Have you ever wanted to know what all those NHS terms that get thrown around really mean?
We've got you covered...
Twenty-four hours a day, seven days a week
Accident & Emergency
Acute care refers to active but short-term treatment, usually in a hospital, for patients with a severe urgent illness or injury. A branch of secondary health care where a patient receives active but short-term treatment for a severe injury or episode of illness, an urgent medical condition, or during recovery from surgery. In medical terms, care for acute health conditions is the opposite from chronic care, or longer term care.
A hospital offering inpatient surgical and medical patient care for individuals with an unexpected serious medical problem that needs immediate assessment and treatment.
Acute medicine is a medical discipline concerned with the immediate and early specialist management of adult patients with a wide range of medical conditions who present in hospital as emergencies
Acute stroke unit
Acute stroke units (ASUs) are for subsequent (after 72 hrs) hospital care for people who have had a stroke. These units offer ongoing specialist care with 7-day therapies services (physiotherapy, occupational therapy, speech and language therapy, dietetics input) and effective multi-disciplinary team (MDT) working.
Admissions, Discharges and Transfers
Agenda for Change
Allied Health Professional
Average Length of Stay
Health services provided on an outpatient basis to those who visit a hospital or other healthcare facility and depart after treatment on the same day.
Antenatal Care (Maternity)
The care patient receives from healthcare professionals during pregnancy. The purpose of antenatal care is to monitor the patient health, the baby’s health and support the patients to make plans which are right for them.
Any Qualified Provider
Atrial fibrillation (also called AFib or AF) is a quivering or irregular heartbeat (arrhythmia) that can lead to blood clots, stroke, heart failure and other heart-related complications.
Any Willing Provider
Business As Usual
Part of the pre-consultation business case, the benefits framework sets out how the proposed changes will bring benefits to health and care services for local people.
Best Practice Tariff
Best Practice Tariffs (BPTs) are payments to providers that are structured to incentivise care that is high quality and cost effective with the aim to reduce unexplained variation in the quality of care.
Buckland Hospital Dover
British Medical Association
Black and Minority Ethnic
British National Formulary
Clinical Advisory Board
Choose And Book
Children Assessment Centre
Common Assessment Framework
(NHS Affiliated) Centre Hospitalier de Calais
Children and Adolescent Mental Health Service (see CHYPS)
Carotid endarterectomy (CEA) is a surgical procedure used to reduce the risk of stroke by correcting stenosis (narrowing) in the common carotid artery or internal carotid artery. Endarterectomy is the removal of material on the inside of an artery.
Case for change
The case for change is the document that sets out why things need to change within local health and care services to make sure they are fit for the future. The case for change for stroke was published in June 2015 and was followed by the case for change for Kent and Medway as part of the wider STP programme in March 2017. They can be found at: http://kentandmedway.nhs.uk/stp/caseforchange/
Computerised Axial Tomography (scan)
Clinical Commissioning Group. CCGs are the GP-led bodies responsible for planning and investing in many local health and care services including the majority of hospital care and stroke services.
Critical Care Unit
Clinical Decision Unit
Chief Executive Officer
Connecting For Health
Commission for Healthcare Audit and Inspection
Coronary Heart Disease
Concern for Health in East Kent
Children and Young Persons Service (formerly CAMHS)
Community Interest Company
Cost Improvement Programme
Clinical co- dependencies
Some services need to be in the same place, or supported by other services through a network arrangement. For example, a hyper acute stroke unit would usually need critical/intensive care support in the same place.
Community Mental Health Team
A continual process of analysing the needs of the community, designing pathways of care then specifying and buying services that will deliver and improved agreed health and social outcomes within the resources available.
Care Programme Approach
Continuing Professional Development
Community Psychiatric Nurse
Care Quality Commission
Commissioning for Quality and Innovation
Clinical Reference Group
Commissioning Support Unit
CT scans are sometimes referred to as CAT scans or computed tomography scans. CT scans can produce detailed images of many structures inside the body, including the internal organs, blood vessels and bones.
Computed Tomography Angiography produce 3D images on a computer screen
Minor surgery that does not require the patient to stay in hospital overnight.
Direct Clinical Cover
The branch of medicine concerned with the diagnosis and
treatment of skin disorders.
District General Hospital
Dartford, Gravesham and Swanley
Dartford and Gravesham NHS Trust
Services used for investigating and diagnosing health conditions, such as radiology or other imagine techniques, blood or urine tests, endoscopy.
Blood or urine tests, X-rays, ultrasound and other imaging
techniques that help clinicians see what is happening inside the body to help them diagnose a patient condition.
Are senior nurses in the United Kingdom's National Health Service who manage care within the community, leading teams of community nurses and support workers, as well as visiting housebound patients to provide advice and care such as palliative care, wound management.
Did Not Attend
Do Not Resuscitate
Department of Health
Data Protection Act
Day Surgery Unit
Diagnosis and Treatment Centre
Darent Valley Hospital
Driver and Vehicle Licensing Agency
Equality & Diversity
Emergency Department (alternative name for A&E)
Electronic Document Management
Electronic Discharge Notification
Equality Impact Assessment
East Kent Hospitals University NHS Foundation Trust
(electronic) Knowledge and Skills Framework
An immediate response to time critical health care need.
End of Life Care
An important part of palliative care for people who are nearing the end of their life. End of life care is for people who are considered to be in the last year of life, but this timeframe can be difficult to predict.
Ear, Nose and Throat
Expert Patient Programme
Electronic patient record: systems that enable health and care professionals to access key information about a person’s medical history or needs.
Equalities Impact Assessment
Passed in 1995, this law makes it illegal to offer a public service which is inaccessible to someone because of their physical or learning disabilities.
Estates Return Information Collection
Early supported discharge. The purpose of early supported discharge is to provide a structured rehabilitation programme, suited to the needs of each individual stroke patient
Electronic Staff Record
Education, Training and Development
The criteria used to evaluate the options that remained after the application of the hurdle criteria. The evaluation criteria are quality of care for all, access to care for all, workforce, ability to deliver and affordability and value for money. Each have a number of sub-criterion and were developed with patients and the public.
Estuary View Medical Centre
European Working Time Directive
Frequently Asked Question
People who are displaying the symptoms of stroke. FAST is an acronym used as a mnemonic to help detect and enhance responsiveness to stroke victim needs; the acronym stands for Facial drooping, Arm weakness, Speech difficulties and Time to call emergency services.
Full Business Case
Freedom Of Information
Freedom of Information Act
A second or subsequent appointment to check on the outcome of a treatment plan.
Foundation Trusts (FT)
NHS Foundation Trusts are non-profit making public sector corporations. They are part of the NHS but have greater freedom to decide their own plans and the way services are run. Foundation Trusts have members and a council of governors.
The NHS ‘Four Tests’
NHS England has issued guidance on how commissioners should manage major service change and the criteria that should be met. One of the key requirements is to ensure that the ‘four tests’ are embedded within the reconfiguration planning process. Section 8.7 describes how the proposals within the scope of this PCBC meet these ‘four tests’. The tests are designed to demonstrate that there has been a consistent approach to both managing change and engaging with patients and the public.
Fellow of the Royal Society for Public Health
Social Care, Health & Wellbeing (KCC)
Full Time Equivalent
Foundation Trust Network
General Dental Council
General Dental Services
General Medical Council
General Medical Services
General Ophthalmic Services
The decision-making group of the Clinical Commissioning Groups in Kent and Medway.
General Practitioner. GPs are traditionally the first point of contact for patients.
(BMA) General Practitioners Committee
General Pharmaceutical Council
Government Procurement Services
General Practitioner with a Special Interest (i.e. clinical specialty)
Also known as cerebral haemorrhages or intracranial haemorrhages. They occur when a blood vessel within the skull bursts and bleeds into and around the brain. The main cause of haemorrhagic stroke is high blood pressure, which can weaken the arteries in the brain and make them prone to split or rupture.
Health & Social Care Integration Programme
Hyper-acute stroke unit. A highly specialist stroke unit where people who have just had a stroke get rapid access to first class diagnostics, specialist assessment and intervention, seven days a week. This saves lives and reduces disability.
High Dependency Unit
Health Education England
Health Education England (HEE) is an executive non-departmental public body of the Department of Health. Their function is to provide national leadership and coordination for the education and training within the health and public health workforce
Healthwatch Kent and Healthwatch Medway provide information to service users, carers and the public about local health and care services and how to find their way around the system. Healthwatch represents the views and experiences of service users, carers and the public on health and wellbeing boards (see below). It can also raise any concerns with the national body, Healthwatch England.
Helicopter Emergency Medical Service
Hospital Episodes Statistics (HES) is a data warehouse containing records of all patients admitted to NHS hospitals in England.
Health Impact Assessment
Health Information Service/System
Healthy Living Centre
Her Majesty Treasury
Health overview and scrutiny committee (HOSC) or health overview and scrutiny panel. A committee of the relevant local authority, or group of local authorities, made up of local councillors who are responsible for monitoring, and if necessary challenging, health plans. They inform the programme if they believe consultation is needed, depending on the scale of proposed change, and they also agree some other aspects of consultation, such as the length of the consultation period.
Health Protection Agency
Health Service Cost Index
Health and Social Care Information Centre
Health and Safety Executive
Health Service Journal
A set of criteria, developed by clinicians and the public, used to establish the optimal number of stroke units for Kent & Medway.
Health and Wellbeing Board. These were formed as part of the NHS restructure in April 2013. They bring together the local NHS, public health, adult social care and children’s services to plan how best to meet the needs of local people, and tackle health inequalities. They are hosted by the local authority and members include elected Councillors and Healthwatch.
High Weald Lewes Havens
Improving Access to Psychological Therapies
Independent Complaints Advocacy Service
Integrated Care Organisation
Integrated Care Pathway
Integrated Community Stroke Team. Post-hospital stroke rehabilitation will be provided by the ICST, a multidisciplinary team. This team will support all rehabilitation pathways and early supported discharge.
Information and Communication Technology
Intensive Care Unit
Intelligence Gathering Group
Information management and technology (also known as IT).
A person who is admitted over night to a hospital for treatment or an operation.
Provided in a hospital where patient will stay overnight at least one night.
Integrated Care Pathway
A multidisciplinary outline of anticipated care, placed in an appropriate timeframe, to help a patient with a specific condition or set of symptoms move progressively through a clinical experience to positive outcomes.
Intensive care units provide support for patients after complex surgery, or patients needing multiple organ support such as ventilation and dialysis.
Independent Reconfiguration Panel
Independent Safeguarding Authority
Ischaemic strokes are the most common type of stroke. They occur when a blood clot blocks the flow of blood and oxygen to the brain. These blood clots typically form in areas where the arteries have been narrowed or blocked over time by fatty deposits known as plaques.
Independent Sector Treatment Centres
Invitation to Tender
Intensive Therapy Unit
The Joint Committee of Clinical Commissioning Groups (JCCCG) is a meeting of the CCGs in Kent & Medway plus two external CCGs with populations affected by the proposals. The JCCCG is responsible for making decisions about the proposals for stroke services contained in this PCBC.
The Kent & Medway NHS Joint Health Overview and Scrutiny Committee (JHOSC) brings together the local HOSCs and will inform the programme whether it considers that consultation is required regarding service changes.
Joint Health and Wellbeing Strategy
Joint Strategic Needs Assessment
Kent & Canterbury Hospital
Kent and Canterbury Hospital
Kent and Medway
Kent Council on Addiction
Kent County Council
Kent Community Health Trust
Kent Drug, Alcohol and Addiction Team
Kent Health and Wellbeing Board
Kent Integrated Adolescent Support Service
Kent Integrated Dataset. A database which pulls together information for individual patients across health and social care providers in Kent & Medway.
Kent & Medway Partnership Trust – Mental Health
Key Performance Indicator
(NHS) Knowledge and Skills Framework
Locum Appointment for Service
Local authorities. In this instance, that means Kent County Council and Medway Council, which are the local authorities with responsibility for social care and public health.
Locum Appointment for Training
Local Delivery Plan
Local Digital Roadmap – plans to improve technology and information sharing in the NHS and social care.
Local Enhanced Service
Local Government Association
Local Health Board
Local Health Community
Local Involvement Networks
Local Medical Committee
Length of stay – how long a patient stays in a hospital bed.
Local Service Provider
Local Strategic Partnership
Multi-Agency Safeguarding Hub
Medical Admission/Assessment Unit
Managed Clinical Network
Multi-speciality Community Providers
Multi-disciplinary team which brings together a range of health and social care professionals to work together to provide joined -up care for local people. That might include GPs, mental health specialists, social workers, nurses and hospital clinicians.
Major Emergency Centre
Mechanical thrombectomy is an emergency procedure to remove a blood clot using surgery.
Medway NHS Foundation Trust
Maidstone General Hospital
Medicines and Healthcare Products Regulatory Agency
Minor Injuries Unit
A hospital department in the UK largely staffed by emergency nurse practitioners (ENPs) working autonomously looking after minor injuries such as lacerations and fractures, and have access to X-ray facilities.
Minor Injury Unit
Medway Maritime Hospital
Measles, Mumps, Rubella (vaccination)
Models of care
Models of care are the way that health and social care services are organised, accessed and delivered.
Member of Parliment
Magnetic Resonance Angiography
Medical Research Council
Magnetic Resonance Imaging
Magnetic resonance imaging (MRI) is a type of scan that uses strong magnetic fields and radio waves to produce detailed images of the inside of the body. An MRI scan can be used to examine almost any part of the body. The results of an MRI scan can be used to help diagnose conditions, plan treatments and assess how effective previous treatment has been.
Methicillin-resistant Staphylococcus aureus
Maidstone & Tunbridge Wells Hospital Trust
Medway Unitary Authority (Medway Council)
Musculoskeletal (MSK) Service
Care of conditions related to body muscles, bones and joint mobility.
National Advisory Group
National Audit Office
National Council for Voluntary Organisations
National Diabetes Audit
New and Emerging Applications of Technology
National Health Service
NHS Clinical Commissioners
This is the membership organisation of clinical commissioning groups. Their job is to help get the best healthcare and health outcomes for their local communities and patients. In East Kent there are four clinical commissioning groups (CCGs) as follows;
• Ashford CCG
• South Kent Coast CCG
• Thanet CCG
• Canterbury and Coast CCG
NHS Local Improvement Finance Trust
NHS Blood and Transplant
NHS Commissioning Board
NHS Clinical Commissioners
NHS England is an executive non-departmental public body of the Department of Health. It oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the NHS in England as set out in the Health and Social Care Act 2012. It holds the contracts for primary care services and specialised services.
NHS Institute for Innovation and Improvement
National Health Service Litigation Authority
National Institute of Clinical Excellence
Neonatal Intensive Care Unit
National Institute for Health Research
Nursing and Midwifery Council
Net Present Value
National Research Ethics Service
National Specialist Commissioning Group
National Service Framework
Outline Business Case
Occupied bed day. Used as a way to count and calculate the number of beds required.
Outline Business Case
Operating Department Practitioner
Official Journal of the European Union
One Stop Care Model
One stop shop is the Outpatient model to which EKHUFT aspire. They are designed to allow us to reduce appointments and create opportunities for getting consultations, diagnostic tests, and treatment plan all in one appointment. For surgical patients it will also include pre assessment and agreement of operation date.
Office for National Statistics
Out Of Area
Out Of Hours
Office for Population Censuses and Surveys Classification of Surgical Operations & Procedures
The branch of medicine that deals with the anatomy, physiology and diseases of the eye.
Comparing key points about several alternatives to guide a choice that ensures agreed objectives are met as close as possible.
(Local Authority) Overview and Scrutiny Committee
Provided in a hospital or at a freestanding surgery centre. Afterward patients are released to recuperate at home.
Primary and Acute Care Systems
Picture Archiving and Communications System
Care for people living with a terminal illness where a cure is no longer possible. It’s also for people who have a complex illness and need their symptoms controlled.
Patient Advice & Liaison Service
The senior healthcare professional at an accident or a medical emergency. Working on their own, or with an emergency care assistant or ambulance technician, they assess the patient’s condition and give essential treatment.
Patient Administration Service
To inform patient officially that he/she can or must leave the hospital.
Payment by Results
Pre-consultation business case. The document which presents the business case for any changes to services on which the CCGs agree to consult. It shows that CCGs have properly considered the options, undertaken pre-consultation engagement, submitted to the required scrutiny and met the four tests and three conditions required by the Secretary of State.
Primary Care Information Service
Private Finance Initiative
A chemist’s shop which dispenses prescription
Pharmacist with Special Interest
Patient Information Advisory Group
Person Identifiable Data
Project Initiation Document
Policy Implementation Guide
Project/programme management office.
Personal Medical Services
Patient and Public Advisory Group (PPAG). A group of patients, carers and the public, set up to provide input into programme. It consists of a range of people who use or have contact with health services across Kent and Medway and who between them bring a wide and diverse range of experiences and perspectives to feed into the discussions. In addition, they are able to feedback information and progress on the work of the programme to their own networks and are supporting the STP with its information sharing and gathering as plans develop.
(prescription) Pre-Payment Certificate
Primary percutaneous coronary intervention. A procedure used to treat narrowed arteries.
Patient and Public Engagement
Patient and Public Engagement and Involvement
Patient Participation Group
Public and Patient Involvement
Private Patient Income Cap
Checks made by a nurse before patient has an operation or other healthcare procedure.
Primary care is the main or first point of contact for the patient, usually through a GP. Other primary care services include community pharmacy, optometry, dentistry. The day-to-day health care given by a health care provider. Typically this provider acts as the first contact and principal point of continuing care for patients within a health care system, and coordinates other specialist care that the patient may need
Patient-Reported Outcome Measure
An individual or an organisation that gives a service in return for payment, such as GPs, hospitals and pharmacies.
Princess Royal University Hospital in Orpington (part of Kings College Hospital NHS Foundation Trust)
Patient Tracking List
Questions and Answers
Queen Elizabeth Queen Mother Hospital Margate
Quality, Innovation, Productivity and Prevention
Quality Outcome Framework (Assessor Validation Reports)
This is the process that any proposed changes go through to ensure that proposals are based on robust, sound evidence and meet the criteria set down as part of the Four Tests and other regulatory requirements for commissioners and providers as set by NHS England.
A statistical term used when a population of people is divided into four groups, usually used to show the top or bottom quarter of people in a group.
Research and Development
Royal College of General Practitioners
Royal College of Midwives
Royal College of Nursing
Royal College of Anaesthetists
Royal College of Physicians
Royal College of Surgeons
Royal College of Speech and Language Therapists
Randomised Controlled Trial
Rheumatoid Arthritis Service
Rheumatoid arthritis (RA) is where the joints of the body become inflamed and cause pain and tenderness.
Referral To Treatment Time
Royal Victoria Hospital Folkestone
Speech & language therapist
Severe Acute Respiratory Syndrome
Surgical Admission Unit
Specialised Commissioning Group
Summary Care Record
Support, Empower, Advocate and Promote
Surgical Emergency Assessment Unit
South East Coast Ambulance service
South East Coast Ambulance Service NHS Foundation Trust.
Self-care and Preventative Activities
Includes any intentional actions patient takes to care for their physical, mental and emotional health.
Standardised Mortality Ratio
Strategic Outline Case
Society of Radiographers
South East Cardiovascular Clinical Network
The South East Cardiovascular Clinical Networks support the delivery of the Five Year Forward Plan for the clinical priority programme of cardiovascular. It brings patients, carers, clinicians, commissioners and organisations together across Kent, Surrey & Sussex to enable the delivery of significant strategic quality improvements in cardiovascular services.
South East Coast Clinical Senate
The South East Coast Clinical Senate is a source of independent, strategic advice and guidance to commissioners and other stakeholders to help them to make the best decisions about healthcare for the populations they represent. It is comprised of a core clinical senate council and a wider clinical senate assembly or forum. It has a clinical chair. IT has assured the clinical aspects of the proposals in this PCBC.
Single Point of Access
Care for people with severe health conditions in a specialist hospital. Very small number of patients needs this type of emergency or complex care.
Senior responsible officer. The person responsible for the successful delivery of a project or programme.
The Sentinel Stroke National Audit Programme (SSNAP) aims to improve the quality of stroke care by auditing stroke services against evidence based standards and national and local benchmarks. Building on 15 years of experience delivering the National Sentinel Stroke Audit (NSSA) and the Stroke Improvement National Audit Programme (SINAP), SSNAP is pioneering a new model of healthcare quality improvement through near real -time data collection, analysis and reporting on the quality and outcomes of stroke care. SSNAP is the single source of stroke data and has 100% participation of acute hospitals in England, with 95% case ascertainment.
Senior Salaries Review Body
Anyone with an interest in a business or organisation. Stakeholders are individuals, groups or organisations that are affected by the activity of the business.
Sustainability and transformation fund – money allocated by the NHS to support the transformation of services and systems.
Sustainability and Transformation Partnership
Sustainability and Transformation Plan
A "brain attack". A stroke is a serious life threatening medical condition that occurs when the blood supply to part of the brain is cut off. It can happen to anyone at any time. When this happens, brain cells are deprived of oxygen and begin to die. When brain cells die during a stroke, abilities controlled by that area of the brain such as memory and muscle control are lost.
The specialty of medicine that treats diseases and disorders by cutting, removing or changing the body with an operative procedure. Surgery could either be minor or major.
To be confirmed.
NHS Trust Development Authority
Use of new technology to help clinicians to discuss a patient access to relevant medical images and information
A team of mixed expertise from nursing, healthcare administrators, therapists, psychiatrists and psychologists who learn from each other to provide better care for the patient.
Treatment that helps patient regains their ability to carry out tasks of daily leaving.
Thrombolysis, also known as thrombolytic therapy, is a treatment to dissolve dangerous clots in blood vessels, improve blood flow, and prevent damage to tissues and organs.
Transient ischaemic attack (TIA) or ‘mini stroke is caused by a temporary disruption in the blood supply to part of the brain. The disruption in blood supply results in a lack of oxygen to the brain. This can cause sudden symptoms similar to a stroke, such as speech and visual disturbance, and numbness or weakness in the face, arms and legs. However, a TIA doesn't last as long as a stroke. The effects often only last for a few minutes or hours and fully resolve within 24 hours.
Tiers of Care
Tiered model of care seek to match intensity and acuity of the problem to the intensity and acuity of the treatment; primary care plays a key role in these models
Transfer of Undertaking Protection of Employment Regulations
Tunbridge Wells Hospital
Urgent Care Centre
University College London Hospital
Involve services that are available for the public to access without prior arrangement where there is an urgent actual or perceived need for intervention by a health or social care professional
Urgent and emergency care
Urgent and emergency care. Surgery or medical treatment that is not planned and which is needed for urgent conditions. Examples include surgery for appendicitis, perforated or obstructed bowel, and gallbladder infections. It is also known as non-elective care.
The response before the next in–hours or routine (primary care) service is available
Includes any condition that affects the circulatory system, such as peripheral artery disease. This ranges from diseases of the arteries, veins and lymph vessels to blood disorders that affect circulation
Voluntary and Community Sector
Voluntary, Community and Social Enterprise
Value for Money
Are staffed by teams of nurse practitioners who provide treatment and advice for patients on a range of minor illnesses and injuries, without an appointment.
William Harvey Hospital in Ashford. Named after the Canterbury educated discoverer of the circulation of the blood.
World Health Organisation
Commissioners and providers in a local area acting as a “whole system” to deliver effective and efficient services across all aspects of health and/or social care.
Walk In Centre
Health issues specific to female anatomy.
commissioners) that enables us to plan, commission and deliver workforce.
These are specific strands of work taken forward by a dedicated team of people as part of the wider STP programme. Workstreams for the Kent and Medway STP include: communications and engagement, digital, estates and workforce.
Whole time equivalent: the number of staff required to carry out a particular function assuming that they all work full (whole) time