In the UK National Health Services (NHS) guarantees standard and free healthcare for all. The NHS has been judged as one of the best, safest and most affordable healthcare systems in the world. Although a major part of the NHS workforce comprises of British/ UK nationals, qualified professionals from across the world.

It is found that the overseas healthcare professionals for many years have made a valuable and important contribution to the NHS especially in key services where there has been a historic shortage of UK trained professionals. Without the support of these people, many services would struggle to provide effective care to their patients and that is the prime reason for many years that NHS actively encourages overseas professionals to move to the UK.

It is noteworthy that these professionals are subjected to strict criteria set by the NMC UK including language proficiency to ensure that they communicate with a considerable standard in English apart from the professional competency benchmark.

The NHS was launched in 1948, and was born out of a long-held ideal that good healthcare should be available to all, regardless of wealth – one of the NHS’s core principles.

With the exception of some charges, such as prescriptions, optical services and dental services, the NHS in England remains free at the point of use for all UK residents. This currently stands at more than 64.6 million people in the UK and 54.3 million people in England alone.

The NHS in England deals with over 1 million patients every 36 hours. It covers everything, including antenatal screening, routine screenings with (such as the NHS Health Check), and treatments for long-term conditions, transplants, emergency treatment and end-of-life care.

In 2014, the Commonwealth Fund declared that in comparison with the healthcare systems of 10 other countries (Australia, Canada, France, Germany, Netherlands, New Zealand, Norway, Sweden, Switzerland and the US) the NHS was the most impressive overall. The NHS was rated as the best system in terms of efficiency, effective care, safe care, coordinated care and patient-centered care.

The NHS employs more than 1.5 million people, putting it in the top five of the world’s largest workforce. The NHS in England is the biggest part of the system by far, catering to a population of 54.3 million and employing around 1.2 million people. Of those, the clinically qualified staff include 150,273 doctors, 40,584 general practitioners (GPs), 314,966 nurses and health visitors, 18,862 ambulance staff, and 111,127 hospital and community health.

Funding for the NHS comes directly from taxation. Since the NHS transformation in 2013, the NHS payment system has become underpinned by legislation. The Health & Social Care Act 2012 moves responsibility for pricing from the Department of Health, to a shared responsibility for NHS England and NHS Improvement. When the NHS was launched in 1948, it had a budget of £437 million (roughly £15 billion at today’s value). For 2015/16, the overall NHS budget was around £116.4 billion. NHS England is managing £101.3 billion of this.

The Registered nurses are paid with Band 5 payment as per the NHS pay scale. The NHS reviews the pay scale and perks of its employees and revises it as per the existing norms periodically. According to the latest revision, the starting band 5 salary is £24,214 per year. The salary quoted is for a standard NHS contract of a 37.5 – hour week and earnings will depend on the additional income earned depending on what shifts you work. See below for rates paid at nights and weekends.

Unsocial hour’s payments are additions to basic pay. These apply for staff whose work in standard hours, within the normal 37.5 hours of work a week. Anything above 37.5 hours a week would be considered as ‘overtime’ and will be paid in addition to the basic pay.

In 2002, nursing homes in the United Kingdom were officially designated as care homes with nursing, and residential homes became known as care homes.

In 2019, according to NHS England, there were about 17,000 nursing and residential care homes in England housing about 400,000 people. The residents were prescribed an average of seven medicines a day, and 14% of them were 85 or over.

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