients “feel tall”, and their emotional needs are not always a high priority for the NHS. Currently, focus is on the practical physical aspects of patient care, and there relatively little understanding to their experiences and little attention is paid to the expectations of patients at an emotional level.

« Family tree with sibling's ages, including deaths, miscarriages, and stillbirths.

» Parental age and occupation.

» Family illnesses and allergies.

  • Housing.

о This should include a discussion about the child's bedroom as they may spend 12 hours of each day there.

» Travel.

  • Systems review

You can do anything with children if you only play with them.

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